Country: United States
Language: English
Source: NLM (National Library of Medicine)
ELVITEGRAVIR (UNII: 4GDQ854U53) (ELVITEGRAVIR - UNII:4GDQ854U53), COBICISTAT (UNII: LW2E03M5PG) (COBICISTAT - UNII:LW2E03M5PG), EMTRICITABINE (UNII: G70B4ETF4S) (EMTRICITABINE - UNII:G70B4ETF4S), TENOFOVIR ALAFENAMIDE FUMARATE (UNII: FWF6Q91TZO) (TENOFOVIR ANHYDROUS - UNII:W4HFE001U5)
A-S Medication Solutions
ELVITEGRAVIR
ELVITEGRAVIR 150 mg
ORAL
PRESCRIPTION DRUG
GENVOYA is indicated as a complete regimen for the treatment of HIV-1 infection in adults and pediatric patients weighing at least 25 kg who have no antiretroviral treatment history or to replace the current antiretroviral regimen in those who are virologically-suppressed (HIV-1 RNA less than 50 copies per mL) on a stable antiretroviral regimen for at least 6 months with no history of treatment failure and no known substitutions associated with resistance to the individual components of GENVOYA [see Clinical Studies (14)]. Coadministration of GENVOYA is contraindicated with drugs that are highly dependent on CYP3A for clearance and for which elevated plasma concentrations are associated with serious and/or life-threatening events. These drugs and other contraindicated drugs (which may lead to reduced efficacy of GENVOYA and possible resistance) are listed in Table 1 [see Drug Interactions (7.5) and Clinical Pharmacology (12.3)] . Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors
Product: 50090-2279 NDC: 50090-2279-0 30 TABLET in a BOTTLE, PLASTIC
New Drug Application
GENVOYA- ELVITEGRAVIR, COBICISTAT, EMTRICITABINE, AND TENOFOVIR ALAFENAMIDE TABLET A-S MEDICATION SOLUTIONS ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE GENVOYA SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR GENVOYA. GENVOYA (ELVITEGRAVIR, COBICISTAT, EMTRICITABINE, AND TENOFOVIR ALAFENAMIDE) TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 2015 WARNING: POST TREATMENT ACUTE EXACERBATION OF HEPATITIS B _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ GENVOYA IS NOT APPROVED FOR THE TREATMENT OF CHRONIC HEPATITIS B VIRUS (HBV) INFECTION. SEVERE ACUTE EXACERBATIONS OF HEPATITIS B HAVE BEEN REPORTED IN PATIENTS WHO ARE COINFECTED WITH HIV-1 AND HBV AND HAVE DISCONTINUED PRODUCTS CONTAINING EMTRICITABINE AND/OR TENOFOVIR DISOPROXIL FUMARATE (TDF), AND MAY OCCUR WITH DISCONTINUATION OF GENVOYA. HEPATIC FUNCTION SHOULD BE MONITORED CLOSELY IN THESE PATIENTS. IF APPROPRIATE, ANTI-HEPATITIS B THERAPY MAY BE WARRANTED. (5.1) RECENT MAJOR CHANGES Boxed Warning, Lactic Acidosis/Severe Hepatomegaly with Steatosis_ [removed]_ 04/2017 Indications and Usage (1) 09/2017 Dosage and Administration, Testing Prior to Initiation and During Treatment with GENVOYA (2.1) 11/2017 Dosage and Administration, Recommended Dosage (2.2) 09/2017 Warnings and Precautions, New Onset or Worsening Renal Impairment (5.4) 11/2017 Warnings and Precautions, Lactic Acidosis/Severe Hepatomegaly with Steatosis (5.5) 04/2017 Warnings and Precautions, Fat Redistribution_ [removed]_ 04/2017 Warnings and Precautions, Bone Loss and Mineralization Defects [_removed]_ 12/2016 INDICATIONS AND USAGE GENVOYA is a four-drug combination of elvitegravir, an HIV-1 integrase strand transfer inhibitor (INSTI), cobicistat, a CYP3A inhibitor, and emtricitabine and tenofovir alafenamide (TAF), both HIV-1 nucleoside analog reverse transcriptase inhibitors (NRTIs), and is indicated as a complete regimen for the treatment of HIV-1 infection in adults and pediatric patients weighing at Read the complete document