On June 1st, efavirenz (Sustiva™) was given formal approval
for marketing in the European Union and is now available on prescription for use
in combination with other antiretrovirals in the treatment of HIV-infected
adults, adolescents and children three years or older, weighing more than
13kg.
Efavirenz is a once-daily drug which has been shown to have
a potent effect on viral load in treatment naïve patients when combined with two
nucleoside analogues. The early results from a head-to-head study comparing
efavirenz/AZT/3TC with indinavir/AZT/3TC led the authors of US guidelines on the
use of antiretrovirals to recommend an efavirenz-based regimen as the only
alternative to protease inhibitor-based regimens in first line therapy.
A factsheet and research findings on efavirenz are available
elsewhere on aidsmap.com For an overview go to
For more detailed coverage of research findings see
Manufacturers DuPont Pharma have priced efavirenz (an NNRTI)
at a level equivalent to the protease inhibitor indinavir, and significantly
above the cost of the only other NNRTI licensed in the EU,
nevirapine.