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ViiV/Janssen's Double-Edged SWORD: Four Drugs Good, Two Drugs Better?

 
• By Alexandra Shimmings

Data from ViiV Healthcare and Janssen's SWORD study point the way to a two-drug future in HIV for Tivicay/Edurant, but will doctors want to rock the boat, especially with Gilead's bictegravir impressing in Phase II?

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The possibility of a two-drug regimen for HIV maintenance therapy has come further into view with the full data for the SWORD studies showing that patients can be switched from a three- or four-drug regimen to ViiV Healthcare's Tivicay (dolutegravir) plus Janssen Inc.'s Edurant (rilpivirine) without sacrificing any anti-HIV efficacy. The companies are planning regulatory filings for the two-drug regimen as a single tablet this year.

The dolutegravir and rilpivirine regimen achieved non-inferior viral suppression (HIV-1 RNA <50 copies/mL) at 48 weeks compared with a three-...

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