Human immunodeficiency virus infection

Active Ingredient: Abacavir

Indication for Abacavir

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old) , adults (18 - 65 years old)
Therapeutic intent: Curative procedure

Abacavir is indicated in antiretroviral combination therapy for the treatment of Human Immunodeficiency Virus (HIV) infection in adults, adolescents and children.

The demonstration of the benefit of abacavir is mainly based on results of studies performed with a twice daily regimen, in treatment-naïve adult patients on combination therapy.

Before initiating treatment with abacavir, screening for carriage of the HLA-B*5701 allele should be performed in any HIV-infected patient, irrespective of racial origin. Abacavir should not be used in patients known to carry the HLA-B*5701 allele.

For this indication, competent medicine agencies globally authorize below treatments:

600 mg daily

For:

Dosage regimens

Regimen A: Oral, 300 milligrams abacavir, 2 times daily.

Regimen B: Oral, 600 milligrams abacavir, once daily.

Detailed description

The recommended dose of abacavir is 600 mg daily. This may be administered as either 300 mg twice daily or 600 mg once daily.

Patients changing from the twice daily dosing regimen to the once daily dosing regimen should take the recommended once daily dose approximately 12 hours after the last twice daily dose, and then continue to take the recommended once daily dose approximately every 24 hours. When changing back to a twice daily regimen, patients should take the recommended twice daily dose approximately 24 hours after the last once daily dose.

Dosage considerations

It can be taken with or without food.

For patients weighing ≥25 kg 600 mg daily, for patients weighing ≥20 kg to <25 kg 450 mg daily and for patients weighing 14 to <20 kg 300 mg daily

For:

Dosage regimens

Regimen A: In case that patient weight is ≥ 25 kg, oral, 300 milligrams abacavir, 2 times daily.

Regimen B: In case that patient weight is ≥ 25 kg, oral, 600 milligrams abacavir, once daily.

Regimen C: In case that patient weight is ≥ 20 kg and patient weight is ≤ 25 kg, oral, 450 milligrams abacavir, once daily.

Regimen D: In case that patient weight is ≥ 20 kg and patient weight is ≤ 25 kg, oral, 450 milligrams abacavir, divided daily, 2 doses in total.

Regimen E: In case that patient weight is ≥ 14 kg and patient weight is ≤ 20 kg, oral, 150 milligrams abacavir, divided 2 times daily.

Regimen F: In case that patient weight is ≥ 14 kg and patient weight is ≤ 20 kg, oral, 300 milligrams abacavir, divided once daily.

Detailed description

Children weighing at least 25 kg

The recommended dose of abacavir is 600 mg daily. This may be administered as either 300 mg twice daily or 600 mg once daily.

Children weighing less than 25 kg

Children weighing ≥20 kg to <25 kg: The recommended dose is 450 mg daily. This may be administered as either one 150 mg taken in the morning and 300 mg taken in the evening, or 450 mg taken once daily.

Children weighing 14 to <20 kg: The recommended dose is 300 mg daily. This may be administered as either 150 mg twice daily or 300 mg once daily.

Children less than three months of age: The clinical experience in children aged less than three months is limited and are insufficient to propose specific dosage recommendations.

Patients changing from the twice daily dosing regimen to the once daily dosing regimen should take the recommended once daily dose approximately 12 hours after the last twice daily dose, and then continue to take the recommended once daily dose approximately every 24 hours. When changing back to a twice daily regimen, patients should take the recommended twice daily dose approximately 24 hours after the last once daily dose.

Dosage considerations

It can be taken with or without food.

Active ingredient

Abacavir

Abacavir is a NRTI. It is a potent selective inhibitor of HIV-1 and HIV-2. Abacavir is metabolised intracellularly to the active moiety, carbovir 5'-triphosphate (TP). In vitro studies have demonstrated that its mechanism of action in relation to HIV is inhibition of the HIV reverse transcriptase enzyme, an event which results in chain termination and interruption of the viral replication cycle.

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