americanpharmaceuticalreviewMarch 22, 2017
Mylan has announced receipt of tentative approval from the U.S. Food and Drug Administration under the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) for its New Drug Application for Efavirenz, Lamivudine and Tenofovir Disoproxil Fumarate Tablets, 400 mg/300 mg/300 mg ("TLE400"). TLE400, an antiretroviral (ARV) fixed-dose combination, will be available in developing countries as a first-line regimen for people being treated for HIV/AIDS.
Mylan's TLE400 is formulated with a 400 mg dose of Efavirenz, which is less than the standard dose of 600 mg. The Kirby Institute's ENCORE1 trial, which used drugs provided by Mylan and Gilead Sciences, showed that a reduced dose of 400 mg Efavirenz is non-inferior to a dose of 600 mg, when combined with Tenofovir and Emtricitabine during 48 weeks in ART-naive adults with HIV-1 infection. TLE400 was recommended by the World Health Organization in 2016 as an alternative for first-line therapy for adults living with HIV.
"Mylan has a strong and sustained commitment to expand access to treatment for HIV/AIDS and other diseases in developing countries. We have nine independent sites engaged in the production and supply of ARV products, ensuring multiple redundancies so we can maintain continuous supply," commented Mylan President Rajiv Malik. "TLE400 is another example of our work to partner with leading global health organizations to innovate and adapt our medicines to meet the unique needs of people living in these settings, in order to accelerate access and to improve treatment outcomes."
There are approximately 37 million people living with HIV/AIDS around the world, with the vast majority living in developing countries. Mylan has invested $250 million in expanding its ARV production capacity, enabling the company to produce 4 billion ARV tablets and capsules every year.
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