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HIV Experimental Treatments



Experimental HIV Treatments

AIDS Clinical Trials Group (ACTG) – ACTG is the world’s largest and longest running HIV clinical trials network. It conducts research to improve the treatment of HIV and its co-infections, including tuberculosis and viral hepatitis, as well as its co-morbidities. ACTG also seeks to advance approaches to ultimately cure HIV.

Antiretroviral Drug Discovery and Development (National Institute of Allergy and Infectious Diseases – NIAID) – This fact sheet provides an overview of the history of antiretroviral drug (ARV) development from the early years of the HIV/AIDS pandemic to the present, along with information about NIAID’s ongoing effort to identify new classes of ARVs that fight HIV in novel ways. An associated infographic contrasts the complexity of ARV regimens in the 1990s with the single-pill regimens common now.

Drug Database of HIV and Opportunistic Infections Medications (Clinicalinfo.HIV) – This database contains information about more than 150 medications for HIV, opportunistic infections, and related conditions that have either been approved by the U.S. Food and Drug Administration or are being studied in clinical trials. Also available in Spanish.

What Is an Investigational HIV Drug? (HIVinfo) – This fact sheet describes what investigational drugs are, the types of investigational HIV drugs that are under development, the role of clinical trials in evaluating drugs, expanded access programs for investigational drugs, and where to find more information about HIV investigational drugs. Also available in Spanish.

Long-Acting/Extended Release Antiretroviral Research Resource Program (LEAP) – LEAP is an NIH-funded program whose mission is to “prioritize drugs and delivery platforms by identifying knowledge gaps and barriers in order to overcome limitations of available products.” It includes research on tuberculosis and viral hepatitis, which overlap the HIV epidemic.

What Is a Therapeutic HIV Vaccine? – This fact sheet describes what therapeutic HIV vaccines are, how they differ from preventive vaccines, the potential benefits of therapeutic vaccines, and where to find more information about therapeutic vaccine development. Also available in Spanish.

Future Directions for HIV Treatment Research (NIAID) – This web page provides an overview of several areas of HIV treatment research, including the development and testing of: long-acting drugs; broadly neutralizing antibodies capable of blocking a wide range of HIV strains; therapeutic HIV vaccines to boost the immune response to HIV of persons infected with the virus; and experimental ARVs that fight HIV in novel ways.

 

HIV Cure Research

Research Toward HIV Cure (NIH Office of AIDS Research) – This fact sheet describes the two main types of HIV cure research NIH is investing in: sustained viral remission, which involves reducing HIV to undetectable levels without the use of antiretroviral drugs; and eradicating HIV, which involves eliminating HIV entirely from the body.

HIV Cure (NIAID) – This fact sheet also briefly discusses research into sustained ART-free HIV remission and viral eradication, which are described in greater depth in the two fact sheets immediately below. It also links to a 4-minute NIAID video that explains the challenges for curing HIV and efforts to achieve HIV remission and viral eradication. 

Sustained ART-Free HIV Remission (NIAID) – This fact sheet discusses strategies for achieving sustained HIV remission in persons with HIV. These include boosting the immune system to achieve remission, starting ART therapy very soon after infection to achieve remission, and developing long-acting ART that can suppress HIV for extended periods and thereby provide a bridge to ART-free remission.

Viral Eradication (NIAID) – This fact sheet describes research designed to eliminate HIV from the body. Viral eradication research includes efforts to reverse HIV latency and destroy the HIV viral reservoir, and to use stem cell transplantation and gene therapy to enhance the immune system’s ability to fight HIV.

Research Toward a Cure Trials (Treatment Action Group) – This frequently updated chart lists clinical trials and observational studies related to the research effort to cure HIV infection. It includes the trial names and registry identifier numbers, sponsors, phase, and estimated date that each trial ends or provides interim results. By clicking on the registry identifier number for a particular trial, users are directed to a corresponding page with more detailed information about that trial.

 

Selected Resources from AIDS Education and Training Centers (AETCs)

Expand Your HIV Toolkit: Cabotegravir and Rilpivirine (CAB/RPV) Essentials and Clinical Guide (Pacific AETC, November 2022) – This toolkit includes recommendations for patient evaluation, screening, and shared decision making when considering prescribing CAB/RPV. It also includes implementation tools such as sample checklists, protocols, and resources available to aid in offering CAB/RVP in healthcare settings.

HIV Primary Care Update (New England AETC, September 2022) – This webinar covers important emerging areas of HIV medicine including primary care screening, behavioral prevention, PrEP, antiretroviral therapy, the HIV care continuum, cultural competence, and stigma and discrimination.

Recent Trials of Second-Line ART: Lessons Learned & Applications to Clinical Practice (Mountain West AETC, September 2022) – These case-based training slides review approaches and applications for second-line antiretroviral treatment regimens.

Antiretroviral Therapy: Where Are We Now? Where Are We Going? (Midwest AETC and others, April 2022) – These training slides review new/investigational antiretroviral therapies (ARTs), emphasize the clinical need for new ART options and paradigms, and review how to select newly approved ARTs for certain clinical situations.

Emerging HIV Treatment Options (Northeast/Caribbean AETC and others, April 2022) – These training slides provide an overview of the role of cabotegravir/rilpivirine injectables and other novel formulations in development for HIV treatment and prevention, and review shifting treatment paradigms – two versus three drugs for HIV treatment.

Long-Acting Injectable HIV Treatment and PrEP (New England AETC, March 2022) – This webinar provides information about new long-acting HIV injectable cabotegravir for PrEP and cabotegravir/rilpivirine for treatment.

New and Investigational ART Drugs and Strategies (New England AETC, March 2022) – This seminar focuses on new developments in antiretroviral therapy, including new strategies for the use of existing drugs, recently approved drugs, and new agents on the horizon.

CROI Update 2022 (New England AETC, March 2022) – This webinar discusses key updates from the 2022 Conference on Retroviruses and Opportunistic Infections (CROI 2022), including news on experimental HIV treatments.

CROI 2022 Report Back: Treatment Updates (Mountain West AETC, March 2022) – These training slides focusing on CROI 2022 include recent news on experimental HIV treatments.

ART Update: New Guidelines & Medications (Mountain West AETC, December 2021) – These case-based training slides review new antiretroviral treatment guidelines and medications.

International AIDS Society Update 2021 (New England AETC, October 2021) – This webinar includes important updates from the 2021 IAS Conference, including information about experimental HIV treatments.

2021 International AIDS Society Conference Highlights (Mountain West AETC: August 2021) – This presentation slide set covers highlights from the 2021 IAS Conference, including experimental HIV treatments.

HIV Treatments: Current and New Modalities (New England AETC, July 2021) – This podcast session covers how different HIV medication classes function to suppress viral replication, and reviews current HIV treatment medications and newer HIV treatment regimens.

CROI Update 2021 (New England AETC, April 2021) – This webinar includes a summary of highlights from CROI 2021, including recent developments in HIV treatment and care.

 

The contents listed on this page are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, the New England AIDS Education and Training Center.