Rilpivirin (Rekambys, 1) – Rekambys®

HIV-1 infection, pre-treated, combination with cabotegravir

Characteristics

Start date 01.05.2021 – Marketing authorisation: 17.12.2020
Resolution 21.10.2021
INN Rilpivirin
Brand name Rekambys®
Pharm. company ViiV Healthcare GmbH
G-BA Procedure ID D-680
ATC code J05AG05 Non-nucleoside reverse transcriptase inhibitors (J05AG)
ICD-10 codes (AIS) B24, Z21Asymptomatic human immunodeficiency virus [HIV] infection status
Alpha-ID codes (AIS) I24822HIV infection, I29605HIV disease
DDD 25 mg O
Therapeutic area Infectious diseases HIV
Reason for procedure Initial assessment

Therapeutic indication of the resolution

REKAMBYS is indicated, in combination with cabotegravir injection, for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in adults who are virologically suppressed (HIV-1 RNA < 50 copies/mL) on a stable antiretroviral regimen without present or past evidence of viral resistance to, and no prior virological failure with, agents of the NNRTI and INI class.

Subpopulation Indication Comparator
Adults with HIV-1 infection who are on a stable antiretroviral regimen are virologically suppressed (HIV-1 RNA < 50 copies/mL) with no current or historically documented resistance to the NNRTI or INI class and without virologic failure to NNRTI and INI class agents in the past. A patient-specific antiretroviral therapy with selection of the approved agents; taking into account previous therapy(ies) and side effects, if any.

Studies and Results

No. of studies
(best subpopulation)
0 (Data not accepted)
Study design
(best subpopulation)
Data not accepted (Dossier: H2H vs. non-ACT + ITC (Bucher))

  • Clinical trials
    • The ATLAS-2M trial is an open-label, randomised, parallel-group study investigating the treatment regimen of rilpivirine and cabotegravir Q2M compared with Q1M.
    • The FLAIR trial is an open-label, randomised, parallel-group trial investigating rilpivirine + cabotegravir Q1M compared with abacavir/dolutegravir/lamivudine (ABC/DTG/3TC).

Adults with HIV-1 infection who are virologically suppressed on a stable antiretroviral regimen (HIV-1 RNA < 50 copies/ml) with no current or historically documented resistance to the NNRTI or INI classes and no history of virological failure with active ingredients from the NNRTI and INI classes.

  • The additional benefit is not proven.
  • Overall, the pharmaceutical manufacturer did not submit any data for the present therapeutic indication that would have been suitable for assessing the additional benefit of rilpivirine in combination with cabotegravir compared with the appropriate comparator therapy.
  • mortality
    • Other patient-relevant endpoints include mortality, morbidity, health-related quality of life and adverse events (AEs).
  • morbidity
    • Other patient-relevant endpoints include mortality, morbidity, health-related quality of life and adverse events (AEs).
  • Health-related quality of life
    • Other patient-relevant endpoints include mortality, morbidity, health-related quality of life and adverse events (AEs).
  • Side effects
    • Other patient-relevant endpoints include mortality, morbidity, health-related quality of life and adverse events (AEs).

Courtesy translation only, please refer to the German original.

Associated procedures

Rilpivirin (Rekambys, 1) Rekambys® ViiV Healthcare GmbH Infectious diseases HIV-1 infection, pre-treated, combination with cabotegravir 59,900 100% additional benefit not proven


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