B.C. HIV/AIDS Drug Treatment Program

Transcription

1 B.C. HIV/AIDS Drug Treatment Program Monthly Report January 215

2 215 BC Centre for Excellence in HIV/AIDS DISCLAIMER: This document is published by the British Columbia Centre for Excellence in HIV/AIDS (BC-CfE) as an overview of the activities of the BC-CfE s Drug Treatment Program. All information is generated from a live database maintained by the BC-CfE that houses data for clinical and virological outcome studies of patients receiving antiretroviral therapy. This database is updated on a regular basis. Figures and tables provided in this Monthly Report represent the best estimates available at the time this document was generated. Please be advised that information provided in this document is provided in good faith and is derived from sources believed to be accurate and up-to-date at the report s date of publication. The BC Centre for Excellence in HIV/AIDS nevertheless reserves the right to update this information at any time. Information provided here at this time, is being provided freely, and no kind of agreement or contract is created between you and the authors. The authors cannot be responsible for any violations should you reproduce or republish the information contained herein. Please note that the figures and graphs in this document are best viewed in colour. BC Centre for Excellence in HIV/AIDS Drug Treatment Program St. Paul s Hospital Burrard Street Vancouver, BC V6Z 1Y6 Tel: Fax: Physician Drug Hotline: St. Paul s Hospital Pharmacy Hotline: Website: info@cfenet.ubc.ca Funding for the BC Centre for Excellence in HIV/AIDS is provided through Pharmacare and the Provincial Health Services Authority (PHSA)

3 EXECUTIVE SUMMARY A key component of the BC Centre for Excellence in HIV/AIDS (BC-CfE) mandate is to monitor the impact of HIV/ AIDS in British Columbia. The BC-CfE provides essential information to local health authorities, treating physicians, and the community at large on an ongoing basis. The HIV/AIDS Drug Treatment Program (DTP) Update is one example of the BC-CfE s commitment to HIV-infected persons throughout the Province of British Columbia. The DTP distributes anti-hiv drugs at no cost to eligible British Columbians. The DTP Update provides an important overview of available anti-hiv drugs, common drug combinations and distribution of active DTP participants throughout the province. DTP participants are typically followed at three-monthly intervals at which time routine blood sampling is performed. Information from all recipients is entered into a database, providing data for clinical and virological outcome studies of patients receiving antiretroviral therapy. These studies form the basis of ongoing revisions to the BC-CfE s treatment guidelines.

4 TABLE OF CONTENTS 1. List of Figures 1.1 Distribution of men and women on antiretroviral therapy in British Columbia by Health Authority 1.2 Distribution of Participants in HIV/AIDS Drug Treatment Program by Regimen Class 1. Percent Distribution of Participants in HIV/AIDS Drug Treatment Program by Regimen Class 1. BC-CfE Enrolment: Net Number of New Antiretroviral Participants 1.5 BC-CfE Enrolment: New Antiretroviral Participants 1.6 Percent Distribution of Active Participants by CD Count 1.7 Percent Distribution of Inactive Participants by CD Count 1.8 Active and Inactive Participants 1.9 Percent Distribution of Participants on ARV Therapy by Number of Drugs 1.1 Distribution of Participants on Nucleoside/Nucleotide Analogues by Ingredient 1.11 Distribution of Participants on Nucleoside/Nucleotide Analogues at the time of first start of ARV Therapy by Ingredient 1.12 Distribution of Participants on Protease Inhibitor by Ingredient 1.1 Distribution of Participants on Protease Inhibitor at the time of first start of ARV Therapy by Ingredient 1.1 Distribution of Participants on Non-Nucleosides by Ingredient 1.15 Distribution of Participants on Non-Nucleosides at the time of first start of ARV Therapy by Ingredient 1.16 Distribution of Participants on Entry/Integrase Inhibitors by Ingredient 1.17 Distribution of Participants on Entry/Integrase Inhibitors at the time of first start of ARV Therapy by Ingredient 1.18 Baseline CD for Antiretroviral First Starts 1.19 DTP Participants with PVL Measurement within previous five years, and never on ART 1.2 Cumulative Resistance Testing Results by Resistance Category 1.21 Percent of Participants ever on ARV - Resistance Testing Results by Resistance Category 2. List of Tables 2.1 Duration of ARV treatment in the Province of BC, (for HIV+ persons currently on treatment) 2.2 Median Viral Load and CD for Active patients in Drug Treatment Program 2. Median Viral Load and CD for Inactive patients in Drug Treatment Program 2. BC-CfE Enrolment 2.5 Percent Distribution of Participants on ARV Therapy by Number of Drugs 2.6 Number of Participants on Nucleoside/Nucleotide Analogues by Ingredient 2.7 Number of Participants on Protease Inhibitor by Ingredient 2.8 Number of Participants on Non-Nucleosides by Ingredient 2.9 Number of Participants on Entry/Integrase Inhibitors by Ingredient 2.1 Distribution of Participants in HIV/AIDS Drug Treatment Program by Regimen Class 2.11 Baseline CD for Antiretroviral First Starts 2.12 DTP Participants with PVL Measurement within previous five years, and never on ART

5 Table of Contents, cont d.... Health Authority Maps.1 Distribution of HIV/AIDS Drug Treatment Program Active Participants.2 Interior Health Authority & Kelowna. Fraser Health Authority & Surrey. Vancouver Coastal Health Authority & Vancouver.5 Vancouver Island Health Authority & Victoria.6 Northern Health Authority & Prince George. Health Authority Tables INTERIOR HEALTH.1 Distribution of Participants in BC-CfE Registries by Age and Gender.2 Distribution of Participants in BC-CfE Registries by Treatment Duration. Distribution of ARV Prescribing Physicians in BC-CfE Registries FRASER HEALTH. Distribution of Participants in BC-CfE Registries by Age and Gender.5 Distribution of Participants in BC-CfE Registries by Treatment Duration.6 Distribution of ARV Prescribing Physicians in BC-CfE Registries VANCOUVER COASTAL.7 Distribution of Participants in BC-CfE Registries by Age and Gender.8 Distribution of Participants in BC-CfE Registries by Treatment Duration.9 Distribution of ARV Prescribing Physicians in BC-CfE Registries VANCOUVER ISLAND.1 Distribution of Participants in BC-CfE Registries by Age and Gender.11 Distribution of Participants in BC-CfE Registries by Treatment Duration.12 Distribution of ARV Prescribing Physicians in BC-CfE Registries NORTHERN HEALTH.1 Distribution of Participants in BC-CfE Registries by Age and Gender.1 Distribution of Participants in BC-CfE Registries by Treatment Duration.15 Distribution of ARV Prescribing Physicians in BC-CfE Registries ABORIGINAL.16 Distribution of Aboriginal Participants in BC-CfE Registries by Health Service Delivery Area and Gender 5. Appendix 5.1 Drug Names and Definitions

6 1.1 Distribution of men and women on antiretroviral therapy in British Columbia by Health Authority January 215 N = Northern Vancouver Coastal Interior Vancouver Island Vancouver Coastal Fraser Health Authority Male Female All FRASER INTERIOR NORTHERN VANCOUVER COASTAL VANCOUVER ISLAND Unknown/not stated: 72 Total: 6751 Definitions: On antiretroviral therapy defined as being on treatment in the current month Unknown/not stated defined as being on treatment in the current month, and city of residence unknown

7 1.2 Distribution of Participants in HIV/AIDS Drug Treatment Program by Regimen Class (January 21 - January 215), Boosted PI + 2 NRTIs 2,5 NNRTI + 2 NRTIs Integrase + 2 NRTIs Number of Participants 2, 1,5 Un-boosted PI + 2 NRTIs MDRT Other 1, Date

8 1. Percent Distribution of Participants in HIV/AIDS Drug Treatment Program by Regimen Class (January 21 - January 215) 1 Boosted PI + 2 NRTIs NNRTI + 2 NRTIs 8 Integrase + 2 NRTIs Un-boosted PI + 2 NRTIs % of Participants 6 MDRT Other Date

9 1. BC-CfE Enrollment: Net Number of New Antiretroviral Participants (January 21 - January 215) Starts New Inactive Net Change 2 Number of Participants Date

10 1.5 BC-CfE Enrollment: New Antiretroviral Participants (January 21 - January 215) First Starts Experienced Starts Number of Participants Date

11 1.6 Percent Distribution of Active Participants by CD Count (January 21 - January 215) 1 CD: > 5 CD: CD: 2-9 CD: % of Participants 6 CD: < Date

12 1.7 Percent Distribution of Inactive Participants by CD Count (January 21 - January 215) 1 CD: > 5 CD: CD: 2-9 CD: % of Participants 6 CD: < Date

13 1.8 Active and Inactive Participants (January 21 - January 215) 8, 7,5 Active Inactive 7, 6,5 Number of Participants 6, 5,5 5,,5,,5, 2,5 2, 1,5 1, Date

14 1.9 Percent Distribution of Participants on ARV Therapy by Number of Drugs (January 21 - January 215) 1 5 or more drugs drugs drugs 8 Less than drugs % of Participants Date

15 1.1 Distribution of Participants on Nucleoside/Nucleotide Analogues by INGREDIENT (January 21 - January 215) Number of Participants 5,,5,,5, 2,5 Lamivudine Abacavir Zidovudine Stavudine Didanosine Emtricitabine Tenofovir 2, 1,5 1, Date

16 1.11 Distribution of Participants on Nucleoside/Nucleotide Analogues at the time of first start of ARV Therapy by INGREDIENT (January 21 - January 215) Number of Participants 6 5 Lamivudine Abacavir Zidovudine Stavudine Didanosine Emtricitabine Tenofovir Date

17 1.12 Distribution of Participants on Protease Inhibitor by INGREDIENT (January 21 - January 215) Number of Participants 2,5 2, 1,5 Atazanavir Darunavir Nelfinavir Lopinavir Indinavir Saquinavir Tipranavir Ritonavir (fos) amprenavir 1, Date

18 1.1 Distribution of Participants on Protease Inhibitor at the time of first start of ARV Therapy by INGREDIENT (January 21 - January 215) Number of Participants 5 Atazanavir Darunavir Nelfinavir Lopinavir Indinavir Saquinavir Tipranavir Ritonavir (fos) amprenavir Date

19 1.1 Distribution of Participants on Non-Nucleosides by INGREDIENT (January 21 - January 215) 1,6 1,5 1, 1, Etravirine Nevirapine Delavirdine Efavirenz Rilpivirine Number of Participants 1,2 1,1 1, Date

20 1.15 Distribution of Participants on Non-Nucleosides at the time of first start of ARV Therapy by INGREDIENT (January 21 - January 215) Etravirine Nevirapine Delavirdine Efavirenz Rilpivirine Number of Participants Date

21 1.16 Distribution of Participants on Entry/Integrase Inhibitors by INGREDIENT (January 21 - January 215) 1, 9 8 Elvitegravir Maraviroc Enfuvirtide Raltegravir Dolutegravir Number of Participants Date

22 1.17 Distribution of Participants on Entry/Integrase Inhibitors at the time of first start of ARV Therapy by INGREDIENT (January 21 - January 215) Elvitegravir Maraviroc Enfuvirtide Raltegravir Dolutegravir Number of Participants Date

23 1.18 Baseline CD for Antiretroviral First Starts (January 21 - January 215) 1 CD: > 5 CD: CD: 2-9 CD: % of Participants 6 CD: < Date

24 1.19 DTP Participants with PVL Measurement within previous five years, and never on ART (January 21 - January 215) 11, 1, with PVL with PVL, no ART 9, Number of Participants 8, 7, 6, 5,,, 2, 1, Date

25 1.2 Cumulative Resistance Testing Results by Resistance Category (January 21 - January 215) 1, Number of Participants 9,5 9, 8,5 8, 7,5 7, 6,5 6, 5,5 5,,5 Ever tested Lamivudine resistant Non- Lamivudine NRTI resistant NNRTI resistant PI resistant,,5, 2,5 2, 1,5 1, Date

26 1.21 Percent of Participants ever on ARV - Resistance Testing Results by Resistance Category (January 21 - January 215) Ever tested Lamivudine resistant Non- Lamivudine NRTI resistant % of Participants NNRTI resistant PI resistant Date

27 2.1 Duration of ARV treatment in the Province of BC, (for HIV+ persons currently on treatment) Start Year Duration (years) Median Male Female All Current CD (n) Median Current PVL (n) Median Current ARV Median < < < < < < < < < < < < < < < < < < < < < < < < < < < < 1228 Total: Definitions: On treatment defined as being on ARV therapy in the specified month and not reported deceased Duration defined as cumulative years on ARV therapy, excluding periods of treatment interruption Current CD and PVL tests defined as tests done in the last 6 months (most recent) Current ARV defined as number of ARV drugs in the current regimen

28 2.2 Median Viral Load and CD for Active patients in Drug Treatment Program MON-YYYY # of patients Median # of therapy days # of patients with PVL test Median PVL # of patients with CD test Median CD JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN < < < < < < < < < < < < < Definitions: Active patient defined as being on ARV treatment in the specified month Therapy days defined as number of consecutive days on ARV treatment (most recent uninterrupted period) PVL and CD tests defined as tests done in the specified month

29 2. Median Viral Load and CD for Inactive patients in Drug Treatment Program MON-YYYY # of patients Median # days of off therapy # of patients with PVL test Median PVL # of patients with CD test Median CD JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN Definitions: Inactive patient defined as not deceased, not being on ARV treatment in the specified month (but previously ) Days off therapy defined as number of days elapsed since last ARV treatment PVL and CD tests defined as tests done in the specified month

30 2. BC-CfE Enrollment MON-YYYY Currently on ARV Therapy Currently off ARV Therapy Deceased First Starts Experienced Starts New Inactive Net Change Cumulative Patients JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN Definitions: Currently on ARV Therapy defined as being on ARV treatment in the specified month, and not deceased/moved out of BC Currently off ARV Therapy defined as not being on ARV treatment in the specified month, not deceased/moved out of BC, but on ARVs in the past Deceased defined as deceased in the specified month, and being on ARV treatment in the previous month First Starts defined as starting ARV treatment in the specified month for the first time (ARV naive) Experienced Starts defined as starting ARV treatment in the specified month, but previously being New Inactive defined as not being on ARV treatment in the specified month, not deceased/moved out of BC, but on ARV treatment in the previous month Net Change is defined as difference between ARV starts (First and Experienced) and ARV stops (Deceased/Moved out of BC and New Inactive)

31 2.5 Percent Distribution of Participants on ARV Therapy by Number of Drugs MON-YYYY Less than Drugs Drugs Drugs 5 or more Drugs All ARV Less than Drugs% Drugs% Drugs% 5 or more Drugs% Total% JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN %.76%.76% %.69%.69%.7%.65%.7.6%.62% 91.89% 91.8% 91.76% 91.77% 91.9% 91.9% 92.1% 92.6% 91.89% 91.8% % 91.7% 6.1% 6.6% 6.% 6.8% 6.26% 6.28% 6.21% 6.18% 6.% 6.% 6.27% 6.2% 6.55% 1.8% 1.% 1.6% 1.15% 1.11% 1.7% 1.9% 1.7% 1.5% 1.8% 1.% 1.9% Definitions: Number of Drugs is calculated as number of individual drugs in ARV Therapy (excluding low dose ritonavir used for boosting a protease inhibitor)

32 2.6 Number of Participants on Nucleoside/Nucleotide Analogues by INGREDIENT JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN-215 Lamivudine Abacavir Zidovudine Stavudine Didanosine Emtricitabine Tenofovir Initial All Initial All Initial All Initial All Initial All Initial All Initial All 8 19% 282 7% 7 17% % 1 2% % 86 61% 6 86% % 7 16% 28 7% 7 16% % 1 2% % % 7 8% % 7 16% 286 7% 6 1% 27 1% 1 2% % 89 61% 8 86% % 8% 296 7% 8% 222 2% 17 2% % 9 61% 92% 1 67% 17 % 2 8% 16 2% 258 2% 1 2% 17 2% % % 66% 25 67% 8 21% 21 8% 9 2% 26 2% 1 2% 2 1 % 1 77% 97 61% 77% % % 11 25% 295 2% 1 2% 129 2% % % 7 2% 27 8% 7 2% 218 2% 12 2% % % % 15 8% % 12 1% 217 % 8% 16 2% % % % 1 7% 257 9% 9 % 217 % 1 2% % % % 6 25% 258 9% 6 25% 218 % 129 2% % % 19 79% % 1 27% % 9 18% 227 % 6% 129 2% % 88 59% 7 76% % 1 29% % 1 29% 222 % 127 2% % % 25 71% 22 6% Definitions: Initial is defined as number of patients whose first ARV treatment with the BC-CfE DTP contains INGREDIENT; % is calculated as ratio of "Initial" and number of patients whose first treatment is of given CLASS All is defined as number of patients on ARV treatment which contains INGREDIENT; % is calculated as ratio of "All" and number of patients whose treatment is of given CLASS

33 2.7 Number of Participants on Protease Inhibitor by INGREDIENT JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN-215 (fos)amprenavir Atazanavir Darunavir Lopinavir Nelfinavir Ritonavir Saquinavir Initial All Initial All Initial All Initial All Initial All Initial All Initial All 19 1% 1 59% 26 65% 7 1% 7 21% 71 1% % 19 1% 12 57% % 7 % % % % 18 1% 8 7% % 7 1% % 2 12% 75 1% % 18 1% 11 52% % 1 8% 811 2% 68 1% % % 229 6% 9 5% 815 2% 1 6% 56 1% 25 1% % % 9 56% 81 2% 2 1% 9 1% % % % 6 5% 851 2% 1 6% 12% % % % 25 12% % 1 1% 21 62% 6 6% % 2% 2 12% % % % % % % % 2 17% 89 26% 97 12% % 1 7 2% % 12 55% % 1% 86 11% % % 8 11% % Definitions: Initial is defined as number of patients whose first ARV treatment with the BC-CfE DTP contains INGREDIENT; % is calculated as ratio of "Initial" and number of patients whose first treatment is of given CLASS All is defined as number of patients on ARV treatment which contains INGREDIENT; % is calculated as ratio of "All" and number of patients whose treatment is of given CLASS Ritonavir - greater than mg total daily dose

34 2.7 Number of Participants on Protease Inhibitor by INGREDIENT (continued) JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN-215 Tipranavir Initial All Definitions: Initial is defined as number of patients whose first ARV treatment with the BC-CfE DTP contains INGREDIENT; % is calculated as ratio of "Initial" and number of patients whose first treatment is of given CLASS All is defined as number of patients on ARV treatment which contains INGREDIENT; % is calculated as ratio of "All" and number of patients whose treatment is of given CLASS Ritonavir - greater than mg total daily dose

35 2.8 Number of Participants on Non-Nucleosides by INGREDIENT JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN-215 Efavirenz Etravirine Nevirapine Rilpivirine Initial All Initial All Initial All Initial All % 1 7% 11% 98 % 2 1% 2 8% 12 71% 1 8% 5 11% 92 % 5 29% 2 9% 1 71% 12 7% % 9 % 29% 25 9% 57% 1 7% 2 11% 1 1% 91 % 2 29% 26 9% 5 71% % % 98 % 2 29% 26 9% % 128 6% 1 11% 11% 1 11% 926 % % 259 9% 8 7% % 11% 1 9% 927 % 2 18% 258 9% 11 85% 126 6% 1 8% 11% 928 % 1 8% 25 9% 8 7% 125 6% 11% 2 18% 928 % 1 9% 251 9% % % 921 % 255 9% % 2 11% 911 % 252 9% 8 62% % 11% 1 8% 91 % 1% % 117 5% 6 12% 92 % 2 25% 25 1 Definitions: Initial is defined as number of patients whose first ARV treatment with the BC-CfE DTP contains INGREDIENT; % is calculated as ratio of "Initial" and number of patients whose first treatment is of given CLASS All is defined as number of patients on ARV treatment which contains INGREDIENT; % is calculated as ratio of "All" and number of patients whose treatment is of given CLASS

36 2.9 Number of Participants on Entry/Integrase Inhibitors by INGREDIENT JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN-215 Dolutegravir Elvitegravir Maraviroc Raltegravir Enfuvirtide Initial All Initial All Initial All Initial All Initial All 1% 1 1% 6 6% 15 1% 79 7% 2% % % 19 2% 5 8% 16 1% 77 7% 99 81% 2 1 8% 1 % 8 62% % 78 6% 1% 97 79% % 2 25% % 82 7% 2 25% 95 76% % % 22 16% 8 6% 12% 98 71% 1 7 7% 187 1% 7 7% 27 17% 77 6% 1 7% 9 67% % 27 17% 5 29% 25 17% 75 5% 2 12% 92 6% % % % 75 5% 2 18% 92 61% 2 7 7% 55 22% 27% % 7 5% 27% 92 58% 1 7 7% 6 25% % 71 % 2 1% 97 55% 1 5 5% 52 27% 5 5% 25 19% 7 % 1 9% 89 5% % 5 28% 6 5% 6 19% 7 % 89 51% % 52 22% 51 19% 1 6% 69 % 1 6% 882 9% 1 Definitions: Initial is defined as number of patients whose first ARV treatment with the BC-CfE DTP contains INGREDIENT; % is calculated as ratio of "Initial" and number of patients whose first treatment is of given CLASS All is defined as number of patients on ARV treatment which contains INGREDIENT; % is calculated as ratio of "All" and number of patients whose treatment is of given CLASS

37 2.1 Distribution of Participants in HIV/AIDS Drug Treatment Program by Regimen Class MON-YYYY Boosted PI + 2 NRTIs n % NNRTI + 2 NRTIs n % Integrase + 2 NRTIs n % Un-boosted PI + 2 NRTIs n % MDRT n % Other n % JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN Definitions: n is number of participants on the specified regimen class in the specified month % is ratio of n and total number of participants on ART in the specified month

38 2.11 Baseline CD for Antiretroviral First Starts MON-YYYY # of First Starts # of Pts with CD < 1 # of Pts with CD: # of Pts with CD: 2-9 # of Pts with CD: 5-5 # of Pts with CD > 5 Median CD JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN Definitions: First Starts defined as starting ARV treatment in the specified month for the first time (ARV naive) Baseline CD is defined as most recent CD test before ARV start

39 2.12 DTP Participants with PVL Measurement within previous five years, and never on ART MON-YYYY JAN-21 FEB-21 MAR-21 APR-21 MAY-21 JUN-21 JUL-21 AUG-21 SEP-21 OCT-21 NOV-21 DEC-21 JAN-215 # of Participants with PVL test # of Partcipants with PVL test, and never on ART Definitions: Patients with PVL test are defined as having at leat one PVL test within previous five years, and not reported deceased/moved Never on ART are subset of patients with PVL test, and not being on or before specified month

40 .1 Distribution of HIV/AIDS Drug Treatment Program Active Participants N = 6751 January 215 BY HEALTH SERVICES DELIVERY AREA Northwest Northeast Northern Interior North Shore/ Coast Garibaldi Thompson Cariboo Shuswap Fraser North North Vancouver Island North Shore/ Coast Garibaldi Fraser Central Vancouver Island East Okanagan Kootenay Boundary East Kootenay Vancouver Richmond Fraser South Fraser East South Vancouver Island BY HEALTH AUTHORITY Northern Vancouver Coastal Vancouver Island Vancouver Coastal Fraser Interior

41 .2 Distribution of HIV/AIDS Drug Treatment Program Active Participants January 215 INTERIOR HEALTH AUTHORITY BY HEALTH SERVICES DELIVERY AREA/LOCAL HEALTH AREA N = 1 Thompson Cariboo Shuswap East Kootenay Okanagan Kootenay Boundary KELOWNA BY POSTAL CODE N = V1V V1Z V1Y V1X V1P 1+ VT V1W

42 . Distribution of HIV/AIDS Drug Treatment Program Active Participants January 215 FRASER HEALTH AUTHORITY BY HEALTH SERVICES DELIVERY AREA/LOCAL HEALTH AREA N = Fraser North 75 Fraser East Fraser South 5 SURREY BY POSTAL CODE VV VT VR VN N = VW VS 1-19 VX Surrey VP VA VB South Surrey/ White Rock 22

43 . Distribution of HIV/AIDS Drug Treatment Program Active Participants January 215 VANCOUVER COASTAL HEALTH AUTHORITY BY HEALTH SERVICES DELIVERY AREA/LOCAL HEALTH AREA 8 N = North Shore/ Coast Garibaldi North Shore/ Coast Garibaldi Vancouver Richmond 8 VANCOUVER BY POSTAL CODE V6T V6S V6R V6N V6K V6L Westside 16 City Centre 161 V6M V6G V6J V6E V6H V5Z V6P V7X V5K Downtown Eastside V6B 162 V5L V6A V5Y V5X V6C V7Y V5T V5V Midtown 165 V5W South 166 V5N V5P V5M North East 16 V5R V5S N =

44 .5 Distribution of HIV/AIDS Drug Treatment Program Active Participants January 215 VANCOUVER ISLAND HEALTH AUTHORITY BY HEALTH SERVICES DELIVERY AREA/LOCAL HEALTH AREA N = North Vancouver Island Central Vancouver Island South Vancouver Island VICTORIA BY POSTAL CODE V8Y N = 21 V9E V9B V8Z V8X V8N V8P 2-9 V9A V8T V8R 5-99 V8V V8S 1+ V9C V8W

45 .6 Distribution of HIV/AIDS Drug Treatment Program Active Participants January 215 NORTHERN HEALTH AUTHORITY BY HEALTH SERVICES DELIVERY AREA/LOCAL HEALTH AREA N = Northwest Northeast Northern Interior PRINCE GEORGE BY POSTAL CODE N = 88 V2K V2M V2N V2L

46 .1 Distribution of Participants in BC-CfE Registries by Age and Gender INTERIOR Health Authority HSDA Age Group Alive Ever Currently EAST KOOTENAY KOOTENAY BOUNDARY OKANAGAN THOMPSON/CARIBOO/ SHUSWAP Total HSDA: Total HSDA: Total HSDA: Total HSDA: Total HA: Age Group Alive Ever Currently Total HA: Gender Male Female Alive Ever Currently 2 9 Currently # of patients Total HA: 1 Med Age Med CD Med PVL Definitions: Currently defined as being on ARV therapy in the specified month Med CD and PVL tests defined as most recent tests (as of specified month)

47 .2 Distribution of Participants in BC-CfE Registries by Treatment Duration INTERIOR Health Authority HSDA Treatment Duration Alive Currently EAST KOOTENAY KOOTENAY BOUNDARY OKANAGAN THOMPSON/CARIBOO/ SHUSWAP 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: Total HA: Treatment Duration Alive Currently 1 years or more 5 years or more <5 years Total HA: Definitions: Currently defined as being on ARV therapy in the specified month Treatment Duration defined as number of years since ARV initiation

48 . Distribution of ARV Prescribing Physicians in BC-CfE Registries INTERIOR Health Authority HSDA of Physician Residency EAST KOOTENAY KOOTENAY BOUNDARY OKANAGAN THOMPSON/CARIBOO/SHUSWAP # of Physicans ever prescribed ARVs Total: 96 # of Patients ever treated by Physicians # of Physicans currently prescribing ARVs # of Patients currently treated by Physicians HSDA of Patient Residency # of Patients seeking Physician's care out of HA EAST KOOTENAY KOOTENAY BOUNDARY 12 OKANAGAN THOMPSON/CARIBOO/SHUSWAP 6 Total: 9 Definitions: Currently prescribing/treated defined as prescribing/being treated in the previous 6 months # of Patients seeking Physician out of HA is defined as patients residing in specified HSDA, but their follow-up physician(s) reside in another HA

49 . Distribution of Participants in BC-CfE Registries by Age and Gender FRASER Health Authority HSDA Age Group Alive Ever Currently FRASER EAST FRASER NORTH FRASER SOUTH Total HSDA: Total HSDA: Unknown Total HSDA: Total HA: Age Group Alive Ever Currently Unknown Total HA: Gender Male Female Alive Ever Currently Currently # of patients Total HA: 1591 Med Age Med CD Med PVL Definitions: Currently defined as being on ARV therapy in the specified month Med CD and PVL tests defined as most recent tests (as of specified month)

50 .5 Distribution of Participants in BC-CfE Registries by Treatment Duration FRASER Health Authority HSDA Treatment Duration Alive Currently FRASER EAST FRASER NORTH FRASER SOUTH 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: Total HA: Treatment Duration Alive Currently 1 years or more 5 years or more <5 years Total HA: Definitions: Currently defined as being on ARV therapy in the specified month Treatment Duration defined as number of years since ARV initiation

51 .6 Distribution of ARV Prescribing Physicians in BC-CfE Registries FRASER Health Authority HSDA of Physician Residency # of Physicans ever prescribed ARVs # of Patients ever treated by Physicians # of Physicans currently prescribing ARVs # of Patients currently treated by Physicians FRASER EAST FRASER NORTH FRASER SOUTH Total: HSDA of Patient Residency FRASER EAST FRASER NORTH FRASER SOUTH # of Patients seeking Physician's care out of HA Total: 1227 Definitions: Currently prescribing/treated defined as prescribing/being treated in the previous 6 months # of Patients seeking Physician out of HA is defined as patients residing in specified HSDA, but their follow-up physician(s) reside in another HA

52 .7 Distribution of Participants in BC-CfE Registries by Age and Gender VANCOUVER COASTAL Health Authority HSDA Age Group Alive Ever Currently NORTH SHORE/ COAST GARIBALDI RICHMOND VANCOUVER Total HSDA: Total HSDA: Total HSDA: Total HA: Age Group Alive Ever Currently Total HA: Gender Male Female Alive Ever Currently 28 9 Currently # of patients Total HA: 719 Med Age Med CD Med PVL Definitions: Currently defined as being on ARV therapy in the specified month Med CD and PVL tests defined as most recent tests (as of specified month)

53 .8 Distribution of Participants in BC-CfE Registries by Treatment Duration VANCOUVER COASTAL Health Authority HSDA Treatment Duration Alive Currently NORTH SHORE/ COAST GARIBALDI RICHMOND VANCOUVER 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Never on ART Total HSDA: 57 Total HA: Treatment Duration Alive Currently 1 years or more 5 years or more <5 years Never on ART Total HA: Definitions: Currently defined as being on ARV therapy in the specified month Treatment Duration defined as number of years since ARV initiation

54 .9 Distribution of ARV Prescribing Physicians in BC-CfE Registries VANCOUVER COASTAL Health Authority HSDA of Physician Residency # of Physicans ever prescribed ARVs NORTH SHORE/COAST GARIBALDI 17 RICHMOND 1 VANCOUVER 59 Total: 687 # of Patients ever treated by Physicians # of Physicans currently prescribing ARVs # of Patients currently treated by Physicians HSDA of Patient Residency # of Patients seeking Physician's care out of HA NORTH SHORE/COAST GARIBALDI RICHMOND VANCOUVER 88 Total: 96 Definitions: Currently prescribing/treated defined as prescribing/being treated in the previous 6 months # of Patients seeking Physician out of HA is defined as patients residing in specified HSDA, but their follow-up physician(s) reside in another HA

55 .1 Distribution of Participants in BC-CfE Registries by Age and Gender VANCOUVER ISLAND Health Authority HSDA Age Group Alive Ever Currently CENTRAL VANCOUVER ISLAND NORTH 5+ Total HSDA: VANCOUVER ISLAND Total HSDA: SOUTH VANCOUVER ISLAND Total HSDA: Total HA: Age Group Alive Ever Currently Total HA: Gender Male Female Alive Ever Currently Currently # of patients Total HA: 75 Med Age Med CD Med PVL Definitions: Currently defined as being on ARV therapy in the specified month Med CD and PVL tests defined as most recent tests (as of specified month)

56 .11 Distribution of Participants in BC-CfE Registries by Treatment Duration VANCOUVER ISLAND Health Authority HSDA Treatment Duration Alive Currently CENTRAL 1 years or more VANCOUVER 5 years or more ISLAND <5 years NORTH Total HSDA: 1 years or more VANCOUVER 5 years or more ISLAND <5 years 6 Total HSDA: SOUTH 1 years or more 7 27 VANCOUVER 5 years or more ISLAND <5 years Total HSDA: Total HA: Treatment Duration Alive Currently 1 years or more 5 years or more <5 years Total HA: Definitions: Currently defined as being on ARV therapy in the specified month Treatment Duration defined as number of years since ARV initiation

57 .12 Distribution of ARV Prescribing Physicians in BC-CfE Registries VANCOUVER ISLAND Health Authority HSDA of Physician Residency # of Physicans ever prescribed ARVs # of Patients ever treated by Physicians # of Physicans currently prescribing ARVs # of Patients currently treated by Physicians CENTRAL VANCOUVER ISLAND NORTH VANCOUVER ISLAND SOUTH VANCOUVER ISLAND Total: HSDA of Patient Residency CENTRAL VANCOUVER ISLAND NORTH VANCOUVER ISLAND SOUTH VANCOUVER ISLAND # of Patients seeking Physician's care out of HA 1 81 Total: 156 Definitions: Currently prescribing/treated defined as prescribing/being treated in the previous 6 months # of Patients seeking Physician out of HA is defined as patients residing in specified HSDA, but their follow-up physician(s) reside in another HA

58 .1 Distribution of Participants in BC-CfE Registries by Age and Gender NORTHERN Health Authority HSDA Age Group Alive Ever Currently NORTH EAST NORTH WEST NORTHERN INTERIOR Total HSDA: Total HSDA: Total HSDA: Total HA: Age Group Alive Ever Currently Total HA: Gender Male Female Alive Ever Currently Currently # of patients Total HA: 211 Med Age Med CD Med PVL Definitions: Currently defined as being on ARV therapy in the specified month Med CD and PVL tests defined as most recent tests (as of specified month)

59 .1 Distribution of Participants in BC-CfE Registries by Treatment Duration NORTHERN Health Authority HSDA Treatment Duration Alive Currently NORTH EAST NORTH WEST NORTHERN INTERIOR 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: 1 years or more 5 years or more <5 years Total HSDA: Total HA: Treatment Duration Alive Currently 1 years or more 5 years or more <5 years Total HA: Definitions: Currently defined as being on ARV therapy in the specified month Treatment Duration defined as number of years since ARV initiation

60 .15 Distribution of ARV Prescribing Physicians in BC-CfE Registries NORTHERN Health Authority HSDA of Physician Residency # of Physicans ever prescribed ARVs # of Patients ever treated by Physicians # of Physicans currently prescribing ARVs # of Patients currently treated by Physicians NORTH EAST NORTH WEST NORTHERN INTERIOR Total: HSDA of Patient Residency NORTH EAST NORTH WEST NORTHERN INTERIOR # of Patients seeking Physician's care out of HA Total: 5 Definitions: Currently prescribing/treated defined as prescribing/being treated in the previous 6 months # of Patients seeking Physician out of HA is defined as patients residing in specified HSDA, but their follow-up physician(s) reside in another HA

61 .16 Distribution of Aboriginal Participants in BC-CfE Registries by Health Service Delivery Area and Gender HA HSDA Alive Ever Currently INTERIOR FRASER VANCOUVER COASTAL VANCOUVER ISLAND NORTHERN EAST KOOTENAY KOOTENAY BOUNDARY OKANAGAN THOMPSON/CARIBOO/SHUSWAP Total HA: FRASER EAST FRASER NORTH FRASER SOUTH Total HA: NORTH SHORE/COAST GARIBALDI RICHMOND VANCOUVER Total HA: CENTRAL VANCOUVER ISLAND NORTH VANCOUVER ISLAND SOUTH VANCOUVER ISLAND Total HA: NORTH EAST NORTH WEST NORTHERN INTERIOR Total HA: Total: Gender Male Female Alive 57 2 Ever Currently Currently # of patients Total: 755 Med Age Med CD Med PVL Definitions: Currently defined as being on ARV therapy in the specified month Med CD and PVL tests defined as most recent tests (as of specified month)

62 5.1 Drug Names and Definitions Abacavir (Ziagen, ABC): a NUCLEOSIDE ANALOG from ViiV Healthcare. Active: Persons in the HIV/AIDS Drug Treatment program that are prescribed one or more drugs in this current month Amphotericin B (Fungilin): a drug used for treatment of candidiasis and other fungal infections. Amprenavir (Agenerase, APV): a PROTEASE INHIBITOR from ViiV Healthcare. Antiretroviral (ARV): a substance that stops or suppresses the activity of a retrovirus, such as HIV. NUCLEOSIDE ANALOGS and PROTEASE INHIBITORS are examples of antiretroviral drugs. Atazanavir (Reyataz, ATV): a PROTEASE INHIBITOR from Bristol-Myers Squibb. Atovaquone (Mepron): a medication used to treat pneumocystis carinii pneumonia and, in some cases, toxoplasmosis. Atripla (ATP): the Bristol-Myers Squibb and Gilead trade name for a pill that contains EFAVIRENZ, TENOFOVIR and EMTRICITABINE. Azithromycin (Zithromax): an antibiotic used for the prevention of mycobacterium avium complex (MAC) in people with advanced HIV infection. Boosted PI: a combination therapy regimen of four or fewer antiretroviral drugs, including one PI and a small ( mg or less, total daily dose) additional dose or RITONAVIR. The addition of RITONAVIR inhibits metabolism of other PIs and improves their exposure. This may allow for decreased dosing frequency or pill burden and may improve adherence and antiretroviral activity. CD Cell Count: the most commonly used marker for assessing the state of the immune system. As CD cell count declines, the risk of developing opportunistic infections increases. Normal CD cell counts are greater than 8 per cubic millimeter of blood. Chemokine Receptor Inhibitor: a type of ENTRY INHIBITOR designed to prevent HIV entry by blocking the binding site of co-receptors, such as CCR5 or CXCR. Clarithromycin (Biaxin): an antibiotic used for the treatment of mycobacterium avium complex (MAC). It is also used for preventing MAC in those with advanced HIV infection. Combination Therapy: using at least two drugs simultaneously to more effectively combat a disease. Initial combination therapy for HIV contains at least three ANTIRETROVIRALS. Combivir (CBV): the ViiV Healthcare trade name for a pill that contains both ZIDOVUDINE (AZT) and LAMIVUDINE (TC). Complera (CPL): the Gilead and Janssen trade name for a pill that contains EMTRICITABINE, RILPIVIRINE and TENOFOVIR. Darunavir (Prezista, DRV): a PROTEASE INHIBITOR from Janssen that has activity against HIV in treatmentexperienced patients. Deceased: persons enrolled in the HIV/AIDS Drug Treatment program that died in this time period. Delavirdine (Rescriptor, DLV): a NON-NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITOR (NNRTI) from Agouron/ViiV Healthcare.

63 Didanosine (Videx, DDI): a NUCLEOSIDE ANALOG from Bristol-Myers Squibb. Dolutegravir (DTG): an INTEGRASE INHIBITOR from ViiV Healthcare that has demonstrated activity against HIV in treatment-experienced patients. Efavirenz (Sustiva, EFV): a NON-NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITOR (NNRTI) from Bristol- Myers Squibb. Elvitegravir (EGV): an INTEGRASE INHIBITOR from Gilead Sciences that has demonstrated activity against HIV in treatment-experienced patients. Emtricitabine (FTC): an nucleoside analog from Gilead Sciences. It its currently available as a component of TRUVADA. Enfuvirtide (Fuzeon, T2): a FUSION INHIBITOR from Hoffman-La Roche that targets the gp1 protein on the surface of HIV. It is administered as a subcutaneous injection. Entry Inhibitor: a drug that inhibits the entry of HIV into cells. Entry inhibitors include FUSION INHIBITORS, CHEMOKINE RECEPTOR INHIBITORS, and attachment inhibitors. Etravirine (ETV): a NON-NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITOR from Janssen that has activity against HIV in treatment-experienced patients. Ethambutol (Myambutol): an antibiotic used in COMBINATION THERAPY for treatment of mycobacterial infections such as tuberculosis and mycobacterium avium complex (MAC). Famciclovir (Famvir): a PRODRUG for an acyclovir-like active compound. It is an approved therapy for shingles and recurrent outbreaks of herpes simplex-2. First started program: a person prescribed their first regimen ever in the HIV/AIDS drug treatment program. Fosamprenavir (Telzir, fapv): a PROTEASE INHIBITOR from ViiV Healthcare. Fosamprenavir is a PRODRUG of AMPRENAVIR. Fusion Inhibitor: a type of ENTRY INHIBITOR designed to prevent HIV from fusing with and thereby infecting CD cells. Granulocyte Colony Stimulating Factor (GCSF, Neupogen): a natural hormone that stimulates production of granulocytes, a type of white blood cell (leukocyte). Health Authority: refers to the five (Interior, Fraser, Northern, Vancouver Coastal, Vancouver Island) health authorities created by the BC Ministry of Health. Inactive: Persons no longer prescribed drugs through the HIV/AIDS Drug Treatment program this current month. Indinavir (Crixivan, IDV): a PROTEASE INHIBITOR from Merck. Integrase Inhibitor: a drug that blocks integrase, a protein that HIV needs to enter cells and produce copies of itself, from working. Kivexa (KIV): ViiV Healthcare s trade name for a pill that contains both ABACAVIR and LAMIVUDINE. Lamivudine (TC): a NUCLEOSIDE ANALOG from ViiV Healthcare with activity against HIV and hepatitis B.

64 Lopinavir (Kaletra, LPV/r): a PROTEASE INHIBITOR from Abbott Laboratories. Kaletra is a combination of lopinavir and a low dose of RITONAVIR, a drug that improves blood levels of lopinavir. Maraviroc (MVC, Celsentri): a CHEMOKINE RECEPTOR INHIBITOR from ViiV Healthcare that inhibits HIV entry by blocking the binding site of the CCR5 co-receptor. Median (MED) age: median age of participants in the HIV/AIDS Drug Treatment program in that time period. MDRT: see MULTIPLE DRUG RESCUE THERAPY Moved out of BC: a person in the HIV/AIDS Drug Treatment program that is no longer in the program, because they moved out of BC in this time period. Moxifloxacin: a fluoroquinolone antibiotic that is used for treatment of mycobacterium avium complex which is resistant to clarithromycin. Multiple Drug Rescue Therapy (MDRT or Mega-HAART): the use of five or more antiretrovirals to treat HIV, typically some or all of which have been used previously by the individual. Nelfinavir (Viracept, NFV): a PROTEASE INHIBITOR from ViiV Healthcare. Net change: The net increase or decrease in persons enrolled in the HIV/AIDS Drug Treatment Program from the previous time period. Nevirapine (Viramune, NVP): a NON-NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITOR (NNRTI) from Boehringer Ingelheim. NNRTI: see NON-NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITOR. NNRTI / no PI: a combination therapy regimen of four or fewer antiretroviral drugs, including an NNRTI, but no PIs. Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI): a member of a class of compounds, including DELAVIRDINE, NEVIRAPINE, EFAVIRENZ and ETRAVIRINE that acts to directly combine with and block the action of HIV s reverse transcriptase enzyme. NRTI: see NUCLEOSIDE ANALOG. Nucleoside Analog (Nucleoside Analog Reverse Transcriptase Inhibitor, NRTI): a type of ANTIVIRAL drug, such as AZT (ZIDOVUDINE), ddi (DIDANOSINE) or TC (LAMIVUDINE), whose structure constitutes a defective version of a natural nucleoside. Nucleoside analogs may take the place of the natural nucleosides, blocking the completion of a viral DNA chain during infection of a new cell by HIV. The HIV enzyme reverse transcriptase is more likely to incorporate nucleoside analogs into the DNA it is constructing than is the DNA polymerase that cells normally use for DNA construction. Nucleotide Analog: ANTIVIRAL compounds such as TENOFOVIR that function exactly like NUCLEOSIDE ANALOGS but are pre-activated through the addition of a phosphate group during their synthesis. This phosphorylation is supposed to enhance the drug levels and activity achieved within cells. Octreotide Acetate (Sandostatin): a drug used to treat chronic refractory diarrhea. One or more PI: a combination therapy regimen of four or fewer antiretroviral drugs, including one unboosted PI or 2 or more PIs with or without a small ( mg or less, total daily dose) additional dose of RITONAVIR. Other: an antiretroviral regimen in the HIV/AIDS Drug Treatment program other than NNRTI/no PI, boosted PI, 1 or more PIs or MDRT-based regimens (eg. Triple Nucleoside regimens).

65 Paromomycin (Humatin): an antibiotic used to treat infections caused by intestinal parasites, including AIDS-related cryptosporidiosis. Pentamidine: an antiprotozoal drug used in aerosol form as a preventative against pneumocystis carinii pneumonia (PCP). PI: see PROTEASE INHIBITOR. Prodrug: a compound that is converted within the body into the active form that has medical effects. Protease Inhibitor: a drug that binds to and blocks HIV protease from working, thus preventing the production of new functional viral particles. Raltegravir (RGV, Isentress): an INTEGRASE INHIBITOR from Merck that has activity against HIV in treatmentexperienced patients. Restarted/ changed therapy (Tx): a person in the HIV/AIDS Drug Treatment program that was either CURRENTLY OFF THERAPY and now has been prescribed a new regimen or a person who has changed regimens. Rifabutin (Mycobutin): an oral drug used to prevent mycobacterium avium complex (MAC) in people with advanced HIV infection. Rifabutin is also used in combination with other drugs for the treatment of active MAC infections. Rilpivirine (Edurant): a NON-NUCELOSIDE REVERSE TRANSCRIPTASE INHIBITOR (NNRTI) from Janssen. Ritonavir (Norvir, RTV): a PROTEASE INHIBITOR from Abbott. Ritonavir is commonly used to inhibit the liver enzyme metabolism of other protease inhibitors and improve their blood exposure. Saquinavir (Invirase, SQV): a PROTEASE INHIBITOR from Hoffman-La Roche. Stavudine (Zerit, dt): a NUCLEOSIDE ANALOG from Bristol-Myers Squibb. Stopped all therapies (Tx): a person in the HIV/AIDS Drug Treatment program that stopped all therapies in this time period and is now CURRENTLY OFF THERAPY. Stribild (STR): the Gilead trade name for a pill that contains ELVITEGRAVIR, COBICISTAT, EMTRICITABINE and TENOFOVIR. Tenofovir (Viread, TDF): a NUCLEOTIDE ANALOG from Gilead Sciences with activity against HIV and hepatitis B. Tipranavir (Aptivus, TPV): a PROTEASE INHIBITOR from Boehringer Ingelheim that has activity against HIV in treatment-experienced patients. Triple Therapy: the use of three drugs, most often a PROTEASE INHIBITOR or NON-NUCLEOSIDE ANALOG with two NUCLEOSIDE ANALOGS, in the treatment of HIV. Trizivir (TRZ): ViiV Healthcare s trade name for a pill that combines ABACAVIR (ABC), ZIDOVUDINE (AZT) and LAMIVUDINE (TC). Truvada (TRU): the Gilead trade name for a pill that contains both TENOFOVIR and EMTRICITABINE. Valganciclovir: an antiviral drug used to treat cytomegalovirus (CMV) retinitis. Viral Load: the amount of HIV RNA per unit of blood plasma. An indicator of virus concentration and reproduction rate. HIV viral load is employed as a measure of the success of antiretroviral therapy. Zidovudine (Retrovir, AZT): a NUCLEOSIDE ANALOG from ViiV Healthcare. AZT is also approved for preventing maternal-fetal HIV transmission.