{"id":44936,"date":"2021-11-19T13:00:08","date_gmt":"2021-11-19T13:00:08","guid":{"rendered":"http:\/\/thevoiceoflondon.co.uk\/?p=44936"},"modified":"2021-12-21T11:55:45","modified_gmt":"2021-12-21T11:55:45","slug":"nice-approved-the-fist-long-acting-injection-for-hiv","status":"publish","type":"post","link":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/nice-approved-the-fist-long-acting-injection-for-hiv\/","title":{"rendered":"NICE approves the first long-acting injection for HIV"},"content":{"rendered":"<h5>The NHS is to start offering people HIV injections every two months to keep the virus at bay.&nbsp;<\/h5>\n<p dir=\"ltr\">National Institute for Health and Care Excellence (NICE) is offering the antiretroviral drugs cabotegravir and rilpivirine in England and Wales after trials proved they work as effectively as daily tablets.<\/p>\n<p>It is the first long-acting, injectable treatment for adults.<\/p>\n<h4><strong><a href=\"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-admin\/post.php?post=45707&amp;action=edit\">World AIDS Day &#8211; The Future of HIV<\/a><\/strong><\/h4>\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-content\/uploads\/sites\/64\/2021\/12\/20211220_202902.jpg\" alt=\"\" class=\"wp-image-47752\" srcset=\"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-content\/uploads\/sites\/64\/2021\/12\/20211220_202902.jpg 800w, https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-content\/uploads\/sites\/64\/2021\/12\/20211220_202902-300x169.jpg 300w, https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-content\/uploads\/sites\/64\/2021\/12\/20211220_202902-768x432.jpg 768w, https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-content\/uploads\/sites\/64\/2021\/12\/20211220_202902-777x437.jpg 777w, https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-content\/uploads\/sites\/64\/2021\/12\/20211220_202902-260x146.jpg 260w, https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-content\/uploads\/sites\/64\/2021\/12\/20211220_202902-120x67.jpg 120w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p>Alex Sparrowhawk, from Manchester, was diagnosed with HIV in 2009 and since then he has been working for an HIV charity called the Terrence Higgins Trust.<\/p>\n\n\n\n<p>He would consider the long-acting injection for HIV, yet he hasn&#8217;t decided yet.<\/p>\n\n\n\n<p>&#8220;It&#8217;s quite a complex issue because currently I take one tablet every day, and it&#8217;s easy and works well for me. <br><br>&#8220;I see my HIV doctor only twice a year and If I was to change my treatment, I would need to visit the clinic six times a year for an injection.<\/p>\n\n\n\n<p>&#8220;However, the injectable medication is good news for people with HIV. <br><br>&#8220;I know people who have to hide their medication because they live in shared accommodation. I believe for them to get the injection instead will be good. <br><br>&#8220;Some people who are working in shifts might be taking their medication to work because they have to take it at the same time every day.<\/p>\n\n\n\n<p>&#8220;Mental health and the well-being of people living with HIV should be considered too. <br><br>&#8220;The daily tables are a constant reminder about HIV. Hence, if you are in a period when you are suffering from anxiety the injectable might be an alternative.&#8221;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><br><strong>Living with HIV <\/strong><\/h3>\n\n\n\n<p>Approximately 100,000 people have HIV in Britain. An estimated 13,000 people in England will be eligible for the treatment, which will replace daily pills.<\/p>\n\n\n\n<p>The treatment is only suitable for those who have already achieved undetectable virus levels in the blood while taking tablets.<\/p>\n\n\n\n<p>HIV is still incurable, yet the virus can be controlled by taking antiretroviral tablets daily. <br><br>However, taking tablets every day is inconvenient; many forget to take them, some suffer from pill fatigue or have difficulty swallowing.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/youtu.be\/A7qoR24WzW0\n<\/div><figcaption>Approximately 100,000 people have HIV in Britain, yet many of them lead long and happy lives. My interviewee, Walter Herbert, is a retired nurse and a person living with HIV. <\/figcaption><\/figure>\n\n\n\n<p>Professor Chloe Orkin, an expert in HIV at the Queen Mary University of London, says at a press conference: &#8220;It would release people with HIV from the burden of daily oral therapy, and offer them only six treatments per year instead.<\/p>\n\n\n\n<p>Deborah Gold, the chief executive of National Aids Trust tweets: &#8220;Innovations that can make it easier for people to stick to their treatment plans. <br><\/p>\n\n\n\n<p>&#8220;It improve the well-being of people living with HIV and bring us one step closer to the goal of ending transmissions by 2030.&#8221;<\/p>\n\n\n\n<p>Although HIV is still irremediable, researchers found that patients who had the new treatment could reach a point where the virus particles in their blood were so low those particles could not be transmitted between people.<\/p>\n\n\n\n<p>Dr Sanjay Bhagani, president of the European Aids Clinical Society, shares with the BBC: &#8220;[The new treatment] is very welcome indeed.<\/p>\n\n\n\n<p>&#8220;Stigma remains a significant issue in the HIV community and taking tablets every day may be difficult for some people. <br><br>&#8220;[The new medical approach] offers an injectable alternative for many people.<\/p>\n\n\n\n<p>&#8220;The data and studies underpinning this recommendation are solid, and real-world experience suggests that patients that start injectable treatments prefer to stay on them.&#8221;<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-twitter wp-block-embed-twitter\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"twitter-tweet\" data-width=\"500\" data-dnt=\"true\"><p lang=\"en\" dir=\"ltr\">This is a great day in England and Wales. We celebrate with people living with <a href=\"https:\/\/twitter.com\/hashtag\/HIV?src=hash&amp;ref_src=twsrc%5Etfw\">#HIV<\/a> who will benefit from this amazing innovation.<br>Let\u2019s make this available for all who need it in every country. <a href=\"https:\/\/twitter.com\/hashtag\/Equality?src=hash&amp;ref_src=twsrc%5Etfw\">#Equality<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/Solidarity?src=hash&amp;ref_src=twsrc%5Etfw\">#Solidarity<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/beatAIDS?src=hash&amp;ref_src=twsrc%5Etfw\">#beatAIDS<\/a> <a href=\"https:\/\/t.co\/c1bCJV7h65\">https:\/\/t.co\/c1bCJV7h65<\/a><\/p>&mdash; Winnie Byanyima (@Winnie_Byanyima) <a href=\"https:\/\/twitter.com\/Winnie_Byanyima\/status\/1461419893241360388?ref_src=twsrc%5Etfw\">November 18, 2021<\/a><\/blockquote><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script>\n<\/div><\/figure>\n\n\n\n<p>It is a huge step forward. Having to take tablets every day can be physically, emotionally and socially burdensome for some people.<\/p>\n\n\n\n<p>This decision reflects the rightful need for people living with HIV to have the freedom to manage their HIV in a way that works best for them, helping them to live their life to the full.<\/p>\n\n\n\n<p>Meindert Boysen, Deputy Chief Executive, NICE, says at a press conference: \u201cThe virus can be controlled by modern treatment.&#8221;<\/p>\n\n\n\n<p>&#8220;However, for some people, having to take daily multi-tablet regimens can be difficult because of drug-related side effects, toxicity, and other psychosocial issues such as stigma or changes in lifestyle.<\/p>\n\n\n\n<p>&#8220;We&#8217;re pleased to be able to recommend cabotegravir with rilpivirine as a valuable treatment option for people who already have good levels of adherence to daily tablets, but who might prefer an injectable regimen with less frequent dosing.&#8221;<br><br><strong>Words: Ivan Zhelev | Subbing: Marion Pichardie<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The NHS is to start offering people HIV injections every two months to keep the virus at bay.&nbsp; National Institute for Health and Care Excellence (NICE) is offering the antiretroviral drugs cabotegravir and rilpivirine in&#8230;<\/p>\n","protected":false},"author":476,"featured_media":47750,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,93,128],"tags":[],"class_list":["post-44936","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aids","category-news","category-top-story"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/posts\/44936","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/users\/476"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/comments?post=44936"}],"version-history":[{"count":10,"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/posts\/44936\/revisions"}],"predecessor-version":[{"id":47879,"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/posts\/44936\/revisions\/47879"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/media\/47750"}],"wp:attachment":[{"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/media?parent=44936"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/categories?post=44936"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.westminster.ac.uk\/thevoiceoflondon\/wp-json\/wp\/v2\/tags?post=44936"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}