First-Line Switch to B/F/TAF for Treatment of HIV in Older Adults ≥60 Years in Kenya (the B/F/TAF-Elderly Study) - Takeaways - MDSpire

First-Line Switch to B/F/TAF for Treatment of HIV in Older Adults ≥60 Years in Kenya (the B/F/TAF-Elderly Study)

  • By

  • Loice Achieng Ombajo

  • Jeremy Penner

  • Joseph Nkuranga

  • Victor Omodi

  • Edwin Otieno

  • Jared Ongechi Mecha

  • Simon Wahome

  • Florentius Ndinya

  • Rukia Aksam

  • Sanjay Bhagani

  • Rose Wafula

  • Anton Pozniak

  • Diana Nyakoe

  • On behalf of

  • the B/F/TAF-Elderly Study Group

  • Ruth Wanjohi

  • Arnold Onyango

  • Foram Bhogayata

  • Janet Oyoo

  • Susan Onywera

  • Martha Atandi

  • Agatha Theuri

  • Beryl Handa

  • Elizabeth Kamau

  • Susan Wanjiru

  • Eunice Karuoya

  • Amos Ongubo

  • Gerald Kiambi

  • Sheila Eshiwani Juliet

  • Lillian Gekonge

  • Florence Kinyanjui

  • Betty Chepchumba

  • Alex Morwabe

  • Kevin Wauna

  • Felix Hinga

  • November 20, 2025

  • 0 min

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  • 1

    The B/F/TAF-Elderly Trial evaluated switching to bictegravir/emtricitabine/tenofovir alafenamide in HIV-positive adults aged 60 and above in Kenya.

  • 2

    At week 48, the B/F/TAF group showed non-inferior HIV-1 RNA suppression compared to the current antiretroviral regimen, with 1.9% vs. 2.7% of participants having viral loads ≥50 copies/mL.

  • 3

    Participants switching to B/F/TAF experienced a significant increase in lumbar spine bone mineral density (BMD) compared to those continuing their current regimen.

  • 4

    Adverse events were similar between the two groups, but more participants on B/F/TAF developed dyslipidemia compared to those on the current regimen.

  • 5

    The trial highlights the potential benefits of switching to B/F/TAF for older adults with HIV, particularly regarding bone health and viral suppression.

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