Fixed-Dose Combinations for HIV/AIDS, Tuberculosis, and Malaria - Report of a Meeting Held 16-18 December 2003 Geneva
(2003; 199 pages) View the PDF document
Table of Contents
Open this folder and view contentsSummary: Observations and some ways forward
Open this folder and view contentsWelcome
Open this folder and view contentsFixed-dose combinations for tuberculosis: lessons learned from a clinical, formulation and regulatory perspective
Open this folder and view contentsProduct costs of fixed-dose combination tablets in comparison with separate dispensing and or co-blistering of antituberculosis drugs
Open this folder and view contentsFixed-dose combinations: artemisinin-based combination therapies for malaria treatment
Open this folder and view contentsDeveloping combinations of drugs for malaria examination of critical issues and lessons learnt
Open this folder and view contentsSafety and long-term effectiveness of generic fixed-dose formulations of nevirapine-based HAART amongst antiretroviral-naïve HIV-infected patients in India
Open this folder and view contentsEffect of introduction of fixed-dose combinations on the drug supply chain: experiences from the field
Open this folder and view contentsEffect of fixed-dose combination (FDC) medications on adherence and treatment outcomes
Close this folderEffect of fixed-dose combination (FDC) drugs on development of clinical antimicrobial resistance: a review paper
View the documentExecutive summary
View the documentIntroduction
View the documentBiological basis for drug resistance to anti-TB, HIV/AIDS and malaria drugs
View the documentCombination drugs in the context of AMR
View the documentOvercoming clinical resistance using combinations: what is the evidencei?
View the documentFuture research needs
View the documentConclusion
View the documentSelected studies comparing combinations, FDCs, blister packs and monotherapy with regard to development of antimicrobial resistance
View the documentReferences
Open this folder and view contentsFixed-dose combination (FDC) drugs availability and use as a global public health necessity: intellectual property and other legal issues
Open this folder and view contentsPharmaceutical development and quality assurance of FDCs
View the documentAnnotated agenda
View the documentList of participants
 

Conclusion

Fixed-dose combination therapy may be a critical component of any efforts to solve the AMR crisis. Combinations make therapeutic sense for HIV, TB and malaria although the evidence for the utility of combinations in this regard is still largely circumstantial. Evidence for suppression of resistance by antimalarial combinations first arose during animal model studies beginning over 20 years ago45 (and references cited therein). Formal proof in humans will be difficult to obtain. More field evidence is required outside of the TB and malaria contexts. The spread of antimicrobial resistance is unrelenting. It is a global crisis and already is adversely affecting public health. Comprehensive action is urgently needed.

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Last updated: May 3, 2013