Table 1.
API | Daily dose | Current best cost/kg, USD million | Patient-years per metric ton of API | API to treat 26 million adult patients, metric tons | API cost to treat 26 million adult patients, USD million | API to treat 34 million adult patients, metric tons | API cost to treat 34 million adult patients, USD million |
---|---|---|---|---|---|---|---|
EFV+TDF+FTCa | |||||||
EFV | 600 mg | 120 | 4,566 | 5,690 | 683 | 7,450 | 894 |
TDF | 300 mg | 240 | 9,132 | 2,845 | 683 | 3,725 | 894 |
FTC | 200 mg | 240 | 13,700 | 1,900 | 456 | 2,480 | 595 |
Total | 1,100 mg | – | – | 10,435 | 1,832 | 13,655 | 2,383 |
RPV+TAF+FTCa | |||||||
RPV | 25 mg | 400b | 109,589 | 237 | 95 | 310 | 124 |
TAF | 25 mg | 400b | 109,589 | 237 | 95 | 310 | 124 |
FTC | 200 mg | 240 | 13,700 | 1,900 | 456 | 2,480 | 595 |
Total | 250 mg | – | – | 2,374 | 646 | 3,100 | 843 |
Projected cost reduction | – | – | – | – | 1,186c | – | 1,540c |
First-line antiretroviral therapy scenario.
Projected active pharmaceutical ingredient (API) price with increased volume demand and optimized processing.
Difference between scenario totals. EFV, efavirenz; FTC, emtricitabine; RPV, rilpivirine; TAF, tenofovir alafenamide fumarate; TDF, tenofovir disoproxil fumarate.