I’ve grown self‑conscious about my excess visceral abdominal fat, and I don’t socialize like I used to.
† Stock photo. Posed by model. Data is reflective of clinical trial results.
Overview
Patty is 56 and has had HIV for more than 10 years
She feels self‑conscious about her excess visceral abdominal fat
It is embarrassing because people have asked her if she is pregnant
Finding appropriate clothes for work is a struggle because of her excess visceral abdominal fat
Due to her discomfort, she has stopped going out as much
With excess visceral abdominal fat, she doesn’t recognize her body when looking in the mirror
Patty’s progress (waist circumference)
After 12 weeks of treatment:
Patty has lost a total of 3.6 inches around her waist
Her stomach feels less hard and firm now
She is more comfortable bending at her waist and performing daily activities such as exercising
Her self‑esteem is improving and she is participating more actively in her life
Clinical studies with tesamorelin for injection demonstrate:
Average reduction in excess visceral abdominal fat in responders
26 weeks
16% in patients treated with tesamorelin for injection‡ 27% in responders§
52 weeks
18% in patients treated with tesamorelin for injection‡ 31% in responders§
Average reduction in waist circumference in responders§
26 weeks1.65”
52 weeks1.85”
Reduction in triglyceride levels in responders§
26 weeks
20.8% (50 mg/dL from 240 mg/dL)
52 weeks
27.5% (68 mg/dL from 247 mg/dL)
The results of the post‑hoc responder analysis were not part of the New Drug Application (NDA), and therefore were not reviewed by the FDA to support approval of EGRIFTA®. Tesamorelin is not indicated to reduce triglyceride levels.
‡ In two multicenter, randomized, placebo‑controlled trials. The primary outcome for these trials was change from Week 26 to Week 52 in excess visceral abdominal fat by treatment group (tesamorelin for injection Week 0–52 or tesamorelin for injection Week 0–26 and placebo Week 26–52). § In a post‑hoc responder analysis of data, ≥8% decrease in excess visceral abdominal fat was determined to be clinically significant and used to define responders.
Medical history
Diagnosed with HIV in 2009 with:
Pneumocystis carinii pneumonia
CD4 count: 56 cells/mm3
History of:
Hypertension
Hyperlipidemia, controlled with atorvastatin and fenofibrate
Depression
Initial assessment
Weight
176 lbs
Height
5’2”
Waist circumference
44 (111.7 cm)
Hip circumference
43.5” (110.5 cm)
Waist-to-hip ratio
1.01
Could your patients with HIV and lipodystrophy be struggling with excess visceral abdominal fat?
Not all patients respond to tesamorelin for injection.
Patients responses may vary.
EGRIFTA SV® is not indicated for weight loss management.
EGRIFTA SV® is not approved for use in clinical conditions other than the reduction of excess abdominal fat.
ART = antiretroviral therapy.
IMPORTANT SAFETY INFORMATION (Please see below for full limitations of use and additional important safety information)
Indication
EGRIFTA SV® is indicated for the reduction of excess abdominal fat in people with HIV and lipodystrophy.
Limitations of Use:
The impact and safety of EGRIFTA SV® on cardiovascular health have not been studied.
EGRIFTA SV® is not indicated for weight loss management.
It is not known whether taking EGRIFTA SV® helps improve compliance with anti‑retroviral medications.
Contraindications:
Do not use EGRIFTA SV® if patient:
Has a pituitary gland tumor, has had pituitary gland surgery, has other problems related to their pituitary gland, or has had radiation treatment to their head or a head injury.
Has active cancer.
Is allergic to tesamorelin or any of the ingredients in EGRIFTA SV®.
Is pregnant or planning to become pregnant.
Warnings and Precautions
Increased risk of neoplasms: Preexisting malignancy should be inactive, and its treatment complete prior to starting EGRIFTA SV®. EGRIFTA SV® should be discontinued if the patient has evidence of recurrent malignancy.
Elevated IGF‑1: Monitor regularly IGF‑1 levels in all patients during EGRIFTA SV® therapy. Consider discontinuing in patients with persistent elevations (e.g., >3 SDS).
Fluid retention: May include edema, arthralgia, and carpal tunnel syndrome.
Glucose intolerance or diabetes mellitus: May develop with EGRIFTA SV® use. Evaluate glucose status prior to and during therapy with EGRIFTA SV®.
Hypersensitivity reactions: Advise patients to seek immediate medical attention and discontinue treatment if suspected.
Injection site reactions: Advise patients to rotate injection sites to different areas of the abdomen to decrease injection site reactions.
Increased mortality in patients with acute critical illness: Consider discontinuation in critically ill patients.
Drug Interactions
EGRIFTA SV® had no significant impact on the pharmacokinetic profiles of simvastatin in healthy subjects.
Monitor patients for potential interactions when administering EGRIFTA SV® in combination with other drugs known to be metabolized by CYP450 liver enzyme.
Patients on glucocorticoids may require dosage adjustment upon initiation of EGRIFTA SV®.
Use in Specific Populations
Lactation: Mothers should not breastfeed if they receive EGRIFTA SV®.
Pediatric Use: Safety and effectiveness in pediatric patients have not been established.
Geriatric Use: There is no information on the use of EGRIFTA SV® in patients greater than 65 years of age.
Adverse Reactions
The most commonly reported adverse reactions include injection site reactions, arthralgia, pain in extremity, myalgia, and peripheral edema.
For more information about EGRIFTA SV®, contact toll‑free at 1‑833‑23THERA (1‑833‑238-4372).To report suspected adverse reactions, contact at 1‑833‑23THERA (1‑833‑238-4372) or FDA at 1‑800‑FDA-1088 or www.fda.gov/medwatch.