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Doravirine and Islatravir Have Complementary Resistance Profiles and Create a Combination with a High Barrier to Resistance

Ming‐Tain Lai, Meizhen Feng, Min Xu, Winnie Ngo, Tracy L. Diamond, Carey Hwang, Jay A. Grobler, Daria J. Hazuda, Ernest Asante‐Appiah

2022Antimicrobial Agents and Chemotherapy26 citationsDOIOpen Access PDF

Abstract

). DOR/ISL exhibited a higher barrier to resistance than DOR/3TC and dolutegravir (DTG)/3TC. Resistance analysis showed no emergence of substitutions at F227, an observation consistent with its ability to confer hypersusceptibility to ISL. Overall, the data demonstrate that DOR/ISL creates a 2-drug combination with a higher barrier to resistance, consistent with the reported clinical activity.

Topics & Concepts

DolutegravirLamivudineNucleoside Reverse Transcriptase InhibitorEmtricitabineResistance mutationReverse-transcriptase inhibitorReverse transcriptaseVirologyZidovudineDrug resistanceBiologyNucleosideStavudinePharmacologyHuman immunodeficiency virus (HIV)VirusViral loadMicrobiologyGeneticsAntiretroviral therapyHepatitis B virusRNAViral diseaseGeneHIV/AIDS drug development and treatmentHIV Research and TreatmentBiochemical and Molecular Research