Long-term successful control of super-multidrug-resistant human immunodeficiency virus type 1 infection by a novel combination therapy of raltegravir, etravirine, and boosted-darunavir

J Infect Chemother. 2011 Feb;17(1):105-10. doi: 10.1007/s10156-010-0082-4. Epub 2010 Jun 30.

Abstract

Drug-resistant virus infection has been a major hurdle in the management of human immunodeficiency virus type 1 (HIV-1) infection. Recently, three novel antiretrovirals [raltegravir (RAL), etravirine (ETR), and darunavir (DRV)] were introduced into the market almost simultaneously, and salvage regimens containing these three antiretrovirals have been reported to exhibit strong potency against drug-resistant HIV-1 infection. However, the sustainability of such regimens remains unclear, particularly for patients infected with multidrug-resistant viruses. Here we report a case of super-multidrug-resistant HIV-1 infection which has been successfully controlled by novel combination therapy including RAL, ETR, and DRV for over 2 years, indicating that the novel combination could become an ultimate weapon against drug-resistant HIV infection and could alter the landscape of HIV salvage therapy.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / administration & dosage*
  • CD4 Lymphocyte Count
  • Darunavir
  • Drug Resistance, Multiple, Viral
  • HIV Infections / drug therapy*
  • HIV Infections / virology
  • HIV-1*
  • Humans
  • Male
  • Nitriles
  • Pyridazines / administration & dosage*
  • Pyrimidines
  • Pyrrolidinones / administration & dosage*
  • RNA, Viral
  • Raltegravir Potassium
  • Salvage Therapy / methods*
  • Sulfonamides / administration & dosage*
  • Viral Load / drug effects

Substances

  • Anti-HIV Agents
  • Nitriles
  • Pyridazines
  • Pyrimidines
  • Pyrrolidinones
  • RNA, Viral
  • Sulfonamides
  • etravirine
  • Raltegravir Potassium
  • Darunavir