Novel Dolutegravir and Lenacapavir Resistance Patterns in Human Immunodeficiency Virus Type 2 Infection: A Case Report
2024

Resistance Patterns in HIV-2 Treatment: A Case Report

Sample size: 1 publication 10 minutes Evidence: moderate

Author Information

Author(s): van Kampen Jeroen J A, van Nood Els, Mahmud Rizwan, Krullaars Zoë, Voskamp Tess, Voskamp Mike, Nijssen Tess, Voermans Jolanda J C, Charpentier Charlotte, Le Hingrat Quentin, van de Vijver David, Gruters Rob A, Mesplède Thibault

Primary Institution: Erasmus MC, Rotterdam, The Netherlands

Hypothesis

What are the resistance patterns of HIV-2 to dolutegravir and lenacapavir?

Conclusion

Lenacapavir shows potential in HIV-2 treatment but must be combined with other effective antiretroviral agents to prevent resistance.

Supporting Evidence

  • Lenacapavir was added to a failing regimen and initially reduced viral load.
  • Resistance mutations were identified during treatment.
  • The patient experienced a rebound in viral load after initial improvement.

Takeaway

This study is about a person with HIV-2 who had trouble getting better with certain medicines, but a new medicine called lenacapavir helped a little when used with other drugs.

Methodology

The case involved clinical monitoring, genotypic and phenotypic resistance assays, and in silico structural modeling.

Potential Biases

Potential conflicts of interest were reported, including funding from pharmaceutical companies.

Limitations

The study is based on a single case, which may not represent broader populations.

Participant Demographics

An adult female diagnosed with HIV-2 in 2002.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/ofid/ofae705

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