Article
Two Cases of Viral Re-suppression After M184V + R263K Selection on Dolutegravir/Lamivudine Without Treatment Modification.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America - 19 Jul 2024
Ursenbach Axel, Ruch Yvon, Hoellinger Baptiste, Fuchs Anne, Caspar Stéphanie, Jegou Frédérick, Rey David, Fafi-Kremer Samira, Mesplède Thibault, Gantner Pierre
Abstract excerpt
Dolutegravir/lamivudine (DTG/3TC) has a high genetic barrier against the development of human immunodeficiency virus drug resistance. We report 2 cases of R263K + M184V mutations during DTG/3TC failure followed by viral suppression after adherence intervention without treatment change that we attribute to residual drug activity, reduced viral fitness, and robust immune competence.
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