Tivicay (dolutegravir) / ViiV Healthcare 
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  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Monitoring emerging HIV drug resistance in sub-Saharan Africa in the era of dolutegravir. (Pubmed Central) -  May 11, 2022   
    To ensure its continued efficacy, monitoring of emerging drug resistance that inform a treatment strategy amongst those failing is crucial. Here we outline the plan by the President Emergence Plan for AIDS Relief to leverage viral load infra structure to implement effective drug resistance surveillance in the countries it supports.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Preclinical, Journal:  Dolutegravir and rat whole embryo culture. (Pubmed Central) -  May 6, 2022   
    These data support the use of dolutegravir dispersible tablets as first-line or second-line treatment for infants and children aged less than 6 years living with HIV-1. No abstract available
  • ||||||||||  Prezista (darunavir) / J&J, Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Switching to a NRTI-free 2 drug regimen (2DR) -a sub-analysis of the 48 weeks DUALIS study on metabolic and renal changes. (Pubmed Central) -  May 6, 2022   
    The LDL-fraction increased by + 13.3 (-3.0 to +31.3) mg/dL on 2DRs and was stable (-14.0 to +18.0 mg/dL) on 3DRs (p < 0.0010).PLWH gained +2.0 (-0.2 to +4.0) kg and +0.2 (-1.9 to +2.1) kg in body weight on 2DRs and 3DRs, respectively 3 (p = 0.0006).The MDRD eGFR decreased by -7,8 (-17.4 to -0.3) mL/min/1.73m and 0.4 (-8.8 to +5.7) mL/min/1.73m on 2DRs and 3DRs, respectively (p = 0.0002), while serum levels of cystatin C were stable in both arms (2DR: -0.1 to +0.1 mg/L; 3DR: 0.0 to +0.1 mg/L). While being non-inferior in terms of viral suppression, sparing the NRTI backbone showed a non-favorable profile in metabolic or renal parameters over 48 weeks.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Dolutegravir Resistance in Malawi's National HIV Treatment Program. (Pubmed Central) -  May 3, 2022   
    Of 6462 eligible clients, 33 samples were submitted to South Africa, 27 were sequenced successfully, and 8 (30%) had dolutegravir HIVDR. Malawi urgently requires adequate HIVDR testing capacity.
  • ||||||||||  Edurant (rilpivirine) / J&J, Tivicay (dolutegravir) / ViiV Healthcare, Vitekta (elvitegravir) / Japan Tobacco, Gilead
    Journal:  Reduction of CD8 T cell functionality but not inhibitory capacity by integrase inhibitors. (Pubmed Central) -  Apr 29, 2022   
    In summary, our study provides first evidence on a significant, negative impact on CD8 T cell effector functions in the presence of two INSTIs, dolutegravir and elvitegravir, which may contribute to the limited success of eradicating HIV-infected cells through "shock-and-kill" strategies. Although our findings are coherent with recent studies highlighting a possible role of dolutegravir in weight gain, further investigations are necessary to fully understand the impact of INSTI-based regimens on the health of the individual during antiretroviral therapy.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Weight gain during the dolutegravir transition in the African Cohort Study. (Pubmed Central) -  Apr 21, 2022   
    Elevated BMI and weight gain among PLWH on TLD are concerning safety signals. Implications for the development of metabolic comorbidities should be monitored, particularly if annual weight gain persists during continued follow-up after transitioning to TLD.
  • ||||||||||  Intelence (etravirine) / J&J, Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Identification of Entry Inhibitors against Delta and Omicron Variants of SARS-CoV-2. (Pubmed Central) -  Apr 19, 2022   
    Both Etravirine and Dolutegravir showed similar neutralizing activities against different variants, with EC50 values between 4.5 to 5.8 nM for Etravirine and 10.2 to 22.9 nM for Dolutegravir. These data implied that Etravirine and Dolutegravir may serve as general spike inhibitors against dominant viral variants of SARS-CoV-2.
  • ||||||||||  bictegravir (GS-9883) / Gilead
    Journal:  First report of computational protein-ligand docking to evaluate susceptibility to HIV integrase inhibitors in HIV-infected Iranian patients. (Pubmed Central) -  Apr 5, 2022   
    Several analyses were performed including docking screening, genotypic resistance, secondary/tertiary structures, post-translational modification (PTM), immune epitopes, etc. The average docking energy (E value) of different samples with elvitegravir (EVG) and raltegravir (RAL) was more than other INTIs...Some conserved motifs and specific amino acids in INT-protein binding sites have characterized that mutation(s) in them may disrupt INT-drugs interaction and cause a significant loss in susceptibility to INTIs. Good adherence, treatment of naïve patients, and monitoring injection drug users are fundamental factors to control HIV infection in Iran effectively.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    PK/PD data, Preclinical, Journal:  Pharmacokinetics and tissue distribution of tenofovir, emtricitabine and dolutegravir in mice. (Pubmed Central) -  Apr 2, 2022   
    Tissue specificity was also observed, with strong penetration of the digestive tract and weak penetration of the brain. These data have important implications for future preclinical and clinical studies for developing new HIV therapies with the goal of an HIV cure.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Preclinical, Journal:  Interaction between dolutegravir and folate transporters and receptor in human and rodent placenta. (Pubmed Central) -  Apr 1, 2022   
    T97A and E138K further enhance the resistance conferred by G140S/Q148H, yielding >300-fold decreased susceptibility to all INSTIs when all four mutations are present. These findings demonstrate a potential interaction between DTG and folate transport pathways in the placenta, particularly in vivo, under folate deficient conditions, potentially impacting folate delivery to the foetus in the context of DTG-based ART during pregnancy.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Adherence, resistance, and viral suppression on dolutegravir in sub-Saharan Africa: implications for the TLD era. (Pubmed Central) -  Mar 26, 2022   
    In this review, we examine the data from these studies to consider the contributions of adherence and HIV drug resistance to treatment failure on DTG-based ART, as compared with efavirenz (EFV)-based ART, which has a lower genetic barrier to resistance. We also discuss the implications of virologic failure on DTG and consolidate currently available data to conclude with recommendations for virologic monitoring on DTG-based ART.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Accelerating access and scale-up of optimized antiretroviral therapy in low-income and middle-income countries: results of a coordinated end-to-end approach. (Pubmed Central) -  Mar 26, 2022   
    The global HIV community invested in multiple, high-profile partnerships and shepherded unprecedented political support to expedite the transition to dolutegravir (DTG)-based regimens...This approach of planning with the 'end-in-mind' - and the belief that this end-to-end mindset can facilitate healthy markets, catalyze the application of new health technologies, and accelerate the development of improved products - is increasingly being applied across HIV prevention, care, and treatment (e.g. for biomedical prevention), and across health sectors (e.g. in maternal and child health, food security and water, and sanitation). This review of antiretroviral treatment (ART) optimization efforts from 2015 through 2020 discusses what worked, what is next, and how the learnings from HIV treatment can inform the broader global health community looking for innovative partnership models to accelerate adoption and enable scale-up of promising new products and programs.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Clinical, Journal, HEOR:  Cost and cost-effectiveness of dolutegravir-based antiretroviral regimens: an economic evaluation of a clinical trial. (Pubmed Central) -  Mar 26, 2022   
    This review of antiretroviral treatment (ART) optimization efforts from 2015 through 2020 discusses what worked, what is next, and how the learnings from HIV treatment can inform the broader global health community looking for innovative partnership models to accelerate adoption and enable scale-up of promising new products and programs. TDF/FTC+DTG had similar costs per outcome as TDF/FTC/EFV in the routine care scenario but TDF/FTC+DTG was more cost-effective when modelled over 20 years.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Journal:  Mutations in the HIV-1 3'-polypurine tract can confer dolutegravir resistance. (Pubmed Central) -  Mar 23, 2022   
    This finding will be useful for interpreting the conflicting outcomes regarding the developmental toxicity of dolutegravir in human and animal studies. With interest we read the Letter to the Editor of Wei and Sluis-Cremer about the role of human immunodeficiency virus 1 (HIV-1) 3'polypurine tract (3'PPT) mutations in dolutegravir (DTG) resistance 1.….
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    Clinical, Journal:  Emergence of Resistance in HIV-1 Integrase With Dolutegravir Treatment in a Pediatric Population From the IMPAACT P1093 Study. (Pubmed Central) -  Mar 23, 2022   
    P1/2
    G118R or R263K INSTI resistance substitutions, which are distinct to second-generation INSTIs, were detected in adolescents and children with prior virologic failure who received dolutegravir. This study provides additional molecular and structural characterization of integrase to aid in the understanding of INSTI resistance mechanisms in antiretroviral-experienced populations (ClinicalTrials.gov identifier: NCT01302847).