- |||||||||| Prezista (darunavir) / J&J, Actemra IV (tocilizumab) / Roche, JW Pharma
Clinical, Review, Journal: Coronavirus Disease 2019 (COVID-19) in Children: Prevalence, Diagnosis, Clinical Symptoms, and Treatment. (Pubmed Central) - Aug 28, 2020 Antiviral medication (lopinavir, darunavir, favipiravir, remdesivir, ribavirin, oseltamivir, tocilizumab, and umifenovir), ACE inhibitors, interferon-α2b, co-therapy with azithromycin, inhaling iNO, and oxygen therapy can be used for treatment. For the treatment of children without any clinical and infection symptoms, home isolation protocol has been recommended.
- |||||||||| Prezista (darunavir) / J&J, Prezcobix (darunavir/cobicistat) / Gilead, J&J
Journal: Lack of Antiviral Activity of Darunavir against SARS-CoV-2. (Pubmed Central) - Aug 4, 2020 Recruiting --> Completed | N=60 --> 21 Overall, the data do not support the use of DRV for the treatment of COVID-19.
- |||||||||| Prezista (darunavir) / J&J, ritonavir / Generic mfg., emtricitabine/tenofovir disoproxil fumarate / Generic mfg.
Clinical, PK/PD data, Journal: Pharmacokinetics of Tenofovir Alafenamide, Tenofovir, and Emtricitabine Following Administration of Coformulated Emtricitabine/Tenofovir Alafenamide in Healthy Japanese Subjects. (Pubmed Central) - Jul 31, 2020 Boosting effects of RTV and COBI on TAF bioavailability were slightly lower than we expected, less than a 2.5-fold increase, but it was within the range of exposures associated with efficacy and safety in phase 3 studies. Therefore, it was not considered clinically relevant.
- |||||||||| Prezista (darunavir) / J&J, Tivicay (dolutegravir) / ViiV Healthcare
Clinical, Journal, Real-World Evidence: Real-World Experience with Dolutegravir-Based Two-Drug Regimens. (Pubmed Central) - Jul 30, 2020 Prior to commercial availability of the single-tablet 2DRs, DTG 2DR components were primarily used in treatment-experienced patients for treatment simplification and avoidance of long-term toxicities. Many of these patients achieved and maintained virologic suppression, with low discontinuation rates.
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Journal: An in silico pharmacological approach toward the discovery of potent inhibitors to combat drug resistance HIV-1 protease variants. (Pubmed Central) - Jul 21, 2020 Lopinavir (LPV) and darunavir (DRV), two second-generation drugs are the most potent among PIs, hustling the drug resistance when mutations occur in the active and nonactive site of the protease (PR)...Interestingly, NCI-524545 and ZINC12866729 exhibit direct interactions with I50/50' by replacing the conserved water molecule as evidenced by MDS, which indicates the credible potency of these compounds. Hence, we concluded that NCI-524545 and ZINC12866729 have great puissant to restrain the role of drug resistance HIV-1 PR variants, which can also show better activity through in vivo and in vitro conditions.
- |||||||||| Clinical, Journal: Covid-19: A systemic disease treated with a wide-ranging approach: A case report. (Pubmed Central) - Jul 21, 2020
His condition improved, and in the ensuing days, the treatment gradually switched to a high-flow nasal cannula (HFNC); after 18 days, the patient's clinical condition was good.The successful results we have been able to obtain are closely associated with avoidance of invasive ventilation that may lead to intensive care unit (ICU)-related superinfections. In our opinion, it is fundamental to understand that COVID-19 is a systemic disease that is a consequence of an overwhelming inflammatory response, which can cause severe medical conditions, even in young patients.
- |||||||||| Prezista (darunavir) / J&J, Tivicay (dolutegravir) / ViiV Healthcare
Journal: Trends in HIV-1 Drug Resistance Mutations from a U.S. Reference Laboratory from 2006 to 2017. (Pubmed Central) - Jul 9, 2020 Sequences with ≥1 darunavir DRM declined from 18.1% to 4.8% by 2017...Prevalence of elvitegravir-associated DRMs T66A/I/K, E92Q, S147G, and the dolutegravir-associated DRM R263K increased...These trends may inform the need for baseline genotypic resistance testing. The detection of treatment-emergent DRMs in serially-tested patients confirms the value of genotypic testing following virologic failure.
- |||||||||| Prezista (darunavir) / J&J, ritonavir / Generic mfg., Tivicay (dolutegravir) / ViiV Healthcare
Clinical, Journal: Efficacy and safety of dolutegravir plus boosted-darunavir dual therapy among highly treatment-experienced patients. (Pubmed Central) - Jul 9, 2020 P=N/A The detection of treatment-emergent DRMs in serially-tested patients confirms the value of genotypic testing following virologic failure. In highly treatment-experienced who were virologically suppressed, switching to the combination of dolutegravir plus boosted-darunavir dual therapy was effective and well tolerated, improving lipid and renal parameters.
- |||||||||| Journal: Doravirine: a new non-nucleoside reverse transcriptase inhibitor for the treatment of HIV infection. (Pubmed Central) - Jul 1, 2020
Doravirine has a more favorable drug interaction profile compared with earlier NNRTIs as it neither inhibits nor induces the cytochrome P450 3A4 (CYP3A4) enzyme. Doravirine has been added to the category of Recommended Initial Regimens in Certain Clinical Situations in the United States Department of Health and Human Services Antiretroviral Guidelines for Adults and Adolescents.
- |||||||||| Prezista (darunavir) / J&J, Tivicay (dolutegravir) / ViiV Healthcare
Retrospective data, Journal: Two treatment strategies for management of Neurosymptomatic cerebrospinal fluid HIV escape in Pune, India. (Pubmed Central) - Jul 1, 2020 Four deaths were noted, 2 of which were in individuals who interrupted ART.This is a unique sCVE cohort that was managed with 1 of 2 approaches based on treatment history and the availability of GRT. At least 75% of participants responded to either approach with virologic suppression and improvement in symptoms.
- |||||||||| Prezista (darunavir) / J&J, emtricitabine/tenofovir disoproxil fumarate / Generic mfg.
Journal: Lower pretreatment gut integrity is independently associated with fat gain on antiretroviral therapy. (Pubmed Central) - Jun 29, 2020 While ART induces changes in soluble markers of gut barrier dysfunction (with subtle differences between regimens), the extent to which they improve or worsen gut barrier function remains unclear. Nevertheless, markers of gut barrier dysfunction in ART-naïve individuals predict increases in total and visceral abdominal fat with treatment initiation.
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Journal: Structural studies of antiviral inhibitor with HIV-1 protease bearing drug resistant substitutions of V32I, I47V and V82I. (Pubmed Central) - Jun 18, 2020 These inhibitors contain diverse chemical modifications on the darunavir scaffold and form new interactions with wild type protease, however, the measured inhibition constants for PR mutant range from 17 to 40 nM or significantly worse than picomolar values reported for wild type enzyme...Instead, the basic amine at P2 of inhibitor together with mutation V82I induces two alternate conformations for the side chain of Arg8 with new interactions with inhibitor and Leu10. Hence, inhibition is influenced by small coordinated changes in hydrophobic interactions.
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