Evidence map›Paper›PMID 26833152›Full record

ArticleAntimicrobial agents and chemotherapy2016

Doravirine Suppresses Common Nonnucleoside Reverse Transcriptase Inhibitor-Associated Mutants at Clinically Relevant Concentrations.

Meizhen Feng, Nancy A Sachs, Min Xu, Jay Grobler, Wade Blair, Daria J Hazuda, Michael D Miller, Ming-Tain Lai

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed.

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  18. Cryo-EM structures of wild-type and E138K/M184I mutant HIV-1 RT/DNA complexed with inhibitors doravirine and rilpivirine.Proceedings of the National Academy of Sciences of the United States of America · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Meizhen FengDepartment of Antiviral Research, Merck Research Laboratories, West Point, Pennsylvania, USA.
Nancy A SachsDepartment of Pharmacology, Merck Research Laboratories, West Point, Pennsylvania, USA.
Min XuDepartment of Pharmacology, Merck Research Laboratories, West Point, Pennsylvania, USA.
Jay GroblerDepartment of Antiviral Research, Merck Research Laboratories, West Point, Pennsylvania, USA.
Wade BlairDepartment of Antiviral Research, Merck Research Laboratories, West Point, Pennsylvania, USA.
Daria J HazudaDepartment of Antiviral Research, Merck Research Laboratories, West Point, Pennsylvania, USA.
Michael D MillerDepartment of Antiviral Research, Merck Research Laboratories, West Point, Pennsylvania, USA.
Ming-Tain LaiDepartment of Antiviral Research, Merck Research Laboratories, West Point, Pennsylvania, USA mingtain_lai@merck.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Doravirine (DOR), which is currently in a phase 3 clinical trial, is a novel human immunodeficiency type 1 virus (HIV-1) nonnucleoside reverse transcriptase inhibitor (NNRTI). DOR exhibits potent antiviral activity against wild-type virus and K103N, Y181C, and K103N/Y181C mutant viruses, with 50% inhibitory concentrations (IC50s) of 12, 21, 31, and 33 nM, respectively, when measured in 100% normal human serum (NHS). To assess the potential for DOR to suppress NNRTI-associated and rilpivirine (RPV)-specific mutants at concentrations achieved in the clinic setting, inhibitory quotients (IQs) were calculated by determining the ratio of the clinical trough concentration over the antiviral IC50for each virus with DOR and RPV and efavirenz (EFV). DOR displayed IQs of 39, 27, and 25 against the K103N, Y181C, and K103N/Y181C mutants, respectively. In contrast, RPV exhibited IQs of 4.6, 1.4, and 0.8, and EFV showed IQs of 2.5, 60, and 1.9 against these viruses, respectively. DOR also displayed higher IQs than those of RPV and EFV against other prevalent NNRTI-associated mutants, with the exception of Y188L. Both DOR and EFV exhibited higher IQs than RPV when analyzed with RPV-associated mutants. Resistance selections were conducted with K103N, Y181C, G190A, and K103N/Y181C mutants at clinically relevant concentrations of DOR, RPV, and EFV. No viral breakthrough was observed with DOR, whereas breakthrough viruses were readily detected with RPV and EFV against Y181C and K103N viruses, respectively. These data suggest that DOR should impose a higher barrier to the development of resistance than RPV and EFV at the concentrations achieved in the clinic setting.

Indexed as

AlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesDose-Response Relationship, DrugDrug Dosage CalculationsDrug Resistance, ViralGene ExpressionHEK293 CellsHIV-1HIV Reverse TranscriptaseHumansInhibitory Concentration 50MutationPyridonesRilpivirineAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesdoravirineefavirenzHIV Reverse TranscriptasePyridonesRilpivirineTriazoles

Identifiers

PMID26833152
PMCPMC4808216

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.