Evidence map›Paper›PMID 32925358›Full record

ReviewJournal of acquired immune deficiency syndromes (1999)2020

Review of Doravirine Resistance Patterns Identified in Participants During Clinical Development.

Elizabeth Anne Martin, Ming-Tain Lai, Winnie Ngo, Meizhen Feng, Donald Graham, Daria J Hazuda, Sushma Kumar, Carey Hwang, Peter Sklar, Ernest Asante-Appiah

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of acquired immune deficiency syndromes (1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
0.5field-weighted citation impact, top 20% of its field
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

19 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 2022 update of the drug resistance mutations in HIV-1.Topics in antiviral medicine · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
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

10 authors at 2 institutions in 2 countries.

Elizabeth Anne MartinDepartments of Clinical Research.
Ming-Tain LaiInfectious Disease and Vaccine Research; and.
Winnie NgoInfectious Disease and Vaccine Research; and.
Meizhen FengInfectious Disease and Vaccine Research; and.
Donald GrahamInfectious Disease and Vaccine Research; and.
Daria J HazudaInfectious Disease and Vaccine Research; and.
Sushma KumarGlobal Regulatory Affairs and Clinical Safety, Merck & Co., Inc., Kenilworth, NJ.
Carey HwangDepartments of Clinical Research.
Peter SklarDepartments of Clinical Research.
Ernest Asante-AppiahInfectious Disease and Vaccine Research; and.
Institut de Recherche Vaccinale · FRClinical Research Management · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDoravirine (DOR) is a novel non-nucleoside reverse transcriptase inhibitor (NNRTI) approved for the treatment of HIV-1 infection in patients with no known DOR resistance-associated mutations. DOR was rationally designed to address limitations associated with other approved NNRTIs, particularly resistance from common NNRTI resistance-associated mutants containing K103N, Y181C, or G190A reverse transcriptase substitutions.

settingData to date from both in vitro studies and clinical trials have been compiled to summarize the resistance profile of DOR.

methodsWe analyzed data from in vitro studies and phase 2 and 3 trials to assess the emergence of resistance-associated mutations and their impact on efficacy among participants treated with DOR.

resultsDOR exhibited a distinct resistance profile compared with efavirenz and rilpivirine in vitro and in vivo; mutant viruses that were resistant to DOR showed limited cross-resistance to efavirenz and rilpivirine. In clinical trials, the development of DOR resistance-associated substitutions in reverse transcriptase was uncommon.

conclusionOverall, minimal cross-resistance across NNRTIs was observed for DOR and limited development of DOR-related resistance. These data should assist clinicians in further understanding the resistance profile of DOR, so appropriate treatment decisions can be made for their patients.

Indexed as

AlkynesAnti-HIV AgentsBenzoxazinesClinical Trials, Phase II as TopicClinical Trials, Phase III as TopicCyclopropanesDrug Resistance, ViralHIV-1HIV InfectionsHumansIn Vitro TechniquesPyridonesRilpivirineTriazolesAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesdoravirineefavirenzPyridonesRilpivirineTriazoles

Identifiers

PMID32925358
PMCPMC7655028
OpenAlexW3084799445

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.