Evidence map›Paper›PMID 35491829›Full record

ArticleAntimicrobial agents and chemotherapy2022

Doravirine and Islatravir Have Complementary Resistance Profiles and Create a Combination with a High Barrier to Resistance.

Ming-Tain Lai, Meizhen Feng, Min Xu, Winnie Ngo, Tracy L Diamond, Carey Hwang, Jay A Grobler, Daria J Hazuda, Ernest Asante-Appiah

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 23 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Ming-Tain LaiInfectious Diseases and Vaccines, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Meizhen FengInfectious Diseases and Vaccines, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Min XuQuantitative Biosciences, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Winnie NgoInfectious Diseases and Vaccines, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Tracy L DiamondInfectious Diseases and Vaccines, Merck & Co., Inc., Kenilworth, New Jersey, USA.ORCID 0000-0002-4672-8641
Carey HwangGlobal Clinical Development, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Jay A GroblerInfectious Diseases and Vaccines, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Daria J HazudaInfectious Diseases and Vaccines, Merck & Co., Inc., Kenilworth, New Jersey, USA.
Ernest Asante-AppiahInfectious Diseases and Vaccines, Merck & Co., Inc., Kenilworth, New Jersey, USA.ORCID 0000-0002-5238-6529
Merck & Co., Inc., Rahway, NJ, USA (United States) · USQuantitative BioSciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Doravirine (DOR), a non-nucleoside reverse transcriptase inhibitor (NNRTI), was approved for treatment of HIV-1 infection in 2018. In the pivotal phase 3 trials, DRIVE-FORWARD and DRIVE-AHEAD, 7 out of 747 (0.9%) treatment-naive participants treated with DOR plus two nucleos(t)ide reverse transcriptase inhibitors (NRTIs) met protocol-defined virologic failure criteria and showed phenotypic resistance to DOR at week 48. The most common DOR resistance-associated mutation (RAM) detected in 5 of the 7 resistant isolates was F227C. Six isolates bearing NRTI RAMs (M184V and/or K65R) were resistant to lamivudine (3TC) and emtricitabine (FTC) but not to other approved NRTIs. All DOR-resistant isolates were susceptible or hypersusceptible (fold change of <0.25) to islatravir (ISL), a nucleoside reverse transcriptase translocation inhibitor (NRTTI). Isolate hypersusceptibility to ISL required F227C, in contrast to zidovudine, an NRTI, which required M184V. Based on the frequent emergence of F227C, we hypothesized that DOR and ISL would create a combination (DOR/ISL) with a high barrier to resistance. In

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsDeoxyadenosinesDrug Resistance, ViralEmtricitabineHIV Reverse TranscriptaseHumansLamivudineMutationPyridonesReverse Transcriptase InhibitorsTriazolesAnti-HIV AgentsDeoxyadenosinesdoravirineEmtricitabineHIV Reverse TranscriptaseislatravirLamivudinePyridonesReverse Transcriptase InhibitorsTriazolesdoravirineHIV-1human immunodeficiency virusislatravirNNRTINRTTIreverse transcriptaseRT

Identifiers

PMID35491829
PMCPMC9112941
OpenAlexW4225281036

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.