Rapid Selection of HIV-2 Capsid Mutations in Salvage Therapy With Lenacapavir-containing Regimen.

Montrouge, Thomas; Bertine, Mélanie; Peytavin, Gilles; Saint-Joannis, Thibault; Bachelard, Antoine; De Truchis, Pierre; Lariven, Sylvie; Morlat, Philippe et al. · Clin Infect Dis · 2025

case_series · Level IV

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Abstract

Lenacapavir is the first capsid inhibitor and its use is currently approved for multidrug-resistant human immunodeficiency virus-1 infection. We report that, despite the initial efficacy of a lenacapavir-containing regimen in patients with multidrug-resistant human immunodeficiency virus-2 viruses, virological suppression was not achieved after a year and most patients selected capsid drug resistance-associated mutations.

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