Delavirdine susceptibilities and associated reverse transcriptase mutations in human immunodeficiency virus type 1 isolates from patients in a phase I/II trial of delavirdine monotherapy (ACTG 260)
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Demeter, LM
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Demeter, LM
Shafer, RW
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Shafer, RW
Meehan, PM
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Meehan, PM
Holden-Wiltse, J
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Holden-Wiltse, J
Fischl, MA
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Fischl, MA
Freimuth, WW
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Freimuth, WW
Para, MF
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Para, MF
Reichman, RC
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机构:Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
Reichman, RC
机构:
[1] Univ Rochester, Infect Dis Unit, Sch Med & Dent, Rochester, NY 14642 USA
[2] Stanford Univ, Palo Alto, CA 94304 USA
[3] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
[4] Univ Miami, Miami, FL 33152 USA
[5] Pharmacia & Upjohn Inc, Kalamazoo, MI 49001 USA
The development of human immunodeficiency virus type 1 resistance to delavirdine (DLV) was studied in subjects receiving DLV monotherapy. Phenotypic resistance developed in 28 of 30 subjects within 8 weeks. K103N and Y181C, which confer nonnucleoside reverse transcriptase inhibitor (NNRTI) cross-resistance, were the predominant reverse transcriptase mutations. P236L, which confers DLV resistance but hypersensitivity to other NNRTIs, developed in <10% of isolates.