TABLE 3.
Mean synergy and antagonism volumes for pairwise combination studies performed between BI 224436 and HIV antiviral inhibitorsa
| Inhibitor class and drug | Volumeb (nM2%; ±SD) |
Combination effect | |
|---|---|---|---|
| Synergy | Antagonism | ||
| NRTI | |||
| Lamivudine | 39 ± 7.4 | −5.8 ± 3.2 | Additive |
| Abacavir | 12 ± 5.6 | −44 ± 28 | Minor antagonism |
| Zidovudine | 26 ± 26 | −14 ± 15 | Additive |
| Tenofovir | 124 ± 18 | −5.1 ± 4.1 | Synergy |
| Emtricitabine | 19 ± 5.0 | −0.36 ± 0.63 | Additive |
| Didanosine | 15 ± 19 | −4.3 ± 6.4 | Additive |
| Stavudine | 17 ± 15 | −9.0 ± 6.6 | Additive |
| NNRTI | |||
| Nevirapine | 0.2 ± 0.3 | −12 ± 13 | Additive |
| Efavirenz | 20 ± 16 | −4.7 ± 4.1 | Additive |
| Etravirine | 43 ± 70 | −12 ± 13 | Additive |
| Protease inhibitor | |||
| Amprenavir | 72 ± 51 | −12 ± 12 | Moderate synergy |
| Atazanavir | 72 ± 33 | −26 ± 23 | Moderate synergy |
| Darunavir | 25 ± 18 | −24 ± 10 | Additive |
| Indinavir | 24 ± 24 | −19 ± 17 | Additive |
| Lopinavir | 4.6 ± 8.0 | −12 ± 20 | Additive |
| Nelfinavir | 67 ± 33 | −30 ± 10 | Moderate synergy |
| Ritonavir | 42 ± 48 | −28 ± 12 | Additive |
| Saquinavir | 3.4 ± 3.0 | −16 ± 22 | Additive |
| Tipranavir | 37 ± 34 | −17 ± 3.9 | Additive |
| Integrase inhibitor | |||
| Raltegravir | 11 ± 12 | −5.9 ± 7.9 | Additive |
| Dolutegravir | 23 ± 44 | −12 ± 14 | Additive |
| Entry inhibitors | |||
| Maraviroc | 19 ± 11 | −3.2 ± 4.9 | Additive |
| Enfuvirtide | 4.5 ± 1.4 | −5.9 ± 6.3 | Additive |
Results are mean synergy and antagonism volumes at 95% confidence intervals, as calculated by MacSynergy II software, for pairwise combination studies performed between BI 224436 and HIV antiviral inhibitors. Mean volumes were calculated based on a minimum of three separate experiments. Cytotoxicity assays were performed in parallel at the highest drug concentrations tested, and no increase in cytotoxicity was observed in drug combinations with BI 224436.
Mean synergy volumes at 95% confidence (in nM2%) are described at the following levels: >100, strong synergy; 50 to 100, moderate synergy; 25 to 50, minor amount of synergy; 25 to −25, additive; −25 to −50, minor amount of antagonism; −50 to −100, moderate antagonism; and <−100, strong antagonism.