Skip to main content
. 2018 Oct 26;21(Suppl Suppl 8):e25187. doi: 10.1002/jia2.25187

Abstract P297 – Table 1. Overview of patients harboring resistance after virological failure to a dual therapy based on integrase inhibitors

IDa Previous ARVs experienced Time under VS before switch (months) Baseline cGSS for companion drug Drugs received at switch Viremia at GRT (copies/mL) Time under INI‐based dual therapy (months) Resistance mutations detected after VF
No of ARV classes INI INI INI MRMs INI accessory PI MRM NRTI MRM NNRTI MRM
357a 6 RAL 7 F/I DTG, DRV/r 297560 11.3 Y143YCHR T97TA None None None
326 5 None 37 F/I RAL, ATV/r 1786 7.1 G140S, Q148H None L90M M184V None
1321 5 RAL 1 F/I RAL, SQV/r 3356 19.5 Y143YCHR T97A V32I, L33F, M46I, I47V, I50V, I54L K70R, K219Q None
3507 5 RAL 1 F/I RAL, LPV/r 7590 34.2 N155H None M46L, I54V, V82A M41L, D67G, L210W, T215Y, K219E None
7583 5 RAL 24 F/I RAL, NVP 4627 2.1 N155H None M46L, I84V M184V, T215Y K103N, Y188L
10930 6 None 44 S RAL, ATV/r 2709 11.6 None G163R None None None
11067 4 None 16 S RAL, FPV/r 1045 10.9 Y143S None L76V None None

Among 12 patients with an available GRT after virological failure, 7 showed resistance. In bold are indicated mutations selected after virological failure. athe patient was previously heavily treated and developed the mutation N155H after raltegravir failure. /r = ritonavir‐boosted; ATV = atazanavir; cGSS = cumulative genotypic susceptibility score for companion drugs; DRV = daraunavir; DTG = dolutegravir; F/I = fully/intermediate resistant cGSS; GRT = genotypic resistance test; INI = integrase inhibitor; LPV = lopinavir; MRM = major resistance mutation; NRTI = nucleos(t)ide reverse transcriptase‐inhibitor; NNRTI = non‐NRTI; PI = protease inhibitor; RAL = raltegravir; S = susceptible cGSS; SQV = saquinavir; VF = virological failure; VS = virological suppression.