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1 , or an integrase strand transfer inhibitor (raltegravir).
2 mtricitabine with efavirenz, rilpivirine, or raltegravir.
3 here was no advantage to replacing them with raltegravir.
4 ogic failure was rare but more frequent with raltegravir.
5 after long-term exposure to dolutegravir or raltegravir.
6 repeated passage in the presence of 200 muM raltegravir.
7 r, emtricitabine, efavirenz, atazanavir, and raltegravir.
8 ing, suggesting a common mode of action with raltegravir.
9 o the target of integrase inhibitors such as raltegravir.
10 T) and tenofovir and the integrase inhibitor raltegravir.
11 tients failing treatment regimens containing raltegravir.
12 bjects failing treatment regimens containing raltegravir.
13 vely greater resistance to elvitegravir than raltegravir.
14 , severe adverse event during treatment with raltegravir.
15 tazanavir/ritonavir, darunavir/ritonavir, or raltegravir.
16 Administration (US FDA) approved MK-0518, or raltegravir ( 1), as the first IN inhibitor for HIV/AIDS
17 ir (odds ratio [OR] 1.27, 95% CI 1.17-1.38), raltegravir (1.37, 1.20-1.56), and tenofovir alafenamide
18 roM), L-731,988 (34 nM), L-870,810 (2.4 nM), raltegravir (10 nM), elvitegravir (4.0 nM), and GSK36473
19 interactive voice and web response system to raltegravir 1200 mg (two 600 mg tablets) orally once dai
23 2 efavirenz) and 394 delivered on-study (200 raltegravir, 194 efavirenz); 307 were included in the pr
24 o Dec 11, 2018, 408 women were enrolled (206 raltegravir, 202 efavirenz) and 394 delivered on-study (
25 allocated to treatment, of whom 281 received raltegravir, 282 received efavirenz, and three were neve
26 gained more weight at 18 months compared to raltegravir (3.4 kg) and PIs (4.1 kg), though these diff
27 130 nM vs 9 nM), L-870,810 (130 nM vs 4 nM), raltegravir (300 nM vs 9 nM), elvitegravir (90 nM vs 6 n
28 mg (two 600 mg tablets) orally once daily or raltegravir 400 mg (one tablet) orally twice daily, each
29 ery 8 hours for 9 days plus a single dose of raltegravir 400 mg on day 10 followed by a washout perio
30 wed by a washout period and a single dose of raltegravir 400 mg on day 38, or the same medication in
31 00 mg regimen was non-inferior compared with raltegravir 400 mg twice daily for initial treatment of
32 >/=1 year were randomly assigned to receive raltegravir 400 mg twice daily or placebo for 24 weeks.
33 Patients were randomly assigned (2:1) to raltegravir 400 mg twice daily or placebo, both with opt
34 udy in HIV-infected pregnant women receiving raltegravir 400 mg twice daily was performed (Pharmacoki
35 to antiretroviral regimens containing either raltegravir (400 mg twice daily) or efavirenz (600 mg ea
36 ession for >/= 1 year were randomized to add raltegravir (400 mg twice daily) or matching placebo for
37 ratio to switch from lopinavir-ritonavir to raltegravir (400 mg twice daily; n=353) or to remain on
38 ritonavir (100 mg once per day) plus either raltegravir (400 mg twice per day; NtRTI-sparing regimen
39 or plus NRTI group), protease inhibitor plus raltegravir (400 mg twice per day; protease inhibitor pl
40 zanavir, 300 mg/d, with ritonavir, 100 mg/d; raltegravir, 400 mg twice daily; or darunavir, 800 mg/d,
41 favirenz) and infants (25% in each group; 50 raltegravir, 48 efavirenz), with no treatment-related de
42 similar among mothers (30% in each group; 61 raltegravir, 59 efavirenz) and infants (25% in each grou
44 er inhibitor (dolutegravir, elvitegravir, or raltegravir), a nonnucleoside reverse transcriptase inhi
49 ) and C(max) for raltegravir + boceprevir vs raltegravir alone were 1.04 (90% CI, .88-1.22) and 1.11
50 ion (C(max)) for raltegravir + boceprevir vs raltegravir alone were 4.27 (95% confidence interval [CI
51 on the crystal structure of ALDOA identified raltegravir, an antiretroviral agent that targets HIV in
53 RK-2-investigated the efficacy and safety of raltegravir, an HIV-1 integrase strand-transfer inhibito
54 AMD3100, a CXCR4 entry inhibitor, but not by raltegravir, an integrase, indicating that only early li
55 the limits of quantification at 1 pg/mL for raltegravir and 2 pg/mL for four proprietary compounds.
57 ach variant was tested for susceptibility to raltegravir and dolutegravir using a single-cycle indica
58 viral intensification therapy (standard dose raltegravir and dose-adjusted maraviroc based on baselin
60 ns that determine the resistance pathways to raltegravir and elvitegravir (N155H, Q148K/R/H, and E92Q
61 grase inhibitors are in clinical trials, and raltegravir and elvitegravir are likely to be the first
63 rugs with IN, consistent with the binding of raltegravir and elvitegravir at the IN-DNA interface.
65 1) to investigate and compare the effects of raltegravir and elvitegravir on the three IN-mediated re
66 ertion rendered isolates highly resistant to raltegravir and elvitegravir, and moderately resistant t
69 fect of pregnancy on the pharmacokinetics of raltegravir and its safety and efficacy in HIV-infected
70 (42%) of all patients initially assigned to raltegravir and less than 400 copies per mL in 210 (45%)
71 703 randomized patients (462 and 237 in the raltegravir and placebo groups, respectively) received t
73 going close to those of the clinically used raltegravir and retained potencies against a panel of IN
75 cidence of tolerability discontinuation than raltegravir and ritonavir-boosted darunavir, respectivel
77 nt resistance to APV, an integrase inhibitor raltegravir, and a GRL-09510 congener (GRL-09610), no va
78 etravirine; B3, ritonavir-boosted darunavir, raltegravir, and either tenofovir plus emtricitabine or
80 l use of recently approved drugs (maraviroc, raltegravir, and etravirine) in treatment-experienced pa
81 rd prophylaxis, adjunctive raltegravir or no raltegravir, and supplementary food or no supplementary
82 L54 mutant viruses were fully susceptible to raltegravir, any virus bearing the UL42 mutation was as
85 recommend a boosted protease inhibitor plus raltegravir as an alternative second-line combination.
87 gions to evaluate the safety and efficacy of raltegravir, as compared with placebo, in combination wi
88 abotegravir, dolutegravir, elvitegravir, and raltegravir) at the virological failure of an INSTI-base
90 NRTIs] plus ritonavir-boosted darunavir plus raltegravir; B2, ritonavir-boosted darunavir plus ralteg
94 prior peg-IFN/RBV standard therapy and on a raltegravir-based regimen with HIV RNA <400 copies/mL.
98 references of HIV integrase and to (2) study raltegravir binding in the context of these dynamic mode
100 tes of raltegravir AUC(0-12h) and C(max) for raltegravir + boceprevir vs raltegravir alone were 1.04
101 nd maximum plasma concentration (C(max)) for raltegravir + boceprevir vs raltegravir alone were 4.27
104 f a clinically significant drug interaction, raltegravir can be recommended for combined HIV/HCV trea
108 RT recipients, IHS was associated with lower raltegravir concentrations in blood and semen, compared
110 ents before and 48 weeks after initiation of raltegravir-containing combination antiretroviral therap
116 At low nanomolar concentrations (<50 nM), raltegravir displayed a time-dependent inhibition of con
118 ART regimen, containing either InSTI (i.e., raltegravir, dolutegravir, and elvitegravir/cobicstat) o
120 The observed mean decrease in exposure to raltegravir during third trimester compared to postpartu
121 combination of tenofovir, emtricitabine, and raltegravir effectively suppresses peripheral and system
122 NTD reports for 4 integrase inhibitors (DTG, raltegravir, elvitegravir, bictegravir), 2 protease inhi
124 rimary objective was to use antiretrovirals (raltegravir, etravirine, and ritonavir-boosted darunavir
127 th some (34.7%) also receiving maraviroc and raltegravir for the first 24 weeks (hereafter, "ART plus
128 fety, tolerability, and efficacy of multiple raltegravir formulations in human immunodeficiency virus
129 Emergent resistance was associated with the raltegravir group (OR 2.47, 95% CI 1.02-5.99; p=0.05), b
130 (81%) of 383 in the protease inhibitor plus raltegravir group (p=0.07; lower 95% confidence limit fo
131 roup, 64% of the patients (mean, 277) in the raltegravir group (P=0.21 for the comparison with the NR
132 6% of patients in the NRTI group, 86% in the raltegravir group (P=0.97), and 61% in the monotherapy g
133 viral load measurements at 96 weeks; in the raltegravir group 236 had baseline sequence data and 255
134 l failure was 10.3% (95% CI 6.5-14.0) in the raltegravir group and 12.4% (8.3-16.5) in the NRTI group
136 ndomly assigned 515 participants: 260 to the raltegravir group and 255 to the NRTI group; two partici
137 After week 156, 251 patients (54%) from the raltegravir group and 47 (20%) from the placebo group en
140 e) showed that 86.1% (n=241 patients) of the raltegravir group and 81.9% (n=230) of the efavirenz gro
141 5 to the NRTI group; two participants in the raltegravir group and one in the NRTI group were exclude
142 f 383 patients in the protease inhibitor and raltegravir group at week 144 (p=0.02) and 233 (61%) of
143 er than expected virological efficacy in the raltegravir group compared with the lopinavir-ritonavir
145 4%, 95% CI 80.2-88.1) of 347 patients in the raltegravir group had vRNA concentration less than 50 co
146 were significantly greater (p<0.0001) in the raltegravir group than in the lopinavir-ritonavir group
148 inavir) plus 400 mg raltegravir twice a day (raltegravir group) or to ritonavir-boosted lopinavir plu
149 00 mg twice per day; protease inhibitor plus raltegravir group), or protease inhibitor monotherapy (p
150 lus raltegravir in a superiority comparison (raltegravir group, 433 patients), or protease-inhibitor
154 ritonavir-boosted lopinavir and raltegravir (raltegravir-group) provided non-inferior efficacy to rit
156 ce susceptibility to the integrase inhibitor raltegravir have been identified in patients failing tre
157 t clinical trials of the integrase inhibitor raltegravir have demonstrated more rapid viral decay tha
159 apy after 12 weeks of induction therapy with raltegravir in a noninferiority comparison (monotherapy
160 up, 426 patients), a protease inhibitor plus raltegravir in a superiority comparison (raltegravir gro
165 tients previously reported to have developed raltegravir-induced DRESS syndrome and in 1 previously u
167 tween carriage of the HLA-B*53:01 allele and raltegravir-induced DRESS syndrome, and the potential ut
169 up), or protease inhibitor monotherapy (plus raltegravir induction for first 12 weeks, re-intensified
170 receive lopinavir monotherapy (after initial raltegravir induction) in the Europe-Africa Research Net
171 blotting and quantitative PCR revealed that raltegravir inhibits DNA replication of HSV-1 rather tha
173 , placebo-controlled study to assess whether raltegravir intensification reduces low-level viral repl
181 b to autoimmune disease, are not affected by raltegravir, lupus-prone (NZBxNZW) F(1) mice die of glom
183 re, the anti-HIV-1 drugs AZT, tenofovir, and raltegravir may be useful for treatment of XMRV infectio
184 ntly unknown, virtual modeling suggests that raltegravir may bind within the antigen binding cleft of
187 tion, previously identified with MK-2048 and raltegravir, may represent the initial substitution in a
189 target of the newly approved anti-AIDS drug raltegravir (MK-0518, Isentress) while elvitegravir (GS-
190 nical adverse events occurred in patients on raltegravir (n=124 [44.1%]) than those on efavirenz (n=2
192 mparison with the NRTI group; superiority of raltegravir not shown), and 55% of the patients (mean, 2
193 INTERPRETATION: Protease inhibitor plus raltegravir offered no advantage over protease inhibitor
194 We report here that the activity profile of raltegravir on the replication of murine leukemia virus
195 virus specifically blocked at integration by raltegravir or catalytic site mutations (IN(D64N/D116N/E
196 ighest risk for red-flag DDI, and the use of raltegravir or dolutegravir-based antiretroviral therapy
199 atients, 471 patients had viruses with >/= 1 raltegravir or elvitegravir resistance mutation (15.6%).
200 le continuing their failing regimen (without raltegravir or elvitegravir) through day 7, after which
202 phylaxis or standard prophylaxis, adjunctive raltegravir or no raltegravir, and supplementary food or
205 ed resting CD4(+) T cells in the presence of raltegravir or with integrase active-site mutant HIV-1 y
208 ighest risk for red-flag DDI, and the use of raltegravir- or dolutegravir-based antiretroviral therap
209 stance was predicted in 12% of patients with raltegravir- or elvitegravir-resistant viruses (2% of al
210 lected, without resistance testing); or with raltegravir; or alone as protease inhibitor monotherapy
211 of dolutegravir, tenofovir alafenamide, and raltegravir, particularly given the potential consequenc
212 ere dolutegravir plus lamivudine (22.8%) and raltegravir plus boosted darunavir (19.8%); the most com
213 gravir; B2, ritonavir-boosted darunavir plus raltegravir plus etravirine; B3, ritonavir-boosted darun
214 ted patients with limited treatment options, raltegravir plus optimized background therapy provided b
215 vudine), C (ritonavir-boosted darunavir plus raltegravir plus tenofovir-emtricitabine or tenofovir pl
221 protease inhibitor (PI) regimen, a switch to raltegravir (RAL) can be an option in case of comorbidit
222 (RIF) induces UGT1A1, an enzyme involved in raltegravir (RAL) elimination, thereby potentially lower
223 , dolutegravir (DTG), elvitegravir (EVG), or raltegravir (RAL) from any prior regimen were eligible.
224 vir (ATV/r), darunavir-ritonavir (DRV/r), or raltegravir (RAL) in ACTG A5260s, a substudy of A5257.
225 efficacy, and pharmacokinetic parameters of raltegravir (RAL) in human immunodeficiency virus (HIV)-
226 antiretroviral therapy (cART) incorporating raltegravir (RAL) is highly effective for virologic supp
227 d the effect of switching efavirenz (EFV) to raltegravir (RAL) on hepatic steatosis among HIV-infecte
228 t is unclear whether the integrase inhibitor raltegravir (RAL) reduces inflammation and immune activa
229 ave shown that all three FDA-approved drugs, raltegravir (RAL), elvitegravir and dolutegravir (DTG),
232 to define viral kinetics after initiation of raltegravir (RAL)-based antiretroviral therapy (ART).
237 -G140S/Q148H mutant virus in the presence of raltegravir (RAL); the RT-K103N mutation had no effect.
238 ll culture system with viral replication and raltegravir (RAL; an integrase inhibitor) suppression, m
239 [LPV/r], 71.1%; 95% CI, 43.6%-98.6%; TDF+FTC+raltegravir [RAL], 74.7%; 95% CI, 41.4%-100%; TDF+FTC+ b
240 ing ART with ritonavir-boosted lopinavir and raltegravir (raltegravir-group) provided non-inferior ef
242 patients experiencing virological failure to raltegravir received dolutegravir with optimized backgro
243 ent in 13 of these 17 patients: 7 of the 462 raltegravir recipients (1.5%) and 6 of the 237 placebo r
245 ncompletion as treatment failure, 355 of 458 raltegravir recipients (77.5%) had HIV-1 RNA levels belo
246 follow-up, cancers were detected in 3.5% of raltegravir recipients and in 1.7% of placebo recipients
247 iter was achieved at week 16 in 61.8% of the raltegravir recipients, as compared with 34.7% of placeb
248 revention of perinatal HIV transmission with raltegravir recommended as a preferred or alternative in
250 ause mortality among 415 patients starting a raltegravir regimen compared to 2646 starting an efavire
251 c pathways to resistance in subjects failing raltegravir regimens and defines the effects of primary
254 Extended antiviral testing against a few raltegravir-resistant HIV-1 clones revealed a resistance
256 8 is equally potent against wild-type IN and raltegravir-resistant IN mutant N155H, suggesting this i
258 l loads of 42 raltegravir-susceptible and 40 raltegravir-resistant specimens were determined using Re
260 afenamide, abacavir/dolutegravir/lamivudine, raltegravir, rilpivirine, atazanavir/ritonavir, darunavi
262 tion of PF74 against the integrase inhibitor raltegravir showed an additive antiviral effect that is
264 ese important questions, we investigated the raltegravir susceptibility and replication capacity of v
265 rimary and secondary resistance mutations on raltegravir susceptibility and replication capacity.
266 y mutations and other secondary mutations on raltegravir susceptibility and viral replication capacit
267 ion generally displayed larger reductions in raltegravir susceptibility than viruses with an N155H mu
270 of Q148H showed a higher cross-resistance to raltegravir than observed with N155H, providing evidence
271 iral suppression was shorter for patients on raltegravir than on efavirenz (log-rank test p<0.0001).
272 ing G140S and Q148K were more susceptible to raltegravir than viruses containing a Q148K mutation alo
273 with a G140S mutation were more resistant to raltegravir than viruses containing a Q148R(H) mutation
276 We compared a new once daily formulation of raltegravir to the currently marketed twice daily formul
279 mg ritonavir, 400 mg lopinavir) plus 400 mg raltegravir twice a day (raltegravir group) or to ritona
280 f ritonavir once daily), each with 400 mg of raltegravir twice daily and 300 mg of tenofovir disoprox
281 ratio (double-blind) to receive 400 mg oral raltegravir twice daily or 600 mg oral efavirenz once da
282 ratio to receive oral treatment with 400 mg raltegravir twice daily plus 800 mg darunavir and 100 mg
288 ence of -3.4% (-8.4 to 1.5), indicating that raltegravir was non-inferior, but not superior, to NRTIs
289 uperior to ritonavir-boosted atazanavir, and raltegravir was superior to both protease inhibitors.
291 cause nonautoimmune mice are not affected by raltegravir, we consider off-target effects unlikely and
293 vitro, dolutegravir and, to a lesser extent, raltegravir were associated with greater extracellular m
296 NRTIs plus ritonavir-boosted darunavir plus raltegravir) were defined by increasing levels of resist
297 f maximum effective concentration (EC50) for raltegravir when introduced into 1 or more mutational ba
300 med to assess whether boosted lopinavir plus raltegravir would be non-inferior to boosted lopinavir p