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Vol 278 No 7442 p273
10 March 2007

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New protease inhibitor for HIV launched

Darunavir (marketed as Prezista)

Darunavir selectively inhibits cleavage of HIV-encoded polyproteins

Darunavir, a new protease inhibitor for HIV patients, was launched last week.

The drug, marketed by Janssen-Cilag as Prezista, is a protease inhibitor intended to be co-administered with ritonavir and indicated, in combination with other antiretrovirals, for the treatment of HIV infection in highly pretreated patients who have failed more than one regimen containing a protease inhibitor. Darunavir selectively inhibits the cleavage of HIV-encoded polyproteins in infected cells, preventing the formation of mature infectious virus particles.

Speaking on behalf of the HIV Pharmacy Association, Sonali Sonecha said that the launch of darunavir represented an interesting development in treatment. “Darunavir has been shown to reduce the viral load to undetectable levels [<50 copies/ml] in highly treatment-experienced patients,” she told The Journal. “According to British HIV Association guidelines, this is now considered to be an achievable goal of highly active antiretroviral therapy and thus darunavir provides an exciting new option for the treatment of this group.”


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