Drug intelligence / Profile preview

abacavir + lamivudine + darunavir + ritonavir

Development stage
Phase 4
Lead developer
ViiV Healthcare
Modality
Small Molecules
Administration
Oral
01

Overview

This is a combination antiretroviral therapy (ART) regimen used in the treatment of HIV-1 infection. It consists of four drugs: - **Abacavir** and **lamivudine**, both nucleoside reverse transcriptase inhibitors (NRTIs), which inhibit HIV reverse transcriptase by competing with natural substrates and causing chain termination during viral DNA synthesis. - **Darunavir**, a protease inhibitor, prevents the cleavage of HIV polyproteins, thereby inhibiting viral maturation. - **Ritonavir** acts as a pharmacokinetic enhancer ("booster") for darunavir by inhibiting cytochrome P450 3A4 (CYP3A4), increasing darunavir plasma concentrations. This regimen is considered effective and well-tolerated in both treatment-naïve and experienced patients, achieving high rates of virological suppression[1][3]. It is not available as a fixed-dose co-formulation but can be prescribed as individual components taken together. The combination is particularly used when tenofovir-based regimens are unsuitable or contraindicated[1][5].

Other names
abacavir/lamivudine/darunavir/ritonavirABC/3TC/DRV/r
02

Targets

CYP3A4 (Cytochrome P450 3A4)PR (Progesterone receptor)Human immunodeficiency virus type 1 reverse transcriptaseGag-Pol (HIV-1 gag-pol polyprotein)

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