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Elsufavirine is a long-acting **non-nucleoside reverse transcriptase inhibitor** (NNRTI) developed primarily for the treatment of **HIV-1 infection**. It is a small molecule antiretroviral agent that inhibits HIV-1 reverse transcriptase by binding to an allosteric site, thereby preventing viral RNA from being reverse transcribed into DNA, which is essential for viral replication. It is characterized by a prolonged half-life, which enables once-daily oral administration and is also under investigation for extended-release injectable formulations. Elsufavirine is developed by Viriom, a Russian pharmaceutical company, and is approved in Russia for HIV-1 infection. Its mechanism of action is similar to other NNRTIs, but with unique structural features conferring efficacy against some NNRTI-resistant HIV variants. The primary indication is in combination with other antiretrovirals for HIV-1 treatment.
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