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This drug regimen is a **combination therapy** consisting of **enfuvirtide**, **raltegravir**, and a selection of additional antiretroviral agents tailored to the patient's resistance profile (optimized background antiretrovirals). - **Enfuvirtide** is a fusion inhibitor that blocks the HIV-1 virus from entering host cells by interfering with the conformational changes of the viral envelope glycoprotein gp41 required for membrane fusion. - **Raltegravir** is an integrase strand transfer inhibitor (INSTI); it inhibits HIV-1 integrase, preventing the integration of viral DNA into the human genome, an essential step for viral replication. - **Optimized background antiretroviral agents** are selected based on individual resistance patterns and may comprise NRTIs, PIs, NNRTIs, or other classes of HIV therapeutics. This regimen is used for **HIV-1 infection** in heavily treatment-experienced patients with multiclass resistance, often as salvage therapy to achieve or maintain viral suppression. The optimized background ARVs ensure at least one other active agent in addition to enfuvirtide and raltegravir, improving efficacy and resistance management[1][2].
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