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Raltegravir + optimized background therapy is a combination regimen used for the treatment of HIV-1 infection, particularly in adults with triple-class resistance or treatment-experienced patients. **Raltegravir** is a first-in-class HIV-1 integrase strand transfer inhibitor (INSTI) that blocks the integration of viral DNA into the host genome, a critical step in HIV replication. Optimized background therapy (OBT) refers to a combination of other antiretroviral agents selected based on the patient's resistance profile and treatment history, aiming to maximize virological suppression. The combination provides significantly better viral suppression and immunological recovery compared to OBT alone in patients with limited treatment options[1][2][3][5].
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