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XV638 is an experimental small molecule HIV protease inhibitor belonging to the class of diazepanones and benzamides. It is a potent inhibitor of HIV‑1 protease and has demonstrated efficacy against both wild-type and drug-resistant variants of the enzyme. Structural studies show that its increased potency over earlier cyclic urea-based inhibitors is due to enhanced P2-S2 interactions within the protease active site. These interactions provide more van der Waals contacts and additional hydrogen bonds compared to first-generation inhibitors. As a result, XV638 can inhibit a broad panel of drug-resistant HIV‑1 proteases by compensating for resistance-associated mutations in the S1 subsite[2][5]. The compound has not been approved for clinical use.
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