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Maraviroc — the only currently licensed CCR5 antagonist — has proven effective in both treatment-naive and treatment-experienced patients but is hampered by twice-daily administration. At the 2010 Conference on Retroviruses and Opportunistic Infections, researchers described two related once-daily compounds that are in development: vicriviroc and newcomer TBR-652.
Vicriviroc has been studied for several years and was widely expected to be the next CCR5 antagonist licensed. However, data from the VICTOR-E3 and VICTOR-E4 trials, presented by Joseph Gathe, may present a roadblock [Abstract 54LB]. In these parallel trials, 721 patients with dual-class resistance or ≥6 months of antiretroviral exposure were randomized to receive an opti…