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Volume 348:2171-2172 May 29, 2003 Number 22
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HIV Infection — A New Drug and New Costs
Robert Steinbrook, M.D.

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Although combination antiretroviral therapy has dramatically improved the lives of patients with human immunodeficiency virus (HIV) infection, viral strains that are resistant to multiple medications are a serious problem. Enfuvirtide, the new antiretroviral agent for patients with drug-resistant HIV infection, is noteworthy for several reasons.

First, it works by a different mechanism from that of previous drugs and heralds an era of new approaches to treatment. Enfuvirtide, which was initially known as T-20, inhibits the fusion of HIV type 1 (HIV-1) with CD4+ cells. It does this by binding to a region of the envelope that is involved in the . . . [Full Text of this Article]


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