Concept

Darunavir/cobicistat

  • Brand Name: Prezcobix (US), Rezolsta (EU)
  • Indication: HIV-1 treatment
  • Class: protease inhibitor, CYP450 inhibitor
  • Mechanism: Darunavir inhibits the HIV-1 protease from forming a dimer and becoming active. Cobicistat inhibits the activity of CYP450 3A to increase the amount of darunavir in the blood. The drug ultimately inhibits the maturation of the virus.
  • Common AEs: GI adverse events (nausea, vomiting), headache
  • Drug-Drug Interactions: Colchicine and strong inhibitors of CYP3A and P‐glycoprotein
  • Safety and Efficacy: Preclinical studies showed the treatment had an inhibitory effect in COVID-19. This combination of medications was well tolerated in COVID-19 patients. A clinical trial showed that viral clearance when treated with darunavir/cobicistat was comparable to the control, in which patients received no oral antiviral medication, and did not seem to increase the amount of negative test results for COVID-19 after treatment.

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Updated 2021-04-30

Tags

SARS-CoV-2 (COVID-19)

Biomedical Sciences

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