727 – Modifying PF74 Improves Anti-HIV-1 Activity Against the Resistance-Associated Capsid Mutation N74D
Background Lenacapavir (LEN) is an FDA-approved drug for highly treatment-experienced individuals living with multidrug-resistant HIV-1 infection. LEN inhibits HIV-1 replication with sub-nanomolar potency by targeting the capsid protein (CA) at the “FG-binding pocket” (FGBP). Clinical trials report the emergence of CA mutations like M66I and N74D after LEN treatment. N74D is also selected by PF74,…