MEDICAL UPDATE: TAT Inhibitors


MEDICAL UPDATE: TAT Inhibitors

Being Alive; February 1992
Mark Katz, MD, reported by Warren Jones and Walt Senterfitt


One of the most exciting areas of all HIV clinical research right now is work on the tat inhibitors. Tat is a gene present in every HIV particle, and essential to its replication. If a medication can satisfactorily inhibit tat, it should stop the virus. Hoffman-LaRoche's product does this quite spectacularly in the test tube. The question is whether it will do so as well in humans.

Part of the excitement is that this drug acts at a completely different point in the HIV life cycle than does AZT/DDC/DDI or the newer class of "non-nucleoside reverse transcriptase inhibitors" (which have run into severe problems with rapid development of resistance). Some investigators think that resistance to the tat inhibitors is highly unlikely because of the location and critical nature of tat's action. A related predecessor drug appears active in the test tube against all HIV strains studied, even those resistant to AZT.

The drug is still in Phase I (safety and tolerance) studies at Johns Hopkins University. It may bode well that Hoffman-LaRoche has put the development of this drug back on its main agenda, after many months of slow motion while trying to find a licensee to take it over.
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