Introduction: Elvitegravir, which remains in the final stages of clinical development, is additionally associated with
T66I and
E92Q in primary resistance.
Result: Of the 38 major and minor
integrase inhibitor resistance associated codons, 44, 61, 66, 92, 121, 140, 143, 147, 148, 155, 226 and 263 were the only positions absolutely conserved across all 342 sequences and these included six primary resistance-associated mutations for raltegravir and elvitegravir (
T66I,
E92Q,
G140S,
Y143C/H/R Q148H/R/K and
N155S/H).