Abstract: In clinical trials of coformulated elvitegravir (EVG), cobicistat (COBI), emtricitabine (FTC), and tenofovir disoproxil fumarate (TDF), emergent drug resistance predominantly involved the FTC resistance substitution
M184V/I in
reverse transcriptase (
RT), with or without the tenofovir (TFV) resistance substitution
K65R, accompanied by a primary EVG resistance substitution (
E92Q,
N155H, or
Q148R) in
integrase (
IN).