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lamivudine + raltegravir (MK 0518B / Dutrebis / MK0518B)

✓ Approved

Merck & Co. · · Small Molecule

What is lamivudine + raltegravir?

lamivudine + raltegravir is a small molecule developed by Merck & Co.. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesMK 0518B, Dutrebis, MK0518B
CompanyMerck & Co.
Drug ClassSmall Molecule
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

lamivudine + raltegravir acts on 1 molecular target:

gag-pol, HIV-1 (gag-pol)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

lamivudine + raltegravir is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Infections and infestationsAcquired immunodeficiency syndrome✓ Approved

Related Research Articles

PubMedHealth science reports2026-11-11

Low Level Viremia in Early HIV RNA Kinetics in Naïve People Living With HIV Treated With Bictegravir/Emtricitabine/Tenofovir Alafenamide or Dolutegravir/Abacavir/Lamivudine: An Observational Multicenter Retrospective Study.

Bonadiman Nicola N, Basso Monica M, Rossi Maria Cristina MC, Giobbia Mario M et al.

Integrase inhibitors have a pivotal role in antiviral therapyA quarter of PLWH had LLV after 3 months of treatmentPLWH with LLV had immunological parameters lower than PLWH with virological suppression but comparable to those with partial response.

PubMedPhysical chemistry chemical physics : PCCP2026-11-11

Coverages and configurations of CO* and H* on Pt(111) under realistic reaction conditions.

Hossain Sifat S, Punyapu Venkata Rohit VR, Christopher Phillip P, Getman Rachel B RB

Lateral interactions between co-adsorbed species can produce non-random spatial organization that governs the availability of reactive motifs relevant to catalytic behavior. For CO* and H* co-adsorbed on Pt(111), these interactions determine how the two species distribute across the surface and therefore which local CO*-H* configurations are available under reaction conditions. In this work, we combine density functional theory, cluster expansions, and grand canonical Monte Carlo simulations to determine how CO* and H* organize on Pt(111), and subsequently use electronic surface charge as a controlled perturbation to examine how this organization responds to changes in the underlying energetics. On neutral Pt(111), CO*-H* first-nearest-neighbor interactions are strongly repulsive (0.42 eV), CO*-CO* first-nearest-neighbor interactions are moderately repulsive (0.12 eV), and H*-H* interactions are comparatively weak. These interactions cause CO* to nucleate into islands that grow and coalesce with increasing CO* coverage, while H* preferentially occupies regions outside CO*-rich domains. Consequently, the abundance of CO*-H* nearest-neighbor configurations varies non-monotonically with CO* coverage, reaching a maximum at intermediate coverage before decreasing as CO* islands grow and the adsorbates become increasingly segregated. Positive surface charge strengthens CO* adsorption but also increases CO*-CO* repulsion, producing higher CO* coverages, a broader distribution of CO* island sizes, and larger low-coverage regions between islands where H* can adsorb away from CO*. This suppresses CO*-H* nearest-neighbor configurations relative to the neutral surface. Negative charging weakens CO* adsorption, producing lower CO* coverages, higher H* coverages, and less consolidated CO* islands, thereby increasing the prevalence of mixed CO*-H* local environments. At intermediate CO* coverage, CO* islands enter a regime of accelerated growth and coalescence that coincides with a shallow plateau in H* coverage. This coincidence suggests that the onset of CO* island coalescence is accompanied by a reorganization of the co-adsorbed layer. Further, it illustrates the strong influence of lateral interactions on the formation of potentially reactive motifs, highlighting how they become influential in determining catalytic reactivity.

PubMedDigital health2026-11-11

Reframing wearables in therapy: Co-designing compassion-focused, practical guidance for the use of wearables in acute mental healthcare.

van Lotringen Charlotte M CM, Kelders Saskia M SM, Westerhof Gerben J GJ, Noordzij Matthijs L ML

The integration of wearables, such as smartwatches, into mental healthcare holds promise for supporting self-management through the monitoring of physical activity and rest patterns, yet their implementation in clinical practice remains limited. Aligning with the values of stakeholders in mental healthcare may enhance the implementation of technology. An important value in mental healthcare is compassion; recognizing and wanting to alleviate suffering. Therefore, we co-designed compassion-focused implementation materials for the implementation of smartwatches in treatments. We conducted 5 co-design sessions with in total 9 patients and 13 professionals from a department for acute mental healthcare. During the co-design process, we iteratively came to a 3 (format: written manual, infographic, card set) × 2 (framing: efficiency-focused, compassion-focused) design, resulting in six prototypes that systematically combined each format with each framing approach to smartwatch use. Based on the co-design sessions, a card set has been developed that can be used in group sessions to work compassionately with smartwatches. It integrates the preferences of professionals for accessible and tangible guidance that can be used in treatment sessions. Co-design methodology helped to develop implementation materials based on the needs and preferences of stakeholders in mental healthcare. Moreover, the focus on compassion during the co-design process and in the final card set could help align the use of technology with values of stakeholders for a more meaningful and successful implementation.

PubMedHealth expectations : an international journal of public participation in health care and health policy2026-11-11

Development and Early Implementation of a Parent Peer Programme for Rural and Remote Communities: An Evaluation of Feasibility and Acceptability.

Gillespie Kerri M KM, McClenaghan Megan M, Branjerdporn Nataya N, Jockel Simon S et al.

The aim of this study was to evaluate the acceptability and feasibility of a Parent Peer support programme in rural and remote Queensland to support parents and improve mental wellbeing, and to describe programme co-design and implementation. Central Queensland. Parent Peers and project stakeholders involved in the co-design, development, and implementation of a rural and remote Parent Peer support programme. A mixed-methods study using online surveys and interviews explored the co-design, implementation, and perceptions of a Peer Support programme for parents in four rural and remote Queensland communities and a Parent Peer training programme. Seven Parent Peers and 13 stakeholders provided perspectives on the co-design process and the implementation of the Parent Peer programme. Parent Peers also provided feedback on the Peer Support training modules. Descriptive statistics and thematic and summative content analysis were used to analyse and describe quantitative and qualitative data. Two themes were identified, including 'Connection and Collaboration', which identified the collaborative, co‑design process as crucial for the successful development, implementation, and sustainability of the programme; and 'An Evolving Role', which acknowledged the importance of the evolving and adaptable nature of the role to ensure tailored and responsive strategies for individual communities. Training was acceptable and engaging for Parent Peers, providing them with valuable education and support as they began their role. The co-designed Parent Peer programme was feasible, acceptable, and strongly supported by participants. The Parent Peer role needed to be flexible and adaptable to meet changing and unique community needs. The Parent Peer model could be widely implemented in rural and remote communities across Australia to improve parent support and wellbeing. An iterative consultative co-design process was systematically followed throughout. Organisational healthcare professionals,individuals with lived experience, parents, early education specialists, and community stakeholders were actively involved in the design, development, and implementation of the Parent Peer project.

PubMedACS omega2026-11-11

Large-Scale Synthesis (75 g/Batch) of Single-Atom Catalysts for Selective Electrochemical CO2 Reduction to CO and Commercialization Potential Analysis.

Racine Carter C, Badreldin Ahmed A, Pellessier John J, Chen Yayun Y et al.

A promising approach to mitigate climate change is to use renewable electricity to convert carbon dioxide (CO2) emissions into useful products like carbon monoxide (CO) and hydrocarbons. While research has largely focused on developing high-performance catalysts for electrochemical CO2 reduction (eCO2R), scalability of catalyst synthesis remains underexplored. Metal-nitrogen-carbon (M-N-C) catalysts with dominant single-atom sites are among the most effective materials for CO production, but conventional synthesis methods rely on energy-intensive steps and complex pre- and post-treatment processes, hindering scalability and adding negative environmental impacts. This work demonstrates a scalable, single-step synthesis of M-N-C (M = Ni/Fe) catalysts using commercially available multiwalled carbon nanotubes (MWCNTs) and melamine as the feedstock. The method leverages inherent Ni/Fe impurities in MWCNTs, requiring only moderate-temperature pyrolysis (650 °C) without any pre- or post-treatments. Batch sizes up to 75 g were successfully produced using both regular-grade (>95% carbon content) and cheaper but more impure industrial-grade (>90% carbon content) MWCNTs. Structural, chemical, and electrochemical analyses confirmed reproducibility. Catalysts consistently achieved >98% CO selectivity at commercially relevant current densities (500 mA cm-2), outperforming benchmark Ag nanoparticle catalysts. Techno-economic analysis (TEA) further underscored the commercialization potential, yielding a base case minimum selling price (MSP) of $145 per tonne of CO, $255 below the current CO market price and lower than that obtained using Ag catalysts. Life cycle assessment (LCA) showed significant environmental benefits, registering 21% lower CO2-equivalent emissions compared to using Ag catalysts. Overall, this scalable approach produces high-performance M-N-C catalysts while delivering clear environmental and economic advantages, advancing the commercialization of eCO2R technology.

PubMedCambridge prisms. Coastal futures2026-11-11

Navigating the practice of co-produced convergence research: Lessons from projects funded by NSF's Coastlines and People (CoPe) program.

Tilt Jenna H JH, Behl Mona V MV, Moore Laura J LJ, Mosier Samantha L SL et al.

Convergent, co-produced coastal research engages researchers across disciplines and brings together researchers, practitioners and community representatives to co-create new knowledge and understanding to support community resilience while advancing scientific understanding. This type of research is increasingly required by funding agencies and yet it is relatively new. Given this, along with the expansive range of scholarly and lived expertise required to carry out this type of research, there are many epistemological, relational, temporal and institutional challenges for successful projects to overcome. Here we describe these challenges, along with strategies employed to overcome them, based on the work of multiple convergent, co-production research projects focused on coastal communities and environments, funded by the National Science Foundation's Coastlines and People (CoPe) Program. Our experience leads us to recommend that project leaders use inclusive communication practices; incorporate boundary spanners; build shared understanding; select the style and depth of co-production intentionally; focus on earning trust; tailor co-production approaches to the communities involved; equalize power dynamics; embrace and acknowledge the expanded timeline required; plan for delays; embrace flexibility; and build and sustain partnerships for the long haul. Additionally, supporting this type of work requires academic institutions to reward and value the best research practices and research products that emerge from convergent, community-engaged research, including revision of promotion and tenure guidelines to accommodate the expanded timelines required, and the different types of outcomes and products arising from these types of efforts. Further, we recommend that funders consider offering staged, progressive funding opportunities and longer funding timeframes, in recognition of the time it takes to build and sustain meaningful, trusting community partnerships and to plan research projects in a deeply collaborative way with community partners.

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