Fair question… FDA usually waits until all custo
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Leronlimab (a CCR5 mAb) has very low toxicity, especially compared to most HIV drugs.
• That makes it feasible to use in higher doses (700 mg+) or in combination strategies without the safety trade-offs that normally kill “cure” attempts.
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???? CCR5 Δ32 insight
• People with the CCR5 Δ32 mutation (homozygous) are famously resistant to HIV infection.
• Blocking CCR5 with a drug is essentially a therapeutic mimic of that genetic protection.
• This is why the Berlin and London “cured” patients (via stem cell transplant with Δ32 donor cells) proved the concept. Leronlimab just does it non-genetically.
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???? The “hot and cold” latency angle
• PD-L1 inhibition (immune checkpoint blockade) can “wake up” latent HIV reservoirs — the so-called shock and kill approach.
• CCR5 blockade (Leronlimab) prevents new infection pathways and stabilizes immune recovery once those reservoirs are exposed.
• Combined, it’s like flipping the light switch (PD-L1 wakes hidden HIV) and then locking the doors (CCR5 blockade stops spread and allows clearance).
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⚡ Why this is so dangerous for FDA/industry
It’s not exotic science. It’s brutally simple:
• Low-toxicity CCR5 blockade (Leronlimab) + latency reversal agents (PD-L1 or similar) = a functional cure path.
• The only way to make that fail is to underdose, mis-design trials, or bury combo data.