The present invention relates to the use of a dioxolane thymine compound
according to the chemical structure of Formula (I): where R.sup.1 is H,
an acyl group, a C.sub.1-C.sub.20 alkyl or ether group, a phosphate,
diphosphate, triphosphate or phosphodiester group, for use in the
treatment of HIV infections which exhibit resistance to 3TC and/or AZT.
Preferably, compounds according to the present invention are combined
with at least one anti-HIV agent which inhibits HIV by a mechanism other
than through the inhibition of thymidine kinase (TK). These agents
include those selected from among nuleocoside reverse transcriptase
inhibitors (NRTI), non-nucloeoside reverse transcriptase inhibitors,
protease inhibitors, fusion inhibitors, among others. These agents are
generally selected from the group consisting of 3TC (Lamivudine), AZT
(Zidovudine), (-)-FTC, ddI (Didanosine), ddC (zalcitabine), abacavir
(ABC), tenofovir (PMPA), D-D4FC (Reverset), D4T (Stavudine), Racivir,
L-D4FC, NVP (Nevirapine), DLV (Delavirdine), EFV (Efavirenz), SQVM
(Saquinavir mesylate), RTV (Ritonavir), IDV (Indinavir), SQV
(Saquinavir), NFV (Nelfinavir), APV (Amprenavir), LPV (Lopinavir), fuseon
and mixtures thereof. The TK dependent agents, such as AZT and D4T, may
be used in combination with one of the dioloxane thymine compounds
according to the present invention, but the use of such agents may be
less preferred. In preferred compositions according to the present
invention, R.sup.1 is preferably H or a C.sub.2-C.sub.18 acyl group or a
monophosphate group. Pharmaceutical compositions and methods of reducing
the likelihood that a patient at risk for contract an HIV infection will
contract the infection are other aspects of the present invention.
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