Both AZT and its novel 5'-hydrogen phosphonate derivative, Phosphazid, poss
ess similar in vitro activity and resistance profiles. Experiments involvin
g AZT-resistant virus isolates revealed a strong correlation between resist
ance to AZT and cross-resistance to Phosphazid. In vitro selection for resi
stance to Phosphazid yielded viruses that were about 15-fold less sensitive
than wild-type virus to this drug. Sequencing of the reverse transcriptase
region of seven Phosphazid-selected viruses revealed a single codon mutati
on, D67N, that is associated with resistance to AZT.