Lersivirine

"目录号: HY-14267

Anti-infection-

Lersivirine(UK-453061)是非核苷逆转录酶抑制剂(NNRTI),IC50为119 nM,对野生型和NNRTI抗性型毒株都有效。

HIVReverse Transcriptase

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生物活性

Description

Lersivirine(UK-453061) is a next-generation non-nucleoside reverse transcriptase inhibitor (NNRTI, IC50=119 nM) with a unique resistance profile that exhibits potent antiretroviral activity against wild-type human immunodeficiency virus and clinically relevant NNRTI-resistant strains.IC50 value: 0.119 uM [1]Target: NNRTIUK-453061(Compound 5) demonstrated excellent activity against large panels of wild type and drug-resistant HIV consistent with the encouraging profile demonstrated against the isolated RT enzymes. Compound 5 can be readily prepared in multi-gram quantities by virtue of the efficient and concise synthetic route. The compound also has good aqueous solubility and formulation characteristics which enable further in vivo evaluation. Clinical trials evaluating the potential of 5 (UK-453,061, lersivirine) to treat HIV infection are proceeding and further progress will be reported in due course [1].At clinically relevant lersivirine doses (500-1,000 mg total daily dose), the mean plasma exposure of midazolam was reduced in a dose-dependent manner by 20-36 %. Co-administration of lersivirine 1,000 mg QD with OCs had minor PK effects, increasing ethinylestradiol exposure by 10 % and reducing levonorgestrel exposure by 13 % [2]. Mated Crl:CD1(ICR) mice were administered 0, 150, 350, and 500 mg/kg lersivirine once daily by oral gavage on gestation days 6 to 17, followed by cesarean section on gestation day 18. The first 2 days of dosing for the high-dose group were done at 250 mg/kg to allow induction of hepatic metabolizing enzymes, after which the dose was increased to 500 mg/kg/day [3].

Clinical Trial

NCT01050751

Pfizer

Healthy Volunteers

February 2010

Phase 1

NCT01220232

Pfizer-ViiV Healthcare

Healthy Volunteers

November 2010

Phase 1

NCT00936871

Pfizer

Healthy Volunteers

January 2010

Phase 1

NCT01603485

Pfizer-ViiV Healthcare

Healthy Volunteer

June 2012

Phase 1

NCT01230385

Pfizer-ViiV Healthcare

Healthy Volunteers

October 2010

Phase 1

NCT01099748

Pfizer

Healthy Volunteers

May 2010

Phase 1

NCT00925535

Pfizer

Healthy Volunteers

May 2010

Phase 1

NCT01254656

Pfizer-ViiV Healthcare

HIV-1

February 2011

Phase 2

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References

[1].Mowbray CE, et al. Pyrazole NNRTIs 4: selection of UK-453,061 (lersivirine) as a development candidate. Bioorg Med Chem Lett. 2009 Oct 15;19(20):5857-60.

[2].Davis J, et al. The effect of lersivirine, a next-generation NNRTI, on the pharmacokinetics of midazolam and oral contraceptives in healthy subjects. Eur J Clin Pharmacol. 2012 Nov;68(11):1567-72.

[3].Cappon GD, et al. Developmental toxicity study of lersivirine in mice. Birth Defects Res B Dev Reprod Toxicol. 2012 Jun;95(3):225-30.

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