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Chemistry

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Also known as: 1338225-97-0, Mk-1439, Pifeltro, 3-chloro-5-((1-((4-methyl-5-oxo-4,5-dihydro-1h-1,2,4-triazol-3-yl)methyl)-2-oxo-4-(trifluoromethyl)-1,2-dihydropyridin-3-yl)oxy)benzonitrile, 3-chloro-5-[1-[(4-methyl-5-oxo-1h-1,2,4-triazol-3-yl)methyl]-2-oxo-4-(trifluoromethyl)pyridin-3-yl]oxybenzonitrile, Mk1439
Molecular Formula
C17H11ClF3N5O3
Molecular Weight
425.7  g/mol
InChI Key
ZIAOVIPSKUPPQW-UHFFFAOYSA-N
FDA UNII
913P6LK81M

Doravirine
Doravirine is an HIV-1 non-nucleoside reverse transcriptase inhibitor (NNRTI) intended to be administered in combination with other antiretroviral medicines. Doravirine is available by itself or as a combination product of doravirine (100 mg), lamivudine (300 mg), and tenofovir disoproxil fumarate (300 mg). Doravirine is formally indicated for the treatment of HIV-1 infection in adult patients with no prior antiretroviral treatment experience, further expanding the possibility and choice of therapeutic treatments available for the management of HIV-1 infection.
Doravirine is a Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor. The mechanism of action of doravirine is as a Non-Nucleoside Reverse Transcriptase Inhibitor.
1 2D Structure

Doravirine

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
3-chloro-5-[1-[(4-methyl-5-oxo-1H-1,2,4-triazol-3-yl)methyl]-2-oxo-4-(trifluoromethyl)pyridin-3-yl]oxybenzonitrile
2.1.2 InChI
InChI=1S/C17H11ClF3N5O3/c1-25-13(23-24-16(25)28)8-26-3-2-12(17(19,20)21)14(15(26)27)29-11-5-9(7-22)4-10(18)6-11/h2-6H,8H2,1H3,(H,24,28)
2.1.3 InChI Key
ZIAOVIPSKUPPQW-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CN1C(=NNC1=O)CN2C=CC(=C(C2=O)OC3=CC(=CC(=C3)C#N)Cl)C(F)(F)F
2.2 Other Identifiers
2.2.1 UNII
913P6LK81M
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Mk-1439

2. Pifeltro

2.3.2 Depositor-Supplied Synonyms

1. 1338225-97-0

2. Mk-1439

3. Pifeltro

4. 3-chloro-5-((1-((4-methyl-5-oxo-4,5-dihydro-1h-1,2,4-triazol-3-yl)methyl)-2-oxo-4-(trifluoromethyl)-1,2-dihydropyridin-3-yl)oxy)benzonitrile

5. 3-chloro-5-[1-[(4-methyl-5-oxo-1h-1,2,4-triazol-3-yl)methyl]-2-oxo-4-(trifluoromethyl)pyridin-3-yl]oxybenzonitrile

6. Mk1439

7. Doravirine (mk-1439)

8. Mk-1439a

9. 913p6lk81m

10. 3-chloro-5-({1-[(4-methyl-5-oxo-4,5-dihydro-1h-1,2,4-triazol-3-yl)methyl]-2-oxo-4-(trifluoromethyl)-1,2-dihydropyridin-3-yl}oxy)benzonitrile

11. Benzonitrile, 3-chloro-5-((1-((4,5-dihydro-4-methyl-5-oxo-1h-1,2,4-triazol-3-yl)methyl)-1,2-dihydro-2-oxo-4-(trifluoromethyl)-3-pyridinyl)oxy)-

12. Doravirine [usan]

13. Doravirine [usan:inn]

14. Unii-913p6lk81m

15. 4ncg

16. Pifeltro (tn)

17. 2kw

18. Mk 1439

19. Doravirine [mi]

20. Doravirine [inn]

21. Doravirine [jan]

22. Doravirine; Mk-1439

23. Mk-1439(doravirine)

24. Doravirine [who-dd]

25. C17h11clf3n5o3

26. Doravirine (jan/usan/inn)

27. Schembl2509885

28. Chembl2364608

29. Doravirine [orange Book]

30. Dtxsid30158386

31. Amy16781

32. Bcp02296

33. Ex-a1968

34. Bdbm50508293

35. Delstrigo Component Doravirine

36. Mfcd22417167

37. S6492

38. Zinc72317283

39. Akos030528603

40. Cs-5924

41. Db12301

42. Sb17104

43. Doravirine Component Of Delstrigo

44. Ncgc00508866-01

45. Ac-33637

46. Hy-16767

47. Db-091410

48. D10624

49. F53303

50. A856128

51. Q6885419

52. S900006160

53. 3-chloro-5-[[1-[(4-methyl-5-oxo-1h-1,2,4-triazol-3-yl)methyl]-2-oxo-4-(trifluoromethyl)-3-pyridyl]oxy]benzonitrile

2.4 Create Date
2012-08-19
3 Chemical and Physical Properties
Molecular Weight 425.7 g/mol
Molecular Formula C17H11ClF3N5O3
XLogP32.1
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count8
Rotatable Bond Count4
Exact Mass425.0502514 g/mol
Monoisotopic Mass425.0502514 g/mol
Topological Polar Surface Area98 Ų
Heavy Atom Count29
Formal Charge0
Complexity860
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Doravirine is indicated, in combination with other antiretroviral agents, for the treatment of HIV-1 infection in adult patients with no prior antiretroviral treatment history. It is also indicated to replace the current antiretroviral regimen in those who are virologically suppressed (HIV-1 RNA less than 50 copies per mL) on a stable antiretroviral regimen with no history of treatment failure and no known substitutions associated with resistance to doravirine.


FDA Label


Pifeltro is indicated, in combination with other antiretroviral medicinal products, for the treatment of adults, and adolescents aged 12 years and older weighing at least 35 kg infected with HIV 1 without past or present evidence of resistance to the NNRTI class.


5 Pharmacology and Biochemistry
5.1 Pharmacology

In a clinical phase 2 trial evaluating a dose range of 0.25-2x the recommended dose of doravirine (in combination with emtricitabine/tenofovir) in HIV-1 infected subjects with no antiretroviral treatment history, no exposure-response relationship for efficacy was identified for doravirine. Furthermore, at a dose of 1200 mg, which provides approximately 4 times the peak concentration observed following the recommended dose, doravirine does not prolong the QT interval to any clinically relevant extent.


5.2 FDA Pharmacological Classification
5.2.1 Active Moiety
DORAVIRINE
5.2.2 FDA UNII
913P6LK81M
5.2.3 Pharmacological Classes
Non-Nucleoside Analog [EXT]; Non-Nucleoside Reverse Transcriptase Inhibitors [MoA]; Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor [EPC]
5.3 ATC Code

J05AG06


J - Antiinfectives for systemic use

J05 - Antivirals for systemic use

J05A - Direct acting antivirals

J05AG - Non-nucleoside reverse transcriptase inhibitors

J05AG06 - Doravirine


5.4 Absorption, Distribution and Excretion

Absorption

The absolute bioavailability of doravirine is 64% with a Tmax of 2 hours. Following oral [14C]doravirine administration, all of the administered dose was recovered and the agent is considered to be well absorbed. Moreover, its co-administration with food did not greatly alter doravirine's pharmacokinetic profile during clinical studies.


Route of Elimination

The primary route of elimination for doravirine is via cytochrome P450 3A4/5 metabolism. Only 6% of an administered dose is recovered in the urine unchanged, with even less unchanged drug found in the feces.


Volume of Distribution

The steady-state volume of distribution of doravirine following intravenous administration is 60.5 L.


Clearance

The oral and renal clearances of doravirine are 106 ml/min and 9.3 ml/min, respectively.


5.5 Metabolism/Metabolites

Following absorption, unchanged parent drug is the major circulating component in plasma. Its M9 metabolite - a product of cytochrome P450 3A4/5 mediated oxidative metabolism - is the most abundant doravirine metabolite in the circulation.


5.6 Biological Half-Life

The elimination half-life determined of doravirine is 15 hours.


5.7 Mechanism of Action

Doravirine is a pyridinone non-nucleoside reverse transcriptase inhibitor of HIV-1. Reverse transcriptase is the enzyme with which HIV generates complementary DNA (cDNA) to its RNA genome - this cDNA is then inserted into the host cell genome, where it can be transcribed into viral RNA for the purposes of replication. Doravirine inhibits HIV-1 replication by non-competitively inhibiting HIV-1 reverse transcriptase. Doravirine does not, however, inhibit the human cellular DNA polymerases , , and mitochondrial DNA polymerase .


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