Viramidine

From Wikipedia, the free encyclopedia

Viramidine chemical structure
Viramidine
Systematic (IUPAC) name
1-[(2R,3R,4S,5S)- 3,4-dihydroxy-5- (hydroxymethyl)oxolan-2-yl]- 1,2,4-triazole-3-carboximidamide
Identifiers
CAS number 119567-79-2
ATC code J05AB04
PubChem 451448
DrugBank none
Chemical data
Formula C8H13N5O4 
Mol. weight 243.220 g/mol (279.681 g/mol for HCl salt)
Synonyms 1-(β-D-Ribofuranosyl)-
1,2,4-triazole-3-carboximide
Pharmacokinetic data
Bioavailability  ?
Metabolism Metabolized to 5'phosphates, de-riboside, and deriboside carboxylic acid
Half life 12 days - Multiple Dose; 120-170 hours - Single Dose
Excretion 10% fecal, remainder in urine (30% unchanged, remainder metabolites)
Therapeutic considerations
Pregnancy cat.

X

Legal status

In Phase III drug trials

Routes Oral capsule

Viramidine (ICN 3142) is an anti-viral drug in Phase III human trials, but not yet approved for pharmaceutical use. It is a prodrug of ribavirin, active against a number of DNA and RNA viruses. Viramidine has better liver-targeting than ribavirin, and has a shorter life in the body due to less penetration and storage in red blood cells. It is expected eventually to be the drug of choice for viral hepatitis syndromes in which ribavirin is active. These include hepatitis C and perhaps also hepatitis B and yellow fever.

Viramidine is as active against influenza as ribavirin in animal models, with slightly less toxicity, so it may also eventually replace ribavirin as an anti-influenza agent. PMID 16087250

Viramidine is being developed by Valeant Pharmaceuticals International, formerly Ribapharm, the company which first reported synthesis and testing of the drug in 1973.

Note on formulas: The carboxamidine group of this molecule is somewhat basic, and therefore this drug is also known and administered as the hydrochloride salt (with a corresponding .HCl chemical formula and different ChemID / PubChem number). At physiologic pH, the positive charge on the molecule from partial protonation of the carboximide group contributes to the relative slowness with which the drug crosses cell membranes (such as in red blood cells) until it has been metabolized into ribavirin. In the liver, however, the transformation from carboxamidine to carboxamide happens on first-pass metabolism and contributes to the higher levels of ribavirin found in liver cells and bile when viramidine is administered.

[edit] References

1. Witkowski, J. T., Robins, R. K., Khare, G. P. et al. (1973). Synthesis and antiviral activity of 1,2,4-triazole-3-thiocarboxamide and 1,2,4-triazole-3-carboxamidine ribonucleosides. Journal of Medicinal Chemistry 16, 935–7. PMID 4355593

2. Barnard, D. (2002). Viramidine (Ribapharm). Current Opinion in Investigational Drugs 3, 1585–9. PMID 12476957

[edit] External links


Antivirals (primarily J05A, also S01AD and D06BB) edit
Anti-herpesvirus agents   Aciclovir, Cidofovir, Docosanol, Famciclovir, Fomivirsen, Foscarnet, Ganciclovir, Idoxuridine, Penciclovir, Trifluridine, Tromantadine, Valaciclovir, Valganciclovir, Vidarabine
Anti-influenza agents Amantadine, Oseltamivir, Peramivir, Rimantadine, Zanamivir
 
Antiretroviral drugs   NRTIs Abacavir, Didanosine, Emtricitabine, Lamivudine, Stavudine, Zalcitabine, Zidovudine
NtRTIs   Tenofovir
NNRTIs   Efavirenz, Delavirdine, Nevirapine
PIs Amprenavir, Atazanavir, Darunavir, Fosamprenavir, Indinavir, Lopinavir, Nelfinavir, Ritonavir, Saquinavir, Tipranavir
Fusion inhibitors Enfuvirtide
 
Other antiviral agents Adefovir, Fomivirsen, Imiquimod, Inosine,Interferon, Podophyllotoxin, Ribavirin, Viramidine