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WO 2013/164559 Al 7 November 2013 (07.11.2013) P O P C T
(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2013/164559 Al 7 November 2013 (07.11.2013) P O P C T (51) International Patent Classification: (74) Agent: TURNER, Craig; A.A. Thornton & Co, 235 High A61K 9/16 (2006.01) A61K 31/427 (2006.01) Holborn, London WC1V 7LE (GB). A61K 9/20 (2006.01) A61K 31/513 (2006.01) (81) Designated States (unless otherwise indicated, for every (21) International Application Number: kind of national protection available): AE, AG, AL, AM, PCT/GB20 13/000 193 AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, (22) Date: International Filing DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, 3 May 20 13 (03.05.2013) HN, HR, HU, ID, IL, IN, IS, JP, KE, KG, KM, KN, KP, (25) Filing Language: English KR, KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, (26) Publication Language: English NO, NZ, OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, (30) Priority Data: RW, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, 1380/MUM/2012 3 May 2012 (03.05.2012) IN TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, 2590/MUM/2012 6 September 2012 (06.09.2012) IN ZM, ZW. -
HIV-1 Antiretroviral Drug Therapy
Downloaded from http://perspectivesinmedicine.cshlp.org/ on October 2, 2021 - Published by Cold Spring Harbor Laboratory Press HIV-1 Antiretroviral Drug Therapy Eric J. Arts1 and Daria J. Hazuda2 1Ugandan CFAR Laboratories, Division of Infectious Diseases, Department of Medicine, Case Western Reserve University, Cleveland, Ohio 44106 2Merck Research Laboratories, West Point, Pennsylvania 19486 Correspondence: [email protected]; [email protected] The most significant advance in the medical management of HIV-1 infection has been the treatment of patients with antiviral drugs, which can suppress HIV-1 replication to undetect- able levels. The discovery of HIV-1 as the causative agent of AIDS together with an ever- increasing understanding of the virus replication cycle have been instrumental in this effort by providing researchers with the knowledge and tools required to prosecute drug discovery efforts focused on targeted inhibition with specific pharmacological agents. To date, an arsenal of 24 Food and Drug Administration (FDA)-approved drugs are available for treatment of HIV-1 infections. These drugs are distributed into six distinct classes based on their molecular mechanism and resistance profiles: (1) nucleoside-analog reverse tran- scriptase inhibitors (NNRTIs), (2) non–nucleoside reverse transcriptase inhibitors (NNRTIs), (3) integrase inhibitors, (4) protease inhibitors (PIs), (5) fusion inhibitors, and (6) coreceptor antagonists. In this article, we will review the basic principles of antiretroviral drug therapy, the mode of drug action, and the factors leading to treatment failure (i.e., drug resistance). BASIC PRINCIPLES OF ANTIRETROVIRAL development and approval for human use is THERAPY described in Figure 1. Since the first HIV-1 specific antiviral drugs efore 1996, few antiretroviral treatment were given as monotherapy in the early 1990s, Boptions for HIV-1 infection existed. -
Background Paper 6.7 Human Immunodeficiency Virus (HIV)/ Acquired Immune Deficiency Syndromes (AIDS)
Priority Medicines for Europe and the World "A Public Health Approach to Innovation" Update on 2004 Background Paper Written by Warren Kaplan Background Paper 6.7 Human Immunodeficiency Virus (HIV)/ Acquired Immune Deficiency Syndromes (AIDS) By Warren Kaplan, Ph.D., JD, MPH 15 February 2013 Update on 2004 Background Paper, BP 6.7 HIV/AIDS Table of Contents What is new since 2004? ..................................................................................................................................... 4 1. Introduction ................................................................................................................................................. 7 2. What are the Epidemiological Trends for Europe and the World? ................................................... 7 2.1 Western and Central Europe ............................................................................................................. 7 2.2 Eastern Europe .................................................................................................................................... 9 2.2 The World (including Europe) ........................................................................................................ 11 3. What is the Control Strategy? Is There an Effective Package of Control Methods Assembled into a “Control Strategy” for Most Epidemiological Settings?................................................................. 13 3.1 Is there a pharmaceutical ‘gap’? .................................................................................................... -
Recent Advances in Anogenital Antiretroviral Microbicides and Multimodal Delivery Systems Osmond J
C S & lini ID ca A l f R o e l s Journal of a e n a r r D’Cruz and Uckun c u h , J AIDS Clinic Res 2012, 3:3 o J DOI: 10.4172/2155-6113.1000144 ISSN: 2155-6113 AIDS & Clinical Research Review Article Open Access Recent Advances in Anogenital Antiretroviral Microbicides and Multimodal Delivery Systems Osmond J. D’Cruz1* and Fatih M. Uckun1,2* 1Microbicide Development Laboratory, Developmental Therapeutics Program, Children’s Center for Cancer and Blood Diseases, Children’s Hospital Los Angeles & Department of Pediatrics, CA, USA 2University of Southern California Keck School of Medicine, Los Angeles, CA, USA Abstract The predominant route of human immunodeficiency virus type 1 (HIV-1) transmission is across the vaginal and rectal epithelia during sexual intercourse. Yet the development of safe and clinically effective vaginal and rectal antiretroviral microbicides remains an unmet challenge despite more than 25 years of accelerated product development. The clinical failure of seven microbicide candidates points to major unresolved challenges associated with target specificity, safety, potency as well as drug-delivery of validated candidates undergoing preclinical and clinical development as anogenital microbicides. Currently, additional antiretroviral agents are sought as anogenital microbicides to provide potential anti-HIV protection by directly inactivating HIV-1, preventing HIV-1 from attaching, entering or replicating in susceptible target cells, and/or by hindering the dissemination of HIV-1 to the host cells that line the vaginal/rectal walls along with targeting novel HIV-host dependency factors. Among the several types of anti-HIV microbicides currently in preclinical and clinical development, only one clinical trial of an HIV-1 reverse transcriptase inhibitor has shown clinical promise as a potential microbicide. -
Antiviral Drugs in the Treatment of Aids: What Is in the Pipeline ?
October 15, 2007 EU RO PE AN JOUR NAL OF MED I CAL RE SEARCH 483 Eur J Med Res (2007) 12: 483-495 © I. Holzapfel Publishers 2007 ANTIVIRAL DRUGS IN THE TREATMENT OF AIDS: WHAT IS IN THE PIPELINE ? Hans-Jürgen Stellbrink Infektionsmedizinisches Centrum Hamburg ICH, Hamburg, Germany Abstract even targeting immune responses have to be devel- Drug development in the field of HIV treatment is oped. Continued drug development serves the ulti- rapid. New nucleoside analogues (NRTI), non-nucleo- mate goal of normalization of life expectancy. side analogue reverse transcriptase inhibitors (NNR- TI), and protease inhibitors (PI) are currently being in- METHODS vestigated in human trials. Furthermore, inhibitors of HIV attachment, fusion and integrase with novel Drug development in the field of HIV infection is modes of action are being developed, which offer new highly competitive, and a company’s decision to pur- perspectives for the goal of a normalization of life-ex- sue or discontinue the development of a drug is dri- pectancy in HIV-infected individuals. The most ad- ven by economic rather than scientific considerations. vanced compounds likely to become licensed soon in- Of all candidate compounds, only a few reach the lev- clude the NNRTIs rilpivirine and etravirine, the inte- el of trials in humans, and some exhibit lack of effica- grase inhibitors raltegravir and elvitegravir, and mar- cy or toxicity problems at this stage. Some compounds aviroc and vicriviroc, novel inhibitors of the CCR5 also have no obvious advantage over currently avail- chemokine receptor, which functions as the major able ones, so that their development is discontinued. -
WO 2014/184553 Al 20 November 2014 (20.11.2014) P O P C T
(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2014/184553 Al 20 November 2014 (20.11.2014) P O P C T (51) International Patent Classification: (81) Designated States (unless otherwise indicated, for every A61K 31/34 (2006.01) A61K 31/535 (2006.01) kind of national protection available): AE, AG, AL, AM, A61K 31/427 (2006.01) A61P 31/18 (2006.01) AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, A61K 31/513 (2006.01) BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, (21) International Application Number: HN, HR, HU, ID, IL, IN, IR, IS, JP, KE, KG, KN, KP, KR, PCT/GB20 14/05 1478 KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, (22) International Filing Date: MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, 14 May 2014 (14.05.2014) OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, (25) Filing Language: English TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, (26) Publication Language: English ZW. (30) Priority Data: (84) Designated States (unless otherwise indicated, for every 1749/MUM/2013 15 May 2013 (15.05.2013) IN kind of regional protection available): ARIPO (BW, GH, GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, SZ, TZ, (71) Applicant: CIPLA LIMITED [—/IN]; Cipla House, Pen UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, TJ, insula Business Park, Ganpatrao Kadam Marg, Lower TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, Parel, Mumbai-400 013 (IN). -
Antiviral Drugs
VIRUS Professor Viru Sahastrabudhhe “ Virus " VIRUS VIRUS in computer…?? A VIRUS is a program or programming code that replicates Attaches itself to a file enabling it to spread from one computer to another, leaving infections as it travels Can CONTROL your system…. Can show MESSAGES.. Can DAMAGE your files… ANTIVIRUS PROGRAMME ANTIVIRAL AGENTS Dr Satyajit , MD Asst Professor Dept of Pharmacology Viruses Obligate intracellular parasites Consist of a core genome in a protein shell and some are surrounded by a lipoprotein Lack a cell wall and cell membrane Do not carry out metabolic processes Replication depends on the host cell machinery For replication it has to attach a cell Steps for Viral Replication Binding of the virus to the host cell Penetration into the host cell Un-coating of the virion Reverse transcription Entry of DNA into the nucleus Transcription of provirus into mRNA mRNA translation by host ribosomes Assembly & budding Release of new virions Classification 1. Anti-Herpes virus Idoxuridine Acyclovir Valacyclovir Famciclovir Ganciclovir * Foscarnet * * Not marketed in India Anti-Retrovirus a) Nucleoside reverse transcriptase inhibitors (NRTIs) Zidovudine (AZT) Didanosine Zalcitabine Stavudine Lamivudine Abacavir b) Nonnucleoside reverse transcriptase inhibitors (NNRTIs) Efavirenz Nevirapine Delavirdine c) Protease inhibitors Ritonavir Indinavir Saquinavir Amprenavir Lopinavir Anti-Influenza Drugs Amantadine Rimantadine Nonselective Antiviral Drugs Ribavirin Lamivudine Interferon α Anti Herpes agents Herpes -
Hiv 2012/2013
Hoffmann Rockstroh | Hoffmann| Rockstroh HIV 2012/2013 Hoffmann| Rockstroh HIV 2012/2013 HIV 2012/2013 www.hivbook.com www.hivbook.com When should HAART be started? How can a failing drug regimen be improved? What new drugs can we expect over the next few years? What are the options for patients with lipodystrophy syndrome? How to treat children or coinfected patients? To answer these and many more questions, HIV physicians need to be constantly updating themselves.“HIV 2012/2013” will help them – with clear-cut recommendations for everyday practice. This textbook will be updated every year and is available at www.hivbook.com. Previous issues are available in several languages – Spanish, Romanian, Russian, Portuguese, Vietnamese and Persian. Again, with minimal conditions, the editors and the authors of this book agree to remove the copyright onHIV 2012/2013 for Medizin Fokus Verlag all languages except English and German. You can translate the content ofHIV 2012/2013 into any language and publish it in your own name, without paying any licensing fee. For more details, please send us an email at [email protected] 45,– Euro ISBN 978-3-941727 -11-3 Medizin Fokus Verlag With an unrestricted grant from Boehringer-Ingelheim By Marcus Altfeld, Boston (USA) Georg Behrens, Hannover Patrick Braun, Aachen U. Fritz Bredeek, San Francisco (USA) Thomas Buhk, Hamburg Rob Camp, Barcelona (Spain/USA) Christian Eggers, Linz (Austria) Stefan Esser, Essen Gerd Fätkenheuer, Cologne Andrea Gori, Milan (Italy) Thomas Harrer, Erlangen Christian Herzmann, -
An Overview on Hiv-1 Reverse Transcriptase Inhibitors
Digest Journal of Nanomaterials and Biostructures Vol. 3, No.4, December 2008, p. 171 - 187 AN OVERVIEW ON HIV-1 REVERSE TRANSCRIPTASE INHIBITORS * Shalini Ravichandran , Ravichandran Veerasamy, Saraswathi Raman, Palamadai Neelakandam Krishnan, Ram Kishore Agrawala Alshifa College of Pharmacy, Perinthalmanna, Kerala,India. aDepartment of Pharmaceutical Sciences, Dr. H. S. Gour Vishwavidyalaya, Sagar (M.P), India – 470 003. Human immunodeficiency virus type 1 reverse transcriptase (HIV-1 RT) is an essential enzyme for retroviral replication. Together with protease inhibitors, drugs inhibiting the RNA- and DNA-dependant DNA polymerase activity of RT are the major components of highly active antiretroviral therapy (HAART), which has dramatically reduced mortality and morbidity of people living with HIV-1/AIDS in developed countries. This article will focus on HIV-1 RT inhibitors (HIV-1 RTIs) approved by the US Food and Drugs Administration (FDA) and those are in phases II and III clinical trials. RT inhibitors belong to two main classes acting by distinct mechanisms. Nucleoside RT inhibitors (NRTIs) lack a 3′ hydroxyl group on their ribose or ribose mimic moiety and thus act as chain terminators. Non-NRTIs bind into a hydrophobic pocket close to the polymerase active site and inhibit the chemical step of the polymerization reaction. For each class of inhibitors, we review the mechanism of action, the resistance mechanisms selected by the virus, and the side effects of the drugs. We also discussed about the new RT inhibitors under development and some QSAR studies on HIV-1 RTIs. (Received July 19, 2008; accepted August 20, 2008) Keywords: Human Immunodeficiency Virus; AIDS; Reverse Transcriptase Inhibitors; QSAR 1. -
March 17, 2021 CURRICULUM VITAE DOUGLAS D
March 17, 2021 CURRICULUM VITAE DOUGLAS D. RICHMAN Work Address: VA San Diego Healthcare System and University of California San Diego Departments of Pathology & Medicine, 0679 9500 Gilman Drive La Jolla, CA 92093-0679 Telephone: (858) 552-7439 Fax: (858) 552-7445 E-mail: [email protected] Website: https://profiles.ucsd.edu/douglas.richman Home Address: 9551 La Jolla Farms Road La Jolla, California 92037 Birth Date: February 15, 1943 Birthplace: New York, New York Family: Married: June 21, 1965 Wife: Eva Acquino Richman Children: Sara Giovanna, born December 12, 1971 Matthew, born May 22, 1977 Grandchild: Isabella Louise Carr, born June 18, 2007 Education and Positions: Dartmouth College A.B. - 1965 Stanford University M.D. - 1970 1965 - 1970 Part-time research with Dr. Thomas C. Merigan Division of Infectious Diseases Department of Medicine Stanford University 1970 - 1971 Intern in Medicine Stanford University Hospitals 1971 - 1972 Resident in Medicine Stanford University Hospitals 1972 - 1975 Research Associate Laboratory of Infectious Diseases (Dr. Robert M. Chanock, Chief) National Institute of Allergy and Infectious Diseases National Institutes of Health 1975 - 1976 Clinical Fellow Division of Infectious Diseases Beth Israel Hospital and Children's Hospital Medical Center Harvard Medical School Boston, Massachusetts 1976 - 1982 Assistant Professor of Pathology and Medicine (Infectious Diseases) University of California San Diego School of Medicine 1976 - Staff Physician Veterans Affairs San Diego Healthcare System 1976 - 2006 Chief, -
University of Birmingham Nucleoside Phosphate And
University of Birmingham Nucleoside Phosphate and Phosphonate Prodrug Clinical Candidates Thornton, Peter; Kadri, Hachemi; Miccoli, Ageo; Mehellou, Youcef DOI: 10.1021/acs.jmedchem.6b00523 License: Creative Commons: Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) Document Version Peer reviewed version Citation for published version (Harvard): Thornton, P, Kadri, H, Miccoli, A & Mehellou, Y 2016, 'Nucleoside Phosphate and Phosphonate Prodrug Clinical Candidates', Journal of Medicinal Chemistry. https://doi.org/10.1021/acs.jmedchem.6b00523 Link to publication on Research at Birmingham portal Publisher Rights Statement: Nucleoside Phosphate and Phosphonate Prodrug Clinical Candidates Peter J. Thornton, Hachemi Kadri, Ageo Miccoli, and Youcef Mehellou Journal of Medicinal Chemistry Article ASAP DOI: 10.1021/acs.jmedchem.6b00523 General rights Unless a licence is specified above, all rights (including copyright and moral rights) in this document are retained by the authors and/or the copyright holders. The express permission of the copyright holder must be obtained for any use of this material other than for purposes permitted by law. •Users may freely distribute the URL that is used to identify this publication. •Users may download and/or print one copy of the publication from the University of Birmingham research portal for the purpose of private study or non-commercial research. •User may use extracts from the document in line with the concept of ‘fair dealing’ under the Copyright, Designs and Patents Act 1988 (?) •Users may not further distribute the material nor use it for the purposes of commercial gain. Where a licence is displayed above, please note the terms and conditions of the licence govern your use of this document. -
Reverse Transcriptase
Reverse Transcriptase Reverse transcriptases (RTs) are enzyme used to generate complementary DNA (cDNA) from an RNA template, a process termed reverse transcription. Reverse transcriptases (RTs) use an RNA template and a short primer complementary to the 3' end of the RNA to direct the synthesis of the first strand cDNA. Nucleoside reverse transcriptase inhibitors (NRTIs) block reverse transcriptase (an HIV enzyme). Non-nucleoside reverse transcriptase inhibitors (NNRTIs) bind to and block HIV reverse transcriptase. HIV uses reverse transcriptase to convert its RNA into DNA (reverse transcription). Blocking reverse transcriptase and reverse transcription prevents HIV from replicating. www.MedChemExpress.com 1 Reverse Transcriptase Inhibitors 2,2'-Anhydrouridine 3'-Azido-3'-deoxy-5-methylcytidine (2,2'-Cyclouridine; O2,2'-Cyclouridine) Cat. No.: HY-W012313 Cat. No.: HY-111640 2,2'-Anhydrouridine is used for anticancer and 3'-Azido-3'-deoxy-5-methylcytidine (CS-92) is a antiviral research. potent xenotropic murine leukemia-related retrovirus (XMRV) inhibitor with a CC50 of 43.5 μM in MCF-7 cells. Purity: ≥98.0% Purity: 99.39% Clinical Data: No Development Reported Clinical Data: No Development Reported Size: 10 mM × 1 mL, 100 mg Size: 10 mM × 1 mL, 10 mg, 50 mg, 100 mg 4'-Ethynyl-2'-deoxyadenosine Abacavir Cat. No.: HY-125810 Cat. No.: HY-17423 4'-Ethynyl-2'-deoxyadenosine (4'-E-dA), a Abacavir is a potent nucleoside analog nucleoside reverse transcriptase (RT) inhibitor, reverse-transcriptase inhibitor (NRTI). is an antiretroviral agent which is potent against drug-resistant HIV variants, with an EC50 of 98 nM in MT-4 cells for anti-HIV-1 activity.