U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C27H37N3O7S.C2H6O
Molecular Weight 593.732
Optical Activity UNSPECIFIED
Defined Stereocenters 5 / 5
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of DARUNAVIR ETHANOLATE

SMILES

CCO.[H][C@]12OCC[C@@]1([H])[C@H](CO2)OC(=O)N[C@@H](CC3=CC=CC=C3)[C@H](O)CN(CC(C)C)S(=O)(=O)C4=CC=C(N)C=C4

InChI

InChIKey=QWSHKNICRJHQCY-VBTXLZOXSA-N
InChI=1S/C27H37N3O7S.C2H6O/c1-18(2)15-30(38(33,34)21-10-8-20(28)9-11-21)16-24(31)23(14-19-6-4-3-5-7-19)29-27(32)37-25-17-36-26-22(25)12-13-35-26;1-2-3/h3-11,18,22-26,31H,12-17,28H2,1-2H3,(H,29,32);3H,2H2,1H3/t22-,23-,24+,25-,26+;/m0./s1

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/23708741 | http://adisinsight.springer.com/drugs/800016726

Darunavir (trade name Prezista) is an orally active bis-furan-sulfonamide inhibitor of human immunodeficiency virus (HIV-1) protease. Darunavir was developed by Tibotec Pharmaceuticals (now Janssen R&D Ireland). Darunavir is indicated for the treatment of HIV-1 infection in adult and pediatric patients 3 years of age and older. The drug is co-administered with low-dose ritonavir and other anti-HIV agents. It is the only antiretroviral that has been registered at two different doses, 800/100 mg once-daily or 600/100 mg twice-daily, allowing its administration throughout the entire course of HIV disease, from naive subjects without any HIV-1 resistance to heavily treatment-experienced subjects with widespread triple-class family resistance.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
4.5 pM [Kd]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
PREZISTA

Approved Use

PREZISTA is a human immunodeficiency virus (HIV-1) protease inhibitor indicated for the treatment of HIV-1 infection in adult patients. PREZISTA is also indicated for the treatment of HIV-1 infection in pediatric patients 3 years of age and older. PREZISTA must be co-administered with ritonavir (PREZISTA/ritonavir) and with other antiretroviral agents.

Launch Date

2006
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
5272 ng/mL
800 mg 1 times / day steady-state, oral
dose: 800 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
93026 ng × h/mL
800 mg 1 times / day steady-state, oral
dose: 800 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
124698 ng × h/mL
600 mg 2 times / day steady-state, oral
dose: 600 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
57055 ng × h/mL
800 mg 1 times / day steady-state, oral
dose: 800 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
126377 ng × h/mL
600 mg 2 times / day steady-state, oral
dose: 600 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
15 h
800 mg 1 times / day steady-state, oral
dose: 800 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
15 h
600 mg 2 times / day steady-state, oral
dose: 600 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
5%
800 mg 1 times / day steady-state, oral
dose: 800 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
5%
600 mg 2 times / day steady-state, oral
dose: 600 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: Ritonavir
DARUNAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.227
unhealthy, 43
n = 127
Health Status: unhealthy
Condition: HIV-1 infection
Age Group: 43
Sex: M+F
Population Size: 127
Sources: Page: p.227
Disc. AE: Headache, Gastrointestinal disorder NOS...
AEs leading to
discontinuation/dose reduction:
Headache (grade 3, 0.79%)
Gastrointestinal disorder NOS (5.51%)
Sources: Page: p.227
3200 mg single, oral
Overdose
Dose: 3200 mg
Route: oral
Route: single
Dose: 3200 mg
Sources: Page: p.22
healthy
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Disc. AE: Drug-induced hepatitis, Hepatitis acute...
AEs leading to
discontinuation/dose reduction:
Drug-induced hepatitis
Hepatitis acute
Cytolytic hepatitis
Reaction skin (grade 1-3)
Stevens-Johnson syndrome
Toxic epidermal necrolysis
Diabetes mellitus
Hyperglycemia
Fat redistribution
Fat tissue increased
Immune reconstitution syndrome
Sources: Page: p.1
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.8
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.8
Disc. AE: Rash...
AEs leading to
discontinuation/dose reduction:
Rash (grade 1-2, 0.5%)
Sources: Page: p.8
AEs

AEs

AESignificanceDosePopulation
Gastrointestinal disorder NOS 5.51%
Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.227
unhealthy, 43
n = 127
Health Status: unhealthy
Condition: HIV-1 infection
Age Group: 43
Sex: M+F
Population Size: 127
Sources: Page: p.227
Headache grade 3, 0.79%
Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.227
unhealthy, 43
n = 127
Health Status: unhealthy
Condition: HIV-1 infection
Age Group: 43
Sex: M+F
Population Size: 127
Sources: Page: p.227
Cytolytic hepatitis Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Diabetes mellitus Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Drug-induced hepatitis Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Fat redistribution Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Fat tissue increased Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Hepatitis acute Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Hyperglycemia Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Immune reconstitution syndrome Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Stevens-Johnson syndrome Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Toxic epidermal necrolysis Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Reaction skin grade 1-3
Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.1
Rash grade 1-2, 0.5%
Disc. AE
800 mg 1 times / day multiple, oral
Recommended
Dose: 800 mg, 1 times / day
Route: oral
Route: multiple
Dose: 800 mg, 1 times / day
Co-administed with::
ritonavir, oral(100 mg; qd)
Sources: Page: p.8
unhealthy
Health Status: unhealthy
Condition: HIV-1 infection
Sources: Page: p.8
PubMed

PubMed

TitleDatePubMed
Novel bis-tetrahydrofuranylurethane-containing nonpeptidic protease inhibitor (PI) UIC-94017 (TMC114) with potent activity against multi-PI-resistant human immunodeficiency virus in vitro.
2003 Oct
TMC-114 (Tibotec).
2004 Aug
Gateways to clinical trials.
2004 May
Stereoselective photochemical 1,3-dioxolane addition to 5-alkoxymethyl-2(5H)-furanone: synthesis of bis-tetrahydrofuranyl ligand for HIV protease inhibitor UIC-94017 (TMC-114).
2004 Nov 12
[New drugs--hope for salvage patients?].
2005 Apr 25
Anti-HIV agents. What the future holds for TMC114.
2005 Aug-Sep
Anti-HIV agents. Interactions with TMC114.
2005 Aug-Sep
Anti-HIV agents. TMC114--an overview.
2005 Aug-Sep
Protease inhibitors: the current status.
2005 Dec
[Protease inhibitors].
2005 Dec
Discovery and selection of TMC114, a next generation HIV-1 protease inhibitor.
2005 Mar 24
HIV Pathogenesis and Treatment - Third International AIDS Society Conference.
2005 Oct
Molecular basis for substrate recognition and drug resistance from 1.1 to 1.6 angstroms resolution crystal structures of HIV-1 protease mutants with substrate analogs.
2005 Oct
FDA approval: darunavir.
2006 Aug
Structure-based design of novel HIV-1 protease inhibitors to combat drug resistance.
2006 Aug 24
Enantioselective synthesis and selective monofunctionalization of (4R,6R)-4,6- dihydroxy-2,8-dioxabicyclo[3.3.0]octane.
2006 Dec 7
Effectiveness of nonpeptide clinical inhibitor TMC-114 on HIV-1 protease with highly drug resistant mutations D30N, I50V, and L90M.
2006 Feb 23
Prezista (darunavir, TMC-114) approved; may be important treatment advance.
2006 Jan-Jun
Successful rescue therapy with darunabir (TMC114) in HIV-infected patients who have failed several ritonavir-boosted protease inhibitors.
2006 Jul 13
The clinical pharmacology of antiretrovirals in development.
2006 Jun
XVI International AIDS Conference: Part 2.
2006 Nov
New drugs: ranibizumab, posaconazole, and darunavir.
2006 Nov-Dec
Ultra-high resolution crystal structure of HIV-1 protease mutant reveals two binding sites for clinical inhibitor TMC114.
2006 Oct 13
Darunavir (Prezista) for HIV infection.
2006 Sep 11
Pharmacokinetics of darunavir (TMC114) and atazanavir during coadministration in HIV-negative, healthy volunteers.
2007
Anti-HIV drugs.
2007
AIDS in the Third World: how to stop the HIV infection?
2007
Key reports from the XV International HIV Drug Resistance Workshop 2006.
2007
The effect of different meal types on the pharmacokinetics of darunavir (TMC114)/ritonavir in HIV-negative healthy volunteers.
2007 Apr
Darunavir (TMC114) approved by the FDA.
2007 Feb
Efficacy and safety of TMC125 (etravirine) in treatment-experienced HIV-1-infected patients in DUET-1: 24-week results from a randomised, double-blind, placebo-controlled trial.
2007 Jul 7
Safety, tolerability, and efficacy of darunavir (TMC114) with low-dose ritonavir in treatment-experienced, hepatitis B or C co-infected patients in POWER 1 and 3.
2007 Jul-Aug
Prezista gets EU approval.
2007 Mar
Tibotec and Aspen collaborate on Prezista.
2007 May
Key amprenavir resistance mutations counteract dramatic efficacy of darunavir in highly experienced patients.
2007 May 31
Prevalence of darunavir resistance mutations in HIV-1-infected patients failing other protease inhibitors.
2007 Oct
Lessons Learned From 2 Patients With Multidrug-Resistant HIV-1 Infection Successfully Treated With a Darunavir-Containing Antiretroviral Treatment Regimen.
2007 Sep
Safety and efficacy of darunavir (TMC114) with low-dose ritonavir in treatment-experienced patients: 24-week results of POWER 3.
2007 Sep 1
Design of HIV protease inhibitors targeting protein backbone: an effective strategy for combating drug resistance.
2008 Jan
Patents

Sample Use Guides

Treatment-naïve adult patients and treatment-experienced adult patients with no darunavir resistance associated substitutions: 800 mg (two 400 mg tablets) taken with ritonavir 100 mg once daily and with food. Treatment-experienced adult patients with at least one darunavir resistance associated substitution: 600 mg (one 600 mg tablet) taken with ritonavir 100 mg twice daily and with food. Pediatric patients (3 to less than 18 years of age and weighing at least 10 kg): dosage of PREZISTA and ritonavir is based on body weight and should not exceed the treatmentexperienced adult dose. Do not use once daily dosing in pediatric patients. PREZISTA should be taken with ritonavir twice daily and with food.
Route of Administration: Oral
Darunavir exhibits activity against laboratory strains and clinical isolates of HIV-1 and laboratory strains of HIV-2 in acutely infected T-cell lines, human peripheral blood mononuclear cells and human monocytes/macrophages with median EC50 values ranging from 1.2 to 8.5 nM (0.7 to 5.0 ng/mL). Darunavir demonstrates antiviral activity in cell culture against a broad panel of HIV-1 group M (A, B, C, D, E, F, G), and group O primary isolates with EC50 values ranging from less than 0.1 to 4.3 nM.
Name Type Language
DARUNAVIR ETHANOLATE
JAN   MART.   ORANGE BOOK   VANDF   WHO-DD  
Common Name English
PREZISTA
Brand Name English
(3R,3AS,6AR)-HEXAHYDROFURO(2,3-B)FURAN-3-YL ((1S,2R)-3-(((4-AMINOPHENYL)SULFONYL)(ISOBUTYL)AMINO)-1-BENZYL-2-HYDROXYPROPYL)CARBAMATE - ETHANOL (1:1)
Common Name English
DARUNAVIR MONOETHANOLATE [MI]
Common Name English
Darunavir Ethanolate [WHO-DD]
Common Name English
REZOLSTA
Brand Name English
CARBAMIC ACID, ((1S,2R)-3-(((4-AMINOPHENYL)SULFONYL)(2-METHYLPROPYL)AMINO)-2-HYDROXY-1-(PHENYLMETHYL)PROPYL)-, (3R,3AS,6AR)-HEXAHYDROFURO(2,3-B)FURAN-3-YL ESTER, COMPD. WITH ETHANOL (1:1)
Common Name English
DARUNAVIR ETHANOLATE [JAN]
Common Name English
DARUNAVIR (AS ETHANOLATE)
Common Name English
TMC114 ETHANOLATE
Common Name English
DARUNAVIR COMPONENT OF SYMTUZA
Common Name English
((1S,2R)-3-(((4-AMINOPHENYL)SULFONYL)(2-METHYLPROPYL)AMINO)-2-HYDROXY-1-(PHENYLMETHYL)PROPYL)- CARBAMIC ACID (3R,3AS,6AR)-HEXAHYDROFURO(2,3-B)FURAN-3-YL ESTER MONOETHANOLATE
Common Name English
DARUNAVIR ETHANOLATE [ORANGE BOOK]
Common Name English
DARUNAVIR ETHANOLATE [VANDF]
Common Name English
SYMTUZA COMPONENT DARUNAVIR
Common Name English
PREZCOBIX COMPONENT DARUNAVIR ETHANOLATE
Brand Name English
DARUNAVIR MONOETHANOLATE
MI  
Common Name English
DARUNAVIR ETHANOLATE [MART.]
Common Name English
DARUNAVIR ETHANOLATE COMPONENT OF PREZCOBIX
Brand Name English
Classification Tree Code System Code
EMA ASSESSMENT REPORTS REZOLSTA (AUTHORIZED: HIV INFECTIONS)
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
NCI_THESAURUS C783
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
EMA ASSESSMENT REPORTS PREZISTA (AUTHORIZED: HIV INFECTIONS)
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
Code System Code Type Description
PUBCHEM
23725083
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
MERCK INDEX
m4099
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY Merck Index
RXCUI
644682
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY RxNorm
FDA UNII
33O78XF0BW
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
DAILYMED
33O78XF0BW
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
DRUG BANK
DBSALT001338
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
EVMPD
SUB23573
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
SMS_ID
100000091852
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
ChEMBL
CHEMBL1323
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
CAS
635728-49-3
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY
NCI_THESAURUS
C77389
Created by admin on Fri Dec 15 15:46:56 GMT 2023 , Edited by admin on Fri Dec 15 15:46:56 GMT 2023
PRIMARY