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

Details

Stereochemistry ABSOLUTE
Molecular Formula C9H12N6O3
Molecular Weight 252.23
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of AMDOXOVIR

SMILES

NC1=NC2=C(N=CN2[C@H]3CO[C@@H](CO)O3)C(N)=N1

InChI

InChIKey=RLAHNGKRJJEIJL-RFZPGFLSSA-N
InChI=1S/C9H12N6O3/c10-7-6-8(14-9(11)13-7)15(3-12-6)4-2-17-5(1-16)18-4/h3-5,16H,1-2H2,(H4,10,11,13,14)/t4-,5-/m1/s1

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including: http://adisinsight.springer.com/drugs/800004771

Amdoxovir is a guanosine analogue nucleoside reverse transcriptase inhibitor that is active in vitro against both HIV-1 and HBV. It is deaminated intracellularly by adenosine deaminase to dioxolane guanine (DXG). DXG-triphosphate, the active form of the drug, has greater activity than DAPD-triphosphate. Amdoxovir is under development (phase II study) for the treatment of HIV infection. Five subjects demonstrated lens opacities during the study, although baseline evaluations were not performed. Clinical studies of amdoxovir are currently on hold pending additional safety data.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
499 ng/mL
500 mg 2 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
AMDOXOVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1545 ng/mL
500 mg 2 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
1,3-DIOXOLANE GUANOSINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1326 ng × h/mL
500 mg 2 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
AMDOXOVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
6834 ng × h/mL
500 mg 2 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
1,3-DIOXOLANE GUANOSINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.4 h
500 mg 2 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
AMDOXOVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
17.6 h
500 mg 2 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
1,3-DIOXOLANE GUANOSINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
500 mg 2 times / day multiple, oral (unknown)
Highest studied dose
Dose: 500 mg, 2 times / day
Route: oral
Route: multiple
Dose: 500 mg, 2 times / day
Sources:
unhealthy
n = 8
Health Status: unhealthy
Condition: HIV infection
Sex: M
Population Size: 8
Sources:
PubMed

PubMed

TitleDatePubMed
Mechanism of action and in vitro activity of 1',3'-dioxolanylpurine nucleoside analogues against sensitive and drug-resistant human immunodeficiency virus type 1 variants.
1999 Oct
In vitro selection of mutations in the human immunodeficiency virus type 1 reverse transcriptase that decrease susceptibility to (-)-beta-D-dioxolane-guanosine and suppress resistance to 3'-azido-3'-deoxythymidine.
2000 Jul
In vitro combination of amdoxovir and the inosine monophosphate dehydrogenase inhibitors mycophenolic acid and ribavirin demonstrates potent activity against wild-type and drug-resistant variants of human immunodeficiency virus type 1.
2004 Nov
New nucleoside reverse transcriptase inhibitors for the treatment of HIV infections.
2004 Oct
Gateways to clinical trials.
2005 Jun
Simultaneous quantification of 9-(beta-D-1,3-dioxolan-4-yl)guanine, Amdoxovir and Zidovudine in human plasma by liquid chromatography-tandem mass spectrometric assay.
2009 Nov 1
Patents

Sample Use Guides

300 mg twice daily
Route of Administration: Oral
Amdoxovir proved equipotent at inhibiting HBV replication in HepG2 2.2.15, HepAD79 and HepAD38 cells with EC50 13, 16 and 14 ug/ml respectively.
Name Type Language
AMDOXOVIR
INN   USAN  
USAN   INN  
Official Name English
(-)-DAPD
Common Name English
amdoxovir [INN]
Common Name English
DAPD
Code English
AMDOXOVIR [USAN]
Common Name English
1,3-DIOXOLANE-2-METHANOL, 4-(2,6-DIAMINO-9H-PURIN-9-YL)-, (2R,4R)-
Systematic Name English
(2R,4R)-4-(2,6-Diamino-9H-purin-9-yl)-1,3-dioxolane-2-methanol
Systematic Name English
Classification Tree Code System Code
NCI_THESAURUS C97452
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
Code System Code Type Description
USAN
MM-19
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
FDA UNII
54I81H0M9C
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
ChEMBL
CHEMBL458876
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
EVMPD
SUB20547
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
INN
8124
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
MESH
C098393
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
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SMS_ID
100000085765
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
CAS
145514-04-1
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
PUBCHEM
124088
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY
NCI_THESAURUS
C76927
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
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DRUG BANK
DB06619
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
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EPA CompTox
DTXSID801027435
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
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WIKIPEDIA
AMDOXOVIR
Created by admin on Sat Dec 16 18:04:04 GMT 2023 , Edited by admin on Sat Dec 16 18:04:04 GMT 2023
PRIMARY