Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C28H38F3N5O2.C4H4O4 |
Molecular Weight | 649.701 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
OC(=O)\C=C/C(O)=O.COC[C@H](N1CCN(C[C@@H]1C)C2(C)CCN(CC2)C(=O)C3=C(C)N=CN=C3C)C4=CC=C(C=C4)C(F)(F)F
InChI
InChIKey=GXINKQQWHLIBJA-UCIBKFKQSA-N
InChI=1S/C28H38F3N5O2.C4H4O4/c1-19-16-35(14-15-36(19)24(17-38-5)22-6-8-23(9-7-22)28(29,30)31)27(4)10-12-34(13-11-27)26(37)25-20(2)32-18-33-21(25)3;5-3(6)1-2-4(7)8/h6-9,18-19,24H,10-17H2,1-5H3;1-2H,(H,5,6)(H,7,8)/b;2-1-/t19-,24-;/m0./s1
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/26991320 | https://www.poz.com/article/hiv-vicriviroc-merck-18742-4657Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/16304152 | https://aidsinfo.nih.gov/drugs/519/vicriviroc/0/patient
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26991320 | https://www.poz.com/article/hiv-vicriviroc-merck-18742-4657
Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/16304152 | https://aidsinfo.nih.gov/drugs/519/vicriviroc/0/patient
Vicriviroc or SCH 417690 is a potent and selective antagonist of the CCR5 receptor. vicriviroc binds specifically to the CCR5 receptor and prevents infection of target cells by CCR5-tropic HIV-1 isolates. In antiviral assays, vicriviroc showed potent, broad-spectrum activity against genetically diverse and drug-resistant HIV-1 isolates and was consistently more active than SCH-C in inhibiting viral replication. This compound demonstrated synergistic anti-HIV activity in combination with drugs from all other classes of approved antiretrovirals. Competition binding assays revealed that vicriviroc binds with higher affinity to CCR5 than SCH-C. Functional assays, including inhibition of calcium flux, guanosine 5'-[35S]triphosphate exchange, and chemotaxis, confirmed that vicriviroc acts as a receptor antagonist by inhibiting signaling of CCR5 by chemokines. Finally, vicriviroc demonstrated diminished affinity for the human ether a-go-go related gene transcript ion channel compared to SCH-C, suggesting a reduced potential for cardiac effects. Vicriviroc represented a promising new candidate for the treatment of HIV-1 infection. Vicriviroc for HIV treatment was previously in Phase III studies but has since been discontinued.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL274 |
0.8 nM [Ki] | ||
Target ID: CHEMBL378 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16304152 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Unknown Approved UseUnknown |
|||
Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
63 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20071999 |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
131 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20071999 |
10 mg 1 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
181 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20071999 |
15 mg 1 times / day steady-state, oral dose: 15 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
149 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
20.5 mg 2 times / day steady-state, oral dose: 20.5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
342 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
41.1 mg 2 times / day steady-state, oral dose: 41.1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
65 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
8.2 mg 2 times / day steady-state, oral dose: 8.2 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1172 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20071999 |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
2502 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20071999 |
10 mg 1 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
3390 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20071999 |
15 mg 1 times / day steady-state, oral dose: 15 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1060 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
20.5 mg 2 times / day steady-state, oral dose: 20.5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
2290 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
41.1 mg 2 times / day steady-state, oral dose: 41.1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
424 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
8.2 mg 2 times / day steady-state, oral dose: 8.2 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
29 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
20.5 mg 2 times / day steady-state, oral dose: 20.5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
28 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
41.1 mg 2 times / day steady-state, oral dose: 41.1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
33 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17545705 |
8.2 mg 2 times / day steady-state, oral dose: 8.2 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VICRIVIROC plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
PubMed
Title | Date | PubMed |
---|---|---|
Anti-HIV agents. Vicriviroc: is the risk of cancer increased? | 2006 Aug-Sep |
|
Potent antiviral synergy between monoclonal antibody and small-molecule CCR5 inhibitors of human immunodeficiency virus type 1. | 2006 Oct |
|
New targets in antiretroviral therapy 2006. | 2006 Sep |
|
Recent advances of CCR5 antagonists. | 2006 Sep |
|
Escape of HIV-1 from a small molecule CCR5 inhibitor is not associated with a fitness loss. | 2007 Jun |
|
Antiviral activity, pharmacokinetics and safety of vicriviroc, an oral CCR5 antagonist, during 14-day monotherapy in HIV-infected adults. | 2007 Jun 19 |
|
Maraviroc: the evidence for its potential in the management of HIV. | 2007 Mar 31 |
|
HIV-1 drug-resistance and drug-dependence. | 2007 Oct 25 |
|
New approaches in the treatment of HIV/AIDS - focus on maraviroc and other CCR5 antagonists. | 2008 Apr |
|
Long-term safety study of vicriviroc presented. | 2008 Dec |
|
Better results from vicriviroc with new Trofile test. | 2008 Dec |
|
Topical application of entry inhibitors as "virustats" to prevent sexual transmission of HIV infection. | 2008 Dec 18 |
|
Scaling up programmatic management of drug-resistant tuberculosis: a prioritized research agenda. | 2008 Jul 8 |
|
Molecular interactions of CCR5 with major classes of small-molecule anti-HIV CCR5 antagonists. | 2008 Mar |
|
Phase II study of vicriviroc versus efavirenz (both with zidovudine/lamivudine) in treatment-naive subjects with HIV-1 infection. | 2008 Oct 15 |
|
[Chemokine receptors and its importance in the replication cycle of human immunodeficiency virus: clinical and therapeutic implications]. | 2008 Sep-Oct |
|
Pharmacologic and nonpharmacologic options for the management of HIV infection during pregnancy. | 2009 |
|
Drug interactions with new and investigational antiretrovirals. | 2009 |
|
Novel compounds for the treatment of HIV type-1 infection. | 2009 |
|
The chemokine system and CCR5 antagonists: potential in HIV treatment and other novel therapies. | 2009 Apr |
|
Two HIV-1 variants resistant to small molecule CCR5 inhibitors differ in how they use CCR5 for entry. | 2009 Aug |
|
Pharmacotherapy of pediatric and adolescent HIV infection. | 2009 Jun |
|
The fusion inhibitor enfuvirtide in recent antiretroviral strategies. | 2009 Mar |
|
Long-term data on vicriviroc released. | 2009 Nov |
|
Profile of maraviroc: a CCR5 antagonist in the management of treatment-experienced HIV patients. | 2010 |
|
Pharmacokinetics and drug-drug interactions of antiretrovirals: an update. | 2010 Jan |
|
Vicriviroc and peripheral neuropathy: results from AIDS Clinical Trials Group 5211. | 2010 Jan-Feb |
|
Disappointing results for vicriviroc. | 2010 Mar |
|
Characterization of emergent HIV resistance in treatment-naive subjects enrolled in a vicriviroc phase 2 trial. | 2010 May 15 |
|
Therapeutic immunization with HIV-1 Tat reduces immune activation and loss of regulatory T-cells and improves immune function in subjects on HAART. | 2010 Nov 11 |
|
Novel 4,4-disubstituted piperidine-based C-C chemokine receptor-5 inhibitors with high potency against human immunodeficiency virus-1 and an improved human ether-a-go-go related gene (hERG) profile. | 2011 Jun 9 |
|
Effects of sequence changes in the HIV-1 gp41 fusion peptide on CCR5 inhibitor resistance. | 2012 Jul 5 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://clinicaltrials.gov/ct2/show/NCT00474370
One tablet of vicriviroc 30 mg once daily.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16304152
Vicriviroc potently inhibited
all the HIV-1
isolates in PBMCs isolates tested, with geometric mean EC50s
ranging between 0.04 nM and 2.3 nM and IC90s between 0.45
nM and 18 nM
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NCI_THESAURUS |
C1660
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NCI_THESAURUS |
C63817
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6451165
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DBSALT002032
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C73146
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CHEMBL82301
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DTXSID8048656
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m11442
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EP3QG127N9
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100000128269
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599179-03-0
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SUB35087
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QQ-77
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ACTIVE MOIETY
PARENT (SALT/SOLVATE)
SUBSTANCE RECORD