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

Details

Stereochemistry ABSOLUTE
Molecular Formula C20H18F2N3O5.Na.H2O
Molecular Weight 459.3759
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of DOLUTEGRAVIR SODIUM MONOHYDRATE

SMILES

O.[Na+].[H][C@]12CN3C=C(C(=O)NCC4=CC=C(F)C=C4F)C(=O)C([O-])=C3C(=O)N1[C@H](C)CCO2

InChI

InChIKey=UDYLZWGOPQBQQT-ZSYJTXGQSA-M
InChI=1S/C20H19F2N3O5.Na.H2O/c1-10-4-5-30-15-9-24-8-13(17(26)18(27)16(24)20(29)25(10)15)19(28)23-7-11-2-3-12(21)6-14(11)22;;/h2-3,6,8,10,15,27H,4-5,7,9H2,1H3,(H,23,28);;1H2/q;+1;/p-1/t10-,15+;;/m1../s1

HIDE SMILES / InChI

Molecular Formula HO
Molecular Weight 17.0073
Charge -1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C20H19F2N3O5
Molecular Weight 419.3788
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula Na
Molecular Weight 22.9898
Charge 1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Dolutegravir is an integrase inhibitor that is meant to be used as part of combination therapy for the treatment of HIV. Dolutegravir inhibits HIV integrase by binding to the integrase active site and blocking the strand transfer step of retroviral deoxyribonucleic acid (DNA) integration which is essential for the HIV replication cycle. Dolutegravir coadministered with dofetilide can result in potentially life-threatening adverse events.

CNS Activity

Curator's Comment: Although dolutegravir appears to cross the blood–brain barrier, clinical outcomes have not been determined.

Approval Year

Targets

Targets

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
TIVICAY

Approved Use

Indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pediatric patients weighing at least 30 kg.

Launch Date

1.37626557E12
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
3.67 μg/mL
50 mg 1 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
4.15 μg/mL
50 mg 2 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
[NO STEREO] DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
53.6 μg × h/mL
50 mg 1 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
75.1 μg × h/mL
50 mg 2 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
[NO STEREO] DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
14 h
50 mg 1 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
14 h
50 mg 2 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
[NO STEREO] DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
1.1%
50 mg 1 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.1%
50 mg 2 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
[NO STEREO] DOLUTEGRAVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
50 mg 1 times / day steady, oral
Recommended
Dose: 50 mg, 1 times / day
Route: oral
Route: steady
Dose: 50 mg, 1 times / day
Sources:
healthy, 33.5 years (range 24–63 years)
n = 11
Health Status: healthy
Age Group: 33.5 years (range 24–63 years)
Sex: M+F
Population Size: 11
Sources:
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Other AEs: Nausea, Headache...
Other AEs:
Nausea (20%)
Headache (7%)
Abdominal pain (5%)
Diarrhea (2%)
Dizziness (2%)
Oropharyngeal pain (2%)
Vomiting (2%)
Viral infection (2%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Diarrhea 2%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Dizziness 2%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Oropharyngeal pain 2%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Viral infection 2%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Vomiting 2%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Nausea 20%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Abdominal pain 5%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
Headache 7%
250 mg single, oral
Studied dose
Dose: 250 mg
Route: oral
Route: single
Dose: 250 mg
Sources:
healthy, 34.5 ± 10.5 years
n = 41
Health Status: healthy
Age Group: 34.5 ± 10.5 years
Sex: M+F
Population Size: 41
Sources:
PubMed

PubMed

TitleDatePubMed
S/GSK1349572, a new integrase inhibitor for the treatment of HIV: promises and challenges.
2011 Apr
Patents

Sample Use Guides

The recommended dose is 50 mg once daily or twice daily depending on therapy.
Route of Administration: Oral
Dolutegravir exhibited antiviral activity against laboratory strains of wild-type HIV-1 with mean EC50 values of 0.5 nM (0.21 ng/mL) to 2.1 nM (0.85 ng/mL) in peripheral blood mononuclear cells (PBMCs) and MT-4 cells. Dolutegravir exhibited antiviral activity against 13 clinically diverse clade B isolates with a mean EC50 value of 0.52 nM in a viral integrase susceptibility assay using the integrase coding region from clinical isolates. Dolutegravir demonstrated antiviral activity in cell culture against a panel of HIV-1 clinical isolates (3 in each group of M clades A, B, C, D, E, F, and G, and 3 in group O) with EC50 values ranging from 0.02 nM to 2.14 nM for HIV-1. Dolutegravir EC50 values against 3 HIV-2 clinical isolates in PBMC assays ranged from 0.09 nM to 0.61 nM.
Substance Class Chemical
Created
by admin
on Fri Dec 15 19:13:48 UTC 2023
Edited
by admin
on Fri Dec 15 19:13:48 UTC 2023
Record UNII
0E1T06685X
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
DOLUTEGRAVIR SODIUM MONOHYDRATE
Common Name English
GSK-1349572A HYDRATE
Code English
2H-PYRIDO(1',2':4,5)PYRAZINO(2,1-B)(1,3)OXAZINE-9-CARBOXAMIDE, N-((2,4-DIFLUOROPHENYL)METHYL)-3,4,6,8,12,12A-HEXAHYDRO-7-HYDROXY-4-METHYL-6,8-DIOXO-, SODIUM SALT, HYDRATE (1:1:1), (4R,12AS)-
Common Name English
Code System Code Type Description
CAS
1229006-39-6
Created by admin on Fri Dec 15 19:13:48 UTC 2023 , Edited by admin on Fri Dec 15 19:13:48 UTC 2023
PRIMARY
FDA UNII
0E1T06685X
Created by admin on Fri Dec 15 19:13:48 UTC 2023 , Edited by admin on Fri Dec 15 19:13:48 UTC 2023
PRIMARY
EPA CompTox
DTXSID80153785
Created by admin on Fri Dec 15 19:13:48 UTC 2023 , Edited by admin on Fri Dec 15 19:13:48 UTC 2023
PRIMARY
PUBCHEM
76969888
Created by admin on Fri Dec 15 19:13:48 UTC 2023 , Edited by admin on Fri Dec 15 19:13:48 UTC 2023
PRIMARY
Related Record Type Details
ANHYDROUS->SOLVATE
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY