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

Details

Stereochemistry ABSOLUTE
Molecular Formula C16H28N2O4
Molecular Weight 312.4045
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of OSELTAMIVIR

SMILES

CCOC(=O)C1=C[C@@H](OC(CC)CC)[C@H](NC(C)=O)[C@@H](N)C1

InChI

InChIKey=VSZGPKBBMSAYNT-RRFJBIMHSA-N
InChI=1S/C16H28N2O4/c1-5-12(6-2)22-14-9-11(16(20)21-7-3)8-13(17)15(14)18-10(4)19/h9,12-15H,5-8,17H2,1-4H3,(H,18,19)/t13-,14+,15+/m0/s1

HIDE SMILES / InChI

Molecular Formula C16H28N2O4
Molecular Weight 312.4045
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including http://www.fda.gov/downloads/drugs/drugsafety/informationbydrugclass/ucm147992.pdf

Oseltamivir phosphate is an ethyl ester prodrug requiring ester hydrolysis for conversion to the active form, oseltamivir carboxylate. Oseltamivir carboxylate is an inhibitor of influenza virus neuraminidase affecting release of viral particles. Oseltamivir is a well tolerated orally active neuraminidase inhibitor which significantly reduces the duration of symptomatic illness and hastens the return to normal levels of activity when initiated promptly in patients with naturally acquired influenza.

CNS Activity

Curator's Comment: CNS penetration of oseltamivir and oseltamivir carboxylate is low in Japanese and Caucasian adults. Emerging data support the idea that oseltamivir and oseltamivir carboxylate have limited potential to induce or exacerbate CNS adverse events in individuals with influenza.

Originator

Curator's Comment: Oseltamivir was invented and patented by Californian company Gilead Sciences in 1996. Swiss pharmaceutical company Hoffmann-La Roche (Roche) then purchased the rights to develop and market the drug worldwide under the trade name Tamiflu.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.34 nM [IC50]
13.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
TAMIFLU

Approved Use

TAMIFLU is indicated for the treatment of uncomplicated acute illness due to influenza infection in patients 1 year and older who have been symptomatic for no more than 2 days.

Launch Date

1999
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
2458 μg/L
500 mg 2 times / day steady-state, oral
dose: 500 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
230 μg/L
50 mg 2 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
439 μg/L
100 mg 2 times / day steady-state, oral
dose: 100 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
1132 μg/L
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
441 μg/L
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
551 μg/L
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
348 ng/mL
75 mg 2 times / day multiple, oral
dose: 75 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
20317 μg × h/L
500 mg 2 times / day steady-state, oral
dose: 500 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
2107 μg × h/L
50 mg 2 times / day steady-state, oral
dose: 50 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
3845 μg × h/L
100 mg 2 times / day steady-state, oral
dose: 100 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
8612 μg × h/L
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
6069 μg × h/L
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
6218 μg × h/L
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
2719 ng × h/mL
75 mg 2 times / day multiple, oral
dose: 75 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.2 h
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
6.87 h
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
8 h
75 mg 2 times / day multiple, oral
dose: 75 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
97%
75 mg 2 times / day multiple, oral
dose: 75 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
OSELTAMIVIR ACID plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
1000 mg single, oral
Highest studied dose
Dose: 1000 mg
Route: oral
Route: single
Dose: 1000 mg
Sources: Page: p.841
healthy, 18-55
n = 6
Health Status: healthy
Age Group: 18-55
Sex: M
Population Size: 6
Sources: Page: p.841
500 mg 2 times / day multiple, oral
Highest studied dose
Dose: 500 mg, 2 times / day
Route: oral
Route: multiple
Dose: 500 mg, 2 times / day
Sources: Page: p.841
healthy, 18-55
n = 6
Health Status: healthy
Age Group: 18-55
Sex: M
Population Size: 6
Sources: Page: p.841
450 mg 2 times / day multiple, oral
Higher than recommended
Dose: 450 mg, 2 times / day
Route: oral
Route: multiple
Dose: 450 mg, 2 times / day
Sources: Page: p.464
healthy, 33.9±11.52
n = 99
Health Status: healthy
Age Group: 33.9±11.52
Sex: M+F
Population Size: 99
Sources: Page: p.464
75 mg 2 times / day multiple, oral
Recommended
Dose: 75 mg, 2 times / day
Route: oral
Route: multiple
Dose: 75 mg, 2 times / day
Sources: Page: p.10
unhealthy
n = 1171
Health Status: unhealthy
Condition: Influenza
Sex: M+F
Population Size: 1171
Sources: Page: p.10
Disc. AE: Nausea, Vomiting...
AEs leading to
discontinuation/dose reduction:
Nausea (rare)
Vomiting (rare)
Sources: Page: p.10
AEs

AEs

AESignificanceDosePopulation
Nausea rare
Disc. AE
75 mg 2 times / day multiple, oral
Recommended
Dose: 75 mg, 2 times / day
Route: oral
Route: multiple
Dose: 75 mg, 2 times / day
Sources: Page: p.10
unhealthy
n = 1171
Health Status: unhealthy
Condition: Influenza
Sex: M+F
Population Size: 1171
Sources: Page: p.10
Vomiting rare
Disc. AE
75 mg 2 times / day multiple, oral
Recommended
Dose: 75 mg, 2 times / day
Route: oral
Route: multiple
Dose: 75 mg, 2 times / day
Sources: Page: p.10
unhealthy
n = 1171
Health Status: unhealthy
Condition: Influenza
Sex: M+F
Population Size: 1171
Sources: Page: p.10
PubMed

PubMed

TitleDatePubMed
Identifying research priorities on infections in older adults: proceedings of an interdisciplinary workshop.
2001
Oseltamivir: a review of its use in influenza.
2001
Unprepared for an influenza pandemic.
2001 Aug 25
Management of influenza in patients with asthma or chronic obstructive pulmonary disease.
2001 Dec
Treatment of influenza with neuraminidase inhibitors: virological implications.
2001 Dec 29
[What is current opinion of antiviral therapy for the flu in 2001?].
2001 Jan
Symptom pathogenesis during acute influenza: interleukin-6 and other cytokine responses.
2001 Jul
Antiviral agents for influenza, hepatitis C and herpesvirus, enterovirus and rhinovirus infections.
2001 Jul 16
Experience with oseltamivir in the control of a nursing home influenza B outbreak.
2001 Mar 1
Vaccines for pneumonia and new antiviral therapies.
2001 Nov
Therapeutic options for the management of influenza.
2001 Oct
Highlights in the development of new antiviral agents.
2002 Apr
Use of oseltamivir during influenza outbreaks in Ontario nursing homes, 1999-2000.
2002 Apr
Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP).
2002 Apr 12
Oseltamivir for influenza.
2002 Dec
Neuraminidase inhibitors in the management of influenza--experience of an outpatient practice.
2002 Dec
Problems of case and disease management in outpatient treatment of influenza.
2002 Dec
Management of viral infections in immunocompromised cancer patients.
2002 Jul 13
[A revolutionary change in the diagnosis and treatment of influenza].
2002 Jun
Influenza vaccination for healthy children.
2002 Jun
Influenza in the acute hospital setting.
2002 Mar
Structural studies of the resistance of influenza virus neuramindase to inhibitors.
2002 May 23
[Neuraminidase inhibitor permitted. The first pill against influenza].
2002 Oct 10
Characterization of 2 influenza A(H3N2) clinical isolates with reduced susceptibility to neuraminidase inhibitors due to mutations in the hemagglutinin gene.
2002 Oct 15
The treatment of influenza with antiviral drugs.
2003 Jan 7
Patents

Sample Use Guides

The recommended oral dose of TAMIFLU (oseltamivir phosphate) for treatment of influenza in adults and adolescents 13 years and older is 75 mg twice daily for 5 days. Treatment should begin within 2 days of onset of symptoms of influenza.
Route of Administration: Oral
Oseltamivir also showed moderate antiviral activity in Madine-Darby canine kidney cells of about 83% against influenza A/HK (H3N2) virus at the concentration of 100 μg/ml.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:44:25 GMT 2023
Edited
by admin
on Fri Dec 15 15:44:25 GMT 2023
Record UNII
20O93L6F9H
Record Status Validated (UNII)
Record Version
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Name Type Language
OSELTAMIVIR
EMA EPAR   HSDB   INN   MI   VANDF   WHO-DD  
INN  
Official Name English
oseltamivir [INN]
Common Name English
GS4104
Code English
OSELTAMIVIR [EMA EPAR]
Common Name English
OSELTAMIVIR [VANDF]
Common Name English
RO-640796
Code English
RO 640796
Code English
Oseltamivir [WHO-DD]
Common Name English
RO-64-0796
Code English
GS-4104
Code English
ETHYL (3R,4R,5S)-4-ACETAMIDO-5-AMINO-3-(1-ETHYLPROPOXY)-1-CYCLOHEXENE-1-CARBOXYLATE
Systematic Name English
RO64-0796
Code English
OSELTAMIVIR [HSDB]
Common Name English
GS-4071 ETHYL ESTER
Code English
GS 4104
Code English
OSELTAMIVIR [MI]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C281
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
WHO-ATC J05AH02
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
WHO-ESSENTIAL MEDICINES LIST 6.4.3
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
LIVERTOX NBK548268
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
NDF-RT N0000175436
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
NDF-RT N0000175524
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
WHO-VATC QJ05AH02
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
Code System Code Type Description
CHEBI
7798
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
DRUG CENTRAL
2001
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
DRUG BANK
DB00198
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
LACTMED
Oseltamivir
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
CAS
196618-13-0
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
MERCK INDEX
m8256
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY Merck Index
ChEMBL
CHEMBL1229
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
EVMPD
SUB03553MIG
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
HSDB
7433
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
INN
7793
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
FDA UNII
20O93L6F9H
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
WIKIPEDIA
OSELTAMIVIR
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
PUBCHEM
65028
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
DAILYMED
20O93L6F9H
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
NCI_THESAURUS
C62061
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
MESH
D053139
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
EPA CompTox
DTXSID9044291
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
SMS_ID
100000089424
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY
RXCUI
260101
Created by admin on Fri Dec 15 15:44:25 GMT 2023 , Edited by admin on Fri Dec 15 15:44:25 GMT 2023
PRIMARY RxNorm
Related Record Type Details
SALT/SOLVATE -> PARENT
TARGET ORGANISM->INHIBITOR
TARGET ORGANISM->INHIBITOR
BINDER->LIGAND
BINDING
SALT/SOLVATE -> PARENT
METABOLIC ENZYME -> SUBSTRATE
Related Record Type Details
METABOLITE -> PARENT
Related Record Type Details
ACTIVE MOIETY
Name Property Type Amount Referenced Substance Defining Parameters References
Tmax PHARMACOKINETIC FASTED STATE

ORAL ADMINISTRATION

SINGLE DOSE

IN HEALTHY VOLUNTEERS

Volume of Distribution PHARMACOKINETIC
Biological Half-life PHARMACOKINETIC
Tmax PHARMACOKINETIC SINGLE DOSE

ORAL ADMINISTRATION

IN HEALTHY VOLUNTEERS

FED CONDITION