Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C10H13N5O4 |
Molecular Weight | 267.2413 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=CN([C@H]2C[C@H](N=[N+]=[N-])[C@@H](CO)O2)C(=O)NC1=O
InChI
InChIKey=HBOMLICNUCNMMY-XLPZGREQSA-N
InChI=1S/C10H13N5O4/c1-5-3-15(10(18)12-9(5)17)8-2-6(13-14-11)7(4-16)19-8/h3,6-8,16H,2,4H2,1H3,(H,12,17,18)/t6-,7+,8+/m0/s1
Molecular Formula | C10H13N5O4 |
Molecular Weight | 267.2413 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 1 |
Optical Activity | UNSPECIFIED |
DescriptionSources: https://www.drugbank.ca/drugs/DB00495Curator's Comment: Description was created based on several sources, including https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/019910s033lbl.pdf
Sources: https://www.drugbank.ca/drugs/DB00495
Curator's Comment: Description was created based on several sources, including https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/019910s033lbl.pdf
Zidovudine is a nucleoside reverse transcriptase inhibitor (NRTI) with activity against Human Immunodeficiency Virus Type 1 (HIV-1). Zidovudine is phosphorylated to active metabolites that compete for incorporation into viral DNA. They inhibit the HIV reverse transcriptase enzyme competitively and act as a chain terminator of DNA synthesis. The lack of a 3'-OH group in the incorporated nucleoside analogue prevents the formation of the 5' to 3' phosphodiester linkage essential for DNA chain elongation, and therefore, the viral DNA growth is terminated. Zidovudine, a structural analog of thymidine, is a prodrug that must be phosphorylated to its active 5′-triphosphate metabolite, zidovudine triphosphate (ZDV-TP). It inhibits the activity of HIV-1 reverse transcriptase (RT) via DNA chain termination after incorporation of the nucleotide analogue. It competes with the natural substrate dGTP and incorporates itself into viral DNA. It is also a weak inhibitor of cellular DNA polymerase α and γ. Zidovudine is used in combination with other antiretroviral agents for the treatment of human immunovirus (HIV) infections. Zidovudine is marketed as Retrovir.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL613508 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12893431 |
24.0 µM [IC50] | ||
Target ID: CHEMBL387 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12893431 |
22.0 µM [IC50] | ||
0.01 µM [EC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | RETROVIR Approved UseRETROVIR is a nucleoside analogue reverse transcriptase inhibitor indicated for:
-- Treatment of Human Immunodeficiency Virus (HIV-1) infection in combination with other antiretroviral agents. (1.1)
-- Prevention of maternal-fetal HIV-1 transmission. (1.2) Launch Date1987 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1.1 μg/mL |
2.5 mg/kg 6 times / day steady-state, intravenous dose: 2.5 mg/kg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
0.2 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
50 mg 6 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
0.55 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
100 mg 6 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
250 mg 6 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.8 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
150 mg 6 times / day steady-state, intravenous dose: 150 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
0.16 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
0.74 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.72 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
150 mg single, intravenous dose: 150 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1400 ng × h/mL |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
0.32 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
50 mg 6 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
0.65 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
100 mg 6 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.28 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
250 mg 6 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.31 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
150 mg 6 times / day steady-state, intravenous dose: 150 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
0.26 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
0.39 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
60 mg single, intravenous dose: 60 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
0.74 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.22 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
150 mg single, intravenous dose: 150 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1.33 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1 h |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1.4 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
50 mg 6 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
100 mg 6 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
250 mg 6 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.4 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
150 mg 6 times / day steady-state, intravenous dose: 150 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
60 mg single, intravenous dose: 60 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1.6 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
150 mg single, intravenous dose: 150 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1803995 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
ZIDOVUDINE serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
62% |
2.5 mg/kg 6 times / day steady-state, intravenous dose: 2.5 mg/kg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ZIDOVUDINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
20000 mg single, oral Overdose Dose: 20000 mg Route: oral Route: single Dose: 20000 mg Sources: |
unhealthy, 28 years n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: 28 years Sex: M Population Size: 1 Sources: |
Disc. AE: Anemia... AEs leading to discontinuation/dose reduction: Anemia (grade 1, 1 patient) Sources: |
1000 mg 1 times / day steady, oral Highest studied dose Dose: 1000 mg, 1 times / day Route: oral Route: steady Dose: 1000 mg, 1 times / day Sources: |
unhealthy, 34 years n = 1 Health Status: unhealthy Condition: HIV-1, homosexual Age Group: 34 years Sex: M Population Size: 1 Sources: |
Other AEs: Depression... |
22.5 g single, oral Overdose |
unhealthy, 34 years n = 1 Health Status: unhealthy Condition: HIV-1, homosexual Age Group: 34 years Sex: M Population Size: 1 Sources: |
Disc. AE: Dizziness, Diarrhoea... AEs leading to discontinuation/dose reduction: Dizziness (1 patient) Sources: Diarrhoea (1 patient) |
20000 mg single, oral Overdose Dose: 20000 mg Route: oral Route: single Dose: 20000 mg Co-administed with:: temazepam Sources: |
unhealthy, 34 years n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: 34 years Sex: M Population Size: 1 Sources: |
Disc. AE: Drowsiness... AEs leading to discontinuation/dose reduction: Drowsiness (1 patient) Sources: |
36 g single, oral Overdose |
unhealthy, 35 years n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: 35 years Sex: M Population Size: 1 Sources: |
Disc. AE: Seizure... AEs leading to discontinuation/dose reduction: Seizure (1 patient) Sources: |
134 mg single, oral Overdose |
healthy, 4 day n = 1 Health Status: healthy Condition: HIV postnatal prophylaxis Age Group: 4 day Sex: F Population Size: 1 Sources: |
Disc. AE: Metabolic acidosis exacerbated... AEs leading to discontinuation/dose reduction: Metabolic acidosis exacerbated (1 patient) Sources: |
8000 mg/m2 multiple, intravenous MTD Dose: 8000 mg/m2 Route: intravenous Route: multiple Dose: 8000 mg/m2 Co-administed with:: 5-fluorouracil(500 mg/m2) Sources: |
unhealthy, adult n = 29 Health Status: unhealthy Condition: metastatic colorectal cancer Age Group: adult Sex: unknown Population Size: 29 Sources: |
Disc. AE: Cardiac arrhythmia... Other AEs: Diarrhea... AEs leading to discontinuation/dose reduction: Cardiac arrhythmia (grade 5, 1 patient) Other AEs:Diarrhea (grade 3-4, 17%) Sources: |
40 g single, oral Overdose |
unhealthy, adult n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 1 Sources: |
Disc. AE: Nystagmus... AEs leading to discontinuation/dose reduction: Nystagmus (1 patient) Sources: |
500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Other AEs: Asthenia, Headache... Other AEs: Asthenia (9%) Sources: Headache (63%) Malaise (53%) Anorexia (20%) Constipation (6%) Nausea (51%) Vomiting (17%) Anemia (1%) Granulocytopenia (2%) |
160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Other AEs: Fever, Hepatomegaly... Other AEs: Fever (25%) Sources: Hepatomegaly (11%) Nausea and vomiting (8%) Diarrhea (8%) Stomatitis (6%) Splenomegaly (5%) Cough (15%) Breath sounds abnormal (7%) Ear disorders NEC (7%) Congestion nasal (8%) Skin rash (12%) Lymphadenopathy (9%) Neutropenia (8%) Thrombocytopenia (1%) ALT (grade 3, 1%) Lipase (3%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Anemia | grade 1, 1 patient Disc. AE |
20000 mg single, oral Overdose Dose: 20000 mg Route: oral Route: single Dose: 20000 mg Sources: |
unhealthy, 28 years n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: 28 years Sex: M Population Size: 1 Sources: |
Depression | 1 patient | 1000 mg 1 times / day steady, oral Highest studied dose Dose: 1000 mg, 1 times / day Route: oral Route: steady Dose: 1000 mg, 1 times / day Sources: |
unhealthy, 34 years n = 1 Health Status: unhealthy Condition: HIV-1, homosexual Age Group: 34 years Sex: M Population Size: 1 Sources: |
Diarrhoea | 1 patient Disc. AE |
22.5 g single, oral Overdose |
unhealthy, 34 years n = 1 Health Status: unhealthy Condition: HIV-1, homosexual Age Group: 34 years Sex: M Population Size: 1 Sources: |
Dizziness | 1 patient Disc. AE |
22.5 g single, oral Overdose |
unhealthy, 34 years n = 1 Health Status: unhealthy Condition: HIV-1, homosexual Age Group: 34 years Sex: M Population Size: 1 Sources: |
Drowsiness | 1 patient Disc. AE |
20000 mg single, oral Overdose Dose: 20000 mg Route: oral Route: single Dose: 20000 mg Co-administed with:: temazepam Sources: |
unhealthy, 34 years n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: 34 years Sex: M Population Size: 1 Sources: |
Seizure | 1 patient Disc. AE |
36 g single, oral Overdose |
unhealthy, 35 years n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: 35 years Sex: M Population Size: 1 Sources: |
Metabolic acidosis exacerbated | 1 patient Disc. AE |
134 mg single, oral Overdose |
healthy, 4 day n = 1 Health Status: healthy Condition: HIV postnatal prophylaxis Age Group: 4 day Sex: F Population Size: 1 Sources: |
Diarrhea | grade 3-4, 17% | 8000 mg/m2 multiple, intravenous MTD Dose: 8000 mg/m2 Route: intravenous Route: multiple Dose: 8000 mg/m2 Co-administed with:: 5-fluorouracil(500 mg/m2) Sources: |
unhealthy, adult n = 29 Health Status: unhealthy Condition: metastatic colorectal cancer Age Group: adult Sex: unknown Population Size: 29 Sources: |
Cardiac arrhythmia | grade 5, 1 patient Disc. AE |
8000 mg/m2 multiple, intravenous MTD Dose: 8000 mg/m2 Route: intravenous Route: multiple Dose: 8000 mg/m2 Co-administed with:: 5-fluorouracil(500 mg/m2) Sources: |
unhealthy, adult n = 29 Health Status: unhealthy Condition: metastatic colorectal cancer Age Group: adult Sex: unknown Population Size: 29 Sources: |
Nystagmus | 1 patient Disc. AE |
40 g single, oral Overdose |
unhealthy, adult n = 1 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 1 Sources: |
Anemia | 1% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Vomiting | 17% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Granulocytopenia | 2% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Anorexia | 20% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Nausea | 51% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Malaise | 53% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Constipation | 6% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Headache | 63% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Asthenia | 9% | 500 mg 1 times / day steady, oral Recommended Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy, adult n = 453 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 453 Sources: |
Thrombocytopenia | 1% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Hepatomegaly | 11% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Skin rash | 12% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Cough | 15% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Fever | 25% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Lipase | 3% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Splenomegaly | 5% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Stomatitis | 6% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Breath sounds abnormal | 7% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Ear disorders NEC | 7% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Congestion nasal | 8% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Diarrhea | 8% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Nausea and vomiting | 8% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Neutropenia | 8% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Lymphadenopathy | 9% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
ALT | grade 3, 1% | 160 mg/m2 3 times / day steady, oral Recommended Dose: 160 mg/m2, 3 times / day Route: oral Route: steady Dose: 160 mg/m2, 3 times / day Co-administed with:: EPIVIR(4 mg/kg twice daily) Sources: |
unhealthy, children n = 236 Health Status: unhealthy Condition: HIV-1 Age Group: children Sex: unknown Population Size: 236 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no [IC50 <400 uM] | ||||
no [IC50 <500 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >133 uM] | ||||
no [IC50 >133 uM] | ||||
no [IC50 >133 uM] | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
weak [IC50 31.34 uM] | ||||
yes [Ki 1200 uM] | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major [Km 770 uM] | yes (pharmacogenomic study) Comment: Km (Pooled HLMs) = 1.4 mM; The carriers of UGT2B7*1c had 57% lower mean AUC (P = 0.029, unpaired t-test), 196% higher mean CL/F (P = 0.004, unpaired t-test) (Figure 3B), and 67% shorter mean elimination half-life (P = 0.030, unpaired t-test) compared with non-carriers. |
|||
minor | ||||
minor | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes [Km 145.1 uM] | ||||
yes [Km 151.8 uM] | ||||
yes [Km 2400 uM] | ||||
yes [Km 26.8 uM] | ||||
yes [Km 45.9 uM] | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Synthesis of 4'-substituted nucleosides and their biological evaluation. | 1999 |
|
Synthesis and anti-HIV activity of unusual nucleoside oxanosine derivatives. | 1999 |
|
Synthesis and antiviral activity of 1-[1,5-dialkyl-1H-1,2,4-triazol-3-yl)methyl]thymines. | 1999 Apr |
|
Antiviral activity and resistance profile of phosphazid--a novel prodrug of AZT. | 1999 Apr-May |
|
Long-term effects of prenatal 3'-azido-3'-deoxythymidine (AZT) exposure on intermale aggressive behaviour of mice. | 1999 Aug |
|
Synthesis and antiviral activity of phosphoralaninate derivatives of methylenecyclopropane analogues of nucleosides. | 1999 Aug |
|
A new point mutation (P157S) in the reverse transcriptase of human immunodeficiency virus type 1 confers low-level resistance to (-)-beta-2',3'-dideoxy-3'-thiacytidine. | 1999 Aug |
|
Unique anti-human immunodeficiency virus activities of the nonnucleoside reverse transcriptase inhibitors calanolide A, costatolide, and dihydrocostatolide. | 1999 Aug |
|
Charge modification of plasma and milk proteins results in antiviral active compounds. | 1999 Dec |
|
N'-[2-(2-thiophene)ethyl]-N'-[2-(5-bromopyridyl)] thiourea as a potent inhibitor of NNI-resistant and multidrug-resistant human immunodeficiency virus-1. | 1999 Dec 20 |
|
Zidovudine (AZT) induced alterations in mitochondrial biogenesis in rat striated muscles. | 1999 Jan |
|
Synthesis of dual function (5R,6R)- and (5S,6S)-5-bromo-6-methoxy-5,6-dihydro-AZT-5'-(para-bromophenyl methoxyalaninyl phosphate) as novel spermicidal and anti-HIV agents. | 1999 Jan |
|
PMTI, a broadly active unusual single-stranded polyribonucleotide, inhibits human immunodeficiency virus replication by multiple mechanisms. | 1999 Jan |
|
Characterization of human immunodeficiency virus type 1 resistant to modified cyclodextrin sulphate (mCDS71) in vitro. | 1999 Jan |
|
Substituted 7H-pyrido[4,3-c]carbazoles with potent anti-HIV activity. | 1999 Jan 18 |
|
Biological evaluation of proanthocyanidin dimers and related polyphenols. | 1999 Jul |
|
Zidovudine-induced experimental myopathy: dual mechanism of mitochondrial damage. | 1999 Jul 1 |
|
Correlation of anti-HIV activity with structure: use of electrostatic potential and conformational analysis. | 1999 Jul 19 |
|
A screening assay for antiviral compounds targeted to the HIV-1 gp41 core structure using a conformation-specific monoclonal antibody. | 1999 Jun |
|
Rational design of N-[2-(2,5-dimethoxyphenylethyl)]-N'-[2-(5-bromopyridyl)]-thiourea (HI-236) as a potent non-nucleoside inhibitor of drug-resistant human immunodeficiency virus. | 1999 Jun 7 |
|
Inhibition of human immunodeficiency virus replication by RD6-Y664, a novel benzylhydroxylamine derivative. | 1999 Mar |
|
Characterization of human immunodeficiency virus type 1 strains resistant to the non-nucleoside reverse transcriptase inhibitor RD4-2217. | 1999 Nov |
|
Resistance of the human immunodeficiency virus to the inhibitory action of negatively charged albumins on virus binding to CD4. | 1999 Nov 20 |
|
Synthesis and anti-retroviral activity of O,O'-bis(3'-azido-2',3'-dideoxythymidin-5'-yl) phosphoramidate derivatives. | 1999 Oct |
|
Synthesis of 2',3'-dideoxy-2'-fluoro-L-threo-pentofuranosyl nucleosides as potential antiviral agents. | 1999 Oct |
|
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 |
|
Pyrrolobenzoxazepinone derivatives as non-nucleoside HIV-1 RT inhibitors: further structure-activity relationship studies and identification of more potent broad-spectrum HIV-1 RT inhibitors with antiviral activity. | 1999 Oct 21 |
|
Persistent mitochondrial dysfunction and perinatal exposure to antiretroviral nucleoside analogues. | 1999 Sep 25 |
|
Activities of masked 2',3'-dideoxynucleoside monophosphate derivatives against human immunodeficiency virus in resting macrophages. | 2000 Jan |
|
Antioxidant function of phenethyl-5-bromo-pyridyl thiourea compounds with potent anti-HIV activity. | 2000 Jan 3 |
|
3-year suppression of HIV viremia with indinavir, zidovudine, and lamivudine. | 2000 Jul 4 |
|
Spiropentane mimics of nucleosides: analogues of 2'-deoxyadenosine and 2'-deoxyguanosine. Synthesis of all stereoisomers, isomeric assignment, and biological activity. | 2000 Mar 10 |
Sample Use Guides
Treatment of HIV-1 infection:
Adults: 600 mg/day in divided doses with other antiretroviral agents.
Pediatric patients (6 weeks to <18 years of age): Dosage should be calculated based on body weight not to exceed adult dose.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23392464
The antiviral activity of CD8(+) cells from 2 LTSs was inhibited by 5 uM of zidovudine.
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 16:17:05 GMT 2023
by
admin
on
Sat Dec 16 16:17:05 GMT 2023
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Record UNII |
4B9XT59T7S
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
---|---|---|---|---|
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EMA ASSESSMENT REPORTS |
COMBIVIR (AUTHORIZED: HIV INFECTIONS)
Created by
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FDA ORPHAN DRUG |
8185
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WHO-VATC |
QJ05AR04
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WHO-ATC |
J05AR05
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WHO-ATC |
J05AF01
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NDF-RT |
N0000175462
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WHO-VATC |
QJ05AR01
Created by
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WHO-ATC |
J05AR04
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NCI_THESAURUS |
C1557
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NDF-RT |
N0000175459
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NCI_THESAURUS |
C97452
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NDF-RT |
N0000009947
Created by
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NDF-RT |
N0000175459
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admin on Sat Dec 16 16:17:09 GMT 2023 , Edited by admin on Sat Dec 16 16:17:09 GMT 2023
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EMA ASSESSMENT REPORTS |
LAMIVUDINE/ZIDOVUDINE TEVA (AUTHORIZED: HIV INFECTIONS)
Created by
admin on Sat Dec 16 16:17:08 GMT 2023 , Edited by admin on Sat Dec 16 16:17:08 GMT 2023
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WHO-ESSENTIAL MEDICINES LIST |
6.4.2.1
Created by
admin on Sat Dec 16 16:17:09 GMT 2023 , Edited by admin on Sat Dec 16 16:17:09 GMT 2023
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WHO-ATC |
J05AR01
Created by
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WHO-VATC |
QJ05AR05
Created by
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WHO-VATC |
QJ05AF01
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LIVERTOX |
NBK548210
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NDF-RT |
N0000175459
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Code System | Code | Type | Description | ||
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ZIDOVUDINE
Created by
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PRIMARY | Description: A white or brownish powder. Solubility: Soluble in ethanol (~750 g/l) TS, sparingly soluble in water. Category: Antiretroviral (Nucleoside Reverse Transcriptase Inhibitor). Storage: Zidovudine should be kept in a tightly closed container, protected from light. Additional information: Zidovudine may exhibit polymorphism. Definition: Zidovudine contains not less than 97.0% and not more than 103.0% of C10H13N5O4, calculated with reference to the dried substance. | ||
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Y-51
Created by
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PRIMARY | |||
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C947
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PRIMARY | |||
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2861
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PRIMARY | |||
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30516-87-1
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PRIMARY | |||
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D015215
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PRIMARY | |||
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Zidovudine
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PRIMARY | |||
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1724500
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PRIMARY | |||
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4825
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PRIMARY | |||
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4B9XT59T7S
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PRIMARY | |||
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100000088002
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PRIMARY | |||
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11413
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PRIMARY | RxNorm | ||
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DB00495
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PRIMARY | |||
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DTXSID8020127
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SUB00153MIG
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PRIMARY | |||
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m11592
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PRIMARY | Merck Index | ||
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4B9XT59T7S
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PRIMARY | |||
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ZIDOVUDINE
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PRIMARY | |||
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CHEMBL129
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602670
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35370
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6515
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6118
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10110
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PRIMARY |
Related Record | Type | Details | ||
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TRANSPORTER -> SUBSTRATE |
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SALT/SOLVATE -> PARENT |
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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TARGET ORGANISM->INHIBITOR |
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TRANSPORTER -> SUBSTRATE | |||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
EP
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TRANSPORTER -> NON-SUBSTRATE |
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TRANSPORTER -> SUBSTRATE | |||
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TRANSPORTER -> SUBSTRATE | |||
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METABOLIC ENZYME -> SUBSTRATE |
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TRANSPORTER -> NON-SUBSTRATE |
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TRANSPORTER -> SUBSTRATE |
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TARGET -> INHIBITOR |
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Related Record | Type | Details | ||
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METABOLITE ACTIVE -> PARENT |
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METABOLITE ACTIVE -> PARENT |
AMOUNT FORMED FOLLOWING ADMINISTRATION
MINOR
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METABOLITE ACTIVE -> PARENT |
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METABOLITE TOXIC -> PARENT |
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METABOLITE INACTIVE -> PARENT |
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METABOLITE INACTIVE -> PARENT |
AMOUNT OF EXCRETED
MAJOR
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Related Record | Type | Details | ||
---|---|---|---|---|
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IMPURITY -> PARENT |
The impurity peaks are eluted at the following relative retention times with reference to zidovudine (retention time about 12 to 13 minutes): impurity C (thymine) about 0.3. The test is not valid unless the resolution factor between the peaks due to zidovudine and impurity B is at least 2.
In the chromatogram obtained with solution (1): - the area of any peak corresponding to impurity C, when multiplied by a correction factor of 0.6, is not greater than four times the area of the principal peak in the chromatogram obtained with solution (2) (2.0%).
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
|
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IMPURITY -> PARENT |
The impurity peaks are eluted at the following relative retention times with reference to zidovudine (retention time about 12 to 13 minutes): impurity B about 1.2. The test is not valid unless the resolution factor between the peaks due to zidovudine and impurity B is at least 2.
In the chromatogram obtained with solution (1):- the area of any peak corresponding to impurity B, is not greater than twice the area of the principal peak in the chromatogram obtained with solution (2) (1.0%).
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (TLC)
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
|
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
|
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
|
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IMPURITY -> PARENT |
|
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IMPURITY -> PARENT |
The impurity peaks are eluted at the following relative retention times with reference to zidovudine (retention time about 12 to 13 minutes): impurity A (stavudine) about 0.4;. The test is not valid unless the resolution factor between the peaks due to zidovudine and impurity B is at least 2.
In the chromatogram obtained with solution (1):- the area of any peak corresponding to impurity A, when multiplied by a correction factor of 0.9, is not greater than the area of the principal peak in the chromatogram obtained with solution (2) (0.5%).
|
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
Not Specified
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IMPURITY -> PARENT |
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
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Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
---|---|---|---|---|---|---|
Biological Half-life | PHARMACOKINETIC |
|
Population PHARMACOKINETIC |
|
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CSF/PLASMA RATIO | PHARMACOKINETIC |
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Population PHARMACOKINETIC |
|
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Tmax | PHARMACOKINETIC |
|
|
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Biological Half-life | PHARMACOKINETIC |
|
Population PHARMACOKINETIC |
|
||
Biological Half-life | PHARMACOKINETIC |
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Populations PHARMACOKINETIC |
|
||
CSF/PLASMA RATIO | PHARMACOKINETIC |
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Population PHARMACOKINETIC |
|
||
Biological Half-life | PHARMACOKINETIC |
|
|
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Route of Elimination | PHARMACOKINETIC |
|
|
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Route of Elimination | PHARMACOKINETIC |
|
|
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Volume of Distribution | PHARMACOKINETIC |
|
|
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Biological Half-life | PHARMACOKINETIC |
|
Population PHARMACOKINETIC |
|
||
Biological Half-life | PHARMACOKINETIC |
|
Polpulation PHARMACOKINETIC |
|
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