Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C21H18F3N3O5 |
Molecular Weight | 449.3799 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]12CN3C=C(C(=O)NCC4=C(F)C=C(F)C=C4F)C(=O)C(O)=C3C(=O)N1[C@H]5CC[C@H](C5)O2
InChI
InChIKey=SOLUWJRYJLAZCX-LYOVBCGYSA-N
InChI=1S/C21H18F3N3O5/c22-9-3-14(23)12(15(24)4-9)6-25-20(30)13-7-26-8-16-27(10-1-2-11(5-10)32-16)21(31)17(26)19(29)18(13)28/h3-4,7,10-11,16,29H,1-2,5-6,8H2,(H,25,30)/t10-,11+,16+/m0/s1
Molecular Formula | C21H18F3N3O5 |
Molecular Weight | 449.3799 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 3 / 3 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Bictegravir is a component of the fixed-dose combination product bictegravir/emtricitabine/tenofovir alafenamide (BIKTARVY®), which received marketing approval for the treatment of human immunodeficiency virus (HIV) infection by the U.S. Food and Drug Administration in February 2018. Bictegravir inhibits the strand transfer activity of HIV-1 integrase, an HIV-1 encoded enzyme that is required for viral replication. Inhibition of integrase prevents the integration of linear HIV-1 DNA into host genomic DNA, blocking the formation of the HIV-1 provirus and propagation of the virus.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL3471 |
7.5 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | BIKTARVY Approved UseBIKTARVY is a three-drug combination of bictegravir (BIC), a human immunodeficiency virus type 1 (HIV-1) integrase strand transfer inhibitor (INSTI), and emtricitabine (FTC) and tenofovir alafenamide (TAF), both HIV-1 nucleoside analog reverse transcriptase inhibitors (NRTIs), and is indicated as a complete regimen for the treatment of HIV-1 infection in adults who have no antiretroviral treatment history or to replace the current antiretroviral regimen in those who are virologically suppressed (HIV-1 RNA less than 50 copies per mL) on a stable antiretroviral regimen for at least 3 months with no history of treatment failure and no known substitutions associated with resistance to the individual components of BIKTARVY. Launch Date2017 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
12235 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
100 mg 1 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
3475 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
25 mg 1 times / day steady-state, oral dose: 25 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
6080 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
50 mg 1 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
741.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
6.15 μg/mL |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: EMTRICITABINE |
BICTEGRAVIR SODIUM plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
178901.7 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
100 mg 1 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
48950.3 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
25 mg 1 times / day steady-state, oral dose: 25 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
87538.4 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
50 mg 1 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
9983 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
102 μg × h/mL |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: EMTRICITABINE |
BICTEGRAVIR SODIUM plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
20.9 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
100 mg 1 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
15.9 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
25 mg 1 times / day steady-state, oral dose: 25 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
17.8 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
50 mg 1 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
20.8 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28196003/ |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
BICTEGRAVIR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FASTED |
|
17.3 h |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: EMTRICITABINE |
BICTEGRAVIR SODIUM plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1% |
50 mg 1 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: EMTRICITABINE |
BICTEGRAVIR SODIUM plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
Other AEs: Diarrhea, Nausea... Other AEs: Diarrhea (all grades, 6%) Sources: Page: 7Nausea (all grades, 5%) Headache (all grades, 5%) Fatigue (all grades, 3%) Abnormal dreams (all grades, 3%) Dizziness (all grades, 2%) Insomnia (all grades, 2%) |
50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 8 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 8 |
Other AEs: Amylase, ALT... Other AEs: Amylase (grade 3-4, 2%) Sources: Page: 8ALT (grade 3-4, 1%) Neutrophils (grade 3-4, 2%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dizziness | all grades, 2% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
Insomnia | all grades, 2% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
Abnormal dreams | all grades, 3% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
Fatigue | all grades, 3% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
Headache | all grades, 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
Nausea | all grades, 5% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
Diarrhea | all grades, 6% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 7 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 7 |
ALT | grade 3-4, 1% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 8 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 8 |
Amylase | grade 3-4, 2% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 8 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 8 |
Neutrophils | grade 3-4, 2% | 50 mg 1 times / day multiple, oral Recommended Dose: 50 mg, 1 times / day Route: oral Route: multiple Dose: 50 mg, 1 times / day Sources: Page: 8 |
unhealthy, adult n = 314 Health Status: unhealthy Condition: HIV-1 Age Group: adult Sex: unknown Population Size: 314 Sources: Page: 8 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 66.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 66, 67 |
yes | yes (co-administration study) Comment: rifampin decreased the mean bictegravir Cmax by 28% and AUC by 75%; rifbutin decreased the mean bictegravir Cmax by 20% and AUC by 38% Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 66, 67 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 66, 67 |
yes | yes (co-administration study) Comment: rifampin decreased the mean bictegravir Cmax by 28% and AUC by 75%; rifbutin decreased the mean bictegravir Cmax by 20% and AUC by 38% Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 66, 67 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 66, 67 |
yes | yes (co-administration study) Comment: rifampin decreased the mean bictegravir Cmax by 28% and AUC by 75% Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 66, 67 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210251Orig1s000MultidisciplineR.pdf Page: 40, 42-43 |
Sample Use Guides
BIKTARVY® is a three-drug fixed dose combination product containing 50 mg of bictegravir, 200 mg of emtricitabine, and 25 mg of tenofovir alafenamide. The recommended dosage of BIKTARVY is one tablet taken orally once daily with or without food.
Route of Administration:
Oral
The antiviral activity of bictegravir (BIC) against laboratory and clinical isolates of HIV-1 was assessed in lymphoblastoid cell lines, PBMCs, primary monocyte/macrophage cells, and CD4+ T-lymphocytes. In MT-4 cells (human lymphoblastoid T-cell line) acutely infected with HIV-1 IIIB, the mean 50% effective concentration (EC50) was 2.4+/-0.4 nM, and the protein-adjusted EC95 value was 361 nM (0.162 micrograms per mL). BIC displayed antiviral activity in activated PBMCs against clinical isolates of HIV-1 representing groups M, N, and O, including subtypes A, B, C, D, E, F, and G, with a median EC50 value of 0.55 nM (range <0.05 to 1.71 nM). The EC50 value against a single HIV-2 isolate was 1.1 nM.
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 08:41:33 GMT 2023
by
admin
on
Sat Dec 16 08:41:33 GMT 2023
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Record UNII |
8GB79LOJ07
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Record Status |
Validated (UNII)
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FDA ORPHAN DRUG |
559316
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WHO-ATC |
J05AR20
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C171719
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Bictegravir
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Bictegravir
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Related Record | Type | Details | ||
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TARGET -> INHIBITOR |
IC50
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TRANSPORTER -> SUBSTRATE |
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METABOLIC ENZYME -> SUBSTRATE |
Coadministration of BIC (given without F/TAF) with rifampin decreased the mean BIC Cmax and AUC by 28% and 75%, respectively.
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TRANSPORTER -> SUBSTRATE |
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TARGET -> INHIBITOR |
INHIBITOR
IC50
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TRANSPORTER -> INHIBITOR |
Co‐administration of BIKTARVY with dofetilide may increase dofetilide plasma concentrations which can lead to serious and/or life threatening events.
IC50
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BINDER->LIGAND |
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TARGET ORGANISM->INHIBITOR |
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METABOLIC ENZYME -> SUBSTRATE |
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SALT/SOLVATE -> PARENT |
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TRANSPORTER -> INHIBITOR |
Co‐administration of BIKTARVY with dofetilide may increase dofetilide plasma concentrations which can lead to serious and/or life threatening events.
CLINICALLY SIGNIFICANT
IC50
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Related Record | Type | Details | ||
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METABOLITE -> PARENT |
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METABOLITE -> PARENT |
PLASMA; URINE
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METABOLITE -> PARENT |
PLASMA
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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 |
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Tmax | PHARMACOKINETIC |
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Biological Half-life | PHARMACOKINETIC |
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Cmax | PHARMACOKINETIC |
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ROUTE OF ADMINSTRATION PHARMACOKINETIC PHARMACOKINETIC |
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