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

Details

Stereochemistry ABSOLUTE
Molecular Formula C10H12N5O4.Na
Molecular Weight 289.2231
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 1
Charge 0

SHOW SMILES / InChI
Structure of ZIDOVUDINE SODIUM

SMILES

[Na+].CC1=CN([C@H]2C[C@H](N=[N+]=[N-])[C@@H](CO)O2)C(=O)[N-]C1=O

InChI

InChIKey=XDTLRYHUHKZMKH-HNPMAXIBSA-M
InChI=1S/C10H13N5O4.Na/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);/q;+1/p-1/t6-,7+,8+;/m0./s1

HIDE SMILES / InChI

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

Molecular Formula C10H12N5O4
Molecular Weight 266.2334
Charge -1
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 1
Optical Activity UNSPECIFIED

Description
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.

Originator

Curator's Comment: Zidovudine had initially been synthesized by Dr. Jerome Horwitz and associates in 1964 at the Michigan Cancer Foundation as a potential anticancer agent

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
RETROVIR

Approved Use

RETROVIR 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 Date

1987
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
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
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
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
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
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
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
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
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
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

AUC

ValueDoseCo-administeredAnalytePopulation
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
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
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
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
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
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
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
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
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
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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
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
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
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
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
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
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
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
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
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

Funbound

ValueDoseCo-administeredAnalytePopulation
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

Doses

DosePopulationAdverse 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...
Other AEs:
Depression (1 patient)
Sources:
22.5 g single, oral
Overdose
Dose: 22.5 g
Route: oral
Route: single
Dose: 22.5 g
Sources:
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)
Diarrhoea (1 patient)
Sources:
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
Dose: 36 g
Route: oral
Route: single
Dose: 36 g
Sources:
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
Dose: 134 mg
Route: oral
Route: single
Dose: 134 mg
Sources:
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
Dose: 40 g
Route: oral
Route: single
Dose: 40 g
Sources:
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%)
Headache (63%)
Malaise (53%)
Anorexia (20%)
Constipation (6%)
Nausea (51%)
Vomiting (17%)
Anemia (1%)
Granulocytopenia (2%)
Sources:
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%)
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%)
Sources:
AEs

AEs

AESignificanceDosePopulation
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
Dose: 22.5 g
Route: oral
Route: single
Dose: 22.5 g
Sources:
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
Dose: 22.5 g
Route: oral
Route: single
Dose: 22.5 g
Sources:
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
Dose: 36 g
Route: oral
Route: single
Dose: 36 g
Sources:
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
Dose: 134 mg
Route: oral
Route: single
Dose: 134 mg
Sources:
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
Dose: 40 g
Route: oral
Route: single
Dose: 40 g
Sources:
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:
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical 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

Drug as victim

TargetModalityActivityMetaboliteClinical 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
PubMed

PubMed

TitleDatePubMed
Anti-HIV antiviral activity of stavudine in a thymidine kinase-deficient cellular line.
1998
In vitro anti-hepatitis B virus activities of 5"-O-myristoyl analogue derivatives of 3"-fluoro-2",3"-dideoxythymidine (FLT) and 3"-azido-2",3"-dideoxythymidine (AZT).
1998 Sep-Dec
Synthesis of 4'-substituted nucleosides and their biological evaluation.
1999
Synthesis and anti-HIV activity of unusual nucleoside oxanosine derivatives.
1999
Synthesis and anti-HIV activity of 1,1,3-trioxo-2H,4H-thieno[3,4-e][1,2,4]thiadiazines (TTDs): a new family of HIV-1 specific non-nucleoside reverse transcriptase inhibitors.
1999 Dec
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
Inhibition of beta-globin gene expression by 3'-azido-3'-deoxythymidine in human erythroid progenitor cells.
1999 Dec 31
Zidovudine (AZT) induced alterations in mitochondrial biogenesis in rat striated muscles.
1999 Jan
Characterization of human immunodeficiency virus type 1 strains resistant to the non-nucleoside reverse transcriptase inhibitor RD4-2217.
1999 Nov
Multiorgan transplacental and neonatal carcinogenicity of 3'-azido-3'-deoxythymidine in mice.
1999 Nov 15
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
A novel genotype encoding a single amino acid insertion and five other substitutions between residues 64 and 74 of the HIV-1 reverse transcriptase confers high-level cross-resistance to nucleoside reverse transcriptase inhibitors. Abacavir CNA2007 International Study Group.
1999 Oct 1
Genotoxicity of 3'-azido-3'-deoxythymidine in the human lymphoblastoid cell line, TK6: relationships between DNA incorporation, mutant frequency, and spectrum of deletion mutations in HPRT.
1999 Oct 19
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
Structure-based design of non-nucleoside reverse transcriptase inhibitors of drug-resistant human immunodeficiency virus.
1999 Sep
Anti-AIDS agents. Part 36: 17-carboxylated steroids as potential anti-HIV agents.
1999 Sep
N-[2-(1-cyclohexenyl)ethyl]-N'-[2-(5-bromopyridyl)]-thiourea and N'-[2-(1-cyclohexenyl)ethyl]-N'-[2-(5-chloropyridyl)]-thiourea as potent inhibitors of multidrug-resistant human immunodeficiency virus-1.
1999 Sep 20
Persistent mitochondrial dysfunction and perinatal exposure to antiretroviral nucleoside analogues.
1999 Sep 25
Prophylactic contraceptives for HIV/AIDS.
1999 Sep-Oct
Synthesis and biological activity of N-acylphenothiazines.
2000 Apr
Antiviral properties of a series of 1,6-naphthyridine and 7, 8-dihydroisoquinoline derivatives exhibiting potent activity against human cytomegalovirus.
2000 Apr
Long-term exposure of HIV type 1-infected cell cultures to combinations of the novel quinoxaline GW420867X with lamivudine, abacavir, and a variety of nonnucleoside reverse transcriptase inhibitors.
2000 Apr 10
Prevalence and characteristics of multinucleoside-resistant human immunodeficiency virus type 1 among European patients receiving combinations of nucleoside analogues.
2000 Aug
Cardiac dysfunction occurs in the HIV-1 transgenic mouse treated with zidovudine.
2000 Feb
Importance of the alanine methyl ester side chain for the biological activity profile of dual-function phenyl phosphate derivatives of bromo-methoxy-zidovudine.
2000 Jan
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
Synthesis and antiviral activity of amino acid carbamate derivatives of AZT.
2000 Jan-Feb
Cytochrome c oxidase deficiency in the muscle of patients with zidovudine myopathy is segmental and affects both mitochondrial DNA- and nuclear DNA-encoded subunits.
2000 Jul
In vitro selection of mutations in the human immunodeficiency virus type 1 reverse transcriptase that decrease susceptibility to (-)-beta-D-dioxolane-guanosine and suppress resistance to 3'-azido-3'-deoxythymidine.
2000 Jul
3-year suppression of HIV viremia with indinavir, zidovudine, and lamivudine.
2000 Jul 4
Presence of 2',5'-Bis-O-(tert-butyldimethylsilyl)-3'-spiro-5"-(4"-amino-1",2"-oxath iole-2",2"-dioxide) (TSAO)-resistant virus strains in TSAO-inexperienced HIV patients.
2000 Jun 10
'Double-Drugs'--a new class of prodrug form of an HIV protease inhibitor conjugated with a reverse transcriptase inhibitor by a spontaneously cleavable linker.
2000 Jun 5
Non-nucleoside HIV-1 reverse transcriptase inhibitors: synthesis and biological evaluation of novel quinoxalinylethylpyridylthioureas as potent antiviral agents.
2000 Mar
Structure-activity relationship studies on potential non-nucleoside DABO-like inhibitors of HIV-1 reverse transcriptase.
2000 Mar
Syntheses of oxanosine and carbocyclic oxanosine derivatives as anti-HIV agents.
2000 Mar
Sesquiterpene alkaloids from Tripterygium hypoglaucum and Tripterygium wilfordii: a new class of potent anti-HIV agents.
2000 Mar
Coumarins and bicoumarin from Ferula sumbul: anti-HIV activity and inhibition of cytokine release.
2000 Mar
Severe hypertension and renal atrophy associated with indinavir.
2000 Mar
Spiropentane mimics of nucleosides: analogues of 2'-deoxyadenosine and 2'-deoxyguanosine. Synthesis of all stereoisomers, isomeric assignment, and biological activity.
2000 Mar 10
Variable sensitivity of CCR5-tropic human immunodeficiency virus type 1 isolates to inhibition by RANTES analogs.
2000 May
3'-azido-3'-deoxythimidine (AZT) is glucuronidated by human UDP-glucuronosyltransferase 2B7 (UGT2B7).
2000 May
Selection and characterization of human immunodeficiency virus type 1 variants resistant to the (+) and (-) enantiomers of 2'-deoxy-3'-oxa-4'-thio-5-fluorocytidine.
2000 May
Fetal mitochondrial heart and skeletal muscle damage in Erythrocebus patas monkeys exposed in utero to 3'-azido-3'-deoxythymidine.
2000 May 1
Anti-human immunodeficiency virus activity of novel aminoglycoside-arginine conjugates at early stages of infection.
2000 May 1
Anti-AIDS agents part 41: synthesis and anti-HIV activity of 3',4'-di-o-(-)-camphanoyl-(+)-cis-khellactone (DCK) lactam analogues.
2000 May 15
Synthesis and evaluation of "AZT-HEPT", "AZT-pyridinone", and "ddC-HEPT" conjugates as inhibitors of HIV reverse transcriptase.
2000 May 18
Patents

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
The antiviral activity of CD8(+) cells from 2 LTSs was inhibited by 5 uM of zidovudine.
Substance Class Chemical
Created
by admin
on Fri Dec 15 18:12:11 GMT 2023
Edited
by admin
on Fri Dec 15 18:12:11 GMT 2023
Record UNII
8O1GL13IL5
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ZIDOVUDINE SODIUM
Common Name English
ZIDOVUDINE SODIUM SALT
Common Name English
THYMIDINE, 3'-AZIDO-3'-DEOXY-, SODIUM SALT (1:1)
Systematic Name English
THYMIDINE,3'-AZIDO-3'-DEOXY-, MONOSODIUM SALT
Common Name English
Code System Code Type Description
CAS
106060-86-0
Created by admin on Fri Dec 15 18:12:11 GMT 2023 , Edited by admin on Fri Dec 15 18:12:11 GMT 2023
PRIMARY
FDA UNII
8O1GL13IL5
Created by admin on Fri Dec 15 18:12:11 GMT 2023 , Edited by admin on Fri Dec 15 18:12:11 GMT 2023
PRIMARY
EPA CompTox
DTXSID30147497
Created by admin on Fri Dec 15 18:12:11 GMT 2023 , Edited by admin on Fri Dec 15 18:12:11 GMT 2023
PRIMARY
PUBCHEM
56840976
Created by admin on Fri Dec 15 18:12:11 GMT 2023 , Edited by admin on Fri Dec 15 18:12:11 GMT 2023
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY