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Details

Stereochemistry ABSOLUTE
Molecular Formula C8H10FN3O3S
Molecular Weight 247.247
Optical Activity ( - )
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of 4-Amino-5-fluoro-1-[(2S,5S)-2-(hydroxymethyl)-1,3-oxathiolan-5-yl]-2-(1H)-pyrimidone

SMILES

NC1=NC(=O)N(C=C1F)[C@@H]2CS[C@@H](CO)O2

InChI

InChIKey=XQSPYNMVSIKCOC-WDSKDSINSA-N
InChI=1S/C8H10FN3O3S/c9-4-1-12(8(14)11-7(4)10)5-3-16-6(2-13)15-5/h1,5-6,13H,2-3H2,(H2,10,11,14)/t5-,6-/m0/s1

HIDE SMILES / InChI

Molecular Formula C8H10FN3O3S
Molecular Weight 247.247
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including: http://www.emory.edu/news/Releases/emtri/

Emtricitabine was discovered by Emory researchers Dr. Dennis C. Liotta, Dr. Raymond F. Schinazi and Dr. Woo-Baeg Choi and licensed to Triangle Pharmaceuticals by Emory University in 1996. Triangle was acquired by Gilead in 2003. Emtricitabine, marketed by Gilead as Emtriva, was first approved by the U.S. Food and Drug Administration in July 2003 for the treatment of HIV infection in combination with other antiretroviral agents. Emtricitabine, a synthetic nucleoside analog of cytidine, is phosphorylated by cellular enzymes to form emtricitabine 5'-triphosphate. Emtricitabine 5'-triphosphate inhibits the activity of the HIV-1 reverse transcriptase by competing with the natural substrate deoxycytidine 5'-triphosphate and by being incorporated into nascent viral DNA which results in chain termination.

Originator

Curator's Comment: Liotta, Schinazi and Choi (Emory University) and licensed to Triangle Pharmaceuticals by Emory University in 1996

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
EMTRIVA

Approved Use

EMTRIVA is indicated, in combination with other antiretroviral agents, for the treatment of HIV-1 infection. Additional important information regarding the use of EMTRIVA for the treatment of HIV-1 Infection: • EMTRIVA should not be coadministered with ATRIPLA™, TRUVADA®, or Lamivudine-containing products (see WARNINGS). • In treatment-experienced patients, the use of EMTRIVA should be guided by laboratory testing and treatment history (see MICROBIOLOGY).

Launch Date

2003
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1.8 μg/mL
200 mg 1 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EMTRICITABINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
2.7 μg/mL
5.6 mg/kg 1 times / day steady-state, oral
dose: 5.6 mg/kg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
EMTRICITABINE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
10 μg × h/mL
200 mg 1 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EMTRICITABINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
12.6 μg × h/mL
5.6 mg/kg 1 times / day steady-state, oral
dose: 5.6 mg/kg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
EMTRICITABINE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
10 h
200 mg 1 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EMTRICITABINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
8.2 h
5.6 mg/kg 1 times / day steady-state, oral
dose: 5.6 mg/kg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
EMTRICITABINE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
96%
200 mg 1 times / day multiple, oral
dose: 200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EMTRICITABINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
200 mg 1 times / day steady, oral
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Co-administed with::
dolutegravir(50 mg)
tenofovir disoproxil fumarate(300 mg)
Sources:
unhealthy, 26 - 42 years
n = 717
Health Status: unhealthy
Condition: HIV-1
Age Group: 26 - 42 years
Sex: M+F
Population Size: 717
Sources:
Disc. AE: Headache...
AEs leading to
discontinuation/dose reduction:
Headache (grade 2-5, 8 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Headache grade 2-5, 8 patients
Disc. AE
200 mg 1 times / day steady, oral
Recommended
Dose: 200 mg, 1 times / day
Route: oral
Route: steady
Dose: 200 mg, 1 times / day
Co-administed with::
dolutegravir(50 mg)
tenofovir disoproxil fumarate(300 mg)
Sources:
unhealthy, 26 - 42 years
n = 717
Health Status: unhealthy
Condition: HIV-1
Age Group: 26 - 42 years
Sex: M+F
Population Size: 717
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG


Drug as perpetrator​Drug as victim
PubMed

PubMed

TitleDatePubMed
Selective inhibition of human immunodeficiency viruses by racemates and enantiomers of cis-5-fluoro-1-[2-(hydroxymethyl)-1,3-oxathiolan-5-yl]cytosine.
1992 Nov
Five new drugs enter the homestretch.
2002 Dec
Treatment of HBeAg negative chronic hepatitis B with new drugs (adefovir and others).
2003
Entecavir, FTC, L-FMAU, LdT and others.
2003
Emtricitabine: an antiretroviral agent for HIV infection.
2003
Treatment of chronic hepatitis B in 2002.
2003
US FDA approves Emtriva (FTC).
2003 Aug
The continuing evolution of HIV therapy.
2003 Dec
Selection of a hepatitis B virus strain resistant to adefovir in a liver transplantation patient.
2003 Dec
Prospective randomized trial of emtricitabine versus lamivudine short-term monotherapy in human immunodeficiency virus-infected patients.
2003 Dec 1
Treatment of chronic hepatitis B in the human immunodeficiency virus-infected patient: present and future.
2003 Dec 15
Anti-HIV drug updates--three drugs on the near horizon.
2003 Jan
Gateways to clinical trials.
2003 Jan-Feb
Gateways to clinical trials.
2003 Jul-Aug
Gateways to clinical trials.
2003 Jun
Gateways to clinical trials. March 2003.
2003 Mar
New antiretroviral drugs.
2003 Mar
Relative anti-HIV-1 efficacy of lamivudine and emtricitabine in vitro is dependent on cell type.
2003 Mar 1
Once-a-day highly active antiretroviral therapy: a systematic review.
2003 May 1
Atazanavir (Reyataz) and emtricitabine (Emtriva) for HIV infection.
2003 Nov 10
Polysaccharide-based chiral phase under polar organic mode of elution in the determination of the enantiomeric purity of emtricitabine an anti-HIV analogue nucleoside.
2003 Nov 24
Three new drugs approved by FDA.
2003 Nov-Dec
FDA notifications. NRTI Emtriva receives FDA approval.
2003 Oct
Gateways to clinical trials.
2003 Oct
Assessment of the relative potency of emtricitabine and lamivudine.
2003 Oct 1
Emtricitabine: a new treatment option for simplified antiretroviral therapy.
2003 Sep
Emtriva gets approval.
2003 Sep
New treatment of chronic hepatitis B.
2004
Emtricitabine/tenofovir disoproxil fumarate.
2004
Labeling changes for tenofovir.
2004 Jan
Efficacy and safety of emtricitabine vs stavudine in combination therapy in antiretroviral-naive patients: a randomized trial.
2004 Jul 14
[Recent progress in anti-HIM-1 research].
2004 Jun
Antiviral drugs in current clinical use.
2004 Jun
Emtricitabine: a once-daily nucleoside reverse transcriptase inhibitor.
2004 Jun
Editorial comment: HIV and HBV coinfection--a coming-of-age in treatment strategies.
2004 Mar
New drugs of 2003.
2004 Mar-Apr
Gateways to clinical trials.
2004 May
Emtricitabine (FTC) for the treatment of HIV infection.
2004 May
[New approaches in the treatment of hepatitis B].
2004 May 21
Pharmacokinetic and pharmacodynamic characteristics of emtricitabine support its once daily dosing for the treatment of HIV infection.
2004 Nov
A randomized study of emtricitabine and lamivudine in stably suppressed patients with HIV.
2004 Nov 19
Antiretrovirals, Part II: focus on non-protease inhibitor antiretrovirals (NRTIs, NNRTIs, and fusion inhibitors).
2004 Nov-Dec
Nevirapine and efavirenz elicit different changes in lipid profiles in antiretroviral-therapy-naive patients infected with HIV-1.
2004 Oct
Combinations of adefovir with nucleoside analogs produce additive antiviral effects against hepatitis B virus in vitro.
2004 Oct
New nucleoside reverse transcriptase inhibitors for the treatment of HIV infections.
2004 Oct
HIV-chemotherapy and -prophylaxis: new drugs, leads and approaches.
2004 Sep
Resistance issues with new nucleoside/nucleotide backbone options.
2004 Sep 1
New nucleoside/nucleotide backbone options: a review of recent studies.
2004 Sep 1
Pharmacokinetic properties of nucleoside/nucleotide reverse transcriptase inhibitors.
2004 Sep 1
The pipeline: three to watch.
2004 Summer
Patents

Sample Use Guides

Emtriva® (emtricitabine) dosage. Adult Patients (18 years of age and older):one 200 mg capsule administered once daily orally (Capsules). 240 mg (24 mL) administered once daily orally (Oral Solution). Pediatric Patients (0–3 months of age): 3 mg/kg administered once daily orally (Oral Solution). Pediatric Patients (3 months through 17 years): 6 mg/kg up to a maximum of 240 mg (24 mL) administered once daily orally (Oral Solution), for children weighing more than 33 kg who can swallow an intact capsule, one 200 mg capsule administered once daily orally (Capsules).
Route of Administration: Oral
emtricitabine EC50 0.99 μM (in vitro activity against HIV-2)
Substance Class Chemical
Created
by admin
on Sat Dec 16 19:17:39 GMT 2023
Edited
by admin
on Sat Dec 16 19:17:39 GMT 2023
Record UNII
EV5GXM29XL
Record Status Validated (UNII)
Record Version
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Name Type Language
4-Amino-5-fluoro-1-[(2S,5S)-2-(hydroxymethyl)-1,3-oxathiolan-5-yl]-2-(1H)-pyrimidone
Systematic Name English
2(1H)-Pyrimidinone, 4-amino-5-fluoro-1-[2-(hydroxymethyl)-1,3-oxathiolan-5-yl]-, (2S-trans)-
Common Name English
2-epi-(-)-EMtricitabine
Common Name English
Code System Code Type Description
FDA UNII
EV5GXM29XL
Created by admin on Sat Dec 16 19:17:39 GMT 2023 , Edited by admin on Sat Dec 16 19:17:39 GMT 2023
PRIMARY
CAS
145416-34-8
Created by admin on Sat Dec 16 19:17:39 GMT 2023 , Edited by admin on Sat Dec 16 19:17:39 GMT 2023
PRIMARY
PUBCHEM
22858382
Created by admin on Sat Dec 16 19:17:39 GMT 2023 , Edited by admin on Sat Dec 16 19:17:39 GMT 2023
PRIMARY