Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C19H15F3N2O3 |
Molecular Weight | 376.3292 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 6 / 6 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]12C[C@]1([H])[C@@H]3C=C[C@H]2[C@@]4([H])C(=O)N(NC(=O)C5=CC=C(C=C5)C(F)(F)F)C(=O)[C@@]34[H]
InChI
InChIKey=CSKDFZIMJXRJGH-VWLPUNTISA-N
InChI=1S/C19H15F3N2O3/c20-19(21,22)9-3-1-8(2-4-9)16(25)23-24-17(26)14-10-5-6-11(13-7-12(10)13)15(14)18(24)27/h1-6,10-15H,7H2,(H,23,25)/t10-,11+,12+,13-,14-,15+
Molecular Formula | C19H15F3N2O3 |
Molecular Weight | 376.3292 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 6 / 6 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Tecovirimat (ST-246) is a low-molecular-weight compound (molecular weight = 376), that is potent (concentration that inhibited virus replication by 50% = 0.010 microM), selective (concentration of compound that inhibited cell viability by 50% = >40 microM), and active against multiple orthopoxviruses, including vaccinia, monkeypox, camelpox, cowpox, ectromelia (mousepox), and variola viruses. The antiviral activity is specific for orthopoxviruses and the compound does not inhibit the replication of other RNA- and DNA-containing viruses or inhibit cell proliferation at concentrations of compound that are antiviral. ST-246 targets vaccinia virus p37, a viral protein required for envelopment and secretion of extracellular forms of virus. The compound is orally bioavailable and protects multiple animal species from lethal orthopoxvirus challenge. rug substance and drug product processes have been developed and commercial scale batches have been produced using Good Manufacturing Processes (GMP). Human phase I clinical trials have shown that ST-246 is safe and well tolerated in healthy human volunteers. Based on the results of the clinical evaluation, once a day dosing should provide plasma drug exposure in the range predicted to be antiviral based on data from efficacy studies in animal models of orthopoxvirus disease.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21858040
Curator's Comment: Tecovirimat (ST-246) is CNS penetrant in animals. No human data available.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: 3707509.0 Gene Symbol: F13L |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Curative | TPOXX Approved UseTPOXX is an inhibitor of the orthopoxvirus VP37 envelope wrapping protein and is indicated for the treatment of human smallpox disease in adults and pediatric patients weighing at least 13 kg. Launch Date2018 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1591 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29972742/ |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
|
2106 ng/mL |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2209 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29972742/ |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
25876 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29972742/ |
600 mg single, oral dose: 600 mg route of administration: Oral experiment type: SINGLE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
|
28791 ng × h/mL |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
30632 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29972742/ |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
20 h |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
23 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/29972742/ |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
20.5% |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TECOVIRIMAT plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Disc. AE: Abnormal EEG, Upset stomach... Other AEs: Headache, Nausea... AEs leading to discontinuation/dose reduction: Abnormal EEG (2%) Other AEs:Upset stomach (2%) Dry mouth (2%) Dysphoria (2%) Fever (2%) Palpable purpura (2%) Chills (2%) Facial swelling (2%) Gastrointestinal disorders (< 2%) Malaise (< 2%) Hematocrit decreased (< 2%) Hemoglobin decreased (< 2%) Heart rate increased (< 2%) Headache (12%) Sources: Page: 4Nausea (5%) Abdominal pain (2%) Vomiting (2%) |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 5 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 5 |
Disc. AE: Arthralgia, Osteoarthritis... AEs leading to discontinuation/dose reduction: Arthralgia (< 2%) Sources: Page: 5Osteoarthritis (< 2%) Psychiatric disorders (< 2%) Oropharyngeal pain (< 2%) Skin and subcutaneous tissue disorders (< 2%) |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Disc. AE: Abnormal EEG, Abdominal discomfort... AEs leading to discontinuation/dose reduction: Abnormal EEG (grade 1, < 2%) Sources: Page: 14Abdominal discomfort (grade 1, < 2%) Dry mouth (grade 1, < 2%) Dysphoria (grade 1, < 2%) Disturbance in attention (grade 1, < 2%) Fever (grade 1, < 2%) Diarrhea (grade 2, < 2%) Nausea (grade 1, < 2%) Headache (grade 3, < 2%) Palpable purpura (grade 1, < 2%) Chills (grade 1, < 2%) Erythema (grade 1, < 2%) Pruritus (grade 1, < 2%) Facial swelling (grade 1, < 2%) |
2000 mg single, oral Highest studied dose Dose: 2000 mg Route: oral Route: single Dose: 2000 mg Sources: Page: table 2 |
healthy, 30-33 years n = 7 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 7 Sources: Page: table 2 |
|
1000 mg single, oral Recommended Dose: 1000 mg Route: oral Route: single Dose: 1000 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Other AEs: Neutropenia, Constipation... Other AEs: Neutropenia (12.5%) Sources: Page: table 2Constipation (12.5%) Headache (12.5%) |
500 mg single, oral Recommended Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Other AEs: Feeling abnormal, Back pain... Other AEs: Feeling abnormal (12.5%) Sources: Page: table 2Back pain (12.5%) Headache (12.5%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Headache | 12% | 600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Abdominal pain | 2% | 600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Vomiting | 2% | 600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Abnormal EEG | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Chills | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Dry mouth | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Dysphoria | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Facial swelling | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Fever | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Palpable purpura | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Upset stomach | 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Nausea | 5% | 600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Gastrointestinal disorders | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Heart rate increased | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Hematocrit decreased | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Hemoglobin decreased | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Malaise | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 4 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 4 |
Arthralgia | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 5 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 5 |
Oropharyngeal pain | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 5 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 5 |
Osteoarthritis | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 5 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 5 |
Psychiatric disorders | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 5 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 5 |
Skin and subcutaneous tissue disorders | < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 5 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 5 |
Abdominal discomfort | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Abnormal EEG | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Chills | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Disturbance in attention | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Dry mouth | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Dysphoria | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Erythema | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Facial swelling | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Fever | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Nausea | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Palpable purpura | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Pruritus | grade 1, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Diarrhea | grade 2, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Headache | grade 3, < 2% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: Page: 14 |
healthy, 18-79 years n = 359 Health Status: healthy Age Group: 18-79 years Sex: unknown Population Size: 359 Sources: Page: 14 |
Constipation | 12.5% | 1000 mg single, oral Recommended Dose: 1000 mg Route: oral Route: single Dose: 1000 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Headache | 12.5% | 1000 mg single, oral Recommended Dose: 1000 mg Route: oral Route: single Dose: 1000 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Neutropenia | 12.5% | 1000 mg single, oral Recommended Dose: 1000 mg Route: oral Route: single Dose: 1000 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Back pain | 12.5% | 500 mg single, oral Recommended Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Feeling abnormal | 12.5% | 500 mg single, oral Recommended Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Headache | 12.5% | 500 mg single, oral Recommended Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: Page: table 2 |
healthy, 30-33 years n = 8 Health Status: healthy Age Group: 30-33 years Sex: M+F Population Size: 8 Sources: Page: table 2 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 24, 70, 72 |
no | |||
Page: 24, 70, 72 |
no | |||
Page: 24, 70, 72 |
no | |||
Page: 24, 70, 72 |
no | |||
Page: 24, 70, 72 |
no | |||
Page: 24, 70, 72 |
no | |||
Page: 24, 77 |
no | |||
Page: 24, 77 |
no | |||
Page: 24, 75 |
no | |||
Page: 24, 75 |
no | |||
Page: 24, 77 |
no | |||
Page: 24, 74 |
no | |||
Page: 24, 70, 72 |
no | no (co-administration study) Comment: flurbiprofen increased tecovirimat Cmax by 7% and AUC by 4% Page: 24, 70, 72 |
||
Page: 24, 73 |
weak | no (co-administration study) Comment: tecovirimat induced mRNA expression of CYP2B6 at concentrations higher than 10 uM; bupropion decreased tecovirimat Cmax by 14% and AUC by 16%; tecovirimat is an inducer of CYP2B6/2C9/3A4 activities at 100 uM Page: 24, 73 |
||
Page: 73.0 |
weak | no (co-administration study) Comment: tecovirimat is an inducer of CYP2B6/2C9/3A4 activities at 100 uM Page: 73.0 |
||
Page: 2, 3, 10, 24, 70 |
weak | yes (co-administration study) Comment: tecovirimat increased omeprazole Cmax by 86% and AUC by 72%; tecovirimat is not a TDI of CYP2C19 Page: 2, 3, 10, 24, 70 |
||
Page: 2, 3, 10, 24, 70 |
weak | yes (co-administration study) Comment: tecovirimat increased repaglinide Cmax by 27% and AUC by 29%; tecovirimat is not a TDI of CYP2C8 Page: 2, 3, 10, 24, 70 |
||
Page: 2, 3, 10, 24, 73 |
weak | yes (co-administration study) Comment: tecovirimat decreased midazolam Cmax by 39% and AUC by 32%; tecovirimat induced mRNA expression of CYP3A4 at concentrations higher than 10 uM; tecovirimat is an inducer of CYP2B6/2C9/3A4 activities at 100 uM Page: 2, 3, 10, 24, 73 |
||
Page: 24, 75 |
yes [IC50 6.03 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 14.0 |
no | |||
Page: 15, 67 |
no | |||
Page: 15, 67 |
no | |||
Page: 15, 67 |
no | |||
Page: 15, 67 |
no | |||
Page: 15, 67 |
no | |||
Page: 15, 67 |
no | |||
Page: 15, 67 |
no | |||
Page: 15, 75 |
no | |||
Page: 15, 75 |
no | |||
Page: 14.0 |
no | |||
Page: 56.0 |
yes | |||
Page: 10, 24, 68 |
yes | yes (co-administration study) Comment: tecovirimat exposures can be increased or decreased by the use of UGT1A1/4 inhibitor or inducers, respectively Page: 10, 24, 68 |
||
Page: 10, 24, 68 |
yes | yes (co-administration study) Comment: tecovirimat exposures can be increased or decreased by the use of UGT1A1/4 inhibitor or inducers, respectively Page: 10, 24, 68 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 94.0 |
Sample Use Guides
Phase 2, double-blind, randomized, placebo-controlled, multicenter trial was conducted to assess the safety, tolerability, and pharmacokinetics (PK) of tecovirimat (ST-246) when administered as a single daily oral dose (400 mg or 600 mg) for 14 days in fed adult volunteers.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16189015
BSC-40 cells were infected with 2 PFU/cell of vaccinia virus and incubated in the presence and absence of 5 uM tecovirimat (ST-246) . At selected times postinfection, extracellular virus in the medium and cell associated virus were quantified by plaque assay. The results show that ST-246 reduced extracellular virus titers by approximately 10 fold at 24 h postinfection, while having little effect on the level of intracellular virus titers relative to untreated controls. These results suggest that ST-246 inhibits extracellular virus formation.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:07:39 GMT 2023
by
admin
on
Fri Dec 15 15:07:39 GMT 2023
|
Record UNII |
F925RR824R
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Record Status |
Validated (UNII)
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Record Version |
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Code | English | ||
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Code | English | ||
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Code | English | ||
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Common Name | English |
Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C281
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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FDA ORPHAN DRUG |
316210
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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FDA ORPHAN DRUG |
229806
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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FDA ORPHAN DRUG |
233506
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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EU-Orphan Drug |
EU/3/10/799
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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Code System | Code | Type | Description | ||
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F925RR824R
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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C505045
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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100000177253
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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TT-70
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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DB12020
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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CHEMBL1242629
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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DTXSID101026474
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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9011
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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TECOVIRIMAT
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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5291
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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F925RR824R
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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869572-92-9
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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m10514
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | Merck Index | ||
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16124688
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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C81606
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY | |||
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2055104
Created by
admin on Fri Dec 15 15:07:39 GMT 2023 , Edited by admin on Fri Dec 15 15:07:39 GMT 2023
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PRIMARY |
Related Record | Type | Details | ||
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SOLVATE->ANHYDROUS |
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BINDER->LIGAND |
BINDING
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TARGET ORGANISM->INHIBITOR |
Highly active against an MPXV strain MPXV/France/
IRBA2211i/2022 that was isolated from a patient in France during the 2022 monkeypox outbreak.
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METABOLIC ENZYME -> INHIBITOR |
MINOR
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TARGET ORGANISM->INHIBITOR |
EC50
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METABOLIC ENZYME -> SUBSTRATE |
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METABOLIC ENZYME -> INHIBITOR |
MINOR
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METABOLIC ENZYME -> SUBSTRATE |
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TRANSPORTER -> INHIBITOR |
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EXCRETED UNCHANGED |
MAJOR
FECAL
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METABOLIC ENZYME -> INDUCER |
MINOR
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Related Record | Type | Details | ||
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METABOLITE INACTIVE -> PARENT |
MAJOR
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METABOLITE INACTIVE -> PARENT |
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METABOLITE INACTIVE -> PARENT |
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
broad-spectrum antiviral
activity against other orthopoxviruses, including VARV, CPXV,
rabbitpox virus (RPXV), MPXV, ectromelia virus (ECTV), and camelpox virus (CMLV) with EC50 values in the submicromolar range. Targets the p37 protein.
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Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Tmax | PHARMACOKINETIC |
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ORAL ADMINISTRATION |
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Biological Half-life | PHARMACOKINETIC |
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blood-to-plasma ratio | PHARMACOKINETIC |
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Volume of Distribution | PHARMACOKINETIC |
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