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Details

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

SHOW SMILES / InChI
Structure of EMTRICITABINE, (±)-

SMILES

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

InChI

InChIKey=XQSPYNMVSIKCOC-NTSWFWBYSA-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
Sources:
unhealthy, 26 - 42 years
Health Status: unhealthy
Age Group: 26 - 42 years
Sex: M+F
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
Sources:
unhealthy, 26 - 42 years
Health Status: unhealthy
Age Group: 26 - 42 years
Sex: M+F
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG


Drug as perpetrator​Drug as victim
PubMed

PubMed

TitleDatePubMed
New once-daily HIV combination better tolerated.
2004-12
A randomized study of emtricitabine and lamivudine in stably suppressed patients with HIV.
2004-11-19
Antiretrovirals, Part II: focus on non-protease inhibitor antiretrovirals (NRTIs, NNRTIs, and fusion inhibitors).
2004-11-18
Pharmacokinetic and pharmacodynamic characteristics of emtricitabine support its once daily dosing for the treatment of HIV infection.
2004-11
Pharmacologic perspectives for once-daily antiretroviral therapy.
2004-11
Nevirapine and efavirenz elicit different changes in lipid profiles in antiretroviral-therapy-naive patients infected with HIV-1.
2004-10
Combinations of adefovir with nucleoside analogs produce additive antiviral effects against hepatitis B virus in vitro.
2004-10
New nucleoside reverse transcriptase inhibitors for the treatment of HIV infections.
2004-10
Intracellular pharmacology of emtricitabine and tenofovir.
2004-09-15
Resistance issues with new nucleoside/nucleotide backbone options.
2004-09-01
New nucleoside/nucleotide backbone options: a review of recent studies.
2004-09-01
Pharmacokinetic properties of nucleoside/nucleotide reverse transcriptase inhibitors.
2004-09-01
HIV-chemotherapy and -prophylaxis: new drugs, leads and approaches.
2004-09
Efficacy and safety of emtricitabine vs stavudine in combination therapy in antiretroviral-naive patients: a randomized trial.
2004-07-14
[Recent progress in anti-HIM-1 research].
2004-06
Gateways to clinical trials.
2004-06
Antiviral drugs in current clinical use.
2004-06
Emtricitabine: a once-daily nucleoside reverse transcriptase inhibitor.
2004-06
[New approaches in the treatment of hepatitis B].
2004-05-21
Gateways to clinical trials.
2004-05
Emtricitabine (FTC) for the treatment of HIV infection.
2004-05
Initial therapy for human immunodeficiency virus: broadening the options.
2004-04-30
[Approval of a new nucleoside. Component of complete once daily regimen].
2004-04-26
[Improved long-term success. New nucleoside for once daily combinations].
2004-04-26
New drugs of 2003.
2004-04-22
Editorial comment: HIV and HBV coinfection--a coming-of-age in treatment strategies.
2004-03
Pharmacokinetics of emtricitabine, didanosine and efavirenz administered once-daily for the treatment of HIV-infected adults (pharmacokinetic substudy of the ANRS 091 trial).
2004-03
Newer treatments for HIV in children.
2004-02
Labeling changes for tenofovir.
2004-01
Emtricitabine: a new nucleoside analogue for once-daily antiretroviral therapy.
2004-01
Pharmacokinetics of antiretrovirals in pregnant women.
2004
The pipeline: three to watch.
2004
Emtricitabine/tenofovir disoproxil fumarate.
2004
Biochemical and mechanistic basis for the activity of nucleoside analogue inhibitors of HIV reverse transcriptase.
2004
New treatment of chronic hepatitis B.
2004
Emtricitabine/tenofovir disoproxil fumarate.
2004
Three new drugs approved by FDA.
2003-12-31
Treatment of chronic hepatitis B in the human immunodeficiency virus-infected patient: present and future.
2003-12-15
Prospective randomized trial of emtricitabine versus lamivudine short-term monotherapy in human immunodeficiency virus-infected patients.
2003-12-01
The continuing evolution of HIV therapy.
2003-12
Selection of a hepatitis B virus strain resistant to adefovir in a liver transplantation patient.
2003-12
Polysaccharide-based chiral phase under polar organic mode of elution in the determination of the enantiomeric purity of emtricitabine an anti-HIV analogue nucleoside.
2003-11-24
FTC (emtricitabine, Emtriva).
2003-10
FDA notifications. NRTI Emtriva receives FDA approval.
2003-10
Gateways to clinical trials.
2003-10
US FDA approves Emtriva (FTC).
2003-08
FTC (Emtriva) approved.
2003-07-25
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
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 Mon Mar 31 21:38:26 GMT 2025
Edited
by admin
on Mon Mar 31 21:38:26 GMT 2025
Record UNII
ULS8902U4O
Record Status Validated (UNII)
Record Version
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Name Type Language
PSI-5004
Preferred Name English
EMTRICITABINE, (±)-
Common Name English
(±)-FTC
Common Name English
2(1H)-PYRIMIDINONE, 4-AMINO-5-FLUORO-1-((2R,5S)-2-(HYDROXYMETHYL)-1,3-OXATHIOLAN-5-YL)-, REL-
Common Name English
FTC, DL-
Common Name English
2',3'-DIDEOXY-5-FLUORO-3'-THIACYTIDINE, DL-
Common Name English
Code System Code Type Description
DRUG BANK
DB12753
Created by admin on Mon Mar 31 21:38:26 GMT 2025 , Edited by admin on Mon Mar 31 21:38:26 GMT 2025
PRIMARY
CAS
143491-54-7
Created by admin on Mon Mar 31 21:38:26 GMT 2025 , Edited by admin on Mon Mar 31 21:38:26 GMT 2025
PRIMARY
FDA UNII
ULS8902U4O
Created by admin on Mon Mar 31 21:38:26 GMT 2025 , Edited by admin on Mon Mar 31 21:38:26 GMT 2025
PRIMARY
MESH
C075889
Created by admin on Mon Mar 31 21:38:26 GMT 2025 , Edited by admin on Mon Mar 31 21:38:26 GMT 2025
PRIMARY
Related Record Type Details
ENANTIOMER -> RACEMATE
ENANTIOMER -> RACEMATE