Taribavirin

{{short description|Antiviral drug}}

{{distinguish|text=tribavirin, which is ribavirin}}

{{Drugbox

| Verifiedfields = changed

| Watchedfields = changed

| verifiedrevid = 470477612

| IUPAC_name = 1-[(2R,3R,4S,5R)- 3,4-dihydroxy-5- (hydroxymethyl)oxolan-2-yl]- 1,2,4-triazole-3-carboximidamide

| image = Taribavirin.svg

| width = 175

| image2 = Taribavirin 3D spacefill.png

| width2 = 215

| alt2 = Ball-and-stick model of the taribavirin molecule

| tradename =

| pregnancy_category = X

| legal_status = In Phase III drug trials

| routes_of_administration = Oral capsules)

| bioavailability = 9%

| metabolism = Metabolized to 5'phosphates, de-riboside, and deriboside carboxylic acid

| elimination_half-life = 12 days - Multiple Dose; 120-170 hours - Single Dose

| excretion = 10% fecal, remainder in urine (30% unchanged, remainder metabolites)

| CAS_number_Ref = {{cascite|changed|??}}

| CAS_number = 119567-79-2

| ATC_prefix = J05

| ATC_suffix = AB04

| PubChem = 451448

| DrugBank_Ref = {{drugbankcite|changed|drugbank}}

| DrugBank = none

| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}

| ChemSpiderID = 397669

| UNII_Ref = {{fdacite|correct|FDA}}

| UNII = R3B1994K2E

| NIAID_ChemDB = 000198

| KEGG_Ref = {{keggcite|changed|kegg}}

| KEGG = D06651

| C=8 | H=13 | N=5 | O=4

| SMILES = n1c(nn(c1)[C@@H]2O[C@@H]([C@@H](O)[C@H]2O)CO)C(=[N@H])N

| StdInChI_Ref = {{stdinchicite|correct|chemspider}}

| StdInChI = 1S/C8H13N5O4/c9-6(10)7-11-2-13(12-7)8-5(16)4(15)3(1-14)17-8/h2-5,8,14-16H,1H2,(H3,9,10)/t3-,4-,5-,8-/m1/s1

| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}

| StdInChIKey = NHKZSTHOYNWEEZ-AFCXAGJDSA-N

| synonyms = 1-(β-D-Ribofuranosyl)-
1,2,4-triazole-3-carboximide

}}

Taribavirin (rINN; also known as viramidine, codenamed ICN 3142) is an antiviral drug in Phase III human trials, but not yet approved for pharmaceutical use. It is a prodrug of ribavirin, active against a number of DNA and RNA viruses. Taribavirin has better liver-targeting than ribavirin, and has a shorter life in the body due to less penetration and storage in red blood cells. It is expected eventually to be the drug of choice for viral hepatitis syndromes in which ribavirin is active. These include hepatitis C and perhaps also hepatitis B and yellow fever.

Uses

Taribavirin is as active against influenza as ribavirin in animal models, with slightly less toxicity, so it may also eventually replace ribavirin as an anti-influenza agent.{{cn|date=November 2022}}

History

Taribavirin was first reported in 1973 by J. T. Witkowski et al.,{{cite journal | vauthors = Witkowski JT, Robins RK, Khare GP, Sidwell RW | title = Synthesis and antiviral activity of 1,2,4-triazole-3-thiocarboxamide and 1,2,4-triazole-3-carboxamidine ribonucleosides | journal = Journal of Medicinal Chemistry | volume = 16 | issue = 8 | pages = 935–7 | date = August 1973 | pmid = 4355593 | doi = 10.1021/jm00266a014 }} then working at ICN Pharmaceuticals, in an attempt to find a more active derivative of ribavirin. Taribavirin is being developed by Valeant Pharmaceuticals International. Valeant is testing the drug as a treatment for chronic hepatitis C.{{cn|date=November 2022}}

Pharmacology

Note on formulas: The carboxamidine group of this molecule is somewhat basic, and therefore this drug is also known and administered as the hydrochloride salt (with a corresponding HCl chemical formula and different ChemID / PubChem number). At physiologic pH, the positive charge on the molecule from partial protonation of the carboximide group contributes to the relative slowness with which the drug crosses cell membranes (such as in red blood cells) until it has been metabolized into ribavirin. In the liver, however, the transformation from carboxamidine to carboxamide happens on first-pass metabolism and contributes to the higher levels of ribavirin found in liver cells and bile when viramidine is administered.{{cn|date=January 2023}}

Notes

{{Reflist}}

References

{{More footnotes|date=April 2009}}

  1. {{cite journal | vauthors = Barnard D | title = Viramidine (Ribapharm) | journal = Current Opinion in Investigational Drugs | volume = 3 | issue = 11 | pages = 1585–9 | date = November 2002 | pmid = 12476957 }}
  2. {{cite journal | vauthors = Gish RG | title = Treating HCV with ribavirin analogues and ribavirin-like molecules | journal = The Journal of Antimicrobial Chemotherapy | volume = 57 | issue = 1 | pages = 8–13 | date = January 2006 | pmid = 16293677 | doi = 10.1093/jac/dki405 | doi-access = }}
  3. {{cite journal | vauthors = Lin CC, Luu K, Lourenco D, Yeh LT | title = Pharmacokinetics and metabolism of [14C]viramidine in rats and cynomolgus monkeys | journal = Antimicrobial Agents and Chemotherapy | volume = 47 | issue = 8 | pages = 2458–63 | date = August 2003 | pmid = 12878505 | pmc = 166067 | doi = 10.1128/aac.47.8.2458-2463.2003 }}
  4. {{cite journal | vauthors = Sidwell RW, Bailey KW, Wong MH, Barnard DL, Smee DF | title = In vitro and in vivo influenza virus-inhibitory effects of viramidine | journal = Antiviral Research | volume = 68 | issue = 1 | pages = 10–7 | date = October 2005 | pmid = 16087250 | doi = 10.1016/j.antiviral.2005.06.003 }}
  5. {{cite journal | vauthors = Witkowski JT, Robins RK, Khare GP, Sidwell RW | title = Synthesis and antiviral activity of 1,2,4-triazole-3-thiocarboxamide and 1,2,4-triazole-3-carboxamidine ribonucleosides | journal = Journal of Medicinal Chemistry | volume = 16 | issue = 8 | pages = 935–7 | date = August 1973 | pmid = 4355593 | doi = 10.1021/jm00266a014 }}

{{DNA antivirals}}

{{RNA antivirals}}

Category:Anti–RNA virus drugs

Category:Prodrugs

Category:Triazoles

Category:Amidines

Category:Experimental antiviral drugs