Kraj: Stany Zjednoczone
Język: angielski
Źródło: NLM (National Library of Medicine)
DELAVIRDINE MESYLATE (UNII: 421105KRQE) (DELAVIRDINE - UNII:DOL5F9JD3E)
ViiV Healthcare Company
DELAVIRDINE MESYLATE
DELAVIRDINE MESYLATE 100 mg
ORAL
PRESCRIPTION DRUG
RESCRIPTOR tablets are indicated for the treatment of HIV-1 infection in combination with at least 2 other active antiretroviral agents when therapy is warranted. The following should be considered before initiating therapy with RESCRIPTOR in treatment-naive patients. There are insufficient data directly comparing antiretroviral regimens containing RESCRIPTOR with currently preferred 3-drug regimens for initial treatment of HIV. In studies comparing regimens consisting of 2 nucleoside reverse transcriptase inhibitors (NRTIs) (currently considered suboptimal) to RESCRIPTOR plus 2 NRTIs, the proportion of patients receiving the regimen containing RESCRIPTOR who achieved and sustained an HIV-1 RNA level <400 copies/mL over 1 year of therapy was relatively low (see DESCRIPTION OF CLINICAL STUDIES). Resistant virus emerges rapidly when RESCRIPTOR is administered as monotherapy. Therefore, RESCRIPTOR should always be administered in combination with other antiretroviral agents. RESCRIPTOR tablets are contraindicate
RESCRIPTOR tablets are available as follows: 200-mg: white, capsule-shaped tablets marked with “RES200” Bottles of 180 tablets - NDC 49702-225-17. Store at controlled room temperature 20° to 25°C (68° to 77°F) [see USP]. Keep container tightly closed. Protect from high humidity.
New Drug Application
RESCRIPTOR- DELAVIRDINE MESYLATE TABLET VIIV HEALTHCARE COMPANY ---------- PRESCRIBING INFORMATION RESCRIPTOR (DELAVIRDINE MESYLATE) TABLETS DESCRIPTION RESCRIPTOR tablets contain delavirdine mesylate, a synthetic non-nucleoside reverse transcriptase inhibitor (NNRTI) of the human immunodeficiency virus type 1 (HIV-1). The chemical name of delavirdine mesylate is piperazine, 1-[3-[(1-methyl-ethyl)amino]-2- pyridinyl]-4-[[5- [(methylsulfonyl)amino]-1H-indol-2-yl]carbonyl]-, monomethanesulfonate. Its molecular formula is C H N O S•CH O S, and its molecular weight is 552.68. The structural formula is: Delavirdine mesylate is an odorless white-to-tan crystalline powder. The aqueous solubility of delavirdine free base at 23°C is 2,942 mcg/mL at pH 1.0, 295 mcg/mL at pH 2.0, and 0.81 mcg/mL at pH 7.4. Each RESCRIPTOR tablet, for oral administration, contains 200 mg of delavirdine mesylate (henceforth referred to as delavirdine). Inactive ingredients consist of carnauba wax, colloidal silicon dioxide, croscarmellose sodium, lactose, magnesium stearate, and microcrystalline cellulose. In addition, the 200-mg tablet contains hypromellose and Opadry White YS-1-18202-A. MICROBIOLOGY MECHANISM OF ACTION: Delavirdine is an NNRTI of HIV-1. Delavirdine binds directly to reverse transcriptase (RT) and blocks RNA-dependent and DNA-dependent DNA polymerase activities. Delavirdine does not compete with template:primer or deoxynucleoside triphosphates. HIV-2 RT and human cellular DNA polymerases α, γ, or δ are not inhibited by delavirdine. In addition, HIV-1 group O, a group of highly divergent strains that are uncommon in North America, may not be inhibited by delavirdine. _IN VITRO HIV-1 SUSCEPTIBILITY: _In vitro anti-HIV-1 activity of delavirdine was assessed by infecting cell lines of lymphoblastic and monocytic origin and peripheral blood lymphocytes with laboratory and clinical isolates of HIV-1. IC and IC values (50% and 90% inhibitory concentrations) for laboratory isolates (n = 5) ranged from 0.005 to 0.030 microM and Przeczytaj cały dokument