darunavir   Click here for help

GtoPdb Ligand ID: 11243

Abbreviated name: DRV
Synonyms: Prezista® | TMC114 | UIC-94017
Approved drug PDB Ligand
darunavir is an approved drug (FDA (2006), EMA (2007))
Compound class: Synthetic organic
Comment: Darunavir is a second-generation human immunodeficiency virus 1 (HIV-1) protease inhibitor (PI) [2].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 10
Hydrogen bond donors 3
Rotatable bonds 13
Topological polar surface area 148.8
Molecular weight 547.24
XLogP 2.28
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES CC(CN(S(=O)(=O)c1ccc(cc1)N)C[C@H]([C@H](Cc1ccccc1)NC(=O)O[C@H]1CO[C@@H]2[C@H]1CCO2)O)C
Isomeric SMILES CC(CN(S(=O)(=O)c1ccc(cc1)N)C[C@H]([C@H](Cc1ccccc1)NC(=O)O[C@H]1CO[C@@H]2[C@H]1CCO2)O)C
InChI InChI=1S/C27H37N3O7S/c1-18(2)15-30(38(33,34)21-10-8-20(28)9-11-21)16-24(31)23(14-19-6-4-3-5-7-19)29-27(32)37-25-17-36-26-22(25)12-13-35-26/h3-11,18,22-26,31H,12-17,28H2,1-2H3,(H,29,32)/t22-,23-,24+,25-,26+/m0/s1
InChI Key CJBJHOAVZSMMDJ-HEXNFIEUSA-N
No information available.
Summary of Clinical Use Click here for help
Darunavir is used in the treatment of HIV-1 infection and for postexposure prophylaxis (off-label). To increase its bioavailability and half-life, darunavir is coadministered with other antiretroviral agents such as ritonavir or cobicistat. The compound is also approved as a component of Symtuza®, a once daily anti-HIV therapy that contains darunavir, cobicistat, emtricitabine, and tenofovir alafenamide fumarate.

SARS-CoV-2 and COVID-19: The antiviral activity and safety of darunavir/cobicistat for treating COVID-19 pneumonia has been evaluated in a Phase 3 clinical trial (NCT04252274). This trial found no significant benefit for patients with severe COVID-19, when compared to standard therapy [1].
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Darunavir, like other HIV PIs, competitively inhibits the action of the viral aspartyl protease, an enzyme essential for the proteolytic cleavage of nascent polypeptide precursors into mature viral proteins. The compound was designed to have a high barrier to resistance in an attempt to maintain activity against multidrug-resistant HIV-1 strains.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT04252274 Efficacy and Safety of Darunavir and Cobicistat for Treatment of COVID-19 Phase 3 Interventional Shanghai Public Health Clinical Center
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