General Information of Drug (ID: DM215WE)

Drug Name
MK-1439
Synonyms Doravirine; 1338225-97-0; UNII-913P6LK81M; MK1439; 913P6LK81M; MK 1439
Indication
Disease Entry ICD 11 Status REF
Human immunodeficiency virus infection 1C62 Approved [1]
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 425.7
Topological Polar Surface Area (xlogp) 2.1
Rotatable Bond Count (rotbonds) 4
Hydrogen Bond Donor Count (hbonddonor) 1
Hydrogen Bond Acceptor Count (hbondacc) 8
ADMET Property
Absorption AUC
The area under the plot of plasma concentration (AUC) of drug is 717-1600 mcgh/L [2]
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 122-262 mcg/L [2]
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 1-2 h [2]
Bioavailability
The bioavailability of drug is 25-35% [2]
Clearance
The renal clearance of drug is 9.3 mL/min [3]
Elimination
Only 6% of an administered dose is recovered in the urine unchanged, with even less unchanged drug found in the feces [3]
Half-life
The concentration or amount of drug in body reduced by one-half in 15 hours [3]
Vd
The volume of distribution (Vd) of drug is 60.5 L [3]
Chemical Identifiers
Formula
C17H11ClF3N5O3
IUPAC Name
3-chloro-5-[1-[(4-methyl-5-oxo-1H-1,2,4-triazol-3-yl)methyl]-2-oxo-4-(trifluoromethyl)pyridin-3-yl]oxybenzonitrile
Canonical SMILES
CN1C(=NNC1=O)CN2C=CC(=C(C2=O)OC3=CC(=CC(=C3)C#N)Cl)C(F)(F)F
InChI
InChI=1S/C17H11ClF3N5O3/c1-25-13(23-24-16(25)28)8-26-3-2-12(17(19,20)21)14(15(26)27)29-11-5-9(7-22)4-10(18)6-11/h2-6H,8H2,1H3,(H,24,28)
InChIKey
ZIAOVIPSKUPPQW-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
58460047
CAS Number
1338225-97-0
DrugBank ID
DB12301
TTD ID
D0R0TS
INTEDE ID
DR0533
ACDINA ID
D01014

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Human immunodeficiency virus Reverse transcriptase (HIV RT) TT84ETX POL_HV1B1 Inhibitor [1], [4]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [5]
Cytochrome P450 3A5 (CYP3A5)
Main DME
DEIBDNY CP3A5_HUMAN Substrate [5]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from MK-1439 (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Ivosidenib DM8S6T7 Moderate Increased metabolism of MK-1439 caused by Ivosidenib mediated induction of CYP450 enzyme. Acute myeloid leukaemia [2A60] [31]
Troleandomycin DMUZNIG Minor Decreased metabolism of MK-1439 caused by Troleandomycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [31]
Pexidartinib DMS2J0Z Major Increased metabolism of MK-1439 caused by Pexidartinib mediated induction of CYP450 enzyme. Bone/articular cartilage neoplasm [2F7B] [32]
Eslicarbazepine DMZREFQ Major Increased metabolism of MK-1439 caused by Eslicarbazepine mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [32]
Tazemetostat DMWP1BH Moderate Increased metabolism of MK-1439 caused by Tazemetostat mediated induction of CYP450 enzyme. Follicular lymphoma [2A80] [31]
Berotralstat DMWA2DZ Minor Decreased metabolism of MK-1439 caused by Berotralstat mediated inhibition of CYP450 enzyme. Innate/adaptive immunodeficiency [4A00] [31]
Pemigatinib DM819JF Moderate Increased metabolism of MK-1439 caused by Pemigatinib mediated induction of CYP450 enzyme. Liver cancer [2C12] [33]
Lurbinectedin DMEFRTZ Moderate Increased metabolism of MK-1439 caused by Lurbinectedin mediated induction of CYP450 enzyme. Lung cancer [2C25] [34]
Selpercatinib DMZR15V Minor Decreased metabolism of MK-1439 caused by Selpercatinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [31]
Ubrogepant DM749I3 Moderate Increased metabolism of MK-1439 caused by Ubrogepant mediated induction of CYP450 enzyme. Migraine [8A80] [35]
Rucaparib DM9PVX8 Minor Decreased metabolism of MK-1439 caused by Rucaparib mediated inhibition of CYP450 enzyme. Ovarian cancer [2C73] [31]
Voxelotor DMCS6M5 Minor Decreased metabolism of MK-1439 caused by Voxelotor mediated inhibition of CYP450 enzyme. Sickle-cell disorder [3A51] [31]
Larotrectinib DM26CQR Minor Decreased metabolism of MK-1439 caused by Larotrectinib mediated inhibition of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [31]
⏷ Show the Full List of 13 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
Carmellose sodium E00625 Not Available Disintegrant
Hypromellose E00634 Not Available Coating agent
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
Triacetin E00080 5541 Humectant; Plasticizing agent; Solvent
Hydrophobic colloidal silica E00285 24261 Anticaking agent; Emulsion stabilizing agent; Glidant; Suspending agent; Viscosity-controlling agent
Cellulose microcrystalline E00698 Not Available Adsorbent; Suspending agent; Diluent
Hypromellose acetate succinate E00696 Not Available Coating agent; Solubilizing agent; Modified-release agent;Film/membrane-forming agent
⏷ Show the Full List of 9 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Doravirine 100 mg tablet 100 mg Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

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3 FDA Approved Drug Products: Pifeltro (doravirine) oral tablets
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5 Characterisation of the absorption, distribution, metabolism, excretion and mass balance of doravirine, a non-nucleoside reverse transcriptase inhibitor in humans. Xenobiotica. 2019 Apr;49(4):422-432.
6 Expression levels and activation of a PXR variant are directly related to drug resistance in osteosarcoma cell lines. Cancer. 2007 Mar 1;109(5):957-65.
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10 Metabolic interactions between acetaminophen (paracetamol) and two flavonoids, luteolin and quercetin, through in-vitro inhibition studies. J Pharm Pharmacol. 2017 Dec;69(12):1762-1772.
11 Potent mechanism-based inhibition of CYP3A4 by imatinib explains its liability to interact with CYP3A4 substrates. Br J Pharmacol. 2012 Apr;165(8):2787-98.
12 Effects of morin on the pharmacokinetics of etoposide in rats. Biopharm Drug Dispos. 2007 Apr;28(3):151-6.
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14 Substrates, inducers, inhibitors and structure-activity relationships of human Cytochrome P450 2C9 and implications in drug development. Curr Med Chem. 2009;16(27):3480-675.
15 Drug related genetic polymorphisms affecting adverse reactions to methotrexate, vinblastine, doxorubicin and cisplatin in patients with urothelial cancer. J Urol. 2008 Dec;180(6):2389-95.
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17 Polymorphisms in cytochrome P4503A5 (CYP3A5) may be associated with race and tumor characteristics, but not metabolism and side effects of tamoxifen in breast cancer patients. Cancer Lett. 2005 Jan 10;217(1):61-72.
18 Drug Interactions Flockhart Table
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24 Antiviral drugs in current clinical use. J Clin Virol. 2004 Jun;30(2):115-33.
25 HIV-1 reverse transcriptase complex with DNA and nevirapine reveals non-nucleoside inhibition mechanism.Nat Struct Mol Biol.2012 Jan 22;19(2):253-9.
26 A peptide inhibitor of HIV-1 reverse transcriptase using alpha,beta-dehydro residues: a structure-based computer model. J Biomol Struct Dyn. 1998 Oct;16(2):347-54.
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28 Quadruple nucleos(t)ide reverse transcriptase inhibitors-only regimen of tenofovir plus zidovudine/lamivudine/abacavir in heavily pre-treated HIV-1 infected patients: salvage therapy or backbone only Curr HIV Res. 2009 May;7(3):320-6.
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34 Product Information. Zepzelca (lurbinectedin). Jazz Pharmaceuticals, Palo Alto, CA.
35 Product Information. Ubrelvy (ubrogepant). Allergan Inc, Irvine, CA.