ABCDEFGHIJK
1Main
2Brand NamePrezista, fka TMC114
3Generic Namedarunavir
4MechanismProtease inhibitor. Contains a 3R, 3a(S), 6aR-bis-tetrahydrofuranylurethane (bis-THF) group. Selected for its high 'genetic barrier' to resistance. Has a close fit within the substrate envelope.
5Chemically similar to amprenavir (APV), but with substantially higher potency.
6AdministrationOral
7IndicationHIV
8IP2012 to 2015.
9Efficacy-1.7 to -2.0 logs vs -0.63 in POWER1
10Side EffectsMostly benign. Diarrhea, nausea, headache.
11TimelineJune 23rd 2006 PDUFA. Filed in late 2005.
12NotesKaletra has 1.1B run-rate. better resistance profile? Aimed for 2L. Might be able to file with phase 2?
13Clinical Studies
14TMC114-C226: EAP
15TMC114-C211: TMC114 vs Kaletra in tx-naïve pts. N=660. Study start 9/2005. Still enrolling as of 5/2006.
16ARTEMIS? 84% <50copies vs 78% undectectable.
17TMC114-C207: p2a POC study presented at Feb 2003 Boston CROI
18TMC114-C202:POWER2: ongoing for 144 weeks. Data presented at ICAAC 2005.
19n=278 who have failed 3 therapies. 62% of patients achieved 1log or more vs 14% for control group. 39% undetectable vs 7% for control arm.
20TMC114-C213:POWER1: ongoing for 144 weeks. 24wk data presented at IAS 2005.
21Presentations123
22TMC114-C214: pivotal p3 study in moderately tx-experienced patients
23345
24
25
26200620072008200920102011201220132014
27TMC11430248.2413.25565.5672.75746.79834.0285905.8856850000001960.95633355
28Bear Estimate25181413611781
29
30200020012002200320042005200620072008
31Kaletra30292551754897995.721112.0381207.847581281.2751114