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Main | | | | | | | | | | |
| Brand Name | Prezista, fka TMC114 | | | | | | | | |
| Generic Name | darunavir | | | | | | | | |
| Mechanism | Protease 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. | | | | | | | | |
| | Chemically similar to amprenavir (APV), but with substantially higher potency. | | | | | | | | |
| Administration | Oral | | | | | | | | |
| Indication | HIV | | | | | | | | |
| IP | 2012 to 2015. | | | | | | | | |
| Efficacy | -1.7 to -2.0 logs vs -0.63 in POWER1 | | | | | | | | |
| Side Effects | Mostly benign. Diarrhea, nausea, headache. | | | | | | | | |
| Timeline | June 23rd 2006 PDUFA. Filed in late 2005. | | | | | | | | |
| Notes | Kaletra has 1.1B run-rate. better resistance profile? Aimed for 2L. Might be able to file with phase 2? | | | | | | | | |
| Clinical Studies | | | | | | | | | |
| | TMC114-C226: EAP | | | | | | | | |
| | TMC114-C211: TMC114 vs Kaletra in tx-naïve pts. N=660. Study start 9/2005. Still enrolling as of 5/2006. | | | | | | | | |
| | ARTEMIS? 84% <50copies vs 78% undectectable. | | | | | | | | |
| | TMC114-C207: p2a POC study presented at Feb 2003 Boston CROI | | | | | | | | |
| | TMC114-C202:POWER2: ongoing for 144 weeks. Data presented at ICAAC 2005. | | | | | | | | |
| | | n=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. | | | | | | | |
| | TMC114-C213:POWER1: ongoing for 144 weeks. 24wk data presented at IAS 2005. | | | | | | | | |
| | | Presentations | | 1 | 2 | 3 | | | |
| | TMC114-C214: pivotal p3 study in moderately tx-experienced patients | | | | | | | | |
| | | | | 3 | 4 | 5 | | | |
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| | | | | | | | | | |
| | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 |
| TMC114 | 30 | 248.2 | 413.25 | 565.5 | 672.75 | 746.79 | 834.0285 | 905.8856850000001 | 960.95633355 |
| Bear Estimate | 25 | 181 | 413 | 611 | 781 | | | | |
| | | | | | | | | | |
| | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 |
| Kaletra | 30 | 292 | 551 | 754 | 897 | 995.72 | 1112.038 | 1207.84758 | 1281.2751114 |