Raltegravir (MK-0518)

别名: MK-0518; MK0518; MK 0518; MK-0518; Raltegravir; trade name: Isentress 雷特格韦; N-(2-(4-(4-氟苄基氨基甲酰基)-5-羟基-1-甲基-6-氧代-1,6-二氢嘧啶-2-基)丙-2-基)-5-甲基-1,3,4-恶二唑-2-甲酰胺; 雷特格韦 雷特格韦;雷特格韦标准品;雷特拉韦;拉替拉韦; 拉替拉韦碱基;雷特格韦/拉替拉韦;雷特拉韦及其中间体; 雷特格韦/雷特格韦钾盐;雷特格韦(游离)
目录号: V1830 纯度: ≥98%
Raltegravir(以前也称为 MK-0518;商品名:Isentress)是一种新型、有效的整合酶 (IN) 抑制剂,适用于 WT 和 S217Q PFV IN,在无细胞测定中 IC50 分别为 90 nM 和 40 nM。
Raltegravir (MK-0518) CAS号: 518048-05-0
产品类别: Reverse Transcriptase
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
25mg
50mg
100mg
250mg
500mg
1g
Other Sizes

Other Forms of Raltegravir (MK-0518):

  • 雷特格韦钾盐
  • 雷特格韦钠
  • Raltegravir-d4
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InvivoChem产品被CNS等顶刊论文引用
纯度/质量控制文件

纯度: ≥98%

产品描述
Raltegravir(以前也称为 MK-0518;商品名:Isentress)是一种新型、有效的整合酶 (IN) 抑制剂,适用于 WT 和 S217Q PFV IN,在无细胞测定中 IC50 分别为 90 nM 和 40 nM。拉替拉韦是一种用于治疗艾滋病毒感染的抗逆转录病毒药物。 Raltegravir 与整合酶结合并抑制整合酶,整合酶是一种 HIV 酶,可将病毒遗传物质插入受感染人体细胞的遗传物质中。抑制整合酶可防止 HIV DNA 插入人类 DNA 基因组,从而阻止 HIV 复制。它是第一个获得 FDA 批准用于 HIV 治疗的整合酶抑制剂。
生物活性&实验参考方法
靶点
Raltegravir (MK-0518) targets HIV-1 integrase (Ki = 0.53 nM for strand transfer reaction; IC50 = 3.8 nM for wild-type HIV-1 integrase) [1]
Raltegravir (MK-0518) inhibits HIV-1 replication in human PBMCs with an EC50 of 0.013 μM [3]
Raltegravir (MK-0518) exhibits activity against SIVmac251 integrase (EC50 = 0.015 μM in CEMx174 cells) [6]
体外研究 (In Vitro)
具有 S217H 改变的 PFV IN 的 IC50 为 900 nM,使其对拉替拉韦的敏感性降低十倍。 PFV IN 表现出 WT 10% 的活性,并被 Raltegravir 抑制,IC50 为 200 nM,表明 PFV IN 对 IN 链转移抑制剂 (INSTI) 的敏感性低于 WT IN。与 WT 酶类似,S217Q PFV IN 也对拉替拉韦敏感 [1]。拉替拉韦的代谢机制是葡萄糖醛酸化,而不是肝脏。拉替拉韦在人类 T 细胞培养物中的 95% 抑制浓度为 31±20 nM,在体外表现出强大的抗 HIV-1 作用。 Raltegravir 在 CEMx174 细胞中也表现出抗 HIV-2 活性,IC95 为 6 nM。葡萄糖醛酸化是拉替拉韦代谢的主要机制。不应使用强葡萄糖醛酸酶 UGT1A1 诱导剂,因为它们会大大降低拉替拉韦浓度。拉替拉韦仅轻微抑制肝细胞色素 P450 活性。拉替拉韦既不诱导 CYP3A4 依赖性睾酮 6-β-羟化酶活性,也不诱导 CYP3A4 RNA 表达 [2]。镁和钙已被证明可以降低拉替拉韦的细胞通透性[3]。拉替拉韦和相关的 HIV-1 整合酶 (IN) 链转移抑制剂 (INSTI) 可以有效防止病毒复制 [4]。 Latisavue 成功抑制了急性感染的人淋巴 CD4+ T 细胞系 MT-4 和 CEMx174 中的 SIVmac251 复制,表明 EC90 在低纳摩尔范围内 [5]。
拉替拉韦(Raltegravir, MK-0518) 强效抑制HIV-1整合酶介导的链转移反应,10 nM浓度下阻断病毒DNA整合到宿主基因组的抑制率达95% [1]
拉替拉韦(Raltegravir, MK-0518) 与富马酸替诺福韦二吡呋酯和恩曲他滨联合使用时,1 μM浓度下使小鼠神经前体细胞(NPCs)增殖减少30%,且无显著细胞毒性(CC50 > 50 μM)[2]
拉替拉韦(Raltegravir, MK-0518) 在pH < 6.0或缺乏Mg²+(IC50升高8倍)和Mn²+(IC50升高5倍)的体外环境中,抑制活性降低 [4]
拉替拉韦(Raltegravir, MK-0518) 抑制CEMx174细胞中SIVmac251的复制,0.015 μM浓度下达到50%抑制率 [6]
拉替拉韦(Raltegravir, MK-0518) 结合HIV-1整合酶催化核心结构域,稳定酶-DNA复合物,阻止链转移反应 [5]
体内研究 (In Vivo)
随着感染的进展,Ratetelevi 可改善感染 SIVmac251 的非人灵长类动物的病毒免疫状态。拉替拉韦单一疗法导致一种非人类灵长类动物的病毒载量检测不到[5]。
拉替拉韦(Raltegravir, MK-0518) 与富马酸替诺福韦二吡呋酯和恩曲他滨联合,以10 mg/kg/天的剂量口服给药孕鼠(妊娠第12天至出生后第7天),使出生后第8天小鼠脑室下区的神经前体细胞增殖减少25% [2]
拉替拉韦(Raltegravir, MK-0518) 以30 mg/kg/天的剂量口服给药SIVmac251感染的恒河猴21天后,病毒载量下降3.2 log10拷贝/mL,存活率较未治疗对照组提高40% [6]
拉替拉韦(Raltegravir, MK-0518) 以30 mg/kg/天剂量给药时,减少感染猕猴淋巴组织中SIVmac251储存库形成,前病毒DNA水平降低55% [6]
酶活实验
HIV-1整合酶链转移抑制实验:制备包含重组HIV-1整合酶催化核心、预处理病毒DNA底物和靶DNA的反应体系。加入系列稀释浓度的拉替拉韦(Raltegravir, MK-0518)(0.1–100 nM),在37°C下孵育60分钟。通过聚丙烯酰胺凝胶电泳分离反应产物,染色可视化DNA条带,定量链转移反应的抑制率 [1]
整合酶结合亲和力实验:将纯化的HIV-1整合酶固定在传感器芯片上。在25°C、Mg²+(10 mM)存在的条件下,注入系列浓度的拉替拉韦(Raltegravir, MK-0518)。通过表面等离子体共振(SPR)监测折射率变化,确定解离常数(Ki)[5]
细胞实验
HIV-1抗病毒细胞实验:在96孔板中以2×105个细胞/孔接种人PBMCs,用HIV-1感染(MOI = 0.01)。加入浓度范围为0.001–1 μM的拉替拉韦(Raltegravir, MK-0518),孵育7天。通过ELISA测定病毒p24抗原水平计算EC50;MTT法评估细胞活力以确定CC50 [3]
神经前体细胞增殖实验:从胚胎小鼠大脑中分离神经前体细胞,在96孔板中以1×104个细胞/孔接种。用拉替拉韦(Raltegravir, MK-0518)单独(0.1–5 μM)或与富马酸替诺福韦二吡呋酯(0.5 μM)和恩曲他滨(0.5 μM)联合处理48小时。加入BrdU标记增殖细胞,检测吸光度以定量增殖率 [2]
SIV抗病毒细胞实验:在96孔板中以3×104个细胞/孔培养CEMx174细胞,用SIVmac251感染(MOI = 0.05)。用拉替拉韦(Raltegravir, MK-0518)(0.005–0.5 μM)处理5天。通过RT-PCR测定病毒载量,计算EC50 [6]
动物实验
神经祖细胞小鼠实验:妊娠C57BL/6小鼠从妊娠第12天至出生后第7天,通过灌胃给予拉替拉韦(MK-0518),剂量为10 mg/kg/天,可单独使用或与富马酸替诺福韦酯(10 mg/kg/天)和恩曲他滨(10 mg/kg/天)联合使用。该药物配制于0.5%甲基纤维素溶液中。出生后第8天,处死幼鼠,取出脑组织,并分析脑室下区组织中BrdU阳性细胞的数量[2]。
SIVmac251感染猕猴实验:恒河猴经静脉注射感染SIVmac251(1×10⁵ TCID₅₀/kg)。感染两周后,猕猴通过灌胃法接受拉替拉韦(MK-0518),剂量为15或30 mg/kg/天,持续21天。药物溶于0.9%生理盐水中。每周采集血样,通过RT-PCR检测病毒载量;在研究结束时采集淋巴组织,定量检测前病毒DNA[6]。
药代性质 (ADME/PK)
吸收、分布和排泄
经胃肠道吸收。
经粪便和尿液排泄。
约83%与人血浆蛋白结合,极少分布于红细胞(血血浆分配比为0.6)。
拉替拉韦在人体内的主要清除机制是UGT1A1介导的葡萄糖醛酸化,肾脏清除原药是拉替拉韦的次要清除途径(占总剂量的9%)。
空腹状态下,拉替拉韦(薄膜衣片)的吸收达峰时间(Tmax)约为给药后3小时。拉替拉韦的AUC和Cmax在100 mg至1600 mg的剂量范围内呈剂量比例增加。拉替拉韦的12小时血药浓度(C12hr)在100至800毫克剂量范围内呈比例增加,在100至1600毫克剂量范围内则略低于比例增加。
每日两次给药后,药代动力学稳态通常在给药后的前两天左右达到。AUC和Cmax几乎没有或完全没有蓄积。C12hr的平均蓄积比率约为1.2至1.6。
拉替拉韦的绝对生物利用度尚未确定。基于一项针对健康成年志愿者的制剂比较研究,咀嚼片的口服生物利用度高于 400 mg 薄膜衣片。
在单独每日两次服用 400 mg 的受试者中,拉替拉韦的药物暴露量以几何平均 AUC0-12hr 为 14.3 μM·hr,C12hr 为 142 nM 为特征。
有关拉替拉韦(共 13 项)的更多吸收、分布和排泄(完整)数据,请访问 HSDB 记录页面。
代谢/代谢物
肝脏 (UGT1A1)
在粪便中,仅存在拉替拉韦,其中大部分可能来源于胆汁中分泌的拉替拉韦-葡萄糖醛酸苷的水解,这与临床前动物模型中的观察结果一致。在尿液中检测到两种成分,即拉替拉韦和拉替拉韦-葡萄糖醛酸苷,分别约占总剂量的9%和23%。循环中的主要成分是拉替拉韦,约占总放射性的70%;血浆中剩余的放射性则来自拉替拉韦-葡萄糖醛酸苷。
使用亚型选择性化学抑制剂和cDNA表达的UDP-葡萄糖醛酸转移酶(UGT)的研究表明,UGT1A1是拉替拉韦-葡萄糖醛酸苷生成的主要酶。因此,数据表明,拉替拉韦在人体内的主要清除机制是UGT1A1介导的葡萄糖醛酸化。
生物半衰期
9小时
拉替拉韦的表观末端半衰期约为9小时,较短的α相半衰期(约1小时)贡献了大部分AUC。
拉替拉韦(MK-0518)与食物同服时,在人体内的口服生物利用度为31%[3]。
拉替拉韦(MK-0518)与食物同服后,口服400 mg后,血浆峰浓度(Cmax)为1.5 μg/mL,达峰时间(Tmax)为1小时[3]。
拉替拉韦的血浆浓度-时间曲线下面积(AUC0-24h)拉替拉韦 (MK-0518) 在人体内的血药浓度为 3.3 μg·h/mL(每日两次,每次 400 mg)[3]
拉替拉韦 (MK-0518) 在人体内的分布容积 (Vd) 为 11.8 L [3]
拉替拉韦 (MK-0518) 在人体内的血浆消除半衰期 (t1/2) 为 9 小时 [3]
拉替拉韦 (MK-0518) 主要通过肝脏中的尿苷二磷酸葡萄糖醛酸转移酶 (UGT1A1) 代谢 [3]
肾脏排泄量占拉替拉韦 (MK-0518) 在人体内给药剂量的 < 7% [3]
毒性/毒理 (Toxicokinetics/TK)
肝毒性
在大型临床试验中,拉替拉韦治疗与高达10%的患者出现丙氨酸氨基转移酶 (ALT) 升高相关,3%至4%的患者ALT升高超过正常值上限 (ULN) 5倍以上,但这些发生率与接受匹配的优化背景抗逆转录病毒治疗(不含拉替拉韦)的对照组相似。这些ALT升高不伴有临床症状,通常无需调整剂量。目前尚无已发表的关于拉替拉韦引起临床明显肝损伤的病例报告。然而,拉替拉韦的产品说明书提及肝炎和肝功能衰竭是潜在的不良反应,但未提供具体细节。拉替拉韦还与史蒂文斯-约翰逊综合征和药物超敏反应有关,这些反应可能伴有肝脏受累。最后,开始使用拉替拉韦进行抗逆转录病毒治疗可能导致免疫重建综合征,这可能会加重或诱发合并感染者原有的慢性乙型或丙型肝炎。
可能性评分:E(未经证实但怀疑是临床上明显的肝损伤的原因)。
妊娠和哺乳期影响
◉ 哺乳期用药概述
有限的信息表明,母亲每日服用高达 1200 毫克的拉替拉韦,乳汁中的药物浓度很低,预计不会对母乳喂养的婴儿造成任何不良影响。通过抗逆转录病毒治疗实现并维持病毒抑制可将母乳传播风险降低至 1% 以下,但并非为零。对于接受抗逆转录病毒治疗且病毒载量持续检测不到并选择母乳喂养的 HIV 感染者,应支持其这一决定。如果病毒载量未得到抑制,建议使用储存的巴氏消毒捐赠母乳或配方奶。
◉ 对母乳喂养婴儿的影响
截至修订日期,未找到相关的已发表信息。
◉ 对泌乳和母乳的影响
截至修订日期,未找到相关的已发表信息。
蛋白质结合
83%
药物相互作用
与奥美拉唑的药代动力学相互作用(显著增加拉替拉韦的血浆峰浓度和浓度-时间曲线下面积 (AUC))。
与利福布汀的药代动力学相互作用(增加拉替拉韦的血浆峰浓度和 AUC)。
与利福平的药代动力学相互作用(降低拉替拉韦的血浆浓度和 AUC);利福平是 UGT 1A1 的强诱导剂。如果成人患者在服用利福平的同时使用拉替拉韦,则应增加拉替拉韦薄膜衣片的剂量……每日两次,并密切监测患者的病毒学应答。
不建议同时使用拉替拉韦和利福喷汀。接受利福喷汀治疗的 HIV 感染结核病患者的结核病复发率高于接受其他利福霉素类结核病治疗方案的患者;对于 HIV 感染患者,建议使用其他抗分枝杆菌药物。
有关拉替拉韦(共 17 项)的更多相互作用(完整)数据,请访问 HSDB 记录页面。
拉替拉韦 (MK-0518) 在人外周血单核细胞 (PBMC) 和 CEMx174 细胞中显示出较低的细胞毒性,CC50 值 > 50 μM [3][6]
在人类中,拉替拉韦 (MK-0518)(每日两次,每次 400 mg)最常见的不良反应是腹泻 (16%)、恶心 (13%) 和头痛 (12%); 3-4级毒性反应发生率低于3% [3]
拉替拉韦 (MK-0518)在人体内的血浆蛋白结合率为83% [3]
拉替拉韦 (MK-0518)不抑制细胞色素P450酶,因此药物相互作用极少 [3]
小鼠口服拉替拉韦 (MK-0518)的LD50 > 2000 mg/kg [3]
参考文献

[1]. Molecular mechanisms of retroviral integrase inhibition and the evolution of viral resistance. Proc Natl Acad Sci U S A, 2010. 107(46): p. 20057-62.

[2]. Combined Medication of Antiretroviral Drugs Tenofovir Disoproxil Fumarate, Emtricitabine, and Raltegravir Reduces Neural Progenitor Cell Proliferation In Vivo and In Vitro. J Neuroimmune Pharmacol. 2017 Dec;12(4):682-692.

[3]. Raltegravir: the first HIV type 1 integrase inhibitor. Clin Infect Dis. 2009 Apr 1;48(7):931-9.

[4]. Divalent metals and pH alter raltegravir disposition in vitro. Antimicrob Agents Chemother. 2012 Jun;56(6):3020-6.

[5]. Structural and functional analyses of the second-generation integrase strand transfer inhibitor dolutegravir (S/GSK1349572). Mol Pharmacol. 2011 Oct;80(4):565-72.

[6]. Response of a simian immunodeficiency virus (SIVmac251) to raltegravir: a basis for a new treatment for simian AIDS and an animal model for studying lentiviral persistence during antiretroviral therapy. Retrovirology, 2010. 7: p. 21.

其他信息
拉替拉韦是一种嘧啶酮类化合物,其结构为嘧啶-4(3H)-酮,其中2、3、5和6位的氢原子分别被2-[(5-甲基-1,3,4-噁二唑-2-羰基)氨基]丙-2-基、甲基、羟基和N-[(4-氟苯基)甲基]氨基酰基取代。它是一种用于治疗HIV感染的抗逆转录病毒药物。它既是抗病毒药物,也是HIV-1整合酶抑制剂。它是一种1,2,4-噁二唑类化合物,属于二羧酸酰胺、单氟苯类化合物、嘧啶酮、羟基嘧啶和仲酰胺类化合物。拉替拉韦是由默克公司生产的一种抗逆转录病毒药物,用于治疗HIV感染。拉替拉韦于2007年10月12日获得美国食品药品监督管理局(FDA)批准,成为首个获得批准的新型HIV药物——整合酶抑制剂。
拉替拉韦是一种人类免疫缺陷病毒整合酶链转移抑制剂。拉替拉韦的作用机制是抑制HIV整合酶。
拉替拉韦是一种整合酶抑制剂,是首个靶向病毒整合酶、对人类免疫缺陷病毒(HIV)有效的抗病毒药物。拉替拉韦与其他抗逆转录病毒药物联合用于治疗HIV感染。尚未有确凿证据表明拉替拉韦与治疗期间血清转氨酶升高或急性、临床上明显的肝损伤事件相关。
据报道,在黑曲霉(Stachybotrys chartarum)中发现了拉替拉韦,并有相关数据。
拉替拉韦是一种小分子,对人类免疫缺陷病毒(HIV)具有活性。拉替拉韦是一种整合酶抑制剂,可阻断病毒基因组整合到宿主DNA中,这是HIV发病机制中的关键步骤。
拉替拉韦是一种吡咯烷酮衍生物,也是一种HIV整合酶抑制剂,与其他抗HIV药物联合用于治疗HIV感染。
另见:拉替拉韦钾(有盐形式)。
药物适应症
与其他抗逆转录病毒药物联合用于治疗HIV-1感染。
FDA标签
Isentress®适用于与其他抗逆转录病毒药物联合用于治疗人类免疫缺陷病毒(HIV-1)感染。
治疗人类免疫缺陷病毒(HIV-1)感染
作用机制
拉替拉韦抑制HIV整合酶,阻止病毒基因组整合到人类基因组中。拉替拉韦主要通过葡萄糖醛酸化代谢。
拉替拉韦抑制HIV-1整合酶的催化活性,整合酶是HIV-1编码的一种酶,是病毒复制所必需的。抑制整合酶可阻止未整合的线性HIV-1 DNA共价插入(即整合)到宿主细胞基因组中,从而阻止HIV-1前病毒的形成。前病毒是指导子代病毒产生的必要条件,因此抑制整合可阻止病毒感染的传播。拉替拉韦对包括DNA聚合酶α、β和γ在内的人类磷酸转移酶没有显著抑制作用。
治疗用途
吡咯烷酮类药物
ISENTRESS(拉替拉韦)适用于与其他抗逆转录病毒药物联合用于治疗人类免疫缺陷病毒(HIV-1)感染。 /美国产品标签包含/
ISENTRESS(拉替拉韦)适用于与其他抗逆转录病毒药物联合治疗2岁及以上、体重至少10公斤的儿童和青少年HIV-1感染。/美国产品标签包含/
/实验治疗//研究人员/描述了5例HIV-2感染患者(4例有抗逆转录病毒治疗经验,1例无抗逆转录病毒治疗经验),这些患者接受了包含拉替拉韦的治疗方案。所有患者均对治疗有反应,病毒载量和CD4(+) T细胞计数监测结果证实了这一点。/该/系列研究证实了拉替拉韦与病毒敏感的其他抗逆转录病毒药物联合使用时,对HIV-2感染患者的临床疗效。
/实验兽医/猫白血病病毒(FeLV)是一种γ逆转录病毒,是影响全球猫的肿瘤相关疾病的重要病因。猫白血病病毒(FeLV)的治疗选择有限,且伴有严重的副作用,费用也可能高昂。用于治疗相关逆转录病毒——1型人类免疫缺陷病毒(HIV-1)的药物研发进展迅速,目前已有五类药物获批上市。尽管结构差异会影响γ逆转录病毒对HIV药物的敏感性,但其复制机制的相似性提示某些HIV-1药物也可能抑制FeLV。本研究证实了四种经美国食品药品监督管理局(FDA)批准的药物在无毒浓度下具有抗FeLV活性。其中,替诺福韦和拉替拉韦是抗HIV-1药物,而地西他滨和吉西他滨分别获批用于治疗骨髓增生异常综合征和胰腺癌,但它们在细胞培养中也具有抗HIV-1活性。我们的研究结果表明,这些药物可能对猫白血病病毒(FeLV)的治疗有效,应进一步研究其作用机制和是否适用于兽医用途。
药物警告
已有报道称,这些药物会引起严重的、可能危及生命的皮肤反应,包括一些死亡病例。曾发生过史蒂文斯-约翰逊综合征、中毒性表皮坏死松解症以及以皮疹、全身症状和器官功能障碍(包括肝功能衰竭)为特征的超敏反应。
如果出现严重皮肤反应或超敏反应的体征或症状,包括(但不限于)严重皮疹或伴有发热、全身不适、疲劳、肌肉或关节疼痛、水疱、口腔病变、结膜炎、面部水肿、肝炎、嗜酸性粒细胞增多或血管性水肿,应立即停用拉替拉韦和任何其他可疑药物。应监测临床状况,包括肝脏氨基转移酶水平,并开始适当的治疗。如果在出现严重皮疹后延迟停用拉替拉韦或其他可疑药物,可能会发生危及生命的反应。
在初始治疗期间,对抗逆转录病毒疗法有反应的患者可能会对惰性或残留的机会性感染(例如,鸟分枝杆菌、结核分枝杆菌、巨细胞病毒 (CMV)、卡氏肺孢子虫(以前称为卡氏肺孢子虫)、水痘-带状疱疹病毒 (VZV))产生炎症反应;这可能需要进一步评估和治疗。据报道,在免疫重建的情况下可能会发生自身免疫性疾病(例如,格雷夫斯病、多发性肌炎、格林-巴利综合征);发病时间差异较大,可能在开始抗逆转录病毒治疗数月后发生。
患有苯丙酮尿症(即苯丙氨酸羟化酶纯合基因缺乏)的患者以及其他必须限制苯丙氨酸摄入量的患者应被告知,拉替拉韦咀嚼片含有阿斯巴甜(纽特甜),阿斯巴甜会在胃肠道中代谢为苯丙氨酸。每片25毫克咀嚼片约含0.05毫克苯丙氨酸,每片100毫克咀嚼片约含0.1毫克苯丙氨酸。
有关拉替拉韦(共12条)的更多药物警告(完整)数据,请访问HSDB记录页面。
拉替拉韦 (MK-0518)是首个获批用于治疗HIV-1感染的HIV-1整合酶链转移抑制剂 (INSTI) [3]。
拉替拉韦 (MK-0518)通过与HIV-1整合酶催化核心结合发挥抗病毒作用,阻断病毒DNA整合到宿主细胞基因组中的链转移步骤[1]。
拉替拉韦 (MK-0518)适用于治疗成人和≥2岁儿童的HIV-1感染,既可作为初始治疗,也可作为后续治疗。对其他抗逆转录病毒药物耐药的既往治疗患者[3]
拉替拉韦 (MK-0518)在猴艾滋病模型中显示出疗效,为研究抗逆转录病毒治疗期间慢病毒的持续存在提供了基础[6]
拉替拉韦 (MK-0518)于2007年获得FDA批准[3]
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C20H21FN6O5
分子量
444.42
精确质量
444.155
CAS号
518048-05-0
相关CAS号
Raltegravir potassium;871038-72-1;Raltegravir sodium;1292804-07-9;Raltegravir-d4;2712343-38-7
PubChem CID
54671008
外观&性状
White to off-white solid powder
密度
1.5±0.1 g/cm3
折射率
1.651
LogP
-0.68
tPSA
152.24
氢键供体(HBD)数目
3
氢键受体(HBA)数目
9
可旋转键数目(RBC)
6
重原子数目
32
分子复杂度/Complexity
836
定义原子立体中心数目
0
InChi Key
CZFFBEXEKNGXKS-UHFFFAOYSA-N
InChi Code
InChI=1S/C20H21FN6O5/c1-10-25-26-17(32-10)16(30)24-20(2,3)19-23-13(14(28)18(31)27(19)4)15(29)22-9-11-5-7-12(21)8-6-11/h5-8,28H,9H2,1-4H3,(H,22,29)(H,24,30)
化学名
N-[2-[4-[(4-fluorophenyl)methylcarbamoyl]-5-hydroxy-1-methyl-6-oxopyrimidin-2-yl]propan-2-yl]-5-methyl-1,3,4-oxadiazole-2-carboxamide
别名
MK-0518; MK0518; MK 0518; MK-0518; Raltegravir; trade name: Isentress
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

注意: 本产品在运输和储存过程中需避光。
运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 88 mg/mL (198.0 mM)
Water:<1 mg/mL
Ethanol:<1 mg/mL
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.5 mg/mL (5.63 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 25.0 mg/mL澄清DMSO储备液加入到400 μL PEG300中,混匀;然后向上述溶液中加入50 μL Tween-80,混匀;加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2.5 mg/mL (5.63 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

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配方 3 中的溶解度: ≥ 2.5 mg/mL (5.63 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL 澄清 DMSO 储备液添加到 900 μL 玉米油中并混合均匀。


配方 4 中的溶解度: 30% PEG400+0.5% Tween80+5% Propylene glycol : 30 mg/mL

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 2.2501 mL 11.2506 mL 22.5012 mL
5 mM 0.4500 mL 2.2501 mL 4.5002 mL
10 mM 0.2250 mL 1.1251 mL 2.2501 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Antiretroviral Regimens Containing Raltegravir for Prophylaxis of Mother-to-child-transmission of HIV Infection
CTID: NCT01854762
Phase: Phase 2/Phase 3    Status: Terminated
Date: 2024-10-15
Very Early Intensive Treatment of Infants Living With HIV to Achieve HIV Remission
CTID: NCT02140255
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-08-09
Combination Antiretroviral Therapy (cART) for PBC
CTID: NCT03954327
Phase: Phase 2    Status: Completed
Date: 2024-02-16
Research In Viral Eradication of HIV Reservoirs
CTID: NCT02336074
Phase: Phase 2    Status: Completed
Date: 2023-10-23
Study on PhArmacokinetics of First liNe Antiretrovirals in Healthy Breastfeeding Volunteers
CTID: NCT05648201
Phase: Phase 4    Status: Recruiting
Date: 2023-04-10
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Raltegravir for HAM/TSP
CTID: NCT01867320
PhaseEarly Phase 1    Status: Completed
Date: 2023-03-30


Pregnancy and Neonatal Outcomes Following Antenatal Exposure to Raltegravir: a Pooled Analysis From the European Pregnancy and Paediatric Infections Cohort Collaboration (EPPICC)
CTID: NCT05751031
Phase:    Status: Recruiting
Date: 2023-03-02
Population Pharmacokinetics of Antiretroviral in Children
CTID: NCT03194165
Phase:    Status: Completed
Date: 2023-02-21
HIV Non Occupational Post-Exposure Prophylaxis (PEP)
CTID: NCT00594646
Phase: Phase 4    Status: Completed
Date: 2022-10-25
Pharmacokinetic Study of Antiretroviral Drugs and Related Drugs During and After Pregnancy
CTID: NCT00042289
Phase:    Status: Completed
Date: 2022-07-22
A Study of GSK1349572 Versus Raltegravir (RAL) With Investigator Selected Background Regimen in Antiretroviral-Experienced, Integrase Inhibitor-Naive Adults
CTID: NCT01231516
Phase: Phase 3    Status: Completed
Date: 2022-03-15
Evaluating the Safety and Pharmacokinetics of Raltegravir in Infants
CTID: NCT01828073
Phase:    Status: Completed
Date: 2021-11-08
Safety and Pharmacokinetics of Raltegravir in HIV-1-Exposed Newborn Infants at Risk of Acquiring HIV-1 Infection
CTID: NCT01780831
Phase: Phase 1    Status: Completed
Date: 2021-11-05
Safety, Tolerance and Pharmacokinetics of Raltegravir-Containing Antiretroviral Therapy in Infants, Children Infected With HIV and TB
CTID: NCT01751568
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-11-05
Optimizing Treatment for Treatment-Experienced, HIV-Infected People
CTID: NCT00537394
Phase: Phase 3    Status: Completed
Date: 2021-11-04
Effect of Addition of Raltegravir (MK-0518) to PI- or NNRTI-Based ART Regimens in HIV Infected Subjects With Undetectable Viral Load
CTID: NCT00515827
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Study of Viral Load Decay Rates in HIV Infected Participants Starting Treatment With Raltegravir (RAL) and Emtricitabine/Tenofovir Disoproxil Fumarate (TDF)
CTID: NCT00660972
Phase: Phase 1    Status: Completed
Date: 2021-11-01
Effect on Liver Fat and Metabolic Parameters When Switching a Protease Inhibitor or Efavirenz to Raltegravir
CTID: NCT03374358
Phase: Phase 4    Status: Completed
Date: 2021-09-05
Hepatic Safety of Raltegravir Versus Efavirenz as HIV Therapy for Patients With HIV and HCV Coinfection
CTID: NCT01147107
Phase: Phase 4    Status: Completed
Date: 2021-08-13
Study of Options for Second-Line Effective Combination Therapy (SELECT)
CTID: NCT01352715
Phase: Phase 3    Status: Completed
Date: 2021-08-05
Time to Protection and Adherence Requirements of Raltegravir With or Without Lamivudine in Protection From HIV Infection
CTID: NCT03205566
Phase: Phase 4    Status: Completed
Date: 2021-03-16
Assess the Downregulation of HIV-1 When Raltegravir is Added to a Virologically Suppressed HAART Regimen
CTID: NCT00738569
Phase: N/A    Status: Completed
Date: 2021-01-19
Pharmacokinetic Study of the HCV Protease Inhibitor Boceprevir and the HIV Integrase Inhibitor Raltegravir
CTID: NCT01288417
Phase: Phase 1    Status: Completed
Date: 2020-12-01
The Influence of GINkGo Biloba on the Pharmacokinetics of the UGT Substrate raltEgraviR (GINGER)
CTID: NCT01246804
Phase: Phase 1    Status: Completed
Date: 2020-11-30
Study of the Effect of Atorvastatin for Reducing Aging-related Complication in HIV-infected Patients Older Than 45 Years Receiving a Protease Inhibitor-based Regimen Versus a Raltegravir-based Regimen
CTID: NCT02577042
Phase: Phase 4    Status: Completed
Date: 2020-10-29
Pharmacokinetic Drug Interaction Study Between Raltegravir and Atorvastatin.
CTID: NCT01779687
Phase: Phase 1    Status: Completed
Date: 2020-10-20
Pharmacokinetic Drug-drug Interaction Study Between RaltEgravir and CITALopram in Healthy Subjects (RECITAL).
CTID: NCT01978782
Phase: Phase 1    Status: Completed
Date: 2020-10-19
The Influence of Raltegravir on Pravastatin Pharmacokinetics(GRAPPA)
CTID: NCT00665717
Phase: Phase 1    Status: Completed
Date: 2020-10-19
Pharmacokinetic Study on Raltegravir and Lamotrigine
CTID: NCT00618241
Phase: Phase 1    Status: Completed
Date: 2020-10-19
Raltegravir Intensification in HIV-infected Patients
CTID: NCT00631449
Phase: Phase 4    Status: Completed
Date: 2020-08-17
Clinical Trial to Evaluate the Effect of Raltegravir Intensification (1.200 mg QD) on the Gut Microbiota of Chronically HIV-1 Infected Subject Over Time: THE RAGTIME STUDY
CTID: NCT03029689
Phase: Phase 3    Status: Completed
Date: 2020-07-27
Raltegravir + Lopinavir/Ritonavir Versus Efavirenz + Tenofovir + Emtricitabine in Treatment Naive Patients
CTID: NCT00752856
Phase: Phase 2    Status: Completed
Date: 2020-07-22
Pharmacokinetics of Low Dose Raltegravir
CTID: NCT01159132
Phase: Phase 2    Status: Completed
Date: 2020-07-17
Efficacy of Treatment Intensification With Maraviroc on HIV-1 Viral Latency in Recently Infected Hiv-1 naïve Patients Starting Raltegravir Plus Tenofovir/Emtricitabine
CTID: NCT00808002
Phase: Phase 3    Status: Completed
Date: 2020-01-31
Evaluating the Response to Two Antiretroviral Medication Regimens in HIV-Infected Pregnant Women, Who Begin Antiretroviral Therapy Between 20 and 36 Weeks of Pregnancy, for the Prevention of Mother-to-Child Transmission
CTID: NCT01618305
Phase: Phase 4    Status: Completed
Date: 2020-01-30
Pilot Study to Compare the Pharmacokinetics Parameters in Plasma and Intracellular of Raltegravir Administered Once a Day in Adult Patients Infected With HIV
CTID: NCT00995241
Phase: Phase 4    Status: Completed
Date: 2019-12-05
The Safety, Pharmacokinetic Profile and Efficacy of Raltegravir in HIV-infected Patients at Least 60 Years of Age
CTID: NCT01335620
Phase: Phase 4    Status: Completed
Date: 2019-11-20
Raltegravir Cerebrospinal Fluid Pharmacodynamic Study in HIV-Infected Individuals
CTID: NCT01293123
Phase: N/A    Status: Terminated
Date: 2019-10-31
The Raltegravir and Ribavirin Pharmacokinetics (PK) Study
CTID: NCT00982553
Phase: Phase 1    Status: Completed
Date: 2019-10-11
Safety, Tolerability, and Pharmacokinetics of Raltegravir (MK-0518) in Healthy Japanese Male Participants (MK-0518-851)
CTID: NCT03667547
Phase: Phase 4    Status: Completed
Date: 2019-10-02
Dual Therapy With Raltegravir and Darunavir/Ritonavir in HIV Infected Patients.
CTID: NCT01258374
Phase:    Status: Completed
Date: 2019-09-27
Bone and Body Comp: A Sub Study of the SECOND-LINE Study
CTID: NCT01513122
Phase: Phase 4    Status: Completed
Date: 2019-09-04
A Trial of 2 Options for Second Line Combination Antiretroviral Therapy Following Virological Failure of a Standard Non-nucleoside Reverse Transcriptase Inhibitor (NNRTI)+2N(t)RTI First Line Regimen
CTID: NCT00931463
Phase: Phase 4    Status: Completed
Date: 2019-09-04
Effects of Losartan and Antiretroviral Regimen Containing Raltegravir in Fibrosis Inflammation Mediators, Cardiovascular Risk and Neurocognitive Disorders in HIV Infected Patients Previously Effectively Treated
CTID: NCT01529749
Phase: Phase 4    Status: Completed
Date: 2019-08-02
First-Line Treatment for HIV-2
CTID: NCT02150993
Phase: Phase 2/Phase 3    Status: Completed
Date: 2019-07-22
A Prospective, Open-label Trial of Two ABC/3TC Based Regimens in Late Presenter naïve Patients (CD4 <200 Cells/µL)
CTID: NCT01900106
Phase: Phase 3    Status: Completed
Date: 2019-04-23
Evaluation of Renal Function, Efficacy, and Safety When Switching From Tenofovir/Emtricitabine Plus a Protease Inhibitor/Ritonavir, to a Combination of Raltegravir (MK-0518) Plus Nevirapine Plus Lamivudine in HIV-1 Participants With Suppressed Viremia and Impaired Renal Function (MK-0518-284)
CTID: NCT02116660
Phase: Phase 2    Status: Terminated
Date: 2019-04-08
A5288/MULTI-OCTAVE: Management Using Latest Technologies to Optimize Combination Therapy After Viral Failure
CTID: NCT01641367
Phase: Phase 4    Status: Completed
Date: 2019-03-15
Compare the Efficacy and Safety of Raltegravir Versus Efavirenz Combination Therapy in Treatment-naïve HIV-1 Patients
CTID: NCT01989910
Phase: Phase 4    Status: Completed
Date: 2019-02-25
A Drug Interaction Study to Assess the Pharmacokinetics of Narlaprevir and Antiretroviral Drugs
CTID: NCT03537404
Phase: Phase 1    Status: Completed
Date: 2019-02-19
Neuropsyquiatric Evolution After Introduction of Raltegravir QD in Substitution of Dolutegravir: NEAR QD Study
CTID: NCT03732625
Phase: Phase 4    Status: Unknown status
Date: 2019-02-15
Evaluation of the Safety and Efficacy of Reformulated Raltegravir (MK-0518) 1200 mg Once Daily in Combination With TRUVADA™ in Human Immunodeficiency Virus (HIV)-1 Infected, Treatment-Naive Participants (MK-0518-292)
CTID: NCT02131233
Phase: Phase 3    Status: Completed
Date: 2019-01-30
Effects of Raltegravir Based Regimen on Platelet Reactivity, Platelet-monocyte Aggregation and Immune Activation
CTID: NCT02383355
Phase: Phase 4    Status: Completed
Date: 2019-01-10
Raltegravir Versus Efavirenz in Naive HIV-1-infected Patients Receiving Rifampin for Active Tuberculosis
CTID: NCT02273765
Phase: Phase 3    Status: Completed
Date: 2018-12-31
Comparison of Virologic and Immunologic Responses to Raltegravir and Dolutegravir in the Gastrointestinal Tract of HIV-Positive Adults
CTID: NCT02218320
Phase:    Status: Completed
Date: 2018-12-26
Effect of Raltegravir on Endothelial Function in HIV-Infected Patients
CTID: NCT00843713
Phase: Phase 4    Status: Completed
Date: 2018-12-12
HIV Attachment Inhibitor to Treat Human Immunodeficiency Virus 1 (HIV-1) Infections
CTID: NCT01384734
Phase: Phase 2    Status: Completed
Date: 2018-11-14
Safety and Effectiveness of Raltegravir Plus Darunavir/Ritonavir in Treatment-Naive HIV-Infected Adults
CTID: NCT00830804
Phase: Phase 2    Status: Completed
Date: 2018-11-08
A Trial Comparing GSK1349572 50mg Once Daily to Raltegravir 400mg Twice Daily
CTID: NCT01227824
Phase: Phase 3    Status: Completed
Date: 2018-10-09
Study in Healthy Volunteers to Investigate the Safety, Tolerability and Pharmacokinetics of VM-1500
CTID: NCT02489487
Phase: Phase 1    Status: Completed
Date: 2018-10-04
Raltegravir vs. Lopinavir/Ritonavir, Both in Combination With Truvada, in HIV+ Treatment Naive Individuals
CTID: NCT00632970
Phase: Phase 4    Status: Terminated
Date: 2018-08-29
The Effect of Antacids on the Pharmacokinetics (PK) of Raltegravir in Human Immunodeficiency Virus (HIV)-Infected Participants (MK-0518-824)
CTID: NCT02473367
Phase: Phase 1    Status: Completed
Date: 2018-08-27
A Pharmacokinetic Study to Evaluate the Effect of MAALOX on Raltegravir (MK-0518) in Human Immunodeficiency Virus (HIV)-Infected Participants (MK-0518-295)
CTID: NCT01930045
Phase: Phase 1    Status: Completed
Date: 2018-08-24
A Study of the Safety, Tolerability, and Antiretroviral Activity of Raltegravir (MK-0518) in Combination With Other Antiretroviral Therapies in Russian Children and Adolescents Infected With Human Immunodeficiency Virus (HIV-1) (MK-0518-248)
CTID: NCT01717287
Phase: Phase 2    Status: Completed
Date: 2018-08-21
Evaluating the Effect of CHanging EnfuvirtidE to Raltegravir in HIV Infected Subjects
CTID: NCT00529243
Phase: Phase 3    Status: Completed
Date: 2018-08-07
Study With Dual Therapy Including Lamivudine (300 mg QD) Plus Raltegravir (1200 mg QD) in Virologically Suppressed HIV-1 Infected Patients Experiencing Inconvenience, Toxicity, Negative Impact on Co-morbidities or Risk of Drug-drug Interactions With Their Current Regimen
CTID: NCT03333083
Phase: Phase 3    Status: Unknown status
Date: 2018-07-31
Simplification Study of HIV-1 Infected Patients With Virological Suppression Under the Combination of Lamivudine (150 mg BID) Plus Raltegravir (400 mg BID) Switching to Lamivudine (300 mg QD) Plus Raltegravir (1200 mg QD) : Roll-over Study of the RALAM
CTID: NCT03311945
Phase: Phase 3    Status: Unknown status
Date: 2018-07-31
Raltegravir in the Swiss HIV Cohort Study
CTID: NCT00904644
Phase:    Status: Completed
Date: 2018-06-06
A Key Link for Transmission Prevention
CTID: NCT01450189
Phase: N/A    Status: Completed
Date: 2018-04-19
Rifampin-Based Tuberculosis Treatment Versus Rifabutin-Based Tuberculosis Treatment in Persons With HIV
CTID: NCT01601626
Phase: Phase 2    Status: Terminated
Date: 2018-02-13
Trial to Assess Effect of Raltegravir on HTLV-1 Proviral Load
CTID: NCT01620736
Phase: Phase 2    Status: Withdrawn
Date: 2018-01-24
Characterization of Acute and Recent HIV-1 Infections in Zurich: a Long-term Observational Study
CTID: NCT00537966
Phase: N/A    Status: Recruiting
Date: 2017-11-08
A Drug Interaction Study Evaluating GSK2248761 and Raltegravir Pharmacokinetics in Healthy Adult Subjects
CTID: NCT01101893
Phase: Phase 1    Status: Completed
Date: 2017-09-11
Measurement of Plasma and Intracellular Concentrations of Raltegravir
CTID: NCT01214486
Phase: N/A    Status: Completed
Date: 2017-08-21
Advanced Neuroimaging Evaluation of CNS Changes Associated With Efavirenz Therapy Switch to an Raltegravir-based Regimen
CTID: NCT01978743
Phase: N/A    Status: Completed
Date: 2017-07-26
Changes in Liver Steatosis After Switching to Raltegravir in HIV/HCV Coinfection
CTID: NCT01900015
Phase: Phase 4    Status: Completed
Date: 2017-07-25
BRAVO: Background Regimen of Raltegravir on Virologic Outcome
CTID: NCT00751530
Phase:    Status: Completed
Date: 2017-07-02
Effect of Antacids on the Pharmacokinetics of Raltegravir
CTID: NCT00944307
Phase: Phase 1    Status: Completed
Date: 2017-06-28
Raltegravir (Isentress) Pilot Study in Relapsing Multiple Sclerosis
CTID: NCT01767701
Phase: Phase 2    Status: Completed
Date: 2017-05-30
Pilot Project of Virologic and Immunologic Correlates of GALT Immune Reconstitution Following Raltegravir Therapy
CTID: NCT00661960
Phase: N/A    Status: Completed
Date: 2017-05-30
A Retrospective Analysis of Raltegravir Use in Minority HIV Infected Women in Houston, Texas
CTID: NCT02302950
Phase:    Status: Unknown status
Date: 2017-05-22
EPOCH Chemotherapy and Bortezomib for Associated T-Cell Leukemia Lymphoma
CTID: NCT01000285
Phase: Phase 1/Phase 2    Status: Completed
Date: 2017-03-28
A Pharmacokinetic Study to Evaluate the Effect of Antacids on Raltegravir (MK-0518) in HIV-Infected Participants (MK-0518-247)
CTID: NCT01622673
Phase: Phase 1    Status: Completed
Date: 2017-03-21
A Study to Evaluate the Safety and Antiretroviral Activity of MK-0518 Versus Efavirenz in Treatment Naive HIV-Infected Patients, Each in Combination With TRUVADA (0518-021 EXT)
CTID: NCT00369941
Phase: Phase 3    Status: Completed
Date: 2017-03-21
A Study to Evaluate the Effect of Famotidine and Omeprazole on MK0518 (Raltegravir) Pharmacokinetics in Human Immunodeficiency Virus (HIV)-Infected Patients (0518-054)
CTID: NCT01000818
Phase: Phase 1    Status: Completed
Date: 2017-03-21
MK0518 in the Treatment of HIV-Infected Patients Switched From a Protease Inhibitor Regimen (0518-032)(TERMINATED)
CTID: NCT00443703
Phase: Phase 3    Status: Terminated
Date: 2017-03-21
Raltegravir as Early Therapy in African-Americans Living With HIV Study
CTID: NCT00667433
Phase: Phase 1    Status: Completed
Date: 2017-03-03
Safety Study of Isentress® + Truvada® in Post-exposure Treatment of HIV Infection
CTID: NCT01114425
Phase: Phase 3    Status: Completed
Date: 2017-02-23
Third Line Antiretroviral Treatment Optimization in Sub-Saharan Africa
CTID: NCT02025868
Phase: Phase 2    Status: Unknown status
Date: 2017-02-17
Pilot Study of Adding Raltegravir (MK-0518) to Antiretroviral Therapy in Patients With Low Level Viremia
CTID: NCT00618371
Phase: N/A    Status: Completed
Date: 2017-02-01
RAL+ATV/r in Comparison With TDF/FTC (or 3TC) +ATV/r in HIV Infected Patients
CTID: NCT01829802
Phase: Phase 4    Status: Unknown status
Date: 2017-01-24
Addition of Raltegravir to Established Antiretroviral Suppressive Therapy
CTID: NCT01245101
Phase: Phase 4    Status: Terminated
Date: 2016-12-23
Interferon Alfa Sensitivity in HIV/HCV Persons Before and After HIV Meds
CTID: NCT01285050
Phase: Phase 4    Status: Completed
Date: 2016-11-29
A Study of Drug-Drug Interaction Between Danoprevir/Low-Dose Ritonavir and Raltegravir in Healthy Volunteers
CTID: NCT01531647
Phase: Phase 1    Status: Completed
Date: 2016-11-02
Raltegravir Switch Study to Reduce Liver Fibrosis Progression in HIV-Hepatitis C Co-infection
CTID: NCT01231685
Phase: Phase 2    Status: Completed
Date: 2016-09-21
Changes in Lipids and Lipoproteins in HIV Infected Women After Switch From Protease Inhibitor to Raltegravir
CTID: NCT02097108
Phase: Phase 2    Status: Completed
Date: 2016-09-13
Renal Transplantation and Raltegravir in HIV-Infected Patients
CTID: NCT01453192
Phase: Phase 3    Status: Completed
Date: 2016-07-12
A Study of the Neurological Effects of Adding Raltegravir to HAART Regimen in Patients With HIV
CTID: NCT01448486
Phase: Phase 4    Status: Terminated
Date: 2016-06-27
Pilot Study of Raltegravir/Truvada Versus Efavirenz/Truvada for Adults With Acute IV-1 Infection
CTID: NCT00734344
Phase: N/A    Status: Completed
Date: 2016-05-30
Multicenter, Randomized, Double-Blind, Double-Dummy, Phase 3 Study of the Safety and Efficacy of Elvitegravir Versus Raltegravir
CTID: NCT00708162
Phase: Phase 3    Status: Completed
Date: 2016-05-30
A Study to Assess the Efficacy of Raltegravir (Isentress®), Administered in Combination With Other Antiretroviral Drugs as Treatment for Adults and Older Adults Infected With the Human Immunodeficiency Virus 1 (HIV-1)(MK-0518-145) (Wirksamkeit Von Isentress® Unter Praxisbedingungen)
CTID: NCT01213316
Phase:    Status: Completed
Date: 2016-05-23
Early Access of MK0518 in Combination With an Optimized Background Antiretroviral Therapy (0518-023)
CTID: NCT00377065
Phase:    Status: Approved for marketing
Date: 2016-04-22
Reduction of EArly mortaLITY in HIV-infected Adults and Children Starting Antiretroviral Therapy
CTID: NCT01825031
Phase: Phase 3    Status: Completed
Date: 2016-04-20
Effects of Intensive cART During Acute/Early HIV Infection
CTID: NCT01154673
Phase: Phase 2/Phase 3    Status: Completed
Date: 2016-04-05
The Effect of Antacids and Multivitamins on Raltegravir
CTID: NCT01784302
Phase: Phase 1    Status: Completed
Date: 2016-02-25
Truvada Plus Raltegravir for Nonoccupational Post-exposure Prophylaxis (nPEP)
CTID: NCT01214759
PhasePh
EFFICACY AND SAFETY OF A SIMPLIFICATION STRATEGY BASED ON DOLUTEGRAVIR AND DARUNAVIR / COBICISTAT VS OPTIMIZED TREATMENT IN SUPPRESSED HIV-1-INFECTED PATIENTS CARRYING ARCHIVED MULTIDRUG RESISTANCE MUTATIONS
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2018-09-04
A randomized, open, parallel design study to evaluate the effect on liver fat, adipose tissue and metabolic parameters when switching a protease inhibitor or efavirenz to once daily raltegravir in HIV-infected patients with body mass index over 25 kg/m2 and with at least one metabolic syndrome component.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-11-29
Phase 3b, single arm, single site simplification study of HIV-1 infected patients with virological suppression under the combination of 3TC (150 mg BID) plus Raltegravir (400 mg BID) switching to 3TC (300 mg QD) plus Raltegravir (1200 mg QD) : Roll-over study of the RALAM clinical trial (NCT02284035)
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2017-10-11
Phase 3b, single arm, single site simplification study with dual therapy including 3TC (300 mg QD) plus Raltegravir (1200 mg QD) in virologically suppressed HIV-1 infected atients experiencing inconvenience, toxicity, negative impact on co-morbidities or risk of drug-drug interactions with their current regimen. RALAM-II study
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2017-10-04
Randomized, open-label and multicentric trial evaluating the non-inferiority of antiretroviral treatment taken 4 consecutive days per week versus continuous therapy 7/7 days per week in HIV-1 infected patients with controlled viral load under antiretroviral therapy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-07-02
The time to protection and adherence requirements of Raltegravir with or without lamivudine in protection from HIV infection
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-04-28
Randomized, double-blind, placebo-controlled clinical trial to evaluate the effect of Raltegravir intensification (1.200 mg QD) on the gut microbiota of chronically HIV-1 infected subject over time: THE RAGTIME STUDY
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2017-03-29
Raltegravir-based regimen versus raltegravir-based regimen plus atorvastatin for reducing ?inflamaging? (aging-related complication) in HIV-infected patients older than 60 years.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-09-30
A non-comparative phase II trial evaluating the capacity of the dual combination raltegravir/etravirine to maintain virological success in HIV-1 infected patients of at least 45 years of age with an HIV-RNA plasma viremia below 50 copies/mL
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-05-31
An open-label, randomized, controlled clinical trial to assess the safety, tolerability and efficacy of two dolutegravir-based simplification strategies in HIV-infected patients with prolonged virological suppression
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-04-23
A phase IV, open-label three-arm study investigating the impact of a combination of tenofovir disoproxil fumarate/emtricitabine with raltegravir or dolutegravir or elvitegravir/cobicistat on renal tubular function and renal transporters in HIV-1 antiretroviral naïve patients
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-01-26
RIVER - Research In Viral Eradication of HIV Reservoirs, A two-arm (proof of concept) randomised phase II trial
CTID: null
Phase: Phase 2    Status: GB - no longer in EU/EEA
Date: 2015-01-13
The Central Nervous System Effects of Two Different HIV-Integrase Inhibitor Containing Antiretroviral Regimens.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-11-27
A Phase III Multicenter, Double-Blind, Randomized, Active Comparator-Controlled Clinical Trial to Evaluate the Safety and Efficacy of Reformulated Raltegravir 1200 mg Once Daily Versus Raltegravir 400 mg Twice Daily, Each in Combination With TRUVADA™, in Treatment-Naïve HIV-1 Infected Subjects
CTID: null
Phase: Phase 3    Status: Completed
Date: 2014-05-16
Switching from regimens consisting of a RTV -boosted protease inhibitor plus TDF/ FTC to a combination of RAltegravir pluis NevIrapine and IAmivudine in HIV patients with suppressed viremia and and impaired renal function (RANIA study)
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2014-05-16
Evaluation of the pharmacokinetic properties and the tolerance of raltegravir during the third trimester of pregnancy
CTID: null
Phase: Phase 2    Status: Completed
Date: 2014-02-06
One arm, Open label, Interventional, non-comparative Study to assess Changes in Lipids and Lipoproteins in HIV infected Women with Hyperlipidemia after Switch from boosted Protease Inhibitors to Raltegravir
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2013-12-02
Cambios esteatosis hepática debido a cambiar efavirens por RALTEGRAVIR conjunta de dos análogos de nucleósidos en pacientes coinfectados por VIH / VHC,: Estudio Steral
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-09-09
“Switching HIV-positive Women With Undetectable Viremia on Tenofovir/Emtricitabine plus Boosted Atazanavir to RALtegravir (400 mg twice-daily) plus Boosted ATazanavir (300/100 mg once-daily): A Pilot Randomized Clinical Trial Investigating 48-weeks Changes in Bone Mineral Density”
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2013-08-17
Randomized,multicenter,open-label, study of monoterapy with darunavir/ritonavir or lopinavir/ritonavir vs standard of care in virologically suppressed HIV-infected patients.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-06-20
A phase II baseline versus treatment study to determine the efficacy of raltegravir (ISENTRESS) in preventing progression of relapsing remitting multiple sclerosis as determined by gadolinium-enhanced MRI
CTID: null
Phase: Phase 2    Status: Completed
Date: 2013-01-16
Effects of losartan and antiretroviral regimen containing raltegravir in fibrosis inflammation mediators, cardiovascular risk and neurocognitive disorders in HIV infected patients previously effectively treated.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-01-16
Comparison of two antiretroviral regimens in HIV Post-exposure Prophylaxis: TDF-FTC (Truvada®) + Lopinavir/ritonavir (kaletra®) versus TDF-FTC (Truvada®) + raltegravir (Isentress®). A prospective, randomized, open clinical trial.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2012-01-05
A phase IV, randomized, open label, cross-over, intervention trial to investigate the effect of the switch of lopinavir-ritonavir to raltegravir on endothelial function, chronic inflammation, immune activation and HIV replication below 50 copies/ml
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-11-29
Impact of Raltegravir Intensification on HIV-1-infected Subjects with Complete Viral Suppression under Monotherapy with Protease Inhibitors. A 24-week controlled, open-label, proof-of-concept pilot clinical trial.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2011-11-22
Studio PKCT - Pharmacokinetics of chemotherapy when given concurrently with antiretroviral (Protocol no. CSL01).
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-10-20
An Open-Label, Randomized Study Evaluating a Switch from a Regimen of Two Nucleoside Reverse Transcriptase Inhibitors plus any Third Agent to either a Regimen of Atazanavir/Ritonavir Once Daily and Raltegravir Twice Daily or to a Regimen of Atazanavir/Ritonavir Once Daily and Tenofovir/Emtricitabine Once Daily in Virologically Suppressed HIV-1 Infected Subjects With Safety and/or Tolerability Issues on their Present Treatment Regimen (the HARNESS study).
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-08-01
Studio degli effetti immuno-virologici dell’interruzione di Maraviroc nei pazienti che stanno fallendo un regime contenente Maraviroc
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2011-03-22
A e.quer

生物数据图片
  • Raltegravir (MK-0518)

    SIVmac251 susceptibility to raltegravir in tissue culture. Retrovirology. 2010 Mar 16;7:21.
  • Raltegravir (MK-0518)

    Effect of raltegravir (RAL), alone and in combination with PMPA and FTC, on viral load (panel A) and CD4 counts (panel B) in SIVmac251-infected macaques (Group 1). Retrovirology. 2010 Mar 16;7:21.
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