Ritonavir (ABT-538; Norvir)

别名: ABT-538; A 84538; Norvir; ABT538; Norvir; ABT-538; A-84538; Abbott 84538; ABBOTT-84538; Empetus; A-84538; Norvir Sec; 538, ABT; Ritonavir; ABT 538; 利托那韦; N-[(2S,3S,5R)-3-羟基-5-[[(2S)-3-甲基-2-[[甲基-[(2-异丙基-1,3-噻唑-4-基)甲基]氨基甲酰]氨基]丁酰]氨基]-1,6-二苯基-己-2-基]氨基甲酸 5-噻唑基甲基酯; 利托那韦 GMP; 利托那韦 EP标准品;利托那韦 USP标准品;利托那韦 标准品;利托那韦 ;利托那韦-D6; 雷托那韦;瑞托纳韦;瑞托那韦;利托那韦(标准品);利托那韦相关物质混合物;利托那韦 RITONAVIR;利托那韦, HIV 蛋白酶
目录号: V0729 纯度: ≥98%
Ritonavir(以前称为 ABT-538;A-84538;RTV;ABT538,商品名:Norvir)是一种 L-缬氨酸衍生物和 HIV-1 蛋白酶的有效抑制剂,用于治疗 HIV 感染和艾滋病。
Ritonavir (ABT-538; Norvir) CAS号: 155213-67-5
产品类别: HIV Protease
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
10 mM * 1 mL in DMSO
1mg
5mg
10mg
25mg
50mg
100mg
250mg
500mg
1g
Other Sizes

Other Forms of Ritonavir (ABT-538; Norvir):

  • rel-Ritonavir-d6 (ritonavir-d6; rel-ABT 538-d6; rel-RTV-d6)
  • Ritonavir-d6 (ABT 538-d6; RTV-d6)
  • 利托那韦代谢物
  • Ritonavir-13C,d3 (ABT 538-13C,d3; RTV-13C,d3)
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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
Ritonavir(以前称为 ABT-538;A-84538;RTV;ABT538,商品名:Norvir)是一种 L-缬氨酸衍生物,是 HIV-1 蛋白酶的有效抑制剂,用于治疗 HIV 感染和艾滋病。它被广泛用作其他蛋白酶抑制剂/PI(例如洛匹那韦)的增强剂,并使它们发挥更好的作用。更具体地说,利托那韦用于抑制通常代谢蛋白酶抑制剂 CYP3A4 的特定肝酶。 Ritonavir 对 HIV-1 株和 HIV-2 株表现出有效的体外抑制作用,50% 有效浓度 EC50 值分别为 0.022 μM 和 0.16 μM。
生物活性&实验参考方法
靶点
CYP3A4; HIV
体外研究 (In Vitro)
体外活性:Ritonavir 是 CYP3A4 介导的睾酮 6β-羟基化的非常有效的抑制剂,平均 Ki 为 19 nM,并且还抑制甲苯磺丁脲羟基化,IC50 为 4.2 μM。 Ritonavir被发现是CYP3A介导的生物转化的有效抑制剂(硝苯地平氧化,IC50为0.07 mM,17α-乙炔雌二醇2-羟基化,IC50为2 mM;特非那定羟基化,IC50为0.14 mM)。 Ritonavir 还被发现是 CYP2D6 (IC50 = 2.5 mM) 和 CYP2C9/10 (IC50 = 8.0 mM) 介导的反应的抑制剂。利托那韦可增加未感染的人 PBMC 培养物中的细胞活力。 Ritonavir 显着降低 PBMC 对细胞凋亡的敏感性,这与较低水平的 caspase-1 表达相关,减少膜联蛋白 V 染色,并降低未感染的人 PBMC 培养物中的 caspase-3 活性。 Ritonavir 在无毒浓度下以时间和剂量依赖性方式抑制 PBMC 和单核细胞诱导肿瘤坏死因子 (TNF) 产生。 Ritonavir 抑制 p-糖蛋白介导的沙奎那韦挤出,IC50 为 0.2 μM,表明利托那韦对 p-糖蛋白具有高亲和力。 Ritonavir 有效抑制 ABT-378 的人肝微粒体代谢,Ki 为 13 nM。 Ritonavir 与 ABT-378 联合(比例为 3:1 和 29:1)可抑制 CYP3A(IC50 = 1.1 和 4.6 μM),但不如 Ritonavir(IC50 = 0.14 μM)有效。激酶测定:Ritonavir (ABT 538) 是 CYP3A4 介导的睾酮 6β-羟基化的抑制剂,平均 Ki 为 19 nM,并且还抑制甲苯磺丁脲羟基化,IC50 为 4.2 μM。 Ritonavir (ABT 538) 被发现是 CYP3A 介导的生物转化的有效抑制剂(硝苯地平氧化,IC50 为 0.07 mM,17α-乙炔雌二醇 2-羟基化,IC50 为 2 mM;特非那定羟基化,IC50 为 0.14 mM)。 Ritonavir 也是 CYP2D6 (IC50=2.5 mM) 和 CYP2C9/10 (IC50=8.0 mM) 介导的反应的抑制剂。细胞测定:利托那韦可增加未感染的人 PBMC 培养物中的细胞活力。 Ritonavir 显着降低 PBMC 对细胞凋亡的敏感性,这与较低水平的 caspase-1 表达相关,减少膜联蛋白 V 染色,并降低未感染的人 PBMC 培养物中的 caspase-3 活性。 Ritonavir 在无毒浓度下以时间和剂量依赖性方式抑制 PBMC 和单核细胞诱导肿瘤坏死因子 (TNF) 产生。 Ritonavir 抑制 p-糖蛋白介导的沙奎那韦挤出,IC50 为 0.2 μM,表明利托那韦对 p-糖蛋白具有高亲和力。 Ritonavir 有效抑制 ABT-378 的人肝微粒体代谢,Ki 为 13 nM。 Ritonavir 与 ABT-378 联合(比例为 3:1 和 29:1)可抑制 CYP3A(IC50=1.1 和 4.6 μM),但不如 Ritonavir(IC50=0.14 μM)有效。
体内研究 (In Vivo)
PAXLOVID™(Nirmatrevir与利托那韦的联合包装)已被批准用于治疗2019冠状病毒病(新冠肺炎)。该实验的目的是使用超高效液相色谱-串联质谱法(UPLC-MS/MS)创建一种准确直接的分析方法,同时定量大鼠血浆中的尼马替韦和利托那韦,并研究这些药物在大鼠体内的药代动力学特征。使用乙腈进行蛋白质沉淀后,使用超高效液相色谱法(UPLC)分离尼马特洛韦、利托那韦和内标(IS)洛匹那韦。这种分离是通过使用具有二元梯度洗脱的反相柱,使用由乙腈和0.1%甲酸水溶液组成的流动相实现的。使用多反应监测(MRM)技术,在正电喷雾电离模式下检测分析物。在血浆样本中,尼马替韦和利托那韦的校准范围分别为2.0-10000 ng/mL和1.0-5000 ng/mL,观察到良好的线性关系。尼马特韦和利托那韦的定量下限分别为2.0 ng/mL和1.0 ng/mL。两种药物的日间和日间精度均低于15%,准确率在-7.6%至13.2%之间。分析物的提取回收率高于90.7%,没有明显的基质效应。同样,在不同条件下,稳定性满足分析方法的要求。这种UPLC-MS/MS方法的特点是能够准确和精确地定量血浆中的尼马特韦和利托那韦,可有效用于大鼠体内药代动力学研究[8]。
酶活实验
Ritonavir (ABT 538) 是一种由 CYP3A4 介导的睾酮 6β-羟基化抑制剂,平均 Ki 为 19 nM。它对甲苯磺丁脲羟基化的 IC50 为 4.2 μM。研究发现,利托那韦 (ABT 538) 是 CYP3A 介导的生物转化的强抑制剂(硝苯地平氧化和 17α-乙炔雌二醇 2-羟基化的 IC50 值分别为 0.07 mM、2 mM 和 0.14 mM)。 CYP2D6 (IC50=2.5 mM) 和 CYP2C9/10 (IC50=8.0 mM) 介导的反应抑制剂包括利托那韦。
细胞实验
在未感染的人外周血单核细胞中,利托那韦可增加细胞活力。在未感染的人 PBMC 培养物中,利托那韦显着降低 PBMC 对细胞凋亡的敏感性,这与 caspase-1 表达水平降低、膜联蛋白 V 染色减少以及 caspase-3 活性降低相关。在无毒浓度下,利托那韦以时间和剂量依赖性方式抑制单核细胞和 PBMC 产生肿瘤坏死因子 (TNF) 的诱导。利托那韦的 IC50 为 0.2 μM,抑制 p-糖蛋白介导的沙奎那韦挤出,表明对 p-糖蛋白具有高亲和力。利托那韦的 Ki 值为 13 nM,可有效抑制 ABT-378 的人肝微粒体代谢。虽然利托那韦的效力不如利托那韦 (IC50=0.14 μM),但利托那韦与 ABT-378 组合(比例为 3:1 和 29:1)可抑制 CYP3A(IC50=1.1 和 4.6 μM)。
动物实验
BALB/c mice
60 mg/kg
i.p.
Animal experiments[8]
A cohort of six male Sprague-Dawley rats (in good health, and their individual weights falling within the range of 200–220 g) was used. Prior to commencing the experiment, the rats were housed in a controlled environment with clean cages for a week-long acclimation period. The ambient conditions were maintained at 25 °C and a 12-h light/dark cycle. During this time, the animals enjoyed ad libitum access to food and water. Before the day of dosing, a 12-h fasting period was performed, during which water intake remained unrestricted. Each rat was received an oral administration of a solution containing 30 mg/kg of nirmatrelvir and 10 mg/kg of ritonavir, formulated in 0.5% sodium carboxymethylcellulose. At designated time points, including pre-dose (0 h), 0.33, 0.67, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48 h post-dosing, approximately 0.3 mL of blood was drawn from the tail vein into heparinized centrifuge tubes. After centrifugation of these samples at 8000×g and 25 °C for 10 min, the supernatant was carefully transferred into fresh tubes and stored at −80 °C pending further analysis.

Pharmacokinetic parameters of nirmatrelvir and ritonavir in each rat, encompassing area under the concentration-time curve (AUC), time to reach peak plasma concentration (Tmax), maximum plasma concentration (Cmax), elimination half-life (t1/2), apparent clearance (CLz/F), and mean residence time (MRT), were analyzed through non-compartmental statistical models using the Drugs and Statistics (DAS 3.0) software. The data were presented as mean ± standard deviation (SD).
Drug repurposing is a promising strategy for identifying new applications for approved drugs. Here, we describe a polymer biomaterial composed of the antiretroviral drug ritonavir derivative (5-methyl-4-oxohexanoic acid ritonavir ester; RD), covalently bound to HPMA copolymer carrier via a pH-sensitive hydrazone bond (P-RD). Apart from being more potent inhibitor of P-glycoprotein in comparison to ritonavir, we found RD to have considerable cytostatic activity in six mice (IC50 ~ 2.3-17.4 μM) and six human (IC50 ~ 4.3-8.7 μM) cancer cell lines, and that RD inhibits the migration and invasiveness of cancer cells in vitro. Importantly, RD inhibits STAT3 phosphorylation in CT26 cells in vitro and in vivo, and expression of the NF-κB p65 subunit, Bcl-2 and Mcl-1 in vitro. RD also dampens chymotrypsin-like and trypsin-like proteasome activity and induces ER stress as documented by induction of PERK phosphorylation and expression of ATF4 and CHOP. P-RD nanomedicine showed powerful antitumor activity in CT26 and B16F10 tumor-bearing mice, which, moreover, synergized with IL-2-based immunotherapy. P-RD proved very promising therapeutic activity also in human FaDu xenografts and negligible toxicity predetermining these nanomedicines as side-effect free nanosystem. The therapeutic potential could be highly increased using the fine-tuned combination with other drugs, i.e. doxorubicin, attached to the same polymer system. Finally, we summarize that described polymer nanomedicines fulfilled all the requirements as potential candidates for deep preclinical investigation.[7]
药代性质 (ADME/PK)
Absorption, Distribution and Excretion
The absolute bioavailability of ritonavir has not been determined. Following oral administration, peak concentrations are reached after approximately 2 hours and 4 hours (Tmax) after dosing under fasting and non-fasting conditions, respectively. It should be noted that ritonavir capsules and tablets are not considered bioequivalent.
Ritonavir is primarily eliminated in the feces. Following oral administration of a single 600mg dose of radiolabeled ritonavir, approximately 11.3 ± 2.8% of the dose was excreted into the urine, of which 3.5 ± 1.8% was unchanged parent drug. The same study found that 86.4 ± 2.9% of the dose was excreted in the feces, of which 33.8 ± 10.8% was unchanged parent drug.
The estimated volume of distribution of ritonavir is 0.41 ± 0.25 L/kg.
The apparent oral clearance at steady-state is 8.8 ± 3.2 L/h. Renal clearance is minimal and estimated to be <0.1 L/h.
Ritonavir and its metabolites are eliminated from the body predominantly in the feces (86% of unchanged drug and metabolites), with minor urinary elimination (11%, mostly metabolites).
Absorption of ritonavir is only slightly affected by diet, and this is somewhat dependent on the formulation. The overall absorption of ritonavir from the capsule formulation may increase by 15% when taken with meals. ... There is greater than sixfold variability in drug trough concentrations among patients given 600 mg of ritonavir every 12 hours.
The extent of oral absorption is high and is not affected by food. Within the clinical concentration range, ritonavir is approximately 98 to 99% bound to plasma proteins, including albumin and alpha 1-acid glycoprotein. Cerebrospinal fluid (CSF) drug concentrations are low in relation to total plasma concentration. However, parallel decreases in the viral burden have been observed in the plasma, CSF and other tissues. ... About 34% and 3.5% of a 600 mg dose is excreted as unchanged drug in the feces and urine, respectively. The clinically relevant t1/2 beta is about 3 to 5 hours. Because of autoinduction, plasma concentrations generally reach steady state 2 weeks after the start of administration. The pharmacokinetics of ritonavir are relatively linear after multiple doses, with apparent oral clearance averaging 7 to 9 L/hr.
Ritonavir is excreted principally in the feces, both as unchanged drug and metabolites. Following oral administration of 600 mg of radiolabeled ritonavir as the oral solution, 86.4% of the dose is excreted in feces (33.8% as unchanged drug) and 11.3% of the dose is excreted in urine (3.5% as unchanged drug).
For more Absorption, Distribution and Excretion (Complete) data for RITONAVIR (6 total), please visit the HSDB record page.
Metabolism / Metabolites
Ritonavir circulates in the plasma predominantly as unchanged drug. Five metabolites have been identified. The isopropylthiazole oxidation metabolite (M-2) is the major metabolite in low plasma concentrations and retains similar antiviral activity to unchanged ritonavir. The cytochrome P450 enzymes CYP3A and CYP2D6 are the enzymes primarily involved in the metabolism of ritonavir.
... Ritonavir is primarily metabolised by cytochrome P450 (CYP) 3A isozymes and, to a lesser extent, by CYP2D6. Four major oxidative metabolites have been identified in humans, but are unlikely to contribute to the antiviral effect. ...
Five ritonavir metabolites have been identified in human urine and feces. The isopropylthiazole oxidation metabolite (M2) appears to be the major metabolite. M2 (but not other metabolites) has antiviral activity similar to that of ritonavir; however, only very low concentrations of this metabolite are present in plasma. Other metabolites identified in in vitro studies include a decarbamoylated metabolite (M1) and a product of N-dealkylation at the urea terminus (M11).
Biological Half-Life
The approximate half-life of ritonavir is 3-5 hours.
The clinically relevant t1/2 beta is about 3 to 5 hours.
毒性/毒理 (Toxicokinetics/TK)
Hepatotoxicity
Some degree of serum aminotransferase elevations occurs in a high proportion of patients taking ritonavir containing antiretroviral regimens. Moderate-to severe elevations in serum aminotransferase levels (>5 times the upper limit of normal) are found in up to 15% of patients treated with full doses of ritonavir and are more common in patients with HIV-HCV coinfection. With low “booster” doses, ritonavir does not appear to increase the frequency or severity of serum enzyme elevations, and those that occur are usually asymptomatic and self-limited, resolving even with continuation of ritonavir. Clinically apparent liver injury from full doses of ritonavir has been reported, but hepatotoxicity from low dose ritonavir has not been clearly linked to acute liver injury. In many situations, the liver injury is difficult to attribute to ritonavir because it is used in combination with higher doses of other protease inhibitors. HIV protease inhibitors have been associated with acute liver injury arising 1 to 8 weeks after onset, with variable patterns of liver enzyme elevation, from hepatocellular to cholestatic. Immunoallergic features (rash, fever, eosinophilia) are uncommon as is autoantibody formation. Ritonavir in combination with saquinavir has also been associated with a rapid onset (1 to 4 days) acute hepatic injury in patients who are taking rifampin and perhaps other agents that affect CYP 450 activity, such as phenobarbital. Finally, initiation of ritonavir based highly active antiretroviral therapy can lead to exacerbation of an underlying chronic hepatitis B or C in coinfected individuals, typically arising 2 to 12 months after starting therapy and associated with a hepatocellular pattern of serum enzyme elevations and increases followed by falls in serum levels of hepatitis B virus (HBV) DNA or hepatitis C virus (HCV) RNA. Ritonavir therapy has not been clearly linked to lactic acidosis and acute fatty liver that is reported in association with several nucleoside analogue reverse transcriptase inhibitors.
Likelihood score: C (probable rare cause of clinically apparent liver injury).
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
Ritonavir is excreted into milk in measurable concentrations and low levels can be found in the blood of some breastfed infants. No adverse reactions in breastfed infants have been reported. Achieving and maintaining viral suppression with antiretroviral therapy decreases breastfeeding transmission risk to less than 1%, but not zero. Individuals with HIV who are on antiretroviral therapy with a sustained undetectable viral load and who choose to breastfeed should be supported in this decision. If a viral load is not suppressed, banked pasteurized donor milk or formula is recommended.
◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk
Gynecomastia has been reported among men receiving highly active antiretroviral therapy. Gynecomastia is unilateral initially, but progresses to bilateral in about half of cases. No alterations in serum prolactin were noted and spontaneous resolution usually occurred within one year, even with continuation of the regimen. Some case reports and in vitro studies have suggested that protease inhibitors might cause hyperprolactinemia and galactorrhea in some male patients, although this has been disputed. The relevance of these findings to nursing mothers is not known. The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
Protein Binding
Ritonavir is highly protein-bound in plasma (~98-99%), primarily to albumin and alpha-1 acid glycoprotein over the standard concentration range.
Interactions
These medications /amiodarone, astemizole, bepridil, bupropion, cisapride, clozapine, dihydroergotamine, encainide, ergotamine, flecainide, meperidine, pimozide, piroxicam, propafenone, propoxyphene, quinidine, rifabutin or terfenadine/ should not be administered concurrently with ritonavir; concurrent administration with ritonavir is likely to produce a large increase in the plasma concentrations of these medications, which may increase the risk of arrhythmias, hematologic abnormalities, seizures, or other potentially serious adverse effects.
In one study, concurrent administration /with clarithromycin/ increased the AUC of clarithromycin by 77% and the peak plasma concentration by 31%; dosing does not need to be adjusted in patients with normal renal function; however, for patients with a creatinine clearance of 30 to 60 ml/minute (0.5 to 1 ml/second), the dose of clarithromycin should be reduced by 50%, and for patients with a creatinine clearance of less than 30 ml/minute (0.5 ml/second), the dose of clarithromycin should be reduced by 75%.
These medications /clorazepate, diazepam, estazolam, flurazepam, midazolam, triazolam, or zolpidem/ should not be administered concurrently with ritonavir; concurrent administration with ritonavir is likely to produce a large increase in the plasma concentrations of these medications, which may produce extreme sedation and respiratory depression.
In one study, concurrent administration /with estrogen-containing oral contraceptive/ decreased the AUC of ethinyl estradiol by 40%; an oral contraceptive with a higher estrogen content or an alternative method of contraception should be considered.
For more Interactions (Complete) data for RITONAVIR (14 total), please visit the HSDB record page.
参考文献

[1]. Br J Clin Pharmacol . 1997 Aug;44(2):190-4.

[2]. J Pharmacol Exp Ther . 1996 Apr;277(1):423-31.

[3]. J Hum Virol . 1999 Sep-Oct;2(5):261-9.

[4]. Biochem Pharmacol . 1999 May 15;57(10):1147-52.

[5]. Drug Metab Dispos . 1999 Aug;27(8):902-8.

[6]. Nat Med . 2018 May;24(5):604-609.

[7]. J Control Release . 2021 Apr 10:332:563-580.

[8]. Heliyon . 2024 May 30;10(11):e32187.

其他信息
Therapeutic Uses
Ritonavir is indicated in combination with nucleoside analogs or as monotherapy for the treatment of HIV infection or AIDS. /Included in US product labeling/
Lopinavir/ritonavir has demonstrated antiviral activity in the HIV-infected adult. The objective of this study was to investigate a liquid coformulation of lopinavir/ritonavir, in combination with reverse transcriptase inhibitors, in HIV-infected children. One hundred antiretroviral (ARV)-naive and ARV-experienced, nonnucleoside reverse transcriptase inhibitor-naive children between 6 months and 12 years of age participated in this Phase I/II, open label, multicenter trial. Subjects initially received either 230/57.5 mg/sq m or 300/75 mg/sq m lopinavir/ritonavir twice daily; ARV-naive subjects also received stavudine and lamivudine, whereas ARV-experienced subjects also received nevirapine and one or two nucleoside reverse transcriptase inhibitors. Lopinavir/ritonavir pharmacokinetics, safety and efficacy were evaluated. All subjects were escalated to the 300/75 mg/sq m twice daily dose based on results from an interim pharmacokinetic and safety evaluation. The pharmacokinetics of lopinavir did not appear to be dependent on age when dosing was based on body surface area but were decreased on coadministration with nevirapine. Overall 79% of subjects had HIV RNA levels <400 copies/mL at Week 48 (intent-to-treat: missing = failure). Mean increases in absolute and relative (percent) CD4 counts from baseline to Week 48 were observed in both ARV-naive subjects (404 cells/cu mm; 10.3%) and ARV-experienced subjects (284 cells/cu mm; 5.9%). Only one subject prematurely discontinued the study because of a study drug-related adverse event. The liquid coformulation of lopinavir/ritonavir demonstrated durable antiviral activity and was safe and well-tolerated after 48 weeks of treatment in HIV-infected children.
Drug Warnings
The most frequent adverse effects associated with ritonavir therapy involve the GI tract. In one clinical study in HIV-infected patients, nausea occurred in 25.6%, vomiting in 13.7%, diarrhea in 15.4%, taste perversion in 11.1%, abdominal pain in 6%, local throat irritation in 1.7%, anorexia in 1.7%, and flatulence in 0.9% of patients who received ritonavir monotherapy. In clinical studies in patients with HIV infection who received ritonavir in conjunction with nucleoside antiretroviral therapy or ritonavir in conjunction with saquinavir, nausea occurred in 18.4-46.6%, vomiting in 7.1-23.3%, diarrhea in 22.7-25%, taste perversion in 5-17.2%, anorexia in 4.3-8.6%, abdominal pain in 2.1-8.3%, local throat irritation in 0.9-2.8%, and flatulence in 1.7-3.5% of patients. Constipation, dyspepsia, or fecal incontinence occurred in 0.2-3.4, 0.7-5.9, or 2.8%, respectively, of patients receiving ritonavir with other antiretroviral agents; these effects were not reported in patients receiving ritonavir monotherapy. Many adverse GI effects reported with ritonavir are transient; vomiting persists for an average of 1 week, nausea for 2-3 weeks, and diarrhea for 5 weeks.
Adverse GI effects reported in less than 2% of patients receiving ritonavir alone or in conjunction with other antiretroviral agents include abnormal stools, bloody diarrhea, cheilitis, cholangitis, colitis, dry mouth, dysphagia, enlarged abdomen, eructation, esophageal ulcer, esophagitis, gastritis, gastroenteritis, GI disorder, GI hemorrhage, gingivitis,ileus, melena, mouth ulcer, pseudomembranous colitis, rectal disorder, rectal hemorrhage, sialadenitis, stomatitis, taste loss, tenesmus, thirst, tongue edema, and ulcerative colitis.
Peripheral paresthesia occurred in 6% and paresthesia or circumoral paresthesia occurred in 2.6-3.4% of patients with HIV infection receiving ritonavir monotherapy in one clinical study (study 245). In clinical studies in patients receiving ritonavir in conjunction with nucleoside antiretroviral therapy (studies 245 and 247) or in conjunction with saquinavir (study 462), peripheral paresthesia was reported in 55.7%, paresthesia in 2.1-5.2%, and circumoral paresthesia in 5.2-6.7% of patients. Asthenia occurred in 10.3% of patients receiving ritonavir monotherapy and in 15.3-28.4% of patients receiving ritonavir with other antiretroviral agents. Many of these adverse effects are transient; peripheral paresthesia persists for an average of 34 weeks and circumoral paresthesia and asthenia persist for 35 weeks.
Dizziness, insomnia, or somnolence have been reported in 2.6% of patients receiving ritonavir monotherapy and in 3.9-8.5, 2-3.4, or 2.4-2.6%, respectively, of patients receiving ritonavir with other antiretroviral agents. Headache, depression, or abnormal thinking were reported in 4.3-7.8, 1.7-7.1, or 0.7-2.6%, respectively, of patients receiving ritonavir in conjunction with other antiretroviral agents. Anxiety or confusion were reported in up to 2.1% of patients receiving ritonavir with other antiretroviral agents.
For more Drug Warnings (Complete) data for RITONAVIR (34 total), please visit the HSDB record page.
Pharmacodynamics
Ritonavir is a protease inhibitor with activity against Human Immunodeficiency Virus Type 1 (HIV-1). Protease inhibitors block the part of HIV called protease. HIV-1 protease is an enzyme required for the proteolytic cleavage of the viral polyprotein precursors into the individual functional proteins found in infectious HIV-1. Ritonavir binds to the protease active site and inhibits the activity of the enzyme. This inhibition prevents cleavage of the viral polyproteins resulting in the formation of immature non-infectious viral particles. Protease inhibitors are almost always used in combination with at least two other anti-HIV drugs. Modern protease inhibitors require the use of low-dose ritonavir to boost pharmacokinetic exposure through inhibition of metabolism via the cytochrome P450 3A4 enzyme pathway.
*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
C37H48N6O5S2
分子量
720.94
精确质量
720.312
元素分析
C, 61.64; H, 6.71; N, 11.66; O, 11.10; S, 8.90
CAS号
155213-67-5
相关CAS号
Ritonavir-d6;1616968-73-0;rel-Ritonavir-d6;1217720-20-1;Ritonavir metabolite;176655-55-3;Ritonavir-13C,d3
PubChem CID
392622
外观&性状
White to off-white solid powder
密度
1.2±0.1 g/cm3
沸点
947.0±65.0 °C at 760 mmHg
熔点
120-122°C
闪点
526.6±34.3 °C
蒸汽压
0.0±0.3 mmHg at 25°C
折射率
1.600
LogP
5.28
tPSA
202.26
氢键供体(HBD)数目
4
氢键受体(HBA)数目
9
可旋转键数目(RBC)
18
重原子数目
50
分子复杂度/Complexity
1040
定义原子立体中心数目
4
SMILES
S1C([H])=C(C([H])([H])N(C([H])([H])[H])C(N([H])[C@]([H])(C(N([H])[C@@]([H])(C([H])([H])C2C([H])=C([H])C([H])=C([H])C=2[H])C([H])([H])[C@@]([H])([C@]([H])(C([H])([H])C2C([H])=C([H])C([H])=C([H])C=2[H])N([H])C(=O)OC([H])([H])C2=C([H])N=C([H])S2)O[H])=O)C([H])(C([H])([H])[H])C([H])([H])[H])=O)N=C1C([H])(C([H])([H])[H])C([H])([H])[H]
InChi Key
NCDNCNXCDXHOMX-XGKFQTDJSA-N
InChi Code
InChI=1S/C37H48N6O5S2/c1-24(2)33(42-36(46)43(5)20-29-22-49-35(40-29)25(3)4)34(45)39-28(16-26-12-8-6-9-13-26)18-32(44)31(17-27-14-10-7-11-15-27)41-37(47)48-21-30-19-38-23-50-30/h6-15,19,22-25,28,31-33,44H,16-18,20-21H2,1-5H3,(H,39,45)(H,41,47)(H,42,46)/t28-,31-,32-,33-/m0/s1
化学名
1,3-thiazol-5-ylmethyl N-[(2S,3S,5S)-3-hydroxy-5-[[(2S)-3-methyl-2-[[methyl-[(2-propan-2-yl-1,3-thiazol-4-yl)methyl]carbamoyl]amino]butanoyl]amino]-1,6-diphenylhexan-2-yl]carbamate
别名
ABT-538; A 84538; Norvir; ABT538; Norvir; ABT-538; A-84538; Abbott 84538; ABBOTT-84538; Empetus; A-84538; Norvir Sec; 538, ABT; Ritonavir; ABT 538;
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

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: ~100 mg/mL (~138.7 mM)
Water: <1 mg/mL
Ethanol: ~3 mg/mL (~4.2 mM)
溶解度 (体内实验)
配方 1 中的溶解度: 2.5 mg/mL (3.47 mM) 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), 悬浮液;超声助溶。
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。

配方 2 中的溶解度: 2.5 mg/mL (3.47 mM) 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 储备液加入到 900 μL 玉米油中并混合均匀。

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配方 3 中的溶解度: 2.5 mg/mL (3.47 mM) in 5% DMSO + 40% PEG300 + 5% Tween80 + 50% Saline (这些助溶剂从左到右依次添加,逐一添加), 悬浊液; 超声助溶。
*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 4 中的溶解度: 2.5 mg/mL (3.47 mM) in 5% DMSO + 95% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 悬浊液; 超声助溶。
*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。

配方 5 中的溶解度: 0.5 mg/mL (0.69 mM) in 1% DMSO 99% Saline (这些助溶剂从左到右依次添加,逐一添加), 悬浊液; 超声助溶。
*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 6 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 1.3871 mL 6.9354 mL 13.8708 mL
5 mM 0.2774 mL 1.3871 mL 2.7742 mL
10 mM 0.1387 mL 0.6935 mL 1.3871 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。
+
+
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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
Investigation of Drug-drug Interaction of Ritonavir and Itraconazole on the Pharmacokinetics of SHR-A1811 in Subjects With HER2-expressing Advanced Breast Cancer
CTID: NCT06710990
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-12-02
A Decentralized, Randomized Phase 2 Efficacy and Safety Study of Nirmatrelvir/Ritonavir in Adults with Long COVID.
CTID: NCT05668091
Phase: Phase 2    Status: Completed
Date: 2024-12-02
STARLITE for Unresectable High-Grade Gliomas
CTID: NCT06428045
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-11-27
EPIC-Peds: A Study to Learn About the Study Medicine Called PF-07321332 (Nirmatrelvir)/Ritonavir in Patients Under 18 Years of Age With COVID-19 That Are Not Hospitalized But Are at Risk for Severe Disease
CTID: NCT05261139
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-11-18
Study to Evaluate Safety, Tolerability, PK and the Food Effect on PK of ASC11/RTV Tablets in Healthy Subjects
CTID: NCT05718518
Phase: Phase 1    Status: Completed
Date: 2024-11-13
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Bone, Immunologic, and Virologic Effects of a Antiretroviral Regimen
CTID: NCT01400412
Phase: Phase 2    Status: Completed
Date: 2024-10-15


A Study to Learn About the Study Medicine (Nirmatrelvir Plus Ritonavir) in Pregnant Women With COVID-19
CTID: NCT05386472
Phase: Phase 1    Status: Recruiting
Date: 2024-10-15
A Study to Learn About a Repeat 5-Day Treatment With the Study Medicines (Called Nirmatrelvir/Ritonavir) in People 12 Years Old or Older With Return of COVID-19 Symptoms and SARS-CoV-2 Positivity After Finishing Treatment With Nirmatrelvir/Ritonavir
CTID: NCT05567952
Phase: Phase 2    Status: Completed
Date: 2024-10-08
A Phase 1/2a Study of DB-1303/BNT323 in Advanced/Metastatic Solid Tumors
CTID: NCT05150691
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-03
Safety and Efficacy of Doravirine (MK-1439) in Participants With Human Immunodeficiency Virus 1 (HIV-1) (MK-1439-018)
CTID: NCT02275780
Phase: Phase 3    Status: Completed
Date: 2024-10-01
Paxlovid for Treatment of Long Covid
CTID: NCT05576662
Phase: Phase 2    Status: Completed
Date: 2024-09-25
A Study to Learn About the Study Medicines (Nirmatrelvir Plus Ritonavir) in People Aged 12 Years or Older With COVID-19 and a Compromised Immune System
CTID: NCT05438602
Phase: Phase 2    Status: Completed
Date: 2024-09-23
A Study of Extending Relugolix Dosing Intervals Through Addition of Itraconazole or Ritonavir in Prostate Cancer Patients
CTID: NCT05679388
Phase: Phase 1    Status: Terminated
Date: 2024-09-19
Understanding HCV Reinfection Rates in an Incarcerated Population After Cure With Interferon Free HCV Treatment
CTID: NCT02460133
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-08-23
Pharmacokinetic Properties of Antiretroviral and Anti-Tuberculosis Drugs During Pregnancy and Postpartum
CTID: NCT04518228
Phase:    Status: Recruiting
Date: 2024-08-21
Evaluate the Safety, Tolerability, and Antiviral Activity of GLS4 With Ritonavir in Patients With Chronic HBV Infection
CTID: NCT04147208
Phase: Phase 2    Status: Completed
Date: 2024-06-21
A Study to Learn About the Medicine (PF-07321332 or Nirmatrelvir/Ritonavir) in Healthy Lactating Women
CTID: NCT05441215
Phase: Phase 1    Status: Completed
Date: 2024-04-03
PF-07321332/Ritonavir and Ritonavir on Dabigatran Study in Healthy Participants
CTID: NCT05064800
Phase: Phase 1    Status: Completed
Date: 2024-03-29
A Study to Determine Safety and Efficacy of Dolutegravir/Abacavir/Lamivudine (DTG/ABC/3TC) in Human Immunodeficiency Virus (HIV)-1 Infected Antiretroviral Therapy (ART) Naïve Women (ARIA)
CTID: NCT01910402
Phase: Phase 3    Status: Completed
Date: 2024-02-20
A Study of a Nucleoside Sparing Regimen in HIV-1 Infected Patients With Detectable Viremia
CTID: NCT02542852
Phase: Phase 2    Status: Completed
Date: 2024-02-13
Open-Label Study Comparing Efficacy and Safety of ATV/RTV+3TC With ATV/RTV+TDF/FTC in HIV-Infected, Treatment Naïve Subjects, Followed by Treatment With ATV/RTV+3TC
CTID: NCT01620944
Phase: Phase 3    Status: Terminated
Date: 2024-01-10
HERV-K Suppression Using Antiretroviral Therapy in Volunteers With Amyotrophic Lateral Sclerosis (ALS)
CTID: NCT02437110
Phase: Phase 1    Status: Completed
Date: 2024-01-09
Second-line Treatment of HIV-1 With Ritonavir Boosted Atazanavir or Darunavir With an Optimized NRTI Backbone
CTID: NCT01605084
Phase: Phase 3    Status: Withdrawn
Date: 2023-12-19
Study of DS-8201a for Participants With Advanced Solid Malignant Tumors
CTID: NCT03383692
Phase: Phase 1    Status: Completed
Date: 2023-12-11
Dual Boosted - Protease Inhibitor (PI) Pharmacokinetics (PK) Trial (Tipranavir / Ritonavir) in Highly Treatment-experienced HIV-1 Infected Patients
CTID: NCT00056641
Phase: Phase 2    Status: Completed
Date: 2023-12-01
Dual Therapy With Boosted Darunavir + Dolutegravir
CTID: NCT02486133
Phase: Phase 3    Status: Completed
Date: 2023-11-29
Food Effects of GST-HG171 Tablets Combined With Ritonavir in Healthy Chinese Participants
CTID: NCT06084507
Phase: Phase 1    Status: Active, not recruiting
Date: 2023-10-16
Study Of An Investigational Regimen Including FDA Approved HIV Drugs In HIV-Infected Pediatric Subjects
CTID: NCT00071760
Phase: Phase 2    Status: Completed
Date: 2023-10-10
Food Effect Study to Evaluate the Effect of High-Fat Meal on the Relative Bioavailability of PF-07321332 Boosted With Ritonavir in Healthy Adult Participants
CTID: NCT05129475
Phase: Phase 1    Status: Completed
Date: 2023-10-05
Drug-Drug Interaction Study to Estimate the Effect of PF-07321332/Ritonavir and Ritonavir on Midazolam in Healthy Participants
CTID: NCT05032950
Phase: Phase 1    Status: Completed
Date: 2023-10-04
Study to Estimate the Effects of Hepatic Impairment on the Pharmacokinetics (PK) of PF-07321332
CTID: NCT05005312
Phase: Phase 1    Status: Completed
Date: 2023-09-06
Evaluation of Protease Inhibition for COVID-19 in Standard-Risk Patients (EPIC-SR).
CTID: NCT05011513
Phase: Phase 2/Phase 3    Status: Terminated
Date: 2023-08-14
Body Composition Sub-study of the D2EFT Trial
CTID: NCT03675815
Phase: Phase 4    Status: Unknown status
Date: 2023-07-25
Titrating-Dose of Lonafarnib in Combination With Ritonavir
CTID: NCT02527707
Phase: Phase 2    Status: Completed
Date: 2023-06-22
Paclitaxel in Treating Patients With AIDS-Related Kaposi's Sarcoma
CTID: NCT00003008
Phase: Phase 2    Status: Completed
Date: 2023-06-15
A Study of a Potential Oral Treatment to Prevent COVID-19 in Adults Who Are Exposed to Household Member(s) With a Confirmed Symptomatic COVID-19 Infection
CTID: NCT05047601
Phase: Phase 2/Phase 3    Status: Completed
Date: 2023-05-06
Once Daily Dosing of Lonafarnib Co-administered With Ritonavir for Treatment of Chronic Hepatitis D Virus Infection
CTID: NCT05229991
Phase: Phase 3    Status: Active, not recruiting
Date: 2023-05-06
Dolutegravir and Darunavir Evaluation in Adults Failing Therapy
CTID: NCT03017872
Phase: Phase 4    Status: Unknown status
Date: 2023-04-18
Study of the Efficacy and Safety of Lonafarnib / Ritonavir With and Without Pegylated Interferon -Alfa-2a
CTID: NCT03719313
Phase: Phase 3    Status: Completed
Date: 2023-04-14
Lonafarnib Boosted With Ritonavir With and Without Peginterferon Alfa-2a (PEG IFN-a) in HDV (LOWR-2)
CTID: NCT02430194
Phase: Phase 2    Status: Completed
Date: 2023-03-03
A Study to Learn About the Medicine Called Nirmatrelvir Used in Combination With Ritonavir in People With Weakened Immune Systems or at Increased Risk for Poor Outcomes Who Are Hospitalized Due to Severe COVID-19
CTID: NCT05545319
Phase: Phase 2    Status: Withdrawn
Date: 2023-03-01
Population Pharmacokinetics of Antiretroviral in Children
CTID: NCT03194165
Phase:    Status: Completed
Date: 2023-02-21
EPIC-HR: Study of Oral PF-07321332/Ritonavir Compared With Placebo in Nonhospitalized High Risk Adults With COVID-19
CTID: NCT04960202
Phase: Phase 2/Phase 3    Status: Completed
Date: 2023-02-09
A Study of PBI-200 With Ritonavir or Cobicistat in Healthy Volunteers
CTID: NCT05692570
Phase: Phase 1    Status: Completed
Date: 2023-01-20
Bioequivalence Study of Nirmatrelvir & Ritonavir From Copaxid 150 +100 mg Tablets (Eva Pharma, Egypt) Versus Paxlovid 150 + 100 mg Film Coated Tablets (Pfizer Europe, Belgium)
CTID: NCT05491330
Phase: Phase 1    Status: Completed
Date: 2023-01-18
Lopinavir and Ritonavir in Improving Immune Response to Vaccines in Patients With Complete Remission Following A Bone Marrow Transplant for Hodgkin Lymphoma
CTID: NCT01165645
Phase: N/A    Status: Withdrawn
Date: 2022-12-01
Lonafarnib With and Without Ritonavir in HDV (LOWR-1)
CTID: NCT02430181
Phase: Phase 2    Status: Completed
Date: 2022-11-29
TMC114IFD3001 - Study Providing Continued Access to Treatment With Darunavir (DRV)/Ritonavir(Rtv) in HIV1 Infected Adults, Adolescents and Children Aged 3 Years or Above and Coming From Previous Company Sponsored Studies With DRV
CTID: NCT01281813
Phase: Phase 3    Status: Completed
Date: 2022-10-31
Efficacy and Safety of All-Oral Combination of Narlaprevir/Ritonavir and Sofosbuvir in Treatment-naïve Patients With Chronic Hepatitis C Genotype 1
CTID: NCT04246723
Phase: Phase 2    Status: Completed
Date: 2022-10-31
Study of PBI-0451 in Healthy Subjects.
CTID: NCT05011812
Phase: Phase 1    Status: Completed
Date: 2022-06-03
GLS4/RTV and TAF Drug-drug Interaction
CTID: NCT04551261
Phase: Phase 1    Status: Completed
Date: 2022-05-26
Treatment of Chronic Delta Hepatitis With Lonafarnib, Ritonavir and Lambda Interferon
CTID: NCT03600714
Phase: Phase 2    Status: Completed
Date: 2021-12-14
Blood Levels of Anti-HIV Drugs Used in Combination Regimens in HIV Infected Children
CTID: NCT00260078
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-11-09
Atazanavir Used in Combination With Other Anti-HIV Drugs in HIV-Infected Infants, Children, and Adolescents
CTID: NCT00006604
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-11-05
A Study of Several Anti-HIV Drug Combinations in HIV-Infected Patients Who Have Used Indinavir
CTID: NCT00000892
Phase: N/A    Status: Completed
Date: 2021-11-04
Safety and Effectiveness of Four Anti-HIV Drug Combinations in HIV-Infected Children and Teens
CTID: NCT00001091
Phase: Phase 1    Status: Completed
Date: 2021-11-04
Interactions of HIV Protease Inhibitors and Methadone in HIV-Infected Patients
CTID: NCT00000906
Phase: Phase 1    Status: Completed
Date: 2021-11-04
Comparison of New Anti-HIV Drug Combinations in HIV-Infected Children Who Have Taken Anti-HIV Drugs
CTID: NCT00001083
Phase: Phase 2    Status: Completed
Date: 2021-11-04
Immunologic and Virologic Consequences of Long-Term Highly Active Antiretroviral Therapy (HAART) in Subjects With Moderately Advanced HIV-1 Disease: A Follow-Up Study to ACTG 315
CTID: NCT00000891
Phase: Phase 2    Status: Completed
Date: 2021-11-04
The Effectiveness of Ritonavir Plus Zidovudine Plus Lamivudine in HIV-Infected Patients
CTID: NCT00001075
Phase: N/A    Status: Completed
Date: 2021-11-04
Safety, Tolerability, and Blood Levels of Ritonavir-Boosted Atazanavir and Rifampin When Taken Together in HIV Uninfected Adults
CTID: NCT00096850
Phase: N/A    Status: Completed
Date: 2021-11-01
Drug Interactions of Amprenavir and Efavirenz, in Combination With a Second Protease Inhibitor, in HIV-Negative Volunteers
CTID: NCT00005762
Phase: N/A    Status: Completed
Date: 2021-11-01
Effect of an Enfuvirtide-based Anti-HIV Drug Regimen on Latent HIV Reservoirs in Treatment Naive Adults
CTID: NCT00051831
Phase: N/A    Status: Completed
Date: 2021-11-01
Using Drug Levels and Drug Resistance Testing to Select Effective Anti-HIV Drug Combinations in Patients With Drug-resistant HIV
CTID: NCT00027339
Phase: Phase 2    Status: Completed
Date: 2021-11-01
Safety and Effectiveness of an Anti-HIV Drug Combination With and Without Hydroxyurea in Patients With Early HIV Infection
CTID: NCT00006339
Phase: Phase 2    Status: Withdrawn
Date: 2021-11-01
Ritonavir and Indinavir in Children Failing Other Anti-HIV Treatment
CTID: NCT00012519
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-11-01
Atazanavir/Ritonavir Maintenance Therapy
CTID: NCT00084019
Phase: N/A    Status: Completed
Date: 2021-11-01
Interactions Between HIV Protease Inhibitors and Calcium Channel Blockers
CTID: NCT00039975
Phase: Phase 1    Status: Completed
Date: 2021-11-01
The Effectiveness of Nelfinavir and Efavirenz, Used Alone or Together, Combined With Other Anti-HIV Drugs in Patients Who Have Taken Anti-HIV Drugs
CTID: NCT00001087
Phase: Phase 2    Status: Completed
Date: 2021-11-01
A Study of the Safety and Effectiveness of Treating Advanced AIDS Patients Between Ages 4 and 22 With 7 Drugs, Some at Higher Than Usual Doses
CTID: NCT00001108
Phase: Phase 1    Status: Completed
Date: 2021-11-01
Safety of AMD070 When Administered Alone or Boosted With Low-Dose Ritonavir in HIV Uninfected Men
CTID: NCT00063804
Phase: Phase 1    Status: Completed
Date: 2021-11-01
Dual Versus Triple Protease Inhibitor Combinations, Including Ritonavir, in HIV Infected People
CTID: NCT00028366
Phase: N/A    Status: Completed
Date: 2021-11-01
A Comparison of Three Drug Combinations Containing Clarithromycin in the Treatment of Mycobacterium Avium Complex (MAC) Disease in Patients With AIDS
CTID: NCT00001058
Phase: Phase 2    Status: Completed
Date: 2021-11-01
A Study to See If Taking One or Two Extra Drugs Can Lower HIV Levels in Patients Who Have Failed Their Anti-HIV Drug Treatment
CTID: NCT00006152
Phase: Phase 2    Status: Completed
Date: 2021-11-01
Safety and Tolerance of Indinavir Plus Ritonavir in HIV-Positive Patients Failing Therapy With Amprenavir, Nelfinavir, or Saquinavir
CTID: NCT00001133
Phase: Phase 1    Status: Completed
Date: 2021-11-01
A Study of the Effectiveness of Different Anti-HIV Treatments in HIV-Positive Individuals Who Have Been on a Protease Inhibitor-Containing Drug Regimen for at Least 16 Weeks
CTID: NCT00000914
Phase: N/A    Status: Completed
Date: 2021-10-29
Five-Drug Anti-HIV Treatment Followed by Treatment Interruption in Patients Who Have Recently Been Infected With HIV
CTID: NCT00000940
Phase: Phase 2    Status: Completed
Date: 2021-10-29
Fortovase (Saquinavir) Given With Low-Dose Ritonavir, Zidovudine, and Lamivudine to HIV-Positive Pregnant Women During and After Pregnancy and to Their Newborns
CTID: NCT00000920
Phase: Phase 1    Status: Completed
Date: 2021-10-29
A Study to Compare Two Different Anti-HIV Drug Regimens
CTID: NCT00000924
Phase: Phase 2    Status: Completed
Date: 2021-10-29
A Randomized Trial of the Efficacy and Safety of a Strategy of Starting With Nelfinavir Versus Ritonavir Added to Background Antiretroviral (AR) Nucleoside Therapy in HIV-Infected Individuals With CD4+ Cell Counts Less Than or Equal to 200/mm3
CTID: NCT00000859
Phase: N/A    Status: Completed
Date: 2021-10-29
A Study of Ritonavir (an Anti-HIV Drug) in HIV-Positive Infants and Children
CTID: NCT00000952
Phase: Phase 1    Status: Completed
Date: 2021-10-29
Safety and Effectiveness of Ritonavir Plus Lamivudine Plus Zidovudine in HIV-Infected Pregnant Women and Their Babies
CTID: NCT00000888
Phase: Phase 1    Status: Completed
Date: 2021-10-29
A Study on the Management of Combination Anti-HIV Drug Therapy in HIV-Positive Children With Prior Treatment
CTID: NCT00000902
Phase: Phase 1    Status: Completed
Date: 2021-10-29
A Phase I/II Double-Blind Controlled Trial to Determine the Safety and Immunogenicity of HIV-1 MN rgp160 Immuno AG Vaccine Therapy in HIV-Infected Individuals With Greater Than or Equal to 500/mm3 CD4+ T Cells and 200-400/mm3 CD4+ T Cells
CTID: NCT00000822
Phase: Phase 1    Status: Completed
Date: 2021-10-29
A Study on Possible Interactions Between Protease Inhibitors (Anti-HIV Drugs) and Drugs Which Lower the Level of Fat in Your Blood
CTID: NCT00000941
Phase: Phase 1    Status: Completed
Date: 2021-10-29
A Study to Compare Two Anti-HIV Combination Therapies Each Containing Saquinavir in HIV-Positive Children
CTID: NCT00000913
Phase: Phase 2    Status: Completed
Date: 2021-10-29
The Effects of Staggered Dosing on Interactions Between Paired Combinations of Nelfinavir, Ritonavir, and Saquinavir
CTID: NCT00000898
Phase: N/A    Status: Completed
Date: 2021-10-29
A Proof-of-concept Clinical Trial Assessing the Safety of the Coordinated Undermining of Survival Paths by 9 Repurposed Drugs Combined With Metronomic Temozolomide (CUSP9v3 Treatment Protocol) for Recurrent Glioblastoma
CTID: NCT02770378
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-10-05
A Study of Darunavir in Combination With Cobicistat or Ritonavir, and Dabigatran Etexilate in Healthy Participants
CTID: NCT04208061
Phase: Phase 1    Status: Completed
Date: 2021-06-09
Study to Evaluate Switching From a TDF-Containing Combination Regimen to a TAF-Containing Fixed Dose Combination (FDC) in Virologically-Suppressed, HIV-1 Positive Participants
CTID: NCT01815736
Phase: Phase 3    Status: Completed
Date: 2021-04-13
A Study of Combination Therapies to Treat COVID-19 Infection
CTID: NCT04459702
Phase: Phase 2    Status: Withdrawn
Date: 2021-04-08
Efficacy and Safety of Danoprevir/r + PR 12week Triple Therapy in Treatment Naive Non-Cirrhotic G1 CHC China III
CTID: NCT03020082
Phase: Phase 3    Status: Completed
Date: 2021-03-23
Proof of Concept Study to Determine the Safety and Antiviral Effect of BZF961 With or Without Ritonavir Boosting in Hepatitis C Virus Infected Patients
CTID: NCT01825980
Phase: Phase 1/Phase 2    Status: Completed
Date: 2021-02-21
A Study of Lonafarnib With or Without Ritonavir in Patients With HDV
CTID: NCT02968641
Phase: Phase 2    Status: Withdrawn
Date: 2021-02-16
Metformin Hydrochloride and Ritonavir in Treating Patients With Relapsed or Refractory Multiple Myeloma or Chronic Lymphocytic Leukemia
CTID: NCT02948283
Phase: Phase 1    Status: Completed
Date: 2021-02-12
Study to Evaluate the Efficacy of GS-9131 Functional Monotherapy in Human Immunodeficiency Virus (HIV)-1-Infected Adults Failing a Nucleos(t)Ide Reverse Transcriptase Inhibitor-Containing Regimen With Nucleos(t)Ide Reverse Transcriptase Inhibitor Resistant Virus
CTID: NCT03472326
Phase: Phase 2    Status: Terminated
Date: 2021-01-05
Study to Evaluate the Safety and Efficacy of Switching From Regimens Consisting of Boosted Atazanavir or Darunavir Plus Either Emtricitabine/Tenofovir or Abacavir/Lamivudine to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Virologically Suppressed HIV-1 Infected Adults
CTID: NCT02603107
Phase: Phase 3    Status: Completed
Date: 2020-12-29
A Drug-drug Interaction Study Between Daclatasvir and Atazanavir/Ritonavir or Atazanavir/Cobicistat
CTID: NCT02565888
Phase: Phase 1    Status: Completed
Date: 2020-12-07
Pharmacokinetic Study of Posaconazole Boosted Fosamprenavir
CTID: NCT00817765
Phase: Phase 1    Status: Completed
Date: 2020-11-12
Inflammation and Co-Infections in D²EFT
CTID: NCT04183738
Phase: Phase 4    Status: Withdrawn
Date: 2020-11-10
A Two-part Study to Compare a Tablet and Capsule Formulation of GSK2838232 With and Without Food, and to Assess the Safety and Drug Levels of Repeated Once-daily Doses of GSK2838232 Without Ritonavir
CTID: NCT03234036
Phase: Phase 1    Status: Completed
Date: 2020-10-28
Efficacy and Safety of Ravidasvir + Danoprevir/r 12-week Oral Therapy in Treatment-Naive Non Cirrhotic G1 CHC Taiwan
CTID: NCT03020095
Phase: Phase 2    Status: Completed
Date: 2020-10-22
Pharmacokinetic Study of Pitavastatin and Ritonavir-Boosted Darunavir or Efavirenz
CTID: NCT01695954
Phase: Phase 1    Status: Completed
Date: 2020-08-11
Nucleosides And Darunavir/Dolutegravir In Africa
CTID: NCT03988452
Phase: Phase 3    Status: Unknown status
Date: 2020-07-30
Efficacy and Safety of Ravidasvir in Combination With Danoprevir/r and Ribavirin(RBV) in Treatment-naive, Non-cirrhotic, Chronic Hepatitis C Virus Genotype1 Infected Subjects.
CTID: NCT03362814
Phase: Phase 2/Phase 3    Status: Completed
Date: 2020-07-28
The Safety, Antiviral Activity, and Pharmacokinetics of Morphothiadine Mesilate Capsules
CTID: NCT03638076
Phase: Phase 2    Status: Completed
Date: 2020-07-23
A Study to Investigate the Effects of Cytochrome P450 1A2 Induction by Ritonavir on BMS-986165 Drug Levels and Effects in Healthy Participants
CTID: NCT04055506
Phase: Phase 1    Status: Completed
Date: 2020-06-18
Efficacy and Safety of Ganovo (Danoprevir) Combined With Ritonavir in the Treatment of SARS-CoV-2 Infection
CTID: NCT04345276
Phase: Phase 4    Status: Completed
Date: 2020-06-02
A Randomized,Open,Controlled Clinical Study to Evaluate the Efficacy of ASC09F and Ritonavir for 2019-nCoV Pneumonia
CTID: NCT04261270
Phase: Phase 3    Status: Unknown status
Date: 2020-03-17
Safety and Efficacy of Switching to a FDC of B/F/TAF From E/C/F/TAF, E/C/F/TDF, or ATV+RTV+FTC/TDF in Virologically Suppressed HIV-1 Infected Women
CTID: NCT02652624
Phase: Phase 3    Status: Completed
Date: 2020-03-04
Efavirenz and Ritonavir on Human Brain P-Glycoprotein
CTID: NCT01668147
Phase: Phase 1/Phase 2    Status: Completed
Date: 2020-01-22
Pharmacodynamics, Safety and Pharmacokinetics of BMS-663068, an HIV Attachment Inhibitor, in HIV-1
CTID: NCT01009814
Phase: Phase 2    Status: Completed
Date: 2020-01-03
The Influence of Ritonavir, Alone and in Combination With Lopinavir, on Fenofibric Acid Pharmacokinetics in Healthy Volunteers
CTID: NCT01148004
Phase: Phase 1    Status: Completed
Date: 2019-12-09
Study to Evaluate the Influence of Nevirapine to Atazanavir in Steady State Equilibrium in HIV Patients
CTID: NCT00355719
Phase: Phase 4    Status: Completed
Date: 2019-12-04
Study to Evaluate a HIV Drug for the Treatment of HIV Infection
CTID: NCT01803074
Phase: Phase 2    Status: Completed
Date: 2019-11-25
A Drug-drug Interaction (DDI) Study of Morphothiadine Mesilate/Ritonavir in Healthy Subjects
CTID: NCT03662568
Phase: Phase 1    Status: Completed
Date: 2019-10-09
Safety and Efficacy of E/C/F/TDF Versus RTV-Boosted ATV Plus FTC/TDF in HIV-1 Infected, Antiretroviral Treatment-Naive Women
CTID: NCT01705574
Phase: Phase 3    Status: Completed
Date: 2019-09-20
A Pharmacokinetic Study of Narlaprevir as a Single Dose or With Ritonavir Combination in Patients With Hepatic Impairment and Healthy Matched Volunteers
CTID: NCT03832426
Phase: Phase 1    Status: Completed
Date: 2019-05-22
TMC114-TiDP29-C232 - Study Providing Continued Access to Treatment With Darunavir (DRV)/Ritonavir (Rtv) for Children Coming From Any of the Three Ongoing Tibotec Sponsored Pediatric Studies With DRV
CTID: NCT01138605
Phase: Phase 2    Status: Completed
Date: 2019-05-01
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
Darunavir and Rilpivirine Interactions With Levonorgestrel Implant
CTID: NCT03589027
Phase: Phase 2    Status: Unknown status
Date: 2019-03-28
Drug-Drug Interaction Study: ASP2151 and Ritonavir
CTID: NCT02223351
Phase: Phase 1    Status: Completed
Date: 2019-02-27
A Drug Interaction Study to Assess the Pharmacokinetics of Narlaprevir and Antiretroviral Drugs
CTID: NCT03537404
Phase: Phase 1    Status: Completed
Date: 2019-02-19
Efficacy and Safety of Narlaprevir Used in Combination With Ritonavir in Treatment-Naïve and Failed Prior Treatment With Pegylated Interferon/Ribavirin Patients With Chronic Hepatitis C Genotype 1 (PIONEER - Study)
CTID: NCT03833362
Phase: Phase 3    Status: Completed
Date: 2019-02-07
Efficacy and Safety of All-Oral Combination of Narlaprevir/Ritonavir and Daclatasvir in Treatment-Naїve Patients With Chronic Hepatitis C Genotype 1b
CTID: NCT03485846
Phase: Phase 2    Status: Completed
Date: 2018-12-19
HIV Attachment Inhibitor to Treat Human Immunodeficiency Virus 1 (HIV-1) Infections
CTID: NCT01384734
Phase: Phase 2    Status: Completed
Date: 2018-11-14
Phase IIIB Study Evaluating the Effects of Atazanavir Powder With Ritonavir in HIV-infected Pediatric Patients
CTID: NCT01335698
Phase: Phase 3    Status: Completed
Date: 2018-11-09
A Study to Assess the Effect of Ritonavir on the Single-Dose Pharmacokinetics of JNJ-61393215 in Healthy Participants
CTID: NCT03593954
Phase: Phase 1    Status: Completed
Date: 2018-11-09
Efavirenz or Atazanavir/Ritonavir Given With Emtricitabine/Tenofovir Disoproxil Fumarate or Abacavir/Lamivudine in HIV Infected Treatment-Naive Adults
CTID: NCT00118898
Phase: Phase 3    Status: Completed
Date: 2018-10-12
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
Treatment of Chronic Delta Hepatitis With Lonafarnib and Ritonavir
CTID: NCT02511431
Phase: Phase 2    Status: Completed
Date: 2018-09-25
Study of New Tablet Formulations and Suspension Formulation Compared to Current (1B) Formulation of BILR 355 BS in Healthy Male Volunteer Subjects
CTID: NCT02259868
Phase: Phase 1    Status: Completed
Date: 2018-08-31
Strategy-confirming Study of BMS-955176 to Treat HIV-1 Infected Treatment-experienced Adults
CTID: NCT02386098
Phase: Phase 2    Status: Terminated
Date: 2018-08-20
Efficacy and Safety of Danoprevir/r + PR 12-week Triple Therapy in Treatment-Naive, Non-Cirrhotic, G1 CHC China II
CTID: NCT03020004
Phase: Phase 2    Status: Completed
Date: 2018-07-26
A Single-arm, Open-label, Study to Assess the Pharmacokinetics of Darunavir and Ritonavir, Darunavir and Cobicistat, Etravirine, and Rilpivirine in HIV-1 Infected Pregnant Women
CTID: NCT00855335
Phase: Phase 3    Status: Completed
Date: 2018-07-06
Study to Assess the Safety, Tolerability, Pharmacokinetics and Antiviral Activity of ABT-267 in HCV Infected Subjects
CTID: NCT01563536
Phase: Phase 2    Status: Completed
Date: 2018-07-02
Pharmacokinetics and Safety of Ravidasvir and Danoprevir/r in Healthy Volunteers China
CTID: NCT03020134
Phase: Phase 1    Status: Completed
Date: 2018-06-29
PRINCE: Study of Atazanavir (ATV)/Ritonavir (RTV)
CTID: NCT01099579
Phase: Phase 3    Status: Completed
Date: 2018-05-24
Safety Sudy of Atazanavir Boosted With Ritonavir in the Treatment of HIV Infection in Pediatric Patients
CTID: NCT01691794
Phase: Phase 4    Status: Completed
Date: 2018-04-27
A Study of Saquinavir/Ritonavir in Liver-Impaired Patients With HIV Infection.
CTID: NCT00435929
Phase: Phase 1    Status: Completed
Date: 2018-03-29
Pharmacokinetics and Safety of ASC16 Tablets in Healthy Volunteers in China
CTID: NCT03288636
Phase: Phase 1    Status: Completed
Date: 2018-01-17
Renal Effect of Stribild or Other Tenofovir DF- e.querySelector("font strong").innerText = 'View

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