申请人:Schinazi Raymond F.
公开号:US20100279969A1
公开(公告)日:2010-11-04
The present invention is directed to compounds, compositions and methods for treating or preventing viral infections, in particular, HIV, HBV, and HCV, in human patients or other animal hosts. The compounds are 3′-azido-2′,3′-dideoxy purine nucleosides or phosphonates, and pharmaceutically acceptable, salts, prodrugs, and other derivatives thereof. In particular, the compounds show potent antiviral activity against HIV-1 resistance mutants including HIV-1
K65R
, HTV-1
K70E
, HIV-1
L74V
, HIV-1
M184V
, HIV-1
Q151M
and inhibitory activity against HIV-1 RT harboring TAMS or insertion mutations including HIV-1
AZT3
, HIV-1
AZT7
, HIV-1
AZT9
, HIV-1
Q151M
, or HIV-1
69insertion
. In one embodiment, the compounds are 3′-azido-ddA, 3′-azido-ddG, or combinations thereof, administered with one or more additional antiviral agents that select for TAM mutations and/or the M 184V mutation, along with a pharmaceutically acceptable carrier.
本发明涉及化合物、组合物和方法,用于治疗或预防病毒感染,特别是HIV、HBV和HCV,在人类患者或其他动物宿主中。这些化合物是3'-氮杂-2',3'-二脱氧嘌呤核苷或膦酸盐,以及其它药物可接受的盐、前药和衍生物。特别地,这些化合物对HIV-1耐药突变体,包括HIV-1K65R、HTV-1K70E、HIV-1L74V、HIV-1M184V、HIV-1Q151M显示出强效的抗病毒活性,并且具有抑制HIV-1 RT携带TAMS或插入突变的活性,包括HIV-1AZT3、HIV-1AZT7、HIV-1AZT9、HIV-1Q151M或HIV-169插入。在一种实施方式中,这些化合物是3'-氮杂-ddA、3'-氮杂-ddG或其组合物,与一个或多个选择TAM突变和/或M 184V突变的其它抗病毒药物一起,以及药物可接受的载体一起给予。