Chemistry:Efavirenz

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Short description: Antiretroviral medication
Efavirenz
Efavirenz.svg
Efavirenz ball-and-stick model.png
Clinical data
Pronunciation/ɪˈfævɪrɛnz/ i-FAV-i-renz
Trade namesSustiva, Stocrin, others[1]
AHFS/Drugs.comMonograph
MedlinePlusa699004
License data
Pregnancy
category
  • AU: D
  • US: D (Evidence of risk)
Routes of
administration		By mouth (capsules, tablets)
ATC code
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: ℞-only [2]
  • EU: Rx-only [3]
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability40–45% (under fasting conditions)
Protein binding99.5–99.75%
MetabolismLiver (CYP2A6 and CYP2B6-mediated)
Onset of action3–5 hours
Elimination half-life40–55 hours
ExcretionUrine (14–34%) and feces (16–61%)
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
NIAID ChemDB
PDB ligand
Chemical and physical data
FormulaC14H9ClF3NO2
Molar mass315.68 g·mol−1
3D model (JSmol)
  (verify)

Efavirenz (EFV), sold under the brand names Sustiva among others, is an antiretroviral medication used to treat and prevent HIV/AIDS.[1] It is generally recommended for use with other antiretrovirals.[1] It may be used for prevention after a needlestick injury or other potential exposure.[1] It is sold both by itself and in combination as efavirenz/emtricitabine/tenofovir.[1] It is taken by mouth.[1]

Common side effects include rash, nausea, headache, feeling tired, and trouble sleeping.[1] Some of the rashes may be serious such as Stevens–Johnson syndrome.[1] Other serious side effects include depression, thoughts of suicide, liver problems, and seizures.[1] It is not safe for use during pregnancy.[1] It is a non-nucleoside reverse transcriptase inhibitor (NNRTI) and works by blocking the function of reverse transcriptase.[1]

Efavirenz was approved for medical use in the United States in 1998,[1] and in the European Union in 1999.[3] It is on the World Health Organization's List of Essential Medicines.[4] As of 2016, it is available as a generic medication.[5][6]

Medical uses

For HIV infection that has not previously been treated, the United States Department of Health and Human Services Panel on Antiretroviral Guidelines recommends the use of efavirenz in combination with tenofovir/emtricitabine (Truvada) as one of the preferred NNRTI-based regimens in adults and adolescents[7] and children.[8]

Efavirenz is also used in combination with other antiretroviral agents as part of an expanded post-exposure prophylaxis regimen to reduce the risk of HIV infection in people exposed to a significant risk (e.g. needlestick injuries, certain types of unprotected sex, etc.).[9][10]

Pregnancy and breastfeeding

Efavirenz is safe to use during the first trimester of pregnancy.[11] Efavirenz passes into breast milk and breast-fed infants may be exposed to efavirenz.[12]

Contraindications

People who have taken this medication before and experienced an allergic reaction should avoid taking further efavirenz dosages. Hypersensitivity reactions include Stevens–Johnson syndrome, toxic skin eruptions, and erythema multiforme.[2]

Adverse effects

Neuropsychiatric effects are the most common adverse effects, and include disturbed sleep (including nightmares, insomnia, disrupted sleep, and daytime fatigue), dizziness, headaches, vertigo, blurred vision, anxiety, and cognitive impairment (including fatigue, confusion, and memory and concentration problems), and depression, including suicidal thinking.[13][14] Some people experience euphoria.[13]

Rash and nausea may occur.[2]

Use of efavirenz can produce a false positive result in some urine tests for marijuana.[15][16]

Efavirenz may lengthen the QT interval so should not be used in people with or at risk of torsades de pointes.[17]

Efavirenz may cause convulsions in adult and pediatric populations who have a history of seizures.[2]

Drug interactions

Efavirenz is broken down in the liver by enzymes that belong to the cytochrome P450 system, which include both CYP2B6 and CYP3A4.[2] Efavirenz is a substrate of these enzymes and can decrease the metabolism of other drugs that require the same enzymes.[2] However, efavirenz also induces these enzymes, which means the enzyme activity is enhanced and the metabolism of other drugs broken down by CYP2B6 and CYP3A4 can be increased.[2] People who are taking both efavirenz and other drugs metabolized by the same enzymes might need the dose of their drugs to be increased or decreased.

One group of drugs that efavirenz affects is protease inhibitors, which are used for HIV/AIDS. Efavirenz will lower the blood levels of most protease inhibitors, including amprenavir, atazanavir, and indinavir.[2] At lowered levels, protease inhibitors may not be effective in people taking both drugs, which means the virus that causes HIV/AIDS won't be stopped from replicating and may become resistant to the protease inhibitor.

Efavirenz also affects antifungal drugs, which are used for fungal infections such as urinary tract infections. Similar to the effect seen with protease inhibitors, efavirenz lowers the blood levels of antifungal drugs like voriconazole, itraconazole, ketoconazole, and posaconazole.[2] As a result of lowered levels, antifungal drugs may not be effective in people taking both drugs, which means that the fungi that cause the infection may become resistant to the antifungal.

Mechanism of action

Anti-HIV effects

Efavirenz falls in the NNRTI class of antiretrovirals. Both nucleoside and non-nucleoside RTIs inhibit the same target, the reverse transcriptase enzyme, an essential viral enzyme which transcribes viral RNA into DNA. Unlike nucleoside RTIs, which bind at the enzyme's active site, NNRTIs act allosterically by binding to a distinct site away from the active site known as the NNRTI pocket.

Efavirenz is not effective against HIV-2, as the pocket of the HIV-2 reverse transcriptase has a different structure, which confers intrinsic resistance to the NNRTI class.[18]

As most NNRTIs bind within the same pocket, viral strains which are resistant to efavirenz are usually also resistant to the other NNRTIs, nevirapine and delavirdine. The most common mutation observed after efavirenz treatment is K103N, which is also observed with other NNRTIs.[2] Nucleoside reverse-transcriptase inhibitors (NRTIs) and efavirenz have different binding targets, so cross-resistance is unlikely; the same is true with regard to efavirenz and protease inhibitors.[1]

Neuropsychiatric effects

As of 2016 the mechanism of efavirenz' neuropsychiatric adverse effects was not clear.[13][14] Efavirenz appears to have neurotoxicity, possibly by interfering with mitochondrial function, which may in turn possibly be caused by inhibiting creatine kinase but also possibly by disrupting mitochondrial membranes or by interfering with nitric oxide signalling.[13] Some neuropsychiatric adverse effects may be mediated through cannabinoid receptors, or through activity at the 5-HT2A receptor, but efavirenz interacts with many CNS receptors, so this is not clear.[13] The neuropsychiatric adverse effects are dose-dependent.[13]

Chemical properties

Efavirenz is chemically described as (4S)-6-chloro-4-(2-cyclopropylethynyl)-4-(trifluoromethyl)-1H-3,1-benzoxazin-2-one. Its empirical formula is C14H9ClF3NO2. Efavirenz is a white to slightly pink crystalline powder with a molecular mass of 315.68 g/mol. It is practically insoluble in water (<10 µg/mL).

History

Efavirenz was approved by the FDA on 21 September 1998.[19]

On 17 February 2016, the FDA approved the generic tablet formulation to be produced by Mylan.[5][6]

In late 2018, Thailand's Government Pharmaceutical Organization (GPO) announced that it will produce efavirenz after receiving WHO approval.[20] Efavirenz code name is DMP 266, discovered by Du pont Pharma. European countries are set to receive the license for manufacturing of Efavirenz in May 1999.[21]

Society and culture

Pricing information

A one-month supply of 600 mg tablets costs approximately US$1,010 in July 2016.[22] In 2007, Merck provided Efavirenz in certain developing countries and countries largely affected by HIV for about US$0.65 per day.[23] Some emerging countries have opted to purchase Indian generics.[24]

In Thailand, a one-month supply of efavirenz + Truvada, as of June 2012, cost 2,900 baht (US$90), and there is a social program for patients who cannot afford the medication. (As of 2018) Thailand will produce efavirenz domestically. Its Government Pharmaceutical Organization product costs 180 baht per bottle of thirty 600 mg tablets. The imported version in Thailand retails for more than 1,000 baht per bottle. GPO will devote 2.5 percent of its manufacturing capacity to make 42 million efavirenz pills in 2018, allowing it to serve export markets as well as domestic. The Philippines alone will order about 300,000 bottles of efavirenz for 51 million baht.[20]

In South Africa, a license has been granted to generics giant Aspen Pharmacare to manufacture, and distribute to sub-Saharan Africa, a cost-effective antiretroviral drug.[25]

Recreational use

Abuse of efavirenz by crushing and smoking the tablets for supposed hallucinogenic and dissociative effects has been reported in South Africa , where it is used in a mixture known as whoonga and nyaope.[26][27][28][29]

Brands

As of 2016, efavirenz is marketed in various jurisdictions under the brand names Adiva, Avifanz, Efamat, Efatec, Efavir, Efavirenz, Efcure, Eferven, Efrin, Erige, Estiva, Evirenz, Filginase, Stocrin, Sulfina V, Sustiva, Virorrever, and Zuletel.[30]

As of 2016, the combination of efavirenz, tenofovir, and emtricitabine is marketed in various jurisdictions under the brand names Atripla, Atroiza, Citenvir, Oditec, Teevir, Trustiva, Viraday, and Vonavir.[30]

As of 2016, the combination of efavirenz, tenofovir, and lamivudine is marketed under the brand name Eflaten.[30]

References

  1. ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 "Efavirenz". The American Society of Health-System Pharmacists. https://www.drugs.com/monograph/efavirenz.html. 
  2. ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 "Sustiva- efavirenz capsule, gelatin coated Sustiva- efavirenz capsule, gelatin coated Sustiva- efavirenz tablet, film coated". 29 October 2019. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=32d6371e-ba56-4294-b732-6d43627c5c47. 
  3. ↑ 3.0 3.1 "Stocrin EPAR". 17 September 2018. https://www.ema.europa.eu/en/medicines/human/EPAR/stocrin. 
  4. ↑ World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. 2019. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 
  5. ↑ 5.0 5.1 "Efavirenz Drug Profile". https://www.drugpatentwatch.com/p/tradename/EFAVIRENZ. 
  6. ↑ 6.0 6.1 "Efavirenz: FDA-Approved Drugs". https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=091471. 
  7. ↑ "Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents". 14 July 2016. http://aidsinfo.nih.gov/guidelines/html/1/adult-and-adolescent-arv-guidelines/0/. 
  8. ↑ "Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection". NIH AIDSinfo. 1 March 2016. https://aidsinfo.nih.gov/guidelines/html/2/pediatric-treatment-guidelines/0/#. 
  9. ↑ "Updated US Public Health Service guidelines for the management of occupational exposures to human immunodeficiency virus and recommendations for postexposure prophylaxis". Infection Control and Hospital Epidemiology 34 (9): 875–92. September 2013. doi:10.1086/672271. PMID 23917901. https://zenodo.org/record/1235708. 
  10. ↑ "Antiretroviral Postexposure Prophylaxis After Sexual, Injection-Drug Use, or Other Nonoccupational Exposure to HIV in the United States =". Centers for Disease Control and Prevention. https://www.cdc.gov/mmwr/PDF/rr/rr5402.pdf. 
  11. ↑ "Safety of efavirenz in the first trimester of pregnancy: an updated systematic review and meta-analysis". AIDS 28 (Suppl 2): S123-31. March 2014. doi:10.1097/qad.0000000000000231. PMID 24849471. 
  12. ↑ "Is infant exposure to antiretroviral drugs during breastfeeding quantitatively important? A systematic review and meta-analysis of pharmacokinetic studies". The Journal of Antimicrobial Chemotherapy 70 (7): 1928–41. July 2015. doi:10.1093/jac/dkv080. PMID 25858354. 
  13. ↑ 13.0 13.1 13.2 13.3 13.4 13.5 "Neuropsychiatric Effects of HIV Antiviral Medications". Drug Safety 39 (10): 945–57. October 2016. doi:10.1007/s40264-016-0440-y. PMID 27534750. 
  14. ↑ 14.0 14.1 "Efavirenz and the CNS: what we already know and questions that need to be answered". The Journal of Antimicrobial Chemotherapy 70 (10): 2693–708. October 2015. doi:10.1093/jac/dkv183. PMID 26203180. 
  15. ↑ "Characterization of interference with 6 commercial delta9-tetrahydrocannabinol immunoassays by efavirenz (glucuronide) in urine". Clinical Chemistry 52 (5): 896–7. May 2006. doi:10.1373/clinchem.2006.067058. PMID 16638958. 
  16. ↑ "Misleading results of screening for illicit drugs during efavirenz treatment". AIDS 21 (10): 1390–1. June 2007. doi:10.1097/QAD.0b013e32814e6b3e. PMID 17545727. 
  17. ↑ "Efavirenz Inhibits the Human Ether-A-Go-Go Related Current (hERG) and Induces QT Interval Prolongation in CYP2B6*6*6 Allele Carriers". Journal of Cardiovascular Electrophysiology 27 (10): 1206–1213. October 2016. doi:10.1111/jce.13032. PMID 27333947. 
  18. ↑ "Structure of HIV-2 reverse transcriptase at 2.35-A resolution and the mechanism of resistance to non-nucleoside inhibitors". Proceedings of the National Academy of Sciences of the United States of America 99 (22): 14410–5. October 2002. doi:10.1073/pnas.222366699. PMID 12386343. Bibcode: 2002PNAS...9914410R. 
  19. ↑ "Drug Approval Package: Sustiva (efavirenz) NDA# 20-972". 15 December 2011. https://www.accessdata.fda.gov/drugsatfda_docs/nda/98/20972.cfm. 
  20. ↑ 20.0 20.1 "Thailand gets nod to make HIV/Aids drug". Bangkok Post. 3 November 2018. https://www.bangkokpost.com/news/general/1569426/thailand-gets-nod-to-make-hiv-aids-drug. 
  21. ↑ "Efavirenz (Sustiva)". June 2017. http://www.aidsmap.com/about-hiv/arv-background-information/efavirenz-sustiva. 
  22. ↑ "Cost Considerations and Antiretroviral Therapy | Adult and Adolescent ARV Guidelines | AIDSinfo". https://aidsinfo.nih.gov/guidelines/html/1/adult-and-adolescent-arv-guidelines/459/cost-considerations-and-antiretroviral-therapy. 
  23. ↑ "Merck & Co., Inc., Again Reduces Price of Stocrin (Efavirenz) for Patients in Least Developed Countries and Countries Hardest Hit by Epidemic". Drugs.com MedNews. https://www.drugs.com/news/merck-amp-co-inc-again-reduces-price-stocrin-efavirenz-patients-least-developed-countries-countries-5302.html. 
  24. ↑ "A new trend in emerging nations - Brazil opts for Indian generic drug ignoring US pharmaceutical giant Merck's patent on AIDS drug Efavirenz". IndiaDaily. http://www.indiadaily.com/editorial/16665.asp. 
  25. ↑ Improving Access to HIV/AIDS Medicines in Africa: Trade-Related Aspects of Intellectual Property Rights (TRIPS) Flexibilities Utilization. World Bank Publications. 15 June 2008. pp. 35–39. ISBN 978-0-8213-7544-0. https://books.google.com/books?id=dPciaE2fP7gC&pg=PA35. Retrieved 30 June 2012. 
  26. ↑ "Thugs get high on stolen Aids drugs". IOL News. 12 May 2007. http://www.iol.co.za/news/south-africa/thugs-get-high-on-stolen-aids-drugs-1.352686#.U0SpO_l_v_8. 
  27. ↑ "Getting high on HIV drugs in S Africa.". BBC News. 8 December 2008. http://news.bbc.co.uk/2/hi/africa/7768059.stm. 
  28. ↑ "'No Turning Back': Teens Abuse HIV Drugs.". ABC News. 6 April 2009. http://www.abcnews.go.com/Health/MindMoodNews/story?id=7227982&page=1. 
  29. ↑ "Getting High On HIV Medication". Vice. 4 July 2014. https://www.youtube.com/watch?v=W7BCi5ax7jk. 
  30. ↑ 30.0 30.1 30.2 "International brands for Efavirenz". Drugs.com. https://www.drugs.com/international/efavirenz.html. 

External links



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