Record Information |
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Version | 1.0 |
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Creation Date | 2016-05-22 03:45:50 UTC |
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Update Date | 2016-11-09 01:15:29 UTC |
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Accession Number | CHEM016864 |
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Identification |
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Common Name | Ribavirin |
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Class | Small Molecule |
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Description | Producing a broad-spectrum activity against several RNA and DNA viruses, Ribavirin is a synthetic guanosine nucleoside and antiviral agent that interferes with the synthesis of viral mRNA. It is primarily indicated for use in treating hepatitis C and viral hemorrhagic fevers. HCV is a single-stranded RNA virus that is categorized into nine distinct genotypes, with genotype 1 being the most common in the United States, and affecting 72% of all chronic HCV patients . It is reported that ribavirin might be only effective in early stages of viral hemorrhagic fevers including Lasser fever, Crimean-Congo hemorrhagic fever, Venezuelan hemorrhagic fever, and Hantavirus infection. Ribavirin is a prodrug that is metabolized into nucleoside analogs that blocks viral RNA synthesis and viral mRNA capping. Before the development of newer drugs, ribavirin and / dual therapy was considered the first-generation and standard antiviral treatment . The dual therapy was administered for 48 weeks in patients with genotype 1, 4, 5, and 6, and 24 weeks in patients with genotype 2 and 3 . Newer drugs developed as Hepatitis C viral infection treatments can be used to reduce or eliminate the use of ribavirin, which are associated with serious adverse effects. They also improve therapeutic efficacy in patients with failed / and ribavirin-based therapy. The potential use of ribavirin as a treatment for acute myeloid leukemia is currently under investigation.
According to 2017 American Association for the Study of Liver Diseases (AASLD) and 2015 consensus guidelines from the Canadian Association for the Study of the Liver (CASL), ribavirin is typically used as an adjunct therapy to various first-line and second-line combination therapies recommended for each genotypes. Ribavirin is added to decrease relapse rates by accelerating viral clearance early in the treatment course . When used to treat Hepatitis C virus (HCV) infections, it is always used as a part of combination therapies as ribavirin monotherapy is not efficacious in the treatment of chronic hepatitis C infection . Additionally, including ribavirin in the regimen can increase the risk of anemia.
In HCV genotye 1/2/3/4/5/6 patients, ribavirin can be used in combination therapy involving and , Eplusa (, ), Harvoni (, ), and , Viekira Pak (, , , ), Technivie (, , ) and Zepatier (, ). Addition of weight-based ribavirin to Technivie therapy increased sustained virologic response after 12 weeks of daily therapy (SVR12) from 90% to 97% in patients with HCV genotype 1a and 90.9% to 100% in HCV genotype 4 patients . Zepatier therapy along with ribavirin improved SVR in HCV genotype 5 patients. Combination therapy of ribavirin and results in the SVR of 44% in patients with genotype 1 infection and 70% in patients with genotype 2-6. The inclusion of ribavirin in the combination therapies depend on individual patient's profile, for example if HCV genotype 3 patient has a Y93H genetic variant and compensated cirrhosis. |
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Contaminant Sources | - HMDB Contaminants - Urine
- STOFF IDENT Compounds
- ToxCast & Tox21 Chemicals
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Contaminant Type | Not Available |
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Chemical Structure | |
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Synonyms | Value | Source |
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1-beta-D-Ribofuranosyl-1,2,4-triazole-3-carboxamide | ChEBI | 1-beta-D-Ribofuranosyl-1H-1,2,4-triazole-3-carboxamide | ChEBI | RBV | ChEBI | Ribavirina | ChEBI | Ribavirine | ChEBI | Ribavirinum | ChEBI | Copegus | Kegg | Rebetol | Kegg | Ribasphere | Kegg | Virazole | Kegg | 1-b-D-Ribofuranosyl-1,2,4-triazole-3-carboxamide | Generator | 1-Β-D-ribofuranosyl-1,2,4-triazole-3-carboxamide | Generator | 1-b-D-Ribofuranosyl-1H-1,2,4-triazole-3-carboxamide | Generator | 1-Β-D-ribofuranosyl-1H-1,2,4-triazole-3-carboxamide | Generator | Vilona | HMDB | ICN brand OF ribavirin | HMDB | Ribamide | HMDB | Ribamidyl | HMDB | Ribavirin merck brand | HMDB | Virazide | HMDB | Grossman brand OF ribavirin | HMDB | Merck brand OF ribavirin | HMDB | Pfizer brand OF ribavirin | HMDB | Ribovirin | HMDB | Three rivers pharmaceuticals brand OF ribavirin | HMDB | Dermatech brand OF ribavirin | HMDB | Essex brand OF ribavirin | HMDB | Ribamidil | HMDB | Tribavirin | HMDB | Viramide | HMDB |
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Chemical Formula | C8H12N4O5 |
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Average Molecular Mass | 244.205 g/mol |
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Monoisotopic Mass | 244.081 g/mol |
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CAS Registry Number | 36791-04-5 |
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IUPAC Name | 1-[(2R,3R,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]-1H-1,2,4-triazole-3-carboxamide |
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Traditional Name | ribavirin |
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SMILES | NC(=O)C1=NN(C=N1)[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O |
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InChI Identifier | InChI=1S/C8H12N4O5/c9-6(16)7-10-2-12(11-7)8-5(15)4(14)3(1-13)17-8/h2-5,8,13-15H,1H2,(H2,9,16)/t3-,4-,5-,8-/m1/s1 |
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InChI Key | IWUCXVSUMQZMFG-AFCXAGJDSA-N |
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Chemical Taxonomy |
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Description | belongs to the class of organic compounds known as triazole ribonucleosides and ribonucleotides. These are nucleoside derivatives containing a ribose (or deoxyribose) moiety which is N-glycosylated to a triazole. Nucleotides have a phosphate group linked to the C5 carbon of the ribose (or deoxyribose) moiety. |
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Kingdom | Organic compounds |
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Super Class | Nucleosides, nucleotides, and analogues |
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Class | Triazole ribonucleosides and ribonucleotides |
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Sub Class | Not Available |
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Direct Parent | Triazole ribonucleosides and ribonucleotides |
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Alternative Parents | |
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Substituents | - N-ribosyl-1,2,4-triazole
- Glycosyl compound
- N-glycosyl compound
- Pentose monosaccharide
- 2-heteroaryl carboxamide
- Monosaccharide
- Azole
- Tetrahydrofuran
- Triazole
- 1,2,4-triazole
- Heteroaromatic compound
- Carboxamide group
- Secondary alcohol
- Primary carboxylic acid amide
- Carboxylic acid derivative
- Oxacycle
- Azacycle
- Organoheterocyclic compound
- Alcohol
- Organooxygen compound
- Organonitrogen compound
- Organopnictogen compound
- Organic oxygen compound
- Organic nitrogen compound
- Hydrocarbon derivative
- Organic oxide
- Primary alcohol
- Aromatic heteromonocyclic compound
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Molecular Framework | Aromatic heteromonocyclic compounds |
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External Descriptors | |
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Biological Properties |
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Status | Detected and Not Quantified |
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Origin | Not Available |
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Cellular Locations | Not Available |
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Biofluid Locations | Not Available |
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Tissue Locations | Not Available |
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Pathways | Not Available |
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Applications | Not Available |
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Biological Roles | Not Available |
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Chemical Roles | Not Available |
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Physical Properties |
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State | Not Available |
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Appearance | Not Available |
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Experimental Properties | Property | Value |
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Melting Point | Not Available | Boiling Point | Not Available | Solubility | Not Available |
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Predicted Properties | |
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Spectra |
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Spectra | Spectrum Type | Description | Splash Key | View |
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Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | splash10-08nc-9320000000-385cc2e08cf140e0ecee | Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (3 TMS) - 70eV, Positive | splash10-0zpj-6922200000-75bb1d484addd27068ee | Spectrum | Predicted GC-MS | Predicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positive | Not Available | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , negative | splash10-03di-0900000000-92e2bd11ded2c95f3fbd | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , negative | splash10-03di-0900000000-109ebb69f722bb3a92d7 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , negative | splash10-03di-2900000000-c0d63d0633c304d466ca | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , negative | splash10-03xr-5900000000-c6f13aea6e263f2557f4 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , negative | splash10-02t9-9500000000-cefa4afc53cf92b724c3 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , negative | splash10-014i-9200000000-3a87882b304f3a9c9995 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-03di-0900000000-d5e98a470d0e674937d2 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-03di-0900000000-c659efd26af31b3b98dc | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-03di-1900000000-56c00c62af197ae8eecb | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-03di-2900000000-aa387f940aedc4b69874 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - LC-ESI-QFT , positive | splash10-03di-3900000000-795b88d3d651082dccb4 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 75V, Negative | splash10-02t9-9500000000-2ad23cf2e8f500d101cc | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 40V, Negative | splash10-014l-9000000000-6a9ceaf94e48a5856e63 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 10V, Negative | splash10-03di-0900000000-18802a19d16454483630 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 90V, Negative | splash10-014i-9200000000-f26697f5224329016008 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 20V, Negative | splash10-03di-3900000000-03e82b27fd25878e95dc | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 10V, Negative | splash10-03di-0900000000-85ef00069e1dea09445a | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 20V, Negative | splash10-03di-3900000000-ec554c2067df2f7a90a5 | Spectrum | LC-MS/MS | LC-MS/MS Spectrum - 40V, Negative | splash10-014l-9000000000-ab534ce4a5c6314c7208 | Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Positive | splash10-03dj-1960000000-8e1936b4490afdea1b45 | Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Positive | splash10-03di-3900000000-34acc3537097bf33c4ec | Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Positive | splash10-01ot-9400000000-9e7ebf6d4e248ffbf3bb | Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 10V, Negative | splash10-03di-2900000000-1aad1437a8d8217dea0e | Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 20V, Negative | splash10-03di-3900000000-0e379b4cf22b87e29955 | Spectrum | Predicted LC-MS/MS | Predicted LC-MS/MS Spectrum - 40V, Negative | splash10-0006-9100000000-0c0a02c5d745eb2131d7 | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum | 1D NMR | 13C NMR Spectrum | Not Available | Spectrum | 1D NMR | 1H NMR Spectrum | Not Available | Spectrum |
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Toxicity Profile |
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Route of Exposure | Not Available |
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Mechanism of Toxicity | Not Available |
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Metabolism | Not Available |
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Toxicity Values | Not Available |
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Lethal Dose | Not Available |
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Carcinogenicity (IARC Classification) | Not Available |
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Uses/Sources | Not Available |
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Minimum Risk Level | Not Available |
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Health Effects | Not Available |
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Symptoms | Not Available |
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Treatment | Not Available |
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Concentrations |
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| Not Available |
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External Links |
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DrugBank ID | DB00811 |
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HMDB ID | HMDB0014949 |
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FooDB ID | Not Available |
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Phenol Explorer ID | Not Available |
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KNApSAcK ID | Not Available |
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BiGG ID | Not Available |
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BioCyc ID | Not Available |
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METLIN ID | Not Available |
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PDB ID | Not Available |
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Wikipedia Link | Ribavirin |
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Chemspider ID | 34439 |
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ChEBI ID | 63580 |
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PubChem Compound ID | 37542 |
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Kegg Compound ID | Not Available |
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YMDB ID | Not Available |
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ECMDB ID | Not Available |
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References |
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Synthesis Reference | Not Available |
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MSDS | Not Available |
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General References | 1. Sidwell RW, Huffman JH, Khare GP, Allen LB, Witkowski JT, Robins RK: Broad-spectrum antiviral activity of Virazole: 1-beta-D-ribofuranosyl-1,2,4-triazole-3-carboxamide. Science. 1972 Aug 25;177(4050):705-6. | 2. Sidwell RW, Bailey KW, Wong MH, Barnard DL, Smee DF: In vitro and in vivo influenza virus-inhibitory effects of viramidine. Antiviral Res. 2005 Oct;68(1):10-7. | 3. Bani-Sadr F, Carrat F, Pol S, Hor R, Rosenthal E, Goujard C, Morand P, Lunel-Fabiani F, Salmon-Ceron D, Piroth L, Pialoux G, Bentata M, Cacoub P, Perronne C: Risk factors for symptomatic mitochondrial toxicity in HIV/hepatitis C virus-coinfected patients during interferon plus ribavirin-based therapy. J Acquir Immune Defic Syndr. 2005 Sep 1;40(1):47-52. | 4. Alvarez D, Dieterich DT, Brau N, Moorehead L, Ball L, Sulkowski MS: Zidovudine use but not weight-based ribavirin dosing impacts anaemia during HCV treatment in HIV-infected persons. J Viral Hepat. 2006 Oct;13(10):683-9. | 5. https://www.ncbi.nlm.nih.gov/pubmed/?term=21827730 | 6. https://www.ncbi.nlm.nih.gov/pubmed/?term=22052088 | 7. https://www.ncbi.nlm.nih.gov/pubmed/?term=22052220 | 8. https://www.ncbi.nlm.nih.gov/pubmed/?term=22156853 | 9. https://www.ncbi.nlm.nih.gov/pubmed/?term=22158703 | 10. https://www.ncbi.nlm.nih.gov/pubmed/?term=22212566 | 11. https://www.ncbi.nlm.nih.gov/pubmed/?term=22212568 | 12. https://www.ncbi.nlm.nih.gov/pubmed/?term=22212569 | 13. https://www.ncbi.nlm.nih.gov/pubmed/?term=22212572 | 14. https://www.ncbi.nlm.nih.gov/pubmed/?term=22212576 | 15. https://www.ncbi.nlm.nih.gov/pubmed/?term=22212579 | 16. https://www.ncbi.nlm.nih.gov/pubmed/?term=22220723 | 17. https://www.ncbi.nlm.nih.gov/pubmed/?term=22239498 | 18. https://www.ncbi.nlm.nih.gov/pubmed/?term=22239511 | 19. https://www.ncbi.nlm.nih.gov/pubmed/?term=29438107 |
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