Record Information
Version1.0
Creation Date2016-05-22 03:45:50 UTC
Update Date2016-11-09 01:15:29 UTC
Accession NumberCHEM016864
Identification
Common NameRibavirin
ClassSmall Molecule
DescriptionProducing 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.
Contaminant Sources
  • HMDB Contaminants - Urine
  • STOFF IDENT Compounds
  • ToxCast & Tox21 Chemicals
Contaminant TypeNot Available
Chemical Structure
Thumb
Synonyms
ValueSource
1-beta-D-Ribofuranosyl-1,2,4-triazole-3-carboxamideChEBI
1-beta-D-Ribofuranosyl-1H-1,2,4-triazole-3-carboxamideChEBI
RBVChEBI
RibavirinaChEBI
RibavirineChEBI
RibavirinumChEBI
CopegusKegg
RebetolKegg
RibasphereKegg
VirazoleKegg
1-b-D-Ribofuranosyl-1,2,4-triazole-3-carboxamideGenerator
1-Β-D-ribofuranosyl-1,2,4-triazole-3-carboxamideGenerator
1-b-D-Ribofuranosyl-1H-1,2,4-triazole-3-carboxamideGenerator
1-Β-D-ribofuranosyl-1H-1,2,4-triazole-3-carboxamideGenerator
VilonaHMDB
ICN brand OF ribavirinHMDB
RibamideHMDB
RibamidylHMDB
Ribavirin merck brandHMDB
VirazideHMDB
Grossman brand OF ribavirinHMDB
Merck brand OF ribavirinHMDB
Pfizer brand OF ribavirinHMDB
RibovirinHMDB
Three rivers pharmaceuticals brand OF ribavirinHMDB
Dermatech brand OF ribavirinHMDB
Essex brand OF ribavirinHMDB
RibamidilHMDB
TribavirinHMDB
ViramideHMDB
Chemical FormulaC8H12N4O5
Average Molecular Mass244.205 g/mol
Monoisotopic Mass244.081 g/mol
CAS Registry Number36791-04-5
IUPAC Name1-[(2R,3R,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]-1H-1,2,4-triazole-3-carboxamide
Traditional Nameribavirin
SMILESNC(=O)C1=NN(C=N1)[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O
InChI IdentifierInChI=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
InChI KeyIWUCXVSUMQZMFG-AFCXAGJDSA-N
Chemical Taxonomy
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.
KingdomOrganic compounds
Super ClassNucleosides, nucleotides, and analogues
ClassTriazole ribonucleosides and ribonucleotides
Sub ClassNot Available
Direct ParentTriazole ribonucleosides and ribonucleotides
Alternative Parents
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
Molecular FrameworkAromatic heteromonocyclic compounds
External Descriptors
Biological Properties
StatusDetected and Not Quantified
OriginNot Available
Cellular LocationsNot Available
Biofluid LocationsNot Available
Tissue LocationsNot Available
PathwaysNot Available
ApplicationsNot Available
Biological RolesNot Available
Chemical RolesNot Available
Physical Properties
StateNot Available
AppearanceNot Available
Experimental Properties
PropertyValue
Melting PointNot Available
Boiling PointNot Available
SolubilityNot Available
Predicted Properties
PropertyValueSource
Water Solubility33.2 g/LALOGPS
logP-1.9ALOGPS
logP-2.8ChemAxon
logS-0.87ALOGPS
pKa (Strongest Acidic)11.88ChemAxon
pKa (Strongest Basic)-1.2ChemAxon
Physiological Charge0ChemAxon
Hydrogen Acceptor Count7ChemAxon
Hydrogen Donor Count4ChemAxon
Polar Surface Area143.72 ŲChemAxon
Rotatable Bond Count3ChemAxon
Refractivity64.57 m³·mol⁻¹ChemAxon
Polarizability22.18 ųChemAxon
Number of Rings2ChemAxon
Bioavailability1ChemAxon
Rule of FiveYesChemAxon
Ghose FilterNoChemAxon
Veber's RuleNoChemAxon
MDDR-like RuleNoChemAxon
Spectra
Spectra
Spectrum TypeDescriptionSplash KeyView
Predicted GC-MSPredicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, Positivesplash10-08nc-9320000000-385cc2e08cf140e0eceeSpectrum
Predicted GC-MSPredicted GC-MS Spectrum - GC-MS (3 TMS) - 70eV, Positivesplash10-0zpj-6922200000-75bb1d484addd27068eeSpectrum
Predicted GC-MSPredicted GC-MS Spectrum - GC-MS (Non-derivatized) - 70eV, PositiveNot AvailableSpectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , negativesplash10-03di-0900000000-92e2bd11ded2c95f3fbdSpectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , negativesplash10-03di-0900000000-109ebb69f722bb3a92d7Spectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , negativesplash10-03di-2900000000-c0d63d0633c304d466caSpectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , negativesplash10-03xr-5900000000-c6f13aea6e263f2557f4Spectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , negativesplash10-02t9-9500000000-cefa4afc53cf92b724c3Spectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , negativesplash10-014i-9200000000-3a87882b304f3a9c9995Spectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , positivesplash10-03di-0900000000-d5e98a470d0e674937d2Spectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , positivesplash10-03di-0900000000-c659efd26af31b3b98dcSpectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , positivesplash10-03di-1900000000-56c00c62af197ae8eecbSpectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , positivesplash10-03di-2900000000-aa387f940aedc4b69874Spectrum
LC-MS/MSLC-MS/MS Spectrum - LC-ESI-QFT , positivesplash10-03di-3900000000-795b88d3d651082dccb4Spectrum
LC-MS/MSLC-MS/MS Spectrum - 75V, Negativesplash10-02t9-9500000000-2ad23cf2e8f500d101ccSpectrum
LC-MS/MSLC-MS/MS Spectrum - 40V, Negativesplash10-014l-9000000000-6a9ceaf94e48a5856e63Spectrum
LC-MS/MSLC-MS/MS Spectrum - 10V, Negativesplash10-03di-0900000000-18802a19d16454483630Spectrum
LC-MS/MSLC-MS/MS Spectrum - 90V, Negativesplash10-014i-9200000000-f26697f5224329016008Spectrum
LC-MS/MSLC-MS/MS Spectrum - 20V, Negativesplash10-03di-3900000000-03e82b27fd25878e95dcSpectrum
LC-MS/MSLC-MS/MS Spectrum - 10V, Negativesplash10-03di-0900000000-85ef00069e1dea09445aSpectrum
LC-MS/MSLC-MS/MS Spectrum - 20V, Negativesplash10-03di-3900000000-ec554c2067df2f7a90a5Spectrum
LC-MS/MSLC-MS/MS Spectrum - 40V, Negativesplash10-014l-9000000000-ab534ce4a5c6314c7208Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrum - 10V, Positivesplash10-03dj-1960000000-8e1936b4490afdea1b45Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrum - 20V, Positivesplash10-03di-3900000000-34acc3537097bf33c4ecSpectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrum - 40V, Positivesplash10-01ot-9400000000-9e7ebf6d4e248ffbf3bbSpectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrum - 10V, Negativesplash10-03di-2900000000-1aad1437a8d8217dea0eSpectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrum - 20V, Negativesplash10-03di-3900000000-0e379b4cf22b87e29955Spectrum
Predicted LC-MS/MSPredicted LC-MS/MS Spectrum - 40V, Negativesplash10-0006-9100000000-0c0a02c5d745eb2131d7Spectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
1D NMR13C NMR SpectrumNot AvailableSpectrum
1D NMR1H NMR SpectrumNot AvailableSpectrum
Toxicity Profile
Route of ExposureNot Available
Mechanism of ToxicityNot Available
MetabolismNot Available
Toxicity ValuesNot Available
Lethal DoseNot Available
Carcinogenicity (IARC Classification)Not Available
Uses/SourcesNot Available
Minimum Risk LevelNot Available
Health EffectsNot Available
SymptomsNot Available
TreatmentNot Available
Concentrations
Not Available
DrugBank IDDB00811
HMDB IDHMDB0014949
FooDB IDNot Available
Phenol Explorer IDNot Available
KNApSAcK IDNot Available
BiGG IDNot Available
BioCyc IDNot Available
METLIN IDNot Available
PDB IDNot Available
Wikipedia LinkRibavirin
Chemspider ID34439
ChEBI ID63580
PubChem Compound ID37542
Kegg Compound IDNot Available
YMDB IDNot Available
ECMDB IDNot Available
References
Synthesis ReferenceNot Available
MSDSNot Available
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