doravirine
Trade name: pifeltro
Approved
Aug 30, 2018
Doravirine (MK-1439) is a nonnucleoside inhibitor of HIV reverse transcriptase (NNRTI). It displays excellent activities against not only WT viruses but also a broader panel of NNRTI-resistant viruses. Doravirine is a prescription medicine approved by the U.S. Food and Drug Administration (FDA) for the treatment of HIV infection in adults who have never taken HIV medicines before. Doravirine is always used in combination with other HIV medicines. — NCATS
Clinical trial activity
58 trials · 41 clinical orgs · 1 marketing orgs
Earliest trial started Oct 1, 2011 (NCT01466985)
Timeline
Indications
Approved for
Studied for
- Art · Phase 3
- Body Weight Changes · Phase 4
- Central Nervous System · Phase 2
- Drug Interactions · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 1
- Drug Resistance · Phase 4
- Fasting · Phase 3
- Gender Dysphoria · Phase 1
- Healthy Volunteers · Phase 1
- Heart Disease Risk Factors · Early Phase 1
- HIV · Phase 4
- HIV-1 · Phase 3
- HIV-Associated Lipodystrophy Syndrome · Phase 4
- HIV Infections · Phase 4
- Kidney Failure, Chronic · Phase 1
- Latent Tuberculosis · Phase 1
- Lipid Metabolism Disorders · Early Phase 1
- Metabolic Syndrome · Phase 3
- Minority Health · Phase 3
- Obesity · Phase 4
- Osteoporosis · Phase 4
- Overweight · Phase 3
- Pregnancy Complications · Phase 1
- Renal Insufficiency · Phase 4
- Transgender Persons · Phase 1
- Tuberculosis · Phase 4
- Weight Gain · Phase 4
- Weight Loss · Phase 4
Mechanism of action
Q72547 antagonist
- Human immunodeficiency virus type 1 reverse transcriptaseNEGATIVE ALLOSTERIC MODULATOR
Reverse transcriptase negative allosteric modulator
Inhibits reverse transcriptase and viral replication.
Does not inhibit human cellular DNA polymerases alpha and beta or mitochondrial DNA polymerase gamma. Active against a range of HIV-1 isolates from different groups.
NNRTI binding site
Combination products
delstrigo
with tenofovir, lamivudine
Also known as doravirine/lamivudine/tenofovir disoproxil fumarate 100 mg-300 mg-300 mg oral tablet [delstrigo]
Approval history
- approvedAug 30, 2018
Chemistry & pharmacology
SMILES
CN1C(=O)NN=C1CN2C=CC(=C(OC3=CC(Cl)=CC(=C3)C#N)C2=O)C(F)(F)F- Mol. weight
- 425.749 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaDoravirine ↗
- NCATS913P6LK81M ↗
- ChEMBLCHEMBL2364608 ↗
Also known as
- doravirine
- doravirine
- doravirine
- doravirine
- doravirine
- doravirine
- mk-1439
- mk-1439
- mk-1439
- mk-1439
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07086079 | Phase 1 | Sep 26, 2025 | Merck |
| NCT07075146 | Phase 3 | May 5, 2025 | Instituto Mexicano del Seguro Social |
| NCT06774872 | Phase 2 | Apr 30, 2025 | Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida, Government of France, Sorbonne University |
| NCT06203132 | Phase 3 | Nov 30, 2024 | Assistance Publique - Hôpitaux de Paris, European and Developing Countries Clinical Trials Partnership (EDCTP), Government of France, Merck |
| NCT06602622 | Phase 4 | Aug 14, 2024 | Instituto Mexicano del Seguro Social |
| NCT06719570 | Phase 1 | Jan 23, 2024 | Merck |
| NCT06034938 | Phase 2 | Dec 1, 2023 | Merck, University of Caen-Normandie |
| NCT06037564 | Phase 4 | Nov 13, 2023 | University of Bern, University of Lausanne |
| NCT05924438 | Phase 3 | Nov 8, 2023 | Africa Health Research Institute, Merck, University of the Witwatersrand |
| NCT05766501 | Phase 3 | Mar 17, 2023 | Merck |
| NCT05705349 | Phase 3 | Mar 8, 2023 | Merck |
| NCT05630755 | Phase 3 | Feb 28, 2023 | Merck |
| NCT05631093 | Phase 3 | Feb 20, 2023 | Merck |
| NCT05648201 | Phase 4 | Jan 2, 2023 | Merck, Radboud University, ZonMw: The Netherlands Organisation for Health Research and Development |
| NCT05630638 | Phase 4 | Jan 1, 2023 | Desmond Tutu Health Foundation, University of Liverpool |
| NCT05506605 | Phase 4 | Oct 30, 2022 | University of Barcelona |
| NCT05477407 | N/A | Sep 15, 2022 | Assistance Publique - Hôpitaux de Paris, Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida |
| NCT05457530 | Phase 3 | Aug 31, 2022 | Merck, Prism Health North Texas |
| NCT04820933 | Early Phase 1 (Phase 1) | Jul 1, 2022 | Merck, The University of Texas, Dallas |
| NCT05289986 | Phase 4 | Jun 30, 2022 | Merck, University of London |