entecavir
Trade name: baraclude
Approved
Mar 29, 2005
BARACLUDE® is the tradename for entecavir, a guanosine nucleoside analogue with selective activity against hepatitis B virus (HBV). It inhibits all three steps in the viral replication process. By competing with the natural substrate deoxyguanosine triphosphate, entecavir functionally inhibits all three activities of the HBV polymerase (reverse transcriptase, rt): (1) base priming, (2) reverse transcription of the negative strand from the pregenomic messenger RNA, and (3) synthesis of the positive strand of HBV DNA. Upon activation by kinases, the drug can be incorporated into the DNA which has the ultimate effect of inhibiting the HBV polymerase activity. Entecavir is used for the treatment of chronic hepatitis B virus infection in adults with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease. — NCATS
Clinical trial activity
232 trials · 179 clinical orgs · 23 marketing orgs
Earliest trial started Jan 1, 2001 (NCT01438424)
Timeline
2000s
- Jan 1, 2001
Bristol-Myers Squibb — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2001
Bristol-Myers Squibb — Earliest Phase 3 Sponsor(trial)
- Mar 29, 2005
Bristol-Myers Squibb — Earliest FDA Approval
- Mar 29, 2005
Bristol-Myers Squibb — NDA Organization
- Jan 1, 2007
Bristol-Myers Squibb — Earliest Phase 1 Sponsor(trial)
2010s
- Aug 26, 2014
Teva — Marketing Organization
- Aug 21, 2015
Hetero Labs Ltd — Marketing Organization
- Aug 26, 2015
Aurobindo Pharma — Marketing Organization
- Nov 12, 2015
Amneal Pharmaceuticals — Marketing Organization
- Nov 23, 2016
Strides Pharma Science — Marketing Organization
- Nov 23, 2016
Par Pharmaceuticals — Marketing Organization
- Nov 23, 2016
Chartwell Pharmaceuticals — Marketing Organization
- Dec 6, 2016
Cipla — Marketing Organization
- May 11, 2017
CASI Pharmaceuticals, Inc. — Marketing Organization
- Jun 23, 2017
Zydus Discovery DMCC — Marketing Organization
- Aug 25, 2017
Accord Research — Marketing Organization
- Oct 10, 2017
Prinston Inc — Marketing Organization
- Mar 15, 2018
Esteve Labs — Marketing Organization
- Mar 26, 2019
Rising Pharmaceuticals — Marketing Organization
- Mar 26, 2019
Mylan — Marketing Organization
- Sep 25, 2019
BrightGene — Marketing Organization
- Nov 4, 2019
Fosun — Marketing Organization
2020s
- May 20, 2020
Sunshine Lake Pharma Co., Ltd. — Marketing Organization
- Aug 10, 2020
Swiss Pharmaceuticals — Marketing Organization
- Aug 10, 2020
Pharmadax Inc — Marketing Organization
- Nov 10, 2021
Yung Shin Pharm. Ind. Co., Ltd. — Marketing Organization
- Dec 23, 2024
CONBA USA — Marketing Organization
Indications
Studied for
- Acidosis, Lactic · Phase 4
- Acute-On-Chronic Liver Failure · Phase 3
- Arthritis, Juvenile · Phase 3
- Arthritis, Psoriatic · Phase 3
- Arthritis, Rheumatoid · Phase 4
- Carcinoma, Hepatocellular · Phase 4
- Chronic Disease · Phase 3
- Colorectal Neoplasms · Phase 2
- Drugs, Investigational · Phase 4
- Gastrointestinal Neoplasms · Phase 3
- Healthy Volunteers · Phase 1
- Hepatitis · Phase 4
- Hepatitis B · Phase 4
- Hepatitis B virus · Phase 4
- Hepatitis C, Chronic · Phase 2/Phase 3
- Hepatitis, Chronic · Phase 4
- Hepatitis D · Phase 2
- Hepatitis D, Chronic · Phase 2
- HIV Infections · Phase 4
- Hypertension, Portal · Phase 4
- Inflammation · Phase 4
- Liver Cirrhosis · Phase 4
- Liver Diseases · Phase 4
- Liver Failure · Phase 4
- Liver Neoplasms · Phase 4
- Liver Transplantation · Phase 4
- Lung Transplantation · Phase 4
- Lymphoma · Phase 2
- Lymphoma, B-Cell · Phase 3
- Lymphoma, Non-Hodgkin · Phase 4
- Neoplasms · Phase 3
- Recurrence · Phase 4
- Spondylitis, Ankylosing · Phase 3
- Steatitis · Phase 4
- Stomach Neoplasms · Phase 2
- Thrombocytopenia · Phase 4
- Trematode Infections · Phase 4
- Tuberculosis · Phase 4
- Virus Diseases · Phase 4
Mechanism of action
- DNA polymerase/reverse transcriptaseINHIBITOR
P inhibitor
- Hepatitis B virusINHIBITOR
Hepatitis B virus inhibitor
Approval history
- approvedPriority reviewMar 29, 2005
Chemistry & pharmacology
SMILES
NC1=NC2=C(N=CN2[C@H]3C[C@H](O)[C@@H](CO)C3=C)C(=O)N1- Mol. weight
- 277.2792 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaEntecavir ↗
- NCATSNNU2O4609D ↗
- ChEMBLCHEMBL713 ↗
- ChEMBLCHEMBL5314362 ↗
Also known as
- anhydrous entecavir
- anhydrous entecavir
- anhydrous entecavir
- anti-hbv placenta transfer factor
- baraclude
- baraclude
- baraclude
- baraclude
- baraclude
- baraclude
- bms-200475-01
- bms-200475-01
- bms-200475-01
- enecavir
- entacavir
- entecabell
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir
- entecavir anhydrous
- entecavir anhydrous
- entecavir (anhydrous)
- entecavir (anhydrous)
- entecavir hydrate
- entecavir maleate
- entecavir maleate
- entecavir monohydrate
- entecavir monohydrate
- entecavir monohydrate
- entecavir monohydrate
- entecavir monohydrate
- entecavir monohydrate
- entecavirum
- entecavirum
- sq-34676
- sq-34676
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07295873 | Phase 1 | Dec 30, 2025 | GNI Group |
| NCT07253220 | N/A | Dec 1, 2025 | Sun Yat-Sen University |
| NCT07189377 | Phase 4 | Sep 24, 2025 | University of Toronto |
| NCT07145268 | Phase 2 | Sep 1, 2025 | Tanta University |
| NCT07095855 | Phase 3 | Aug 31, 2025 | Shanghai Zhimeng Biopharma, Inc. |
| NCT06990776 | Phase 2 | Jul 9, 2025 | Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd |
| NCT06966232 | Phase 3 | May 15, 2025 | Sun Yat-Sen University |
| NCT06150014 | Phase 1/Phase 2 (Phase 2) | Dec 7, 2023 | Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd |
| NCT06000657 | Phase 4 | Jul 28, 2023 | Daewoong Pharmaceutical Co. LTD. |
| NCT05721300 | N/A | Feb 10, 2023 | Fudan University |
| NCT05793268 | N/A | Dec 20, 2022 | I-Shou University |
| NCT05484466 | Phase 2 | Nov 15, 2022 | Jinlin University, Shanghai Zhimeng Biopharma, Inc., Tigermed Consulting Co., Ltd |
| NCT05550519 | Early Phase 1 (Phase 1) | Oct 31, 2022 | Janssen Pharmaceutica NV |
| NCT05404919 | Phase 2 | Sep 6, 2022 | University of Pennsylvania |
| NCT05453435 | Phase 2 | Jul 15, 2022 | Sun Yat-Sen University |
| NCT05423106 | Phase 1 | Jul 4, 2022 | Johnson and Johnson |
| NCT05275023 | Phase 2 | Jun 30, 2022 | — |
| NCT05382351 | Phase 2 | May 10, 2022 | Sun Yat-Sen University |
| NCT05453448 | N/A | May 1, 2022 | Central South University |
| NCT05107778 | Phase 2 | Dec 17, 2021 | Ascletis Pharmaceuticals Co., Ltd. |
Organizations
Research & Development (179)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Bristol-Myers Squibb | For profit | 32 | 26 | 5 | 2001 |
| Sun Yat-Sen University | Academic/Hospital | 25 | 25 | 4 | 2007 |
| Jiao Tong University | Academic/Hospital | 16 | 5 | 4 | 2008 |
| Huazhong University of Science and Technology | Academic/Hospital | 12 | 6 | 3 | 2008 |
| Fudan University | Academic/Hospital | 11 | 3 | 3 | 2008 |
| People's Liberation Army of China | Government | 11 | 4 | 4 | 2008 |
| Catholic University of Korea | Academic/Hospital | 10 | 3 | 4 | 2007 |
| Peking University | Academic/Hospital | 10 | 3 | 2 | 2008 |
| Yonsei University | Academic/Hospital | 10 | 6 | 2 | 2007 |
| Capital Medical University | Academic/Hospital | 9 | 6 | 1 | 2008 |
| National Taiwan University | Academic/Hospital | 9 | 7 | 2 | 2007 |
| Roche | For profit | 9 | 6 | 3 | 2007 |
| Southern Medical University | Academic/Hospital | 9 | 3 | 4 | 2010 |
| Janssen Pharmaceutica NV | For profit | 8 | 8 | 2 | 2019 |
| Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd | For profit | 8 | 6 | 3 | 2008 |
| Korea University | Academic/Hospital | 8 | 3 | 2 | 2007 |
| University of Ulsan | Academic/Hospital | 7 | 6 | 2 | 2009 |
| Zhejiang University | Academic/Hospital | 7 | 2 | 2 | 2008 |
| Assembly Biosciences | For profit | 6 | 6 | 2 | 2016 |
| Pusan National University | Academic/Hospital | 6 | 2 | 1 | 2008 |
Marketing (29)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | Aug 25, 2017 |
| Amneal Pharmaceuticals | For profit | MKTG | Nov 12, 2015 |
| Aurobindo Pharma | For profit | SYN | Aug 26, 2015 |
| Aurobindo Pharma | For profit | MKTG | Aug 26, 2015 |
| BrightGene | For profit | MKTG | Sep 25, 2019 |
| Bristol-Myers Squibb | For profit | NDA | Mar 29, 2005 |
| Bristol-Myers Squibb | For profit | SYN | Mar 29, 2005 |
| CASI Pharmaceuticals, Inc. | For profit | MKTG | May 11, 2017 |
| CONBA USA | For profit | MKTG | Dec 23, 2024 |
| Chartwell Pharmaceuticals | For profit | MKTG | Nov 23, 2016 |
| Cipla | For profit | MKTG | Dec 6, 2016 |
| Esteve Labs | For profit | SYN | Mar 15, 2018 |
| Esteve Labs | For profit | MKTG | Mar 15, 2018 |
| Fosun | For profit | MKTG | Nov 4, 2019 |
| Hetero Labs Ltd | For profit | MKTG | Aug 21, 2015 |
| Mylan | For profit | MKTG | Mar 26, 2019 |
| Mylan | For profit | SYN | Mar 26, 2019 |
| Par Pharmaceuticals | For profit | MKTG | Nov 23, 2016 |
| Pharmadax Inc | For profit | MKTG | Aug 10, 2020 |
| Prinston Inc | For profit | MKTG | Oct 10, 2017 |
| Rising Pharmaceuticals | For profit | MKTG | Mar 26, 2019 |
| Rising Pharmaceuticals | For profit | SYN | Mar 26, 2019 |
| Strides Pharma Science | For profit | MKTG | Nov 23, 2016 |
| Sunshine Lake Pharma Co., Ltd. | For profit | SYN | May 20, 2020 |
| Sunshine Lake Pharma Co., Ltd. | For profit | MKTG | May 20, 2020 |
| Swiss Pharmaceuticals | For profit | MKTG | Aug 10, 2020 |
| Teva | For profit | MKTG | Aug 26, 2014 |
| Yung Shin Pharm. Ind. Co., Ltd. | For profit | MKTG | Nov 10, 2021 |
| Zydus Discovery DMCC | For profit | MKTG | Jun 23, 2017 |