dolutegravir
Trade name: tivicay
Approved
Aug 12, 2013
Dolutegravir is an integrase inhibitor that is meant to be used as part of combination therapy for the treatment of HIV. Dolutegravir inhibits HIV integrase by binding to the integrase active site and blocking the strand transfer step of retroviral deoxyribonucleic acid (DNA) integration which is essential for the HIV replication cycle. Dolutegravir coadministered with dofetilide can result in potentially life-threatening adverse events. — NCATS
Clinical trial activity
258 trials · 216 clinical orgs · 13 marketing orgs
Earliest trial started Jan 1, 2002 (NCT00537966)
Timeline
2000s
- Jan 1, 2007
GlaxoSmithKline — Earliest Phase 1 Sponsor(trial)
- Oct 24, 2007
GlaxoSmithKline — IND Organization
- Oct 24, 2007
GlaxoSmithKline — IND Organization
- Jan 1, 2008
ViiV Healthcare — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2009
Earliest Phase 3 Sponsor(trial)
2010s
- Aug 12, 2013
ViiV Healthcare — Earliest FDA Approval
- Aug 12, 2013
ViiV Healthcare — NDA Organization
- Sep 19, 2016
Aurobindo Pharma — Marketing Organization
- Aug 2, 2017
Mylan — Marketing Organization
- Aug 2, 2017
Mylan — NDA Secondary Org
- Mar 5, 2018
Cipla — Marketing Organization
- Feb 1, 2019
Laurus Labs Ltd — Marketing Organization
- Feb 1, 2019
Laurus Labs Ltd — NDA Secondary Org
- Mar 25, 2019
Neogen — NDA Secondary Org
- Sep 13, 2019
Micro Labs Ltd India — Marketing Organization
2020s
- Oct 6, 2020
Desano — NDA Secondary Org
- Mar 16, 2021
Macleods Pharmaceuticals, Ltd — Marketing Organization
- Mar 22, 2021
Neogen — Marketing Organization
- Jun 25, 2021
Lupin — NDA Secondary Org
- Mar 30, 2022
Cipla — NDA Secondary Org
- Jan 13, 2023
Lupin — Marketing Organization
- May 26, 2023
Aurobindo Pharma — NDA Secondary Org
- Jul 12, 2023
Emcure — NDA Secondary Org
- Sep 14, 2023
Strides Pharma Science — NDA Secondary Org
Indications
Approved for
Studied for
- Acquired Immunodeficiency Syndrome · Phase 4
- Adipose Tissue · Phase 4
- Alveolar Bone Loss · Phase 4
- Amyotrophic Lateral Sclerosis · Phase 3
- Antiretroviral Therapy, Highly Active · Phase 4
- Anxiety · Phase 4
- Art · Phase 4
- Arthralgia · Phase 3
- Body Fat Distribution · Phase 4
- Body Weight Changes · Phase 4
- Bone Diseases, Metabolic · Phase 2
- Brain Injuries, Traumatic · Phase 2
- Cardiovascular Abnormalities · Phase 4
- Cardiovascular Diseases · Phase 4
- Contraception · Phase 4
- Cytomegalovirus Infections · Phase 4
- Diarrhea · Phase 1
- Drug Interactions · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Drug Resistance · Phase 4
- Drugs, Investigational · Phase 2/Phase 3
- Epstein-Barr Virus Infections · Phase 4
- Fatty Liver · Phase 4
- Healthy Volunteers · Phase 2
- Hepatitis B · Phase 2
- Herpesvirus 8, Human · Phase 4
- HIV · Phase 4
- HIV-1 · Phase 4
- HIV-Associated Lipodystrophy Syndrome · Phase 4
- HIV Infections · Phase 4
- Infections · Phase 2/Phase 3
- Infectious Disease Transmission, Vertical · Phase 3
- Integrase Inhibitors · Phase 2
- Kidney Failure, Chronic · Phase 4
- Latent Tuberculosis · Phase 1
- Liver Diseases · Phase 4
- Lung Diseases · Phase 1
- Maintenance · Phase 4
- Malaria · Phase 1
- Medication Adherence · Early Phase 1
- Metabolic Side Effects of Drugs and Substances · Phase 2
- Metabolic Syndrome · Phase 4
- Obesity · Phase 4
- Opioid-Related Disorders · Phase 4
- Organ Transplantation · Phase 4
- Osteoporosis · Phase 4
- Papillomaviridae · Phase 4
- Pregnancy · Phase 2/Phase 3
- Pregnancy Complications · Phase 3
- Renal Insufficiency · Phase 4
- Respiratory Tract Infections · Phase 1/Phase 2
- Sexually Transmitted Diseases, Viral · Phase 1
- Sleep Initiation and Maintenance Disorders · Phase 4
- Tenofovir · Phase 2
- Treatment Outcome · Phase 2
- Tuberculosis · Phase 4
- Tuberculosis, Multidrug-Resistant · Phase 1
- Tuberculosis, Pulmonary · Phase 2
- Vascular Diseases · Phase 4
- Weight Gain · Phase 4
Mechanism of action
Q7ZJM1 inhibitor
HIV-1 integrase strand transfer inhibitor
Combination products
dovato
with lamivudine
Also known as dolutegravir 50 mg / lamivudine 300 mg oral tablet [dovato], dolutegravir/lamivudine, dolutegravir/lamivudine 50 mg-300 mg oral tablet [dovato], dolutegravir/lamivudine as a single pill, dolutegravir / lamivudine oral tablet, dolutegravir plus lamivudine in a fdc
juluca
with rilpivirine
triumeq
with abacavir, lamivudine
Approval history
- approvedPriority reviewFast trackAug 12, 2013
Chemistry & pharmacology
SMILES
C[C@@H]1CCO[C@H]2Cn3cc(C(=O)NCc4ccc(F)cc4F)c(=O)c(O)c3C(=O)N12- Mol. weight
- 419.38 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
- ChEMBLCHEMBL1229211 ↗
- WikipediaAbacavir/dolutegravir/lamivudine ↗
- NCATSDKO1W9H7M1 ↗
- ChEMBLCHEMBL1213165 ↗
- WikipediaDolutegravir ↗
Also known as
- 2h-pyrido(1',2':4,5)pyrazino(2,1-b)(1,3)oxazine-9- carboxamide, n-((2,4-difluorophenyl)methyl)-3,4,6,8,12,12a- hexahydro-7-hydroxy-4-methyl-6,8-dioxo-, (4r,12as)-
- (4r,9as)-5-hydroxy-2-methyl-6,10-dioxo-3,4,6,9,9a,10-hexahydro-2h-1-oxa-4a,8a-diaza-anthracene-7-carboxylic acid- 2,4 difluorobenzylamide
- abacavir sulfate / dolutegravir sodium / lamivudine
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir
- dolutegravir sodium
- dolutegravir sodium
- dolutegravir sodium
- dolutegravir sodium
- dolutegravir sodium
- dolutegravir sodium
- dolutegravir sodium
- dolutegravir sodium monohydrate
- dolutegravir sodium monohydrate
- gsk1349572
- gsk1349572
- gsk1349572
- gsk 1349572
- gsk-1349572
- gsk1349572a
- gsk1349572a
- gsk1349572a
- gsk 1349572a
- s-349572
- s-349572
- s-349572
- s-gsk1349572
- tivicay
- tivicay
- tivicay
- tivicay
- tivicay
- triumeq
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07124559 | Phase 1/Phase 2 (Phase 2) | Dec 15, 2025 | National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Mental Health (NIMH), National Institutes of Health (NIH) |
| NCT07202546 | Phase 2 | Nov 28, 2025 | ViiV Healthcare |
| NCT06967753 | Phase 4 | Jul 31, 2025 | Hospital Fernandez, University of Buenos Aires, ViiV Healthcare |
| NCT06747507 | Phase 3 | Jun 30, 2025 | Government of Mozambique, Muhimbili University, SolidarMed, University of London, University of Nairobi |
| NCT06774872 | Phase 2 | Apr 30, 2025 | Centre de Recherches et d'Etude sur la Pathologie Tropicale et le Sida, Government of France, Sorbonne University |
| NCT06787976 | Phase 4 | Apr 19, 2025 | Instituto Mexicano del Seguro Social |
| NCT06805656 | N/A | Apr 1, 2025 | Conselho Nacional de Desenvolvimento Científico e Tecnológico, Federal University of Sao Paulo |
| NCT07031063 | Phase 4 | Apr 1, 2025 | Instituto Mexicano del Seguro Social |
| NCT06497465 | Phase 3 | Jan 31, 2025 | Johns Hopkins University, ViiV Healthcare |
| NCT06203132 | Phase 3 | Nov 30, 2024 | Assistance Publique - Hôpitaux de Paris, European and Developing Countries Clinical Trials Partnership (EDCTP), Government of France, Merck |
| NCT06560684 | Phase 2 | Oct 29, 2024 | National Institute of Allergy and Infectious Diseases (NIAID) |
| NCT06338826 | Phase 2 | Oct 1, 2024 | Assistance Publique - Hôpitaux de Paris, Government of France |
| NCT06580873 | Phase 4 | Sep 30, 2024 | Government of Canada, ViiV Healthcare |
| NCT06281834 | Phase 1 | Sep 30, 2024 | APIN Public Health Initiatives, Harvard University, University of Cape Town |
| NCT06444620 | Phase 3 | Jul 22, 2024 | University of Nairobi, ViiV Healthcare |
| NCT06485154 | Phase 4 | Jun 1, 2024 | Bill and Melinda Gates Foundation, University of the Witwatersrand, Wits Health Consortium (Pty) Ltd |
| NCT06250504 | Phase 3 | Feb 27, 2024 | Africa Health Research Institute |
| NCT05993767 | Phase 2 | Jan 31, 2024 | AMS-PHPT Research Collaboration, Baylor University, Clinton Health Access Initiative, Nigeria, PENTA Foundation, Radboud University, University of Zimbabwe |
| NCT06450275 | Phase 1 | Jan 3, 2024 | Humanis Saglık Anonim Sirketi |
| NCT05979311 | Phase 3 | Dec 29, 2023 | ViiV Healthcare |
Organizations
Research & Development (216)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| ViiV Healthcare | For profit | 114 | 72 | 5 | 2008 |
| GlaxoSmithKline | For profit | 67 | 11 | 3 | 2007 |
| Shionogi | For profit | 31 | 0 | 3 | 2008 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 20 | 14 | 4 | 2003 |
| Gilead Sciences | For profit | 18 | 13 | 4 | 2009 |
| Radboud University | Academic/Hospital | 11 | 4 | 4 | 2015 |
| Janssen Pharmaceutica NV | For profit | 10 | 1 | 4 | 2015 |
| National Institutes of Health (NIH) | Government | 9 | 1 | 4 | 2003 |
| Johns Hopkins University | Academic/Hospital | 8 | 3 | 3 | 2016 |
| Fundacion SEIMC-GESIDA | Academic/Hospital | 7 | 7 | 2 | 2017 |
| University of Cape Town | Academic/Hospital | 7 | 3 | 4 | 2016 |
| University of Liverpool | Academic/Hospital | 7 | 5 | 3 | 2015 |
| University of London | Academic/Hospital | 7 | 3 | 3 | 2015 |
| Government of France | Government | 6 | 4 | 2 | 2016 |
| St Stephens Aids Trust | Academic/Hospital | 6 | 6 | 2 | 2014 |
| PPD | For profit | 5 | 0 | 1 | 2014 |
| University of Barcelona | Academic/Hospital | 5 | 4 | 2 | 2015 |
| University of North Carolina at Chapel Hill | Academic/Hospital | 5 | 4 | 3 | 2011 |
| Infectious Disease Institute, Kampala, Uganda | Academic/Hospital | 4 | 0 | 3 | 2015 |
| Merck | For profit | 4 | 0 | 2 | 2009 |
Marketing (22)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Aurobindo Pharma | For profit | MKTG | Sep 19, 2016 |
| Aurobindo Pharma | For profit | NDA2 | May 26, 2023 |
| Cipla | For profit | MKTG | Mar 5, 2018 |
| Cipla | For profit | NDA2 | Mar 30, 2022 |
| Desano | For profit | NDA2 | Oct 6, 2020 |
| Emcure | For profit | NDA2 | Jul 12, 2023 |
| GlaxoSmithKline | For profit | IND | Oct 24, 2007 |
| Laurus Labs Ltd | For profit | MKTG | Feb 1, 2019 |
| Laurus Labs Ltd | For profit | SYN | Apr 28, 2023 |
| Laurus Labs Ltd | For profit | NDA2 | Feb 1, 2019 |
| Lupin | For profit | NDA2 | Jun 25, 2021 |
| Lupin | For profit | SYN | Jan 13, 2023 |
| Lupin | For profit | MKTG | Jan 13, 2023 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Mar 16, 2021 |
| Micro Labs Ltd India | For profit | MKTG | Sep 13, 2019 |
| Mylan | For profit | MKTG | Aug 2, 2017 |
| Mylan | For profit | SYN | Jul 6, 2018 |
| Mylan | For profit | NDA2 | Aug 2, 2017 |
| Neogen | For profit | NDA2 | Mar 25, 2019 |
| Neogen | For profit | MKTG | Mar 22, 2021 |
| Strides Pharma Science | For profit | NDA2 | Sep 14, 2023 |
| ViiV Healthcare | For profit | NDA | Aug 12, 2013 |