Hexadecyloxypropyl Tenofovir (CMX157) Has Enhanced Potency in Vitro against NRTI Resistant HIV Relative to Tenofovir and a Favorable Preclinical Profile
Reported by Jules Levin
17th Intl HIV Drug Resistance Workshop June 10-12, 2008
Sitges, Spain
Randall Lanier, PhD
Chimerix Inc, Research Triangle Park, NC, USA
AUTHOR SUMMARY/CONCLUSIONS
CMX157 is >300 fold more potent than TFV (tenofovir) in vitro against wt (wild-type) and clinically relevant HIV mutants
The amount of active drug produced in human PBMCs is much higher following exposure to CMX157 vs TFV
Toxicology and TK data reveal high exposure to CMX157 in plasma with minimal toxicity
Activity of CMX157 against HIV
CMX157 IC50s against HIV-1 subtypes (A-G,O) ranged from <1 to 7 nM
-- TFV IC50s against HIV-1 subtypes (A-G,O) ranged from 1600 to 4900 nM1
IC50s against NRTI resistant HIV ranged from <1-57 nM
-- median of 359-fold more potent than TFV (range 295-472)