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Entecavir
- CAS:142217-69-4
- MW:277.284
- MF:C12H15N5O3
Entecavir is a cyclopentyl guanosine analog launched for the once-dailyoral treatment of chronic hepatitis B virus (HBV) infection, and it is the thirdnucleoside or nucleotide analog to be marketed for this indication. Lamivudine, adeoxythiacytosine analog, and adefovir dipivoxil, a nucleotide analog, have beenmarketed since 1998 and 2002, respectively. Entecavir and adefovir are specificallyindicated for HBV, whereas lamivudine is indicated for both HBV and HIV infections.In mammalian cells, entecavir is efficiently phosphorylated to the activetriphosphate form, which competes with the natural substrate deoxyguanosinetriphosphate and functionally inhibits all three activities of the HBV polymerase:(1) base priming, (2) reverse transcription of the negative strand from the pregenomicmessenger RNA, and (3) synthesis of the positive strand of HBV DNA.The most common adverse events associated withthe use of entecavir are similar to those typically seen with HBV therapy andinclude headache, abdominal pain, diarrhea, fatigue, and dizziness.
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