3056-17-5 Usage
Description
Stavudine, also known as 2'3'-didehydro-2'-deoxythymidine (D4T, Zerit), is a dideoxynucleoside analog of thymidine. It is a white crystalline solid or powder, odorless, and is an unsaturated pyrimidine nucleoside related to thymidine. Stavudine is used as an antiviral and acts as a reverse transcriptase inhibitor. It is bioactivated by cellular enzymes to a triphosphate and is available as capsules for oral administration. The drug is acid stable, well absorbed (about 90%) following oral administration, and has a short half-life (1–2 hours) in plasma. It is excreted largely unchanged (85%–90%) in the urine. Stavudine is recommended for the treatment of adults with advanced HIV infection who are intolerant of other approved therapies or who have experienced clinical or immunological deterioration while receiving these therapies.
Uses
1. Used in Antiviral Applications:
Stavudine is used as an antiviral agent, specifically as a reverse transcriptase inhibitor. It is effective against HIV strains, including those resistant to AZT. It has a favorable pharmacokinetic profile with more complete and less variable oral absorption than AZT and didanosine, and a bioavailability of 80-90%.
2. Used in HIV Treatment:
Stavudine is used in the treatment of adults with advanced HIV infection who are intolerant of other approved therapies or who have experienced clinical or immunological deterioration while receiving these therapies. It is particularly useful against AZT-resistant HIV strains.
3. Used in Pharmaceutical Industry:
Stavudine is used as an active pharmaceutical ingredient in the development of antiretroviral drugs for the treatment of HIV/AIDS. It is an important component in the fight against the virus due to its effectiveness against resistant strains and its favorable pharmacokinetic properties.
4. Used in Research and Development:
Stavudine is used as a research compound for the study of HIV replication, drug resistance, and the development of new antiviral therapies. Its unique properties and mechanism of action make it a valuable tool in understanding the virus and developing new treatments.
Originator
Bristol-Myers Squibb (U.S.A.)
Indications
Stavudine (d4T, Zerit) is a thymidine nucleoside analogue
that is active against HIV-1 and HIV-2. It is approved
for the therapy of HIV infection as part of a
multidrug regimen and is also used for postexposure
prophylaxis.
Manufacturing Process
A 3 liter, 3 necked round-bottomed flask was equipped with an overhead
stirrer and paddle, a 500 ml dropping funnel and a Claisen adapter containing
a drying tube and a thermometer. Thymidine (200 g, 0.82 M) and pyridine
(750 ml) were added to the flask. The mixture was stirred and warmed with a
water bath (20 min) to give a clear solution. The solution was then cooled in
an ice bath to 0°-3°C and the dropping funnel was charged with
methanesulfonyl chloride (206.5 g, 1.08 M). The methanesulfonyl chloride was
then added dropwise over 40 min with no noticeable exotherm. The solution
was stirred at 0°C for 1 h and then stored at 5°C for 18 h. The light brown
mixture was then poured onto rapidly stirred water (3 L) containing ice
(approx. 500 g). The desired product crystallised immediately. After stirring
for 0.5 h, the product was collected by filtration and washed several times
with water (3 times 100 ml). The white solid was then dried under vacuum overnight (322 g, 98% yield). The product was recrystallised from hot acetone
to give 267 g of the 3',5'-di-O-(methanesulfonyl)thymidine as white solid
(81% yield), melting point 169°-171°C (lit. 170°-171°C).3',5'-Di-O-(methanesulfonyl)thymidine (248 g, 0.62 M) was added in portions
to a stirred solution of sodium hydroxide (74.7 g, 1.87 M) in water (1.6 L). On
addition the reaction mixture became a yellow-orange solution. This stirred
solution was then heated to reflux for 2 h. Once the reaction mixture had
cooled to room temperature, 6 N hydrochloric acid (100 ml) was added. The
reaction mixture was concentrated in vacuo by removing 1.3 L of water. The
resulting slurry was cooled in an ice bath for 2 h. The solid was then filtered
and washed sparingly with ice water, and then vacuum dried to constant
weight (103.7 g, 74%). The 1-(3,5-anhydro-2-deoxy-β-D-threopentofuranosyl)
thymine, melting point 188°-190°C (lit. 190°-193°C) was used
without further purification.2 Methods of preparation of 1-(2,3-dideoxy-β-D-glycero-pent-2-
enofuranosyl)thymine1. To a 3-necked, 1 L round-bottomed flask equipped with a mechanical
stirrer, thermometer and nitrogen inlet was added dry DMSO (400 ml) and
oxetane (90.0 g, 0.402 M). To this solution was added 97% KOtBu (74 g,
0.643M) in 1.5 g portions over 25 min. The temperature was maintained
between 18° and 22°C by means of an external ice bath. After the addition
was complete the reaction was stirred for a further 1 h and no further rise in
temperature was observed and TLC indicated that the reaction was
approximately 90% complete. The reaction was stirred at 21°C for 16 h, after
which time TLC indicated that the reaction was complete. The viscous solution
was poured onto cold (4°C) toluene (3 L), resulting in a beige colored
precipitate. The temperature of the mixture rose to 7°C upon addition of the
DMSO solution. The mixture was occasionally swirled over 20 min, then
filtered on a 18.5 cm Buchner funnel. The collected yellowish solid was
washed twice with cold toluene and allowed to dry under suction for 1 h. The
solid was dissolved in 300 ml of water, whereupon two layers formed. The
mixture was placed in a separatory funnel and the upper layer (containing
residual toluene) was discarded. The aqueous layer was placed in a 1 L beaker
equipped with a pH probe, magnetic stirring bar and thermometer. The
temperature was cooled to 10°C by the use of an external ice bath.
Concentrated HCl was added dropwise to the stirred solution at a rate in
which the temperature was kept below 15°C. After the addition of HCl (50.5
ml, 0.61 M) the pH = 70.1 and a precipitate began to form. To this thick
mixture was added potassium chloride (70 g) and stirring was continued at
5°C for 1 h. The precipitate was collected and sucked dry for 2 h, then air
dried for 16 h. The solid was crushed up and slurried in hot acetone (500 m)
and filtered. The residue in the filter paper was rinsed with hot acetone (2
times 200 ml), then slurried again with hot acetone (300 ml), filtered, and
washed once more with hot acetone (2 times 100 ml). The combined filtrate
was concentrated to dryness to give 51.3 g (57%) of the 1-(2,3-dideoxy-β-Dglycero-
pent-2-enofuranosyl)thymine (d4T) as an off-white solid, melting point
165°-166°C.2. Tetrabutylammonium fluoride (0.22 mL, 0.22 mM, 1.0 M) was added to a
suspension of the 1-(3,5-anhydro-2-deoxy-beta;-D-threopentofuranosyl)
thymine (25 mg, 0.11 mM) in dry THF (3 ml). The mixture was heated to reflux for 18 h, at which time the reaction appeared to be
complete. After cooling, the solvents were removed in vacuo and the residue
was dissolved in CH2Cl2/MeOH/NH4OH (90:10:1). Purification was performed
on a 20 mm flash chromatography column, eluting with CH2Cl2/MeOH/NH4OH
(90:10:1). Concentration of the fractions containing the product afforded 18
mg (72%) of the dideoxy-β-D-glycero-pent-2-enofuranosyl)thymine (d4T).
Therapeutic Function
Antiviral
Antimicrobial activity
Stavudine is active against HIV-1, HIV-2 and HTLV-1.
Acquired resistance
Resistance to stavudine is identical to that seen for zidovudine.
Mutations at positions 41, 67 and 70, and positions 210,
215 and 219 (the ‘thymidine analog mutations’) of the reverse
transcriptase genes are associated with diminished antiretroviral
efficacy.
Air & Water Reactions
Water soluble.
Reactivity Profile
Stavudine is sensitive to heat. Incompatible with strong oxidizing agents .
Hazard
Moderately toxic by ingestion.
Fire Hazard
Literature sources indicate that Stavudine is combustible.
Pharmaceutical Applications
An analog of thymidine formulated for oral administration.
Biochem/physiol Actions
2′,3′-Didehydro-3′-deoxythymidine is a nucleoside analog, which inhibits HIV replication?in vitro. Stavudine has the ability to enter the cells by non-facilitated diffusion. It possesses inhibitory activity against moloney murine leukemia virus, friend murine leukemia virus and simian immunodeficiency virus.
Pharmacokinetics
Oral absorption: 86%
Cmax 40 mg twice daily: 0.54 mg/L
Plasma half-life: 1.4 h
Volume of distribution: 0.66 L/kg
Plasma protein binding: <5%
Absorption and distribution
It is rapidly absorbed with or without food. CNS penetration is moderate. The estimated semen:plasma ratio is >1. It is secreted into breast milk.
Metabolism and excretion
The metabolic fate in humans has not been elucidated. Renal elimination accounts for approximately 40% of overall clearance at a rate almost twice that of endogenous creatinine, indicating glomerular filtration and active tubular secretion. Clearance decreases as creatinine clearance decreases and the dosage should be adjusted in patients with reduced renal function. Pharmacokinetics are not significantly altered in patients with hepatic impairment.
Clinical Use
Treatment of HIV infection in adults and children
Side effects
Toxicity includes peripheral neuropathy, lactic acidosis,
hepatomegaly with steatosis and liver failure, lipoatrophy and
pancreatitis. Combination therapy with didanosine results in
higher frequency of these toxicities, and fatalities have been
reported in pregnant women. The use of the two drugs in combination
is no longer recommended. It competes with zidovudine
for the same intracellular phosphorylating enzymes and
co-administration is contraindicated.
Side effects
The adverse effects with which stavudine is most frequently
associated are headache, diarrhea, skin rash,
nausea, vomiting, insomnia, anorexia, myalgia, and
weakness. Peripheral neuropathy consisting of numbness,
tingling, or pain in the hands or feet is also common
with higher doses of the drug. Significant elevation
of hepatic enzymes may be seen in approximately 10 to
15% of patients. Lactic acidosis occurs more frequently
with stavudine than with other NRTIs. Viral resistance
to stavudine may develop, and cross-resistance to zidovudine
and didanosine may occur.
Drug interactions
Potentially hazardous interactions with other drugs
Antivirals: zidovudine may inhibit intracellular
activation - avoid; increased risk of side effects with
didanosine - avoid; increased risk of toxicity with
ribavirin.
Cytotoxics: effects possibly inhibited by doxorubicin;
increased risk of toxicity with hydroxycarbamide -
avoid.
Orlistat: absorption of stavudine possibly reduced
Metabolism
Stavudine is metabolised intracellularly to the active
antiviral triphosphate. Following an oral 80-mg dose of
[14C]-stavudine to healthy subjects, approximately 95%
and 3% of the total radioactivity was recovered in urine
and faeces, respectively. Approximately 70% of the orally
administered stavudine dose was excreted as unchanged
drug in urine. However, in HIV-infected patients, 42%
(range: 13-87%) of the dose is excreted unchanged in
the urine, by active tubular secretion and glomerular
filtration.
Precautions
Stavudine possesses several clinically significant interactionswith other drugs. Although hydroxyurea enhancesthe antiviral activity of stavudine and didanosine,combination therapy that includes stavudine anddidanosine, with or without hydroxyurea, increases therisk of pancreatitis. Combinations of stavudine and didanosineshould not be given to pregnant women becauseof the increased risk of metabolic acidosis.Zidovudine inhibits the phosphorylation of stavudine;thus, this combination should be avoided.
references
1. routledge c, bromidge sm, moss sf et al. characterization of sb-271046: a potent, selective and orally active 5-ht (6) receptor antagonist. br j pharmacol. 2000 aug; 130(7):1606-12.2. marcos b, chuang tt, gil-bea fj, ramirez mj. effects of 5-ht6 receptor antagonism and cholinesterase inhibition in models of cognitive impairment in the rat. br j pharmacol. 2008 oct;155(3):434-40.
Check Digit Verification of cas no
The CAS Registry Mumber 3056-17-5 includes 7 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 4 digits, 3,0,5 and 6 respectively; the second part has 2 digits, 1 and 7 respectively.
Calculate Digit Verification of CAS Registry Number 3056-17:
(6*3)+(5*0)+(4*5)+(3*6)+(2*1)+(1*7)=65
65 % 10 = 5
So 3056-17-5 is a valid CAS Registry Number.
InChI:InChI=1/C10H14N2O4/c1-6-4-12(10(15)11-9(6)14)8-3-2-7(5-13)16-8/h2-3,6-8,13H,4-5H2,1H3,(H,11,14,15)
3056-17-5Relevant articles and documents
A novel route to the anti-HIV nucleoside d4T
Lipshutz, Bruce H.
, p. 2711 - 2712 (1995)
A novel 2-pot process involving cyclonucleoside formation across C-5' oxyten in the 2'-deoxyribose and C-6 in the base ultimately leads to the little compound.
2′,3′-Didehydro-3′-deoxythymidine N-methyl-2-pyrrolidone solvate (D4T·NMPO)
Viterbo, Davide,Milanesio, Marco,Pomes Hernandez, Ramon,Rodriguez Tanty, Chryslaine,Colas Gonzalez, Ivan,Sablon Carrazana, Marquiza,Duque Rodriguez, Julio
, p. 580 - 581 (2000)
The title compound, 1-(2′,3′-dideoxy-β-D-glycero-pent-2-enofuranosyl)thymine 1-methyl-2-pyrrolidone solvate, C10H12 N2O4·C5H9NO, is an NMPO solvate of the anti-AIDS agent D4T. In its crystal structure, both the pyrimidine and the furanose rings are planar and approximately perpendicular [82.1 (4)°]. The value of the torsion angle defining the orientation of the thymine with respect to the joined furane, X = -100.8 (4)°, and that of the torsion angle giving the orientation of the hydroxyl group linked to the furane ring, γ = 52.9 (5)°, show that the glycosylic link adopts the so-called high-anti conformation and the 5′-hydroxyl group is in the +sc position. The NMPO solvate is linked to the nucleoside through a fairly strong hydrogen bond.
Synthesis of 5'-thioalkyl, sulfoxide and sulfone pyrimidine nucleosides
Agrofoglio,Girard,Fleury,Leonce
, p. 599 - 600 (1999)
The preparation of 5'-thioalkyl, sulfoxide and sulfone pyrimidine nucleosides is [4-11] is described. The key steps of this synthesis are the nucleophilic displacements of a chlorine by a thioalkyl sodium salt or the direct introduction of the thioalkyl group under Mitsunobu conditions.
Simple and efficient method for the synthesis of 2′,3′-didehydro-3′-deoxythymidine (d4T)
Paramashivappa,Phani Kumar,Subba Rao,Srinivasa Rao
, p. 1003 - 1005 (2003)
2′,3′-Didehydro-3′-deoxythymidine (d4T) is an orally active antiviral drug used in the treatment of AIDS. A novel two-step synthetic method was developed for the synthesis of d4T using inexpensive reagents. An improvement in the yield was achieved for the conversion of the intermediate oxetane to d4T. This is the first simple and efficient method for the large-scale synthesis of d4T.
Straightforward synthesis of 1-(2,3-dideoxy-β-D-glycero-pent-2- enofuranosyl)-thymine
Negron,Islas,Diaz,Cruz,Quiclet-Sire
, p. 1011 - 1013 (1994)
A two steps synthesis of the antiviral drug (d4T) 3 from thymidine 1 is proposed, which implies a concomitant deprotection-elimination process by action of t-BuOK in DMF on 5'-O-t-butyldimethylsylil-3'-O-methanesulfonyl- thymidine 2.
Multistep Continuous Flow Synthesis of Stavudine
Sagandira, Cloudius R.,Akwi, Faith M.,Sagandira, Mellisa B.,Watts, Paul
, p. 13934 - 13942 (2021/06/28)
Herein, we demonstrate an elegant multistep continuous flow synthesis for stavudine (d4T), a potent nucleoside chemotherapeutic agent for human immunodeficiency virus, acquired immunodeficiency syndrome (AIDS) and AIDS-related conditions. This was accomplished via six chemical transformations in five sequential continuous flow reactors from an affordable starting material, 5-methyluridine. In the first instance, single step continuous flow synthesis was demonstrated with an average of 97% yield, 21.4 g/h throughput per step, and a total of 15.5 min residence time. Finally, multistep continuous flow synthesis of d4T in 87% total yield with a total residence time of 19.9 min and 117 mg/h throughput without intermediate purification was demonstrated.
Method for synthesizing 2',3'-dehydrogenation-3'-deoxythymidine by using triacetyl 5-methyluridine
-
Paragraph 0011; 0012; 0013; 0014; 0015; 0016; 0017; 0018, (2017/08/29)
The invention relates to a method for synthesizing 2',3'-dehydrogenation-3'-deoxythymidine by using triacetyl 5-methyluridine. The method is characterized in that eliminating reaction of palladium-catalyzed triacetyl 5-methyluridine is performed, and then dehydroxylation protection is performed to generate the 2',3'-dehydrogenation-3'-deoxythymidine. The method of a compound comprises the following preparation steps of adding the triacetyl 5-methyluridine, a palladium catalyst and lithium halide into an organic solvent, heating, reacting, and evaporating reaction liquid to dryness; adding sodium methoxide and a methanol solution, stirring at room temperature, reacting, filtering, and evaporating the methanol to dryness; recrystallizing the remained solid by acetone, filtering, and drying, so as to obtain a 2',3'-dehydrogenation-3'-deoxythymidine product. The method has the advantages that the 2',3'-dehydrogenation-3'-deoxythymidine compound is synthesized by two steps, the use of poisonous halogen and a large amount of strong acid is avoided, the operation is simple, the economic and high-efficiency effects are realized, the yield is high, and the application prospect is broad.