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Protease inhibitor (pharmacology)

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Antiretroviral protease inhibitors act by binding to the catalytic site of HIV protease, preventing cleavage of viral polyprotein precursor proteins into functional viral proteins required for viral replication. Most ARPIs are peptide-like molecules which resemble the substrate of the viral protease.
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The sixteenth FDA-approved antiretroviral. It was the first protease inhibitor approved for twice-a-day dosing instead of needing to be taken every eight hours. The convenient dosing came at a price, as the dose required is 1,200 mg, delivered in 8 very large gel capsules. Production was
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Madruga JV, Berger D, McMurchie M, et al. (Jul 2007). "Efficacy and safety of darunavir-ritonavir compared with that of lopinavir-ritonavir at 48 weeks in treatment-experienced, HIV-infected patients in TITAN: a randomised controlled phase III trial".
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AbbVie was part of Abbott Laboratories when patent was granted. As well as being a protease inhibitor in its own right, ritonavir inhibits the breakdown of other protease inhibitors. This property makes it very useful in drug combinations.
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of amprenavir. The human body metabolizes fosamprenavir in order to form amprenavir, which is the active ingredient. That metabolization increases the duration that amprenavir is available, making fosamprenavir a
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Atazanavir was the first PI approved for once-daily dosing. It appears to be less likely to cause lipodystrophy and elevated cholesterol as side effects. It may also not be cross-resistant with other PIs.
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The number of people in the U.S. dying of HIV fell by 60% in the 2 years following the introduction of the first HIV protease inhibitors
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In addition to those non-human proteases listed above, inhibitors of human proteases may be used to treat cancer. See the articles
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Capaldini, L. (1997). "Protease inhibitors' metabolic side effects: cholesterol, triglycerides, blood sugar, and "Crix belly"".
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combination for first-line therapy. Darunavir is the first drug in a long time that did not come with a price increase. It
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recommended treatment option for treatment-naĂŻve and treatment-experienced adults and adolescents. Several ongoing
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trials are showing a high efficiency for the darunavir/ritonavir combination being superior to the
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Protease inhibitors that have been developed and are currently used in clinical practice include:
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version of amprenavir and thus reduces the number of pills required versus standard amprenavir.
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discontinued by the manufacturer December 31, 2004, as it has been superseded by fosamprenavir.
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of the development of protease inhibitors by Hoffman La Roche, Abbott, and Merck
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Given the specificity of the target of these drugs there is the risk, like with
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two other approved drugs of its type, and is matching the price of a third.
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LiverTox: Clinical and Research Information on Drug-Induced Liver Injury
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Liz Highleyman, Patient Advocates Commend Pricing of New PI Darunavir,
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Programme on International Nonproprietary Names (INN) (February 2023).
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Is only marketed as a fixed-dose combination with ritonavir (see
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Class of antiviral drugs used to treat HIV/AIDS and hepatitis C
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http://www.hivandhepatitis.com/recent/2006/ad1/063006_a.html
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Elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide
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Elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil
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Ahmad B, Batool M, Ain QU, Kim MS, Choi S (August 2021).
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Darunavir/cobicistat/emtricitabine/tenofovir alafenamide
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Darunavir - first molecule to treat drug-resistant HIV
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Discovery and development of HIV-protease inhibitors
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The first members of this class, 810:International Journal of Molecular Sciences 759: 757: 755: 3061: 3002: 2988: 2980: 2739: 2306: 2269: 2255: 2247: 1928: 1825:Doravirine/lamivudine/tenofovir disoproxil 1662: 1528: 1433: 1209: 1195: 1187: 1183:US Department of Health and Human Services 1835:Efavirenz/lamivudine/tenofovir disoproxil 1124: 831: 821: 676:A drug combination targeting SARS-CoV-2, 2102:Zinc finger protein transcription factor 338: 751: 66:may be able to help recruit an expert. 672:Non-antiretroviral antiviral activity 30:For natural protease inhibitors, see 7: 853: 851: 2591:Sofosbuvir/velpatasvir/voxilaprevir 1850:Emtricitabine/tenofovir alafenamide 621:Also known as tipranavir disodium. 1865:Emtricitabine/tenofovir disoproxil 1086:"Paxlovid: Drug label information" 304:Antiretroviral protease inhibitors 294:matrix metalloproteinase inhibitor 98:. Some of the most well known are 25: 2576:Ombitasvir/paritaprevir/ritonavir 387:U.S. Food and Drug Administration 2238:. Formerly or rarely used agent. 1875:Lamivudine/nevirapine/zidovudine 1759:Abacavir/dolutegravir/lamivudine 1126:10.1097/00126334-200303010-00001 254:(including, but not limited to, 41: 2042:Epigallocatechin gallate (EGCG) 1885:Lamivudine/tenofovir disoproxil 1870:Lamivudine/nevirapine/stavudine 1032:Chemical & Engineering News 731:Reverse-transcriptase inhibitor 208:protease inhibitors—class stem 1765:Abacavir/lamivudine/zidovudine 1: 2317:protease inhibitors (–previr) 1181:HIV/AIDS Treatment Guidelines 974:10.1016/S0140-6736(07)61049-6 911:British National Formulary 69 94:that act by interfering with 793:. World Health Organization. 649:As of 2016, darunavir is an 252:3-chymotrypsin-like protease 96:enzymes that cleave proteins 32:Protease inhibitor (biology) 1640:Tenofovir alafenamide (TAF) 859:"Protease Inhibitors (HIV)" 770:. World Health Organization 54:. The specific problem is: 3441: 3180:Dihydropteroate synthetase 3039:Non-competitive inhibition 1635:Tenofovir disoproxil (TDF) 58:Template:Enzyme inhibition 29: 3400:Steroidogenesis inhibitor 2940: 2195: 1656:Discovery and development 1427:Discovery and development 1263:Discovery and development 1044:10.1021/cen-v084n034.p009 3336:Matrix metalloproteinase 3139:Ribonucleotide reductase 3034:Uncompetitive inhibition 2703:neuraminidase inhibitors 2566:Glecaprevir/pibrentasvir 1952:Transcription inhibitors 1904:Pharmacokinetic boosters 1820:Dolutegravir/rilpivirine 1781:Cabotegravir/rilpivirine 1421:Protease Inhibitors (PI) 706:diabetes mellitus type 2 258:) inhibitors—class stem 64:WikiProject Pharmacology 3105:Dihydrofolate reductase 2236:initial regimen options 1802:Dolutegravir/lamivudine 1279:Enfuvirtide (ENF, T-20) 1257:Entry/fusion inhibitors 56:non-antiviral types in 18:HIV protease inhibitors 3201:Nucleotidyltransferase 3029:Competitive inhibition 2906:Multiple/Unknown/Other 2675:adamantane derivatives 2586:Sofosbuvir/velpatasvir 2581:Sofosbuvir/daclatasvir 2077:Portmanteau inhibitors 1970:Translation inhibitors 1880:Lamivudine/raltegravir 1650:Non-nucleoside (NNRTI) 1608:Islatravir (EFdA, ISL) 336: 140:inhibitors—class stem 3211:Reverse transcriptase 2774:inhibitors (–trelvir) 2762:Peginterferon alfa-2b 2757:Peginterferon alfa-2a 2571:Ledipasvir/sofosbuvir 2092:Synergistic enhancers 1890:Lamivudine/zidovudine 1770:Atazanavir/cobicistat 1746:Combined formulations 1583:Zidovudine (AZT, ZDV) 1521:Reverse-transcriptase 1393:Maturation inhibitors 641:U.S. patent 6,248,775 555:U.S. patent 5,849,911 523:U.S. patent 5,914,332 494:U.S. patent 5,585,397 466:U.S. patent 5,484,926 438:U.S. patent 5,413,999 409:U.S. patent 5,541,206 377:U.S. patent 5,196,438 334: 102:widely used to treat 3257:Acetylcholinesterase 3164:Thymidylate synthase 2561:Elbasvir/grazoprevir 1933:Uncoating inhibitors 1786:Darunavir/cobicistat 1626:Nucleotide analogues 1544:Nucleoside analogues 1343:Integrase inhibitors 1222:antiretroviral drugs 823:10.3390/ijms22179124 635:Janssen Therapeutics 611:Boehringer Ingelheim 549:Bristol-Myers Squibb 314:antiretroviral drugs 298:proteasome inhibitor 3425:Protease inhibitors 3351:Histone deacetylase 3185:Farnesyltransferase 2478:inhibitors (–buvir) 2406:inhibitors (–asvir) 1925:Experimental agents 1895:Lopinavir/ritonavir 1754:Abacavir/lamivudine 1728:Elsulfavirine (ESV) 1563:Emtricitabine (FTC) 1449:Fosamprenavir (FPV) 1150:AIDS Treatment News 1107:Fantry, LE (2003). 726:The Proteolysis Map 659:lopinavir/ritonavir 533:lopinavir/ritonavir 367:Invirase, Fortovase 84:Protease inhibitors 3384:Carbonic anhydrase 3376:Dopa decarboxylase 3044:Suicide inhibition 2967:Never to phase III 2825:RNA pol inhibitors 2752:Interferon alfa 2b 2657:Baloxavir marboxil 2222:Never to phase III 1368:Elvitegravir (EVG) 1363:Dolutegravir (DTG) 1358:Cabotegravir (CAB) 1066:. 23 December 2021 528:September 15, 2000 337: 3412: 3411: 3408: 3407: 3280:Alpha-glucosidase 3270:Polygalacturonase 3252:Phosphodiesterase 3193:GABA transaminase 3097:Monoamine oxidase 3081:HMG-CoA reductase 3015:enzyme inhibition 2977: 2976: 2936: 2935: 2599: 2598: 2554:Combination drugs 2244: 2243: 2191: 2190: 2037:Diarylpyrimidines 1740: 1739: 1736: 1735: 1716:Rilpivirine (RPV) 1700:diarylpyrimidines 1683:Delavirdine (DLV) 1578:Zalcitabine (ddC) 1535:nucleotide (NRTI) 1515: 1514: 1373:Raltegravir (RAL) 1353:Bictegravir (BIC) 1332:Fostemsavir (FTR) 1247:Lenacapavir (LEN) 1239:Capsid inhibitors 1026:Borman S (2006). 669: 668: 460:Hoffmann–La Roche 371:Hoffmann–La Roche 354:FDA approval date 199:Hepatitis C virus 81: 80: 16:(Redirected from 3432: 3134:Xanthine oxidase 3076:Aldose reductase 3062: 3049:Mixed inhibition 3004: 2997: 2990: 2981: 2740: 2736:Multiple/general 2307: 2271: 2264: 2257: 2248: 2062:Hydroxycarbamide 1929: 1723:Doravirine (DOR) 1711:Etravirine (ETR) 1706:Dapivirine (DPV) 1678:Nevirapine (NVP) 1663: 1568:Lamivudine (3TC) 1558:Didanosine (ddI) 1529: 1502:Tipranavir (TPV) 1490:Atazanavir (ATV) 1474:Saquinavir (SQV) 1464:Nelfinavir (NFV) 1444:Amprenavir (APV) 1434: 1316:Ibalizumab (IBA) 1211: 1204: 1197: 1188: 1162: 1161: 1145: 1139: 1138: 1128: 1104: 1098: 1097: 1095: 1093: 1082: 1076: 1075: 1073: 1071: 1054: 1048: 1047: 1023: 1017: 1012: 1006: 1000: 994: 993: 956: 950: 949: 947: 945: 939: 931: 925: 924: 907: 901: 900: 898: 896: 886: 880: 879: 878: 877: 855: 846: 845: 835: 825: 801: 795: 794: 786: 780: 779: 777: 775: 769: 761: 686:3C-like protease 643: 585:October 20, 2003 557: 525: 496: 468: 440: 411: 382:December 6, 1995 379: 339: 76: 73: 67: 45: 44: 37: 21: 3440: 3439: 3435: 3434: 3433: 3431: 3430: 3429: 3415: 3414: 3413: 3404: 3388: 3360: 3236: 3223:Tyrosine kinase 3143: 3053: 3017: 3008: 2978: 2973: 2972: 2957:Clinical trials 2932: 2901: 2820: 2766: 2731: 2641: 2617: 2595: 2549: 2467: 2398: 2296: 2275: 2245: 2240: 2239: 2227: 2212:Clinical trials 2187: 2138:Dexelvucitabine 2106: 2097:Tre recombinase 2000: 1982: 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3371: 3369: 3362: 3361: 3359: 3358: 3356:Beta-lactamase 3353: 3346: 3345: 3344: 3343: 3338: 3333: 3323: 3322: 3321: 3316: 3306: 3305: 3304: 3299: 3283: 3282: 3277: 3272: 3265: 3264: 3259: 3254: 3247: 3245: 3238: 3237: 3235: 3234: 3233: 3232: 3231: 3230: 3218:Protein kinase 3215: 3214: 3213: 3208: 3196: 3195: 3188: 3187: 3182: 3175: 3174: 3167: 3166: 3161: 3154: 3152: 3145: 3144: 3142: 3141: 3136: 3129: 3128: 3123: 3116: 3115: 3108: 3107: 3100: 3099: 3092: 3091: 3084: 3083: 3078: 3071: 3069: 3066:Oxidoreductase 3059: 3055: 3054: 3052: 3051: 3046: 3041: 3036: 3031: 3025: 3023: 3019: 3018: 3009: 3007: 3006: 2999: 2992: 2984: 2975: 2974: 2971: 2970: 2969: 2968: 2965: 2954: 2948: 2942: 2941: 2938: 2937: 2934: 2933: 2931: 2930: 2925: 2920: 2915: 2909: 2907: 2903: 2902: 2900: 2899: 2897:Valopicitabine 2894: 2889: 2884: 2879: 2874: 2869: 2864: 2859: 2854: 2849: 2844: 2839: 2834: 2828: 2826: 2822: 2821: 2819: 2818: 2808: 2803: 2793: 2788: 2783: 2777: 2775: 2768: 2767: 2765: 2764: 2759: 2754: 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2006: 2002: 2001: 1999: 1998: 1992: 1990: 1984: 1983: 1981: 1980: 1974: 1972: 1966: 1965: 1963: 1962: 1956: 1954: 1948: 1947: 1945: 1944: 1937: 1935: 1926: 1922: 1921: 1919: 1918: 1913: 1911:Cobicistat (c) 1907: 1905: 1901: 1900: 1898: 1897: 1892: 1887: 1882: 1877: 1872: 1867: 1862: 1857: 1852: 1847: 1842: 1837: 1832: 1827: 1822: 1817: 1811: 1805: 1799: 1794: 1788: 1783: 1778: 1772: 1767: 1762: 1756: 1750: 1748: 1742: 1741: 1738: 1737: 1734: 1733: 1731: 1730: 1725: 1720: 1719: 1718: 1713: 1708: 1695: 1693: 1689: 1688: 1686: 1685: 1680: 1675: 1669: 1667: 1660: 1646: 1645: 1643: 1642: 1637: 1621: 1620: 1615: 1610: 1605: 1600: 1595: 1590: 1585: 1580: 1575: 1570: 1565: 1560: 1555: 1553:Abacavir (ABC) 1539: 1537: 1533:Nucleoside and 1526: 1517: 1516: 1513: 1512: 1510: 1509: 1504: 1499: 1493: 1486: 1484: 1480: 1479: 1477: 1476: 1471: 1466: 1461: 1456: 1451: 1446: 1440: 1438: 1431: 1417: 1416: 1414: 1413: 1408: 1403: 1397: 1395: 1389: 1388: 1386: 1385: 1380: 1375: 1370: 1365: 1360: 1355: 1349: 1347: 1339: 1338: 1336: 1335: 1323: 1307: 1293: 1282: 1269: 1267: 1253: 1252: 1250: 1249: 1243: 1241: 1235: 1234: 1216: 1214: 1213: 1206: 1199: 1191: 1185: 1184: 1178: 1169: 1168:External links 1166: 1164: 1163: 1140: 1099: 1077: 1049: 1018: 1007: 995: 951: 926: 919: 902: 881: 847: 796: 781: 750: 748: 745: 744: 743: 738: 733: 728: 721: 718: 702:hyperlipidemia 693: 690: 673: 670: 667: 666: 647: 644: 637: 632: 629: 623: 622: 619: 616: 613: 608: 605: 599: 598: 586: 583: 580: 575: 574:Lexiva, Telzir 572: 566: 565: 561: 558: 551: 546: 543: 537: 536: 529: 526: 519: 514: 511: 505: 504: 500: 499:April 15, 1999 497: 490: 485: 482: 476: 475: 472: 471:March 14, 1997 469: 462: 457: 454: 448: 447: 444: 443:March 13, 1996 441: 434: 429: 426: 420: 419: 415: 412: 405: 400: 397: 391: 390: 383: 380: 373: 368: 365: 359: 358: 355: 352: 349: 346: 343: 305: 302: 296:(–mastat) and 282: 281: 279: 278: 277: 272: 267: 249: 248: 247: 242: 237: 232: 227: 222: 217: 196: 195: 194: 189: 184: 179: 174: 169: 164: 159: 154: 149: 138:HIV-1 protease 135:Antiretroviral 131: 120:HIV-1 protease 79: 78: 49: 47: 40: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3437: 3426: 3423: 3422: 3420: 3401: 3398: 3397: 3395: 3393:Miscellaneous 3391: 3385: 3381: 3380: 3377: 3373: 3372: 3370: 3367: 3363: 3357: 3354: 3352: 3348: 3347: 3342: 3339: 3337: 3334: 3332: 3331:Enkephalinase 3329: 3328: 3327: 3324: 3320: 3317: 3315: 3312: 3311: 3310: 3309:Endopeptidase 3307: 3303: 3300: 3298: 3295: 3294: 3293: 3289: 3285: 3284: 3281: 3278: 3276: 3275:Neuraminidase 3273: 3271: 3267: 3266: 3263: 3260: 3258: 3255: 3253: 3249: 3248: 3246: 3243: 3239: 3229: 3226: 3225: 3224: 3221: 3220: 3219: 3216: 3212: 3209: 3207: 3204: 3203: 3202: 3198: 3197: 3194: 3190: 3189: 3186: 3183: 3181: 3177: 3176: 3173: 3169: 3168: 3165: 3162: 3160: 3156: 3155: 3153: 3150: 3146: 3140: 3137: 3135: 3131: 3130: 3127: 3124: 3122: 3118: 3117: 3114: 3110: 3109: 3106: 3102: 3101: 3098: 3094: 3093: 3090: 3086: 3085: 3082: 3079: 3077: 3073: 3072: 3070: 3067: 3063: 3060: 3056: 3050: 3047: 3045: 3042: 3040: 3037: 3035: 3032: 3030: 3027: 3026: 3024: 3020: 3016: 3012: 3005: 3000: 2998: 2993: 2991: 2986: 2985: 2982: 2966: 2964: 2961: 2960: 2958: 2955: 2952: 2949: 2947: 2944: 2943: 2939: 2929: 2926: 2924: 2921: 2919: 2916: 2914: 2911: 2910: 2908: 2904: 2898: 2895: 2893: 2890: 2888: 2885: 2883: 2880: 2878: 2875: 2873: 2870: 2868: 2865: 2863: 2860: 2858: 2855: 2853: 2850: 2848: 2845: 2843: 2840: 2838: 2835: 2833: 2830: 2829: 2827: 2823: 2816: 2812: 2809: 2807: 2804: 2801: 2797: 2794: 2792: 2789: 2787: 2784: 2782: 2779: 2778: 2776: 2773: 2769: 2763: 2760: 2758: 2755: 2753: 2750: 2749: 2747: 2745: 2741: 2738: 2734: 2727: 2723: 2720: 2718: 2715: 2713: 2709: 2708: 2707:release phase 2704: 2700: 2699: 2695: 2692: 2690: 2687: 2685: 2681: 2680: 2679:M2 inhibitors 2676: 2672: 2671: 2668: 2665: 2663: 2660: 2658: 2655: 2654: 2652: 2649: 2644: 2638: 2635: 2633: 2629: 2628: 2626: 2624: 2620: 2614: 2611: 2610: 2608: 2606: 2602: 2592: 2589: 2587: 2584: 2582: 2579: 2577: 2574: 2572: 2569: 2567: 2564: 2562: 2559: 2558: 2556: 2552: 2546: 2543: 2541: 2538: 2536: 2533: 2531: 2528: 2526: 2523: 2521: 2518: 2516: 2513: 2511: 2508: 2506: 2503: 2501: 2498: 2496: 2493: 2491: 2490:Bemnifosbuvir 2488: 2486: 2483: 2482: 2480: 2477: 2474: 2470: 2464: 2461: 2459: 2456: 2454: 2451: 2449: 2446: 2444: 2441: 2439: 2436: 2434: 2431: 2429: 2426: 2424: 2421: 2419: 2416: 2414: 2411: 2410: 2408: 2405: 2401: 2395: 2392: 2390: 2387: 2385: 2382: 2380: 2377: 2375: 2372: 2370: 2367: 2365: 2362: 2360: 2357: 2355: 2352: 2350: 2347: 2345: 2342: 2340: 2337: 2335: 2332: 2330: 2327: 2325: 2322: 2321: 2319: 2316: 2312: 2308: 2305: 2303: 2299: 2294: 2290: 2286: 2282: 2279: 2272: 2267: 2265: 2260: 2258: 2253: 2252: 2249: 2237: 2234: 2231: 2221: 2219: 2216: 2215: 2213: 2210: 2207: 2204: 2202: 2199: 2198: 2194: 2184: 2181: 2179: 2176: 2174: 2171: 2169: 2166: 2164: 2161: 2159: 2156: 2154: 2151: 2149: 2146: 2144: 2141: 2139: 2136: 2134: 2131: 2129: 2126: 2124: 2121: 2119: 2116: 2115: 2113: 2111:Failed agents 2109: 2103: 2100: 2098: 2095: 2093: 2090: 2088: 2085: 2083: 2080: 2078: 2075: 2073: 2070: 2068: 2065: 2063: 2060: 2058: 2055: 2053: 2050: 2048: 2045: 2043: 2040: 2038: 2035: 2033: 2030: 2028: 2025: 2023: 2020: 2018: 2015: 2013: 2010: 2009: 2007: 2003: 1997: 1994: 1993: 1991: 1989: 1985: 1979: 1978:Trichosanthin 1976: 1975: 1973: 1971: 1967: 1961: 1958: 1957: 1955: 1953: 1949: 1942: 1939: 1938: 1936: 1934: 1930: 1927: 1923: 1917: 1916:Ritonavir (r) 1914: 1912: 1909: 1908: 1906: 1902: 1896: 1893: 1891: 1888: 1886: 1883: 1881: 1878: 1876: 1873: 1871: 1868: 1866: 1863: 1861: 1858: 1856: 1853: 1851: 1848: 1846: 1843: 1841: 1838: 1836: 1833: 1831: 1828: 1826: 1823: 1821: 1818: 1815: 1812: 1809: 1806: 1803: 1800: 1798: 1795: 1792: 1789: 1787: 1784: 1782: 1779: 1776: 1773: 1771: 1768: 1766: 1763: 1760: 1757: 1755: 1752: 1751: 1749: 1747: 1743: 1729: 1726: 1724: 1721: 1717: 1714: 1712: 1709: 1707: 1704: 1703: 1702: 1701: 1697: 1696: 1694: 1690: 1684: 1681: 1679: 1676: 1674: 1671: 1670: 1668: 1664: 1661: 1659: 1657: 1651: 1647: 1641: 1638: 1636: 1633: 1631: 1627: 1623: 1622: 1619: 1616: 1614: 1611: 1609: 1606: 1604: 1601: 1599: 1596: 1594: 1591: 1589: 1586: 1584: 1581: 1579: 1576: 1574: 1571: 1569: 1566: 1564: 1561: 1559: 1556: 1554: 1551: 1549: 1545: 1541: 1540: 1538: 1536: 1530: 1527: 1524: 1518: 1508: 1505: 1503: 1500: 1497: 1494: 1491: 1488: 1487: 1485: 1481: 1475: 1472: 1470: 1467: 1465: 1462: 1460: 1457: 1455: 1452: 1450: 1447: 1445: 1442: 1441: 1439: 1435: 1432: 1430: 1428: 1422: 1418: 1412: 1409: 1407: 1404: 1402: 1399: 1398: 1396: 1394: 1390: 1384: 1381: 1379: 1376: 1374: 1371: 1369: 1366: 1364: 1361: 1359: 1356: 1354: 1351: 1350: 1348: 1344: 1340: 1333: 1329: 1328: 1324: 1321: 1317: 1313: 1312: 1308: 1305: 1301: 1297: 1294: 1292: 1288: 1287: 1283: 1280: 1276: 1275: 1271: 1270: 1268: 1266: 1264: 1258: 1254: 1248: 1245: 1244: 1242: 1240: 1236: 1231: 1227: 1224:used against 1223: 1219: 1212: 1207: 1205: 1200: 1198: 1193: 1192: 1189: 1182: 1179: 1176: 1175:brief history 1172: 1171: 1167: 1159: 1155: 1151: 1144: 1141: 1136: 1132: 1127: 1122: 1118: 1114: 1110: 1103: 1100: 1087: 1081: 1078: 1065: 1064: 1059: 1053: 1050: 1045: 1041: 1037: 1033: 1029: 1022: 1019: 1016: 1011: 1008: 1005: 999: 996: 991: 987: 983: 979: 975: 971: 967: 963: 955: 952: 936: 930: 927: 922: 920:9780857111562 916: 912: 906: 903: 891: 885: 882: 872: 868: 864: 860: 854: 852: 848: 843: 839: 834: 829: 824: 819: 815: 811: 807: 800: 797: 792: 785: 782: 766: 760: 758: 756: 752: 746: 742: 739: 737: 734: 732: 729: 727: 724: 723: 719: 717: 715: 711: 710:kidney stones 707: 703: 699: 698:lipodystrophy 691: 689: 687: 683: 679: 671: 664: 660: 656: 652: 648: 646:June 23, 2006 645: 642: 638: 636: 633: 630: 628: 625: 624: 620: 618:June 22, 2005 617: 614: 612: 609: 606: 604: 601: 600: 596: 591: 587: 584: 581: 579: 576: 573: 571: 570:Fosamprenavir 568: 567: 562: 560:June 20, 2003 559: 556: 552: 550: 547: 544: 542: 539: 538: 534: 530: 527: 524: 520: 518: 515: 512: 510: 507: 506: 501: 498: 495: 491: 489: 486: 483: 481: 478: 477: 473: 470: 467: 463: 461: 458: 455: 453: 450: 449: 445: 442: 439: 435: 433: 430: 427: 425: 422: 421: 416: 414:March 1, 1996 413: 410: 406: 404: 401: 398: 396: 393: 392: 388: 384: 381: 378: 374: 372: 369: 366: 364: 361: 360: 356: 353: 350: 347: 344: 341: 340: 333: 329: 327: 323: 319: 315: 310: 303: 301: 299: 295: 290: 288: 280: 276: 273: 271: 268: 266: 263: 262: 261: 257: 253: 250: 246: 243: 241: 238: 236: 233: 231: 228: 226: 223: 221: 218: 216: 213: 212: 211: 207: 203: 200: 197: 193: 190: 188: 185: 183: 180: 178: 175: 173: 170: 168: 165: 163: 162:Fosamprenavir 160: 158: 155: 153: 150: 148: 145: 144: 143: 139: 136: 133: 132: 130: 127: 125: 121: 117: 113: 109: 105: 101: 97: 93: 89: 85: 75: 65: 61: 59: 53: 50:This article 48: 39: 38: 33: 19: 3325: 3292:Exopeptidase 3287: 3262:Ribonuclease 3228:Janus kinase 3113:Lipoxygenase 3089:5α-Reductase 3011:Pharmacology 2872:Molnupiravir 2867:Mericitabine 2837:Deuremidevir 2811:Simnotrelvir 2796:Nirmatrelvir 2786:Ibuzatrelvir 2772:3CL protease 2701: 2673: 2630: 2623:Picornavirus 2545:Uprifosbuvir 2443:Pibrentasvir 2394:Voxilaprevir 2364:Paritaprevir 2232: 2032:Cyanovirin-N 2022:Calanolide A 1698: 1692:2 generation 1666:1 generation 1653: 1624: 1603:Elvucitabine 1593:Apricitabine 1542: 1483:2 generation 1437:1 generation 1424: 1420: 1411:Fipravirimat 1325: 1320:Semzuvolimab 1309: 1300:Cenicriviroc 1284: 1272: 1260: 1152:(277): 1–4. 1149: 1143: 1119:(3): 243–4. 1116: 1112: 1102: 1090:. Retrieved 1080: 1068:. Retrieved 1061: 1052: 1035: 1031: 1021: 1010: 998: 965: 961: 954: 942:. Retrieved 929: 910: 905: 893:. Retrieved 884: 874:, retrieved 862: 816:(17): 9124. 813: 809: 799: 784: 772:. Retrieved 716:(Crixivan). 695: 692:Side effects 682:nirmatrelvir 675: 595:slow release 311: 307: 291: 284: 275:Simnotrelvir 270:Nirmatrelvir 259: 235:Paritaprevir 209: 141: 128: 87: 83: 82: 72:January 2020 69: 55: 51: 3341:Oxytocinase 3149:Transferase 2953:from market 2918:Merimepodib 2892:Triazavirin 2887:Taribavirin 2847:Galidesivir 2842:Favipiravir 2806:Rupintrivir 2791:Lufotrelvir 2781:Ensitrelvir 2726:Laninamivir 2712:Oseltamivir 2694:Rimantadine 2632:viral entry 2613:Bulevirtide 2605:Hepatitis D 2463:Velpatasvir 2418:Daclatasvir 2413:Coblopasvir 2389:Vedroprevir 2359:Narlaprevir 2354:Grazoprevir 2349:Glecaprevir 2344:Faldaprevir 2324:Asunaprevir 2302:Hepatitis C 2283:(primarily 2233:recommended 2208:from market 2158:Lersivirine 2133:Capravirine 2072:Miltefosine 2057:Griffithsin 2052:Fosdevirine 1598:Censavudine 1228:(primarily 1070:23 December 663:leapfrogged 287:antibiotics 265:Ensitrelvir 230:Glecaprevir 225:Grazoprevir 215:Asunaprevir 108:hepatitis C 92:medications 2928:Presatovir 2923:Moroxydine 2857:Remdesivir 2815:+ritonavir 2800:+ritonavir 2744:Interferon 2689:Amantadine 2684:Adapromine 2667:Umifenovir 2637:Pleconaril 2540:Radalbuvir 2535:TMC-647055 2525:Sofosbuvir 2520:Setrobuvir 2500:Deleobuvir 2485:Beclabuvir 2458:Samatasvir 2448:Ravidasvir 2438:Ombitasvir 2428:Ledipasvir 2384:Vaniprevir 2379:Telaprevir 2374:Sovaprevir 2369:Simeprevir 2339:Danoprevir 2334:Ciluprevir 2329:Boceprevir 2281:antivirals 2163:Lodenosine 2143:Droxinavir 2128:Brecanavir 2123:Atevirdine 2087:Seliciclib 2082:Scytovirin 1996:Elipovimab 1941:TRIM5alpha 1618:Stampidine 1523:inhibitors 1507:TMC-310911 1406:BMS-955176 1304:Leronlimab 1296:Vicriviroc 944:5 November 895:8 November 876:2024-06-20 774:5 November 747:References 603:Tipranavir 541:Atazanavir 480:Amprenavir 452:Nelfinavir 363:Saquinavir 345:Trade name 318:saquinavir 300:(–zomib). 245:Telaprevir 240:Simeprevir 220:Boceprevir 192:Tipranavir 187:Saquinavir 177:Nelfinavir 152:Atazanavir 147:Amprenavir 3242:Hydrolase 3206:Integrase 3121:Aromatase 3058:Substrate 2963:Phase III 2951:Withdrawn 2882:Ribavirin 2852:GS-441524 2722:Peramivir 2717:Zanamivir 2662:Pimodivir 2648:influenza 2530:Tegobuvir 2505:Filibuvir 2495:Dasabuvir 2433:Odalasvir 2278:RNA virus 2218:Phase III 2206:Withdrawn 2183:Telinavir 2178:Palinavir 2173:Mozenavir 2153:Emivirine 2148:Lasinavir 2118:Aplaviroc 2047:Foscarnet 2027:Ceragenin 1588:Amdoxovir 1401:Bevirimat 1378:BI 224436 1038:(34): 9. 714:indinavir 655:phase III 627:Darunavir 509:Lopinavir 484:Agenerase 424:Indinavir 395:Ritonavir 326:indinavir 322:ritonavir 182:Ritonavir 172:Lopinavir 167:Indinavir 157:Darunavir 116:proteases 3419:Category 3288:Protease 2453:Ruzasvir 2423:Elbasvir 2168:Loviride 1158:11364559 1135:12626882 990:26084893 982:17617272 871:31644200 842:34502033 720:See also 678:Paxlovid 631:Prezista 456:Viracept 428:Crixivan 260:–trelvir 112:COVID-19 104:HIV/AIDS 3314:Trypsin 2877:NITD008 2515:IDX-184 2510:GS-6620 2287:, also 2067:KP-1461 1613:Racivir 1383:MK-2048 1092:14 June 833:8430524 607:Aptivus 590:prodrug 545:Reyataz 513:Kaletra 389:(FDA). 348:Company 210:–previr 3368:(EC 4) 3244:(EC 3) 3151:(EC 2) 3111:1.13 3068:(EC 1) 2946:WHO-EM 2862:MK-608 2832:CMX521 2650:agents 2201:WHO-EM 2017:BIT225 2012:Abzyme 1943:(gene) 1630:NtRTIs 1525:(RTIs) 1156:  1133:  988:  980:  962:Lancet 917:  869:  840:  830:  708:, and 517:AbbVie 403:AbbVie 399:Norvir 357:Notes 351:Patent 324:, and 142:–navir 118:(e.g. 90:) are 3366:Lyase 3326:Mixed 3319:Renin 3297:DPP-4 3132:1.17 3126:COX-2 3119:1.14 3022:Class 2913:EICAR 2646:Anti- 2293:D06BB 2289:S01AD 2005:Other 1988:BNAbs 1548:NRTIs 1327:gp120 986:S2CID 938:(PDF) 768:(PDF) 651:OARAC 3382:4.2 3374:4.1 3349:3.5 3286:3.4 3268:3.2 3250:3.1 3199:2.7 3191:2.6 3178:2.5 3172:PARP 3170:2.4 3159:COMT 3157:2.1 3103:1.5 3095:1.4 3087:1.3 3074:1.1 2473:NS5B 2404:NS5A 2291:and 2230:DHHS 1286:CCR5 1274:gp41 1154:PMID 1131:PMID 1094:2024 1072:2021 978:PMID 946:2016 915:ISBN 897:2013 867:PMID 838:PMID 776:2016 342:Name 110:and 3302:ACE 2311:NS3 2285:J05 1311:CD4 1230:J05 1226:HIV 1121:doi 1063:NPR 1040:doi 970:doi 966:370 828:PMC 818:doi 202:NS3 88:PIs 3421:: 3290:: 3013:: 2959:: 2724:, 2315:4A 2214:: 1318:, 1302:, 1298:, 1220:: 1173:A 1129:. 1117:32 1115:. 1111:. 1060:. 1036:84 1034:. 1030:. 984:. 976:. 964:. 861:, 850:^ 836:. 826:. 814:22 812:. 808:. 754:^ 704:, 700:, 588:A 474:— 446:— 320:, 206:4A 126:. 106:, 3003:e 2996:t 2989:v 2817:) 2813:( 2802:) 2798:( 2728:) 2710:( 2705:/ 2696:) 2682:( 2677:/ 2634:: 2313:/ 2295:) 2270:e 2263:t 2256:v 2228:° 1816:° 1810:° 1804:° 1793:° 1777:° 1761:° 1658:) 1654:( 1632:: 1628:/ 1550:: 1546:/ 1498:° 1492:° 1429:) 1425:( 1334:) 1330:( 1322:) 1314:( 1306:) 1289:( 1281:) 1277:( 1265:) 1261:( 1232:) 1210:e 1203:t 1196:v 1160:. 1137:. 1123:: 1096:. 1074:. 1046:. 1042:: 992:. 972:: 948:. 923:. 899:. 844:. 820:: 778:. 615:— 582:— 204:/ 86:( 74:) 70:( 60:. 34:. 20:)

Index

HIV protease inhibitors
Protease inhibitor (biology)
Template:Enzyme inhibition
WikiProject Pharmacology
medications
enzymes that cleave proteins
antiviral drugs
HIV/AIDS
hepatitis C
COVID-19
proteases
HIV-1 protease
viral particles
Antiretroviral
HIV-1 protease
Amprenavir
Atazanavir
Darunavir
Fosamprenavir
Indinavir
Lopinavir
Nelfinavir
Ritonavir
Saquinavir
Tipranavir
Hepatitis C virus
NS3
4A
Asunaprevir
Boceprevir

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