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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.
2999: 2860: 2855: 2825: 2799: 2784: 2774: 2611: 2533: 2431: 2382: 2352: 2273: 2020: 2010: 1591: 1581: 1399: 1356: 1351: 1346: 1308: 1288: 1218: 1146: 1123: 970: 859: 830: 670: 651: 583: 263: 258: 223: 1047:"First doses of Paxlovid, Pfizer's new COVID pill, are released to states" 669:, was approved in December 2021 to treat COVID-19. It is a combination of 3137: 2906: 2880: 2875: 2835: 2830: 2794: 2779: 2769: 2714: 2700: 2682: 2620: 2601: 2593: 2451: 2406: 2401: 2347: 2342: 2337: 2332: 2312: 2290: 2146: 2121: 2060: 2045: 2040: 1704: 1671: 1586: 1566: 1361: 1341: 1320: 1267: 1235: 811: 505: 391: 253: 218: 213: 203: 96: 80: 1003: 852:
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
2998: 673:, a protease inhibitor targeted to the SARS-CoV-2 792: 3405: 1786:Dolutegravir/emtricitabine/tenofovir alafenamide 879:"HIV Surveillance --- United States, 1981--2008" 1844:Emtricitabine/rilpivirine/tenofovir alafenamide 1764:Bictegravir/emtricitabine/tenofovir alafenamide 1102:Journal of Acquired Immune Deficiency Syndromes 245:severe acute respiratory syndrome coronavirus 2 1849:Emtricitabine/rilpivirine/tenofovir disoproxil 1335:(Integrase strand transfer inhibitors (INSTI)) 41:needs attention from an expert in Pharmacology 2984: 2251: 1797:Dolutegravir/lamivudine/tenofovir alafenamide 1191: 374:The first protease inhibitor approved by the 301:Protease inhibitors were the second class of 1819:Efavirenz/emtricitabine/tenofovir disoproxil 1803:Dolutegravir/lamivudine/tenofovir disoproxil 725:Discovery and development of NS5A inhibitors 685:Protease inhibitors can cause a syndrome of 305:developed. The first members of this class, 799:International Journal of Molecular Sciences 748: 746: 744: 2991: 2977: 2258: 2244: 1814:Doravirine/lamivudine/tenofovir disoproxil 1198: 1184: 1172:US Department of Health and Human Services 1824:Efavirenz/lamivudine/tenofovir disoproxil 1136: 1113: 820: 810: 665:A drug combination targeting SARS-CoV-2, 2091:Zinc finger protein transcription factor 1014: 741: 319: 3406: 1095: 55:may be able to help recruit an expert. 2972: 2239: 1179: 661:Non-antiretroviral antiviral activity 19:For natural protease inhibitors, see 916: 892: 842: 840: 786: 25: 2580:Sofosbuvir/velpatasvir/voxilaprevir 1839:Emtricitabine/tenofovir alafenamide 610:Also known as tipranavir disodium. 13: 1854:Emtricitabine/tenofovir disoproxil 1075:"Paxlovid: Drug label information" 293:Antiretroviral protease inhibitors 283:matrix metalloproteinase inhibitor 87:. Some of the most well known are 14: 3425: 2565:Ombitasvir/paritaprevir/ritonavir 1156: 837: 376:U.S. Food and Drug Administration 2227:. Formerly or rarely used agent. 1864:Lamivudine/nevirapine/zidovudine 1748:Abacavir/dolutegravir/lamivudine 1115:10.1097/00126334-200303010-00001 243:(including, but not limited to, 30: 2031:Epigallocatechin gallate (EGCG) 1874:Lamivudine/tenofovir disoproxil 1859:Lamivudine/nevirapine/stavudine 1130: 1089: 1067: 1039: 1021:Chemical & Engineering News 1008: 997: 720:Reverse-transcriptase inhibitor 680: 197:protease inhibitors—class stem 1754:Abacavir/lamivudine/zidovudine 985: 941: 871: 771: 1: 2306:protease inhibitors (–previr) 1170:HIV/AIDS Treatment Guidelines 963:10.1016/S0140-6736(07)61049-6 900:British National Formulary 69 735: 83:that act by interfering with 782:. World Health Organization. 638:As of 2016, darunavir is an 241:3-chymotrypsin-like protease 85:enzymes that cleave proteins 21:Protease inhibitor (biology) 7: 1629:Tenofovir alafenamide (TAF) 848:"Protease Inhibitors (HIV)" 759:. World Health Organization 708: 43:. The specific problem is: 10: 3430: 3169:Dihydropteroate synthetase 3028:Non-competitive inhibition 1624:Tenofovir disoproxil (TDF) 47:Template:Enzyme inhibition 18: 3389:Steroidogenesis inhibitor 3381: 3353: 3229: 3136: 3053: 3046: 3010: 2929: 2894: 2813: 2759: 2731: 2724: 2634: 2610: 2592: 2542: 2460: 2391: 2298: 2289: 2184: 2099: 1993: 1975: 1957: 1939: 1920: 1913: 1892: 1733: 1680: 1654: 1645:Discovery and development 1637: 1520: 1508: 1471: 1425: 1416:Discovery and development 1408: 1380: 1330: 1252:Discovery and development 1244: 1226: 1033:10.1021/cen-v084n034.p009 3325:Matrix metalloproteinase 3128:Ribonucleotide reductase 3023:Uncompetitive inhibition 2692:neuraminidase inhibitors 2555:Glecaprevir/pibrentasvir 1941:Transcription inhibitors 1893:Pharmacokinetic boosters 1809:Dolutegravir/rilpivirine 1770:Cabotegravir/rilpivirine 1410:Protease Inhibitors (PI) 695:diabetes mellitus type 2 247:) inhibitors—class stem 53:WikiProject Pharmacology 3094:Dihydrofolate reductase 2225:initial regimen options 1791:Dolutegravir/lamivudine 1268:Enfuvirtide (ENF, T-20) 1246:Entry/fusion inhibitors 45:non-antiviral types in 3190:Nucleotidyltransferase 3018:Competitive inhibition 2895:Multiple/Unknown/Other 2664:adamantane derivatives 2575:Sofosbuvir/velpatasvir 2570:Sofosbuvir/daclatasvir 2066:Portmanteau inhibitors 1959:Translation inhibitors 1869:Lamivudine/raltegravir 1639:Non-nucleoside (NNRTI) 1597:Islatravir (EFdA, ISL) 325: 129:inhibitors—class stem 3200:Reverse transcriptase 2763:inhibitors (–trelvir) 2751:Peginterferon alfa-2b 2746:Peginterferon alfa-2a 2560:Ledipasvir/sofosbuvir 2081:Synergistic enhancers 1879:Lamivudine/zidovudine 1759:Atazanavir/cobicistat 1735:Combined formulations 1572:Zidovudine (AZT, ZDV) 1510:Reverse-transcriptase 1382:Maturation inhibitors 630:U.S. patent 6,248,775 544:U.S. patent 5,849,911 512:U.S. patent 5,914,332 483:U.S. patent 5,585,397 455:U.S. patent 5,484,926 427:U.S. patent 5,413,999 398:U.S. patent 5,541,206 366:U.S. patent 5,196,438 323: 91:widely used to treat 3246:Acetylcholinesterase 3153:Thymidylate synthase 2550:Elbasvir/grazoprevir 1922:Uncoating inhibitors 1775:Darunavir/cobicistat 1615:Nucleotide analogues 1533:Nucleoside analogues 1332:Integrase inhibitors 1211:antiretroviral drugs 812:10.3390/ijms22179124 624:Janssen Therapeutics 600:Boehringer Ingelheim 538:Bristol-Myers Squibb 303:antiretroviral drugs 287:proteasome inhibitor 3414:Protease inhibitors 3340:Histone deacetylase 3174:Farnesyltransferase 2467:inhibitors (–buvir) 2395:inhibitors (–asvir) 1914:Experimental agents 1884:Lopinavir/ritonavir 1743:Abacavir/lamivudine 1717:Elsulfavirine (ESV) 1552:Emtricitabine (FTC) 1438:Fosamprenavir (FPV) 1139:AIDS Treatment News 1096:Fantry, LE (2003). 715:The Proteolysis Map 648:lopinavir/ritonavir 522:lopinavir/ritonavir 356:Invirase, Fortovase 73:Protease inhibitors 3373:Carbonic anhydrase 3365:Dopa decarboxylase 3033:Suicide inhibition 2956:Never to phase III 2814:RNA pol inhibitors 2741:Interferon alfa 2b 2646:Baloxavir marboxil 2211:Never to phase III 1357:Elvitegravir (EVG) 1352:Dolutegravir (DTG) 1347:Cabotegravir (CAB) 1055:. 23 December 2021 517:September 15, 2000 326: 3401: 3400: 3397: 3396: 3269:Alpha-glucosidase 3259:Polygalacturonase 3241:Phosphodiesterase 3182:GABA transaminase 3086:Monoamine oxidase 3070:HMG-CoA reductase 3004:enzyme inhibition 2966: 2965: 2925: 2924: 2588: 2587: 2543:Combination drugs 2233: 2232: 2180: 2179: 2026:Diarylpyrimidines 1729: 1728: 1725: 1724: 1705:Rilpivirine (RPV) 1689:diarylpyrimidines 1672:Delavirdine (DLV) 1567:Zalcitabine (ddC) 1524:nucleotide (NRTI) 1504: 1503: 1362:Raltegravir (RAL) 1342:Bictegravir (BIC) 1321:Fostemsavir (FTR) 1236:Lenacapavir (LEN) 1228:Capsid inhibitors 1015:Borman S (2006). 658: 657: 449:Hoffmann–La Roche 360:Hoffmann–La Roche 343:FDA approval date 188:Hepatitis C virus 70: 69: 3421: 3123:Xanthine oxidase 3065:Aldose reductase 3051: 3050: 3038:Mixed inhibition 2993: 2986: 2979: 2970: 2969: 2729: 2728: 2725:Multiple/general 2296: 2295: 2260: 2253: 2246: 2237: 2236: 2051:Hydroxycarbamide 1918: 1917: 1712:Doravirine (DOR) 1700:Etravirine (ETR) 1695:Dapivirine (DPV) 1667:Nevirapine (NVP) 1652: 1651: 1557:Lamivudine (3TC) 1547:Didanosine (ddI) 1518: 1517: 1491:Tipranavir (TPV) 1479:Atazanavir (ATV) 1463:Saquinavir (SQV) 1453:Nelfinavir (NFV) 1433:Amprenavir (APV) 1423: 1422: 1305:Ibalizumab (IBA) 1200: 1193: 1186: 1177: 1176: 1151: 1150: 1134: 1128: 1127: 1117: 1093: 1087: 1086: 1084: 1082: 1071: 1065: 1064: 1062: 1060: 1043: 1037: 1036: 1012: 1006: 1001: 995: 989: 983: 982: 945: 939: 938: 936: 934: 928: 920: 914: 913: 896: 890: 889: 887: 885: 875: 869: 868: 867: 866: 844: 835: 834: 824: 814: 790: 784: 783: 775: 769: 768: 766: 764: 758: 750: 675:3C-like protease 632: 574:October 20, 2003 546: 514: 485: 457: 429: 400: 371:December 6, 1995 368: 328: 327: 65: 62: 56: 34: 33: 26: 3429: 3428: 3424: 3423: 3422: 3420: 3419: 3418: 3404: 3403: 3402: 3393: 3377: 3349: 3225: 3212:Tyrosine kinase 3132: 3042: 3006: 2997: 2967: 2962: 2961: 2946:Clinical trials 2921: 2890: 2809: 2755: 2720: 2630: 2606: 2584: 2538: 2456: 2387: 2285: 2264: 2234: 2229: 2228: 2216: 2201:Clinical trials 2176: 2127:Dexelvucitabine 2095: 2086:Tre recombinase 1989: 1971: 1953: 1949:Tat antagonists 1935: 1909: 1888: 1721: 1676: 1662:Efavirenz (EFV) 1641: 1633: 1562:Stavudine (d4T) 1523: 1511: 1500: 1485:Darunavir (DRV) 1467: 1458:Ritonavir (RTV) 1448:Lopinavir (LPV) 1443:Indinavir (IDV) 1412: 1404: 1376: 1334: 1326: 1280:Maraviroc (MVC) 1248: 1240: 1222: 1207:Antiviral drugs 1204: 1159: 1154: 1135: 1131: 1094: 1090: 1080: 1078: 1073: 1072: 1068: 1058: 1056: 1045: 1044: 1040: 1013: 1009: 1002: 998: 990: 986: 957:(9581): 49–58. 946: 942: 932: 930: 926: 922: 921: 917: 910: 898: 897: 893: 883: 881: 877: 876: 872: 864: 862: 846: 845: 838: 791: 787: 776: 772: 762: 760: 756: 752: 751: 742: 738: 711: 683: 663: 628: 567:GlaxoSmithKline 542: 510: 481: 477:GlaxoSmithKline 453: 425: 421:Merck & Co. 396: 364: 295: 272: 113:viral particles 89:antiviral drugs 66: 60: 57: 51: 35: 31: 24: 17: 12: 11: 5: 3427: 3417: 3416: 3399: 3398: 3395: 3394: 3392: 3391: 3385: 3383: 3379: 3378: 3376: 3375: 3368: 3367: 3360: 3358: 3351: 3350: 3348: 3347: 3345:Beta-lactamase 3342: 3335: 3334: 3333: 3332: 3327: 3322: 3312: 3311: 3310: 3305: 3295: 3294: 3293: 3288: 3272: 3271: 3266: 3261: 3254: 3253: 3248: 3243: 3236: 3234: 3227: 3226: 3224: 3223: 3222: 3221: 3220: 3219: 3207:Protein kinase 3204: 3203: 3202: 3197: 3185: 3184: 3177: 3176: 3171: 3164: 3163: 3156: 3155: 3150: 3143: 3141: 3134: 3133: 3131: 3130: 3125: 3118: 3117: 3112: 3105: 3104: 3097: 3096: 3089: 3088: 3081: 3080: 3073: 3072: 3067: 3060: 3058: 3055:Oxidoreductase 3048: 3044: 3043: 3041: 3040: 3035: 3030: 3025: 3020: 3014: 3012: 3008: 3007: 2996: 2995: 2988: 2981: 2973: 2964: 2963: 2960: 2959: 2958: 2957: 2954: 2943: 2937: 2931: 2930: 2927: 2926: 2923: 2922: 2920: 2919: 2914: 2909: 2904: 2898: 2896: 2892: 2891: 2889: 2888: 2886:Valopicitabine 2883: 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2129: 2124: 2119: 2114: 2109: 2103: 2101: 2097: 2096: 2094: 2093: 2088: 2083: 2078: 2073: 2068: 2063: 2058: 2053: 2048: 2043: 2038: 2033: 2028: 2023: 2018: 2013: 2008: 2003: 1997: 1995: 1991: 1990: 1988: 1987: 1981: 1979: 1973: 1972: 1970: 1969: 1963: 1961: 1955: 1954: 1952: 1951: 1945: 1943: 1937: 1936: 1934: 1933: 1926: 1924: 1915: 1911: 1910: 1908: 1907: 1902: 1900:Cobicistat (c) 1896: 1894: 1890: 1889: 1887: 1886: 1881: 1876: 1871: 1866: 1861: 1856: 1851: 1846: 1841: 1836: 1831: 1826: 1821: 1816: 1811: 1806: 1800: 1794: 1788: 1783: 1777: 1772: 1767: 1761: 1756: 1751: 1745: 1739: 1737: 1731: 1730: 1727: 1726: 1723: 1722: 1720: 1719: 1714: 1709: 1708: 1707: 1702: 1697: 1684: 1682: 1678: 1677: 1675: 1674: 1669: 1664: 1658: 1656: 1649: 1635: 1634: 1632: 1631: 1626: 1610: 1609: 1604: 1599: 1594: 1589: 1584: 1579: 1574: 1569: 1564: 1559: 1554: 1549: 1544: 1542:Abacavir (ABC) 1528: 1526: 1522:Nucleoside and 1515: 1506: 1505: 1502: 1501: 1499: 1498: 1493: 1488: 1482: 1475: 1473: 1469: 1468: 1466: 1465: 1460: 1455: 1450: 1445: 1440: 1435: 1429: 1427: 1420: 1406: 1405: 1403: 1402: 1397: 1392: 1386: 1384: 1378: 1377: 1375: 1374: 1369: 1364: 1359: 1354: 1349: 1344: 1338: 1336: 1328: 1327: 1325: 1324: 1312: 1296: 1282: 1271: 1258: 1256: 1242: 1241: 1239: 1238: 1232: 1230: 1224: 1223: 1203: 1202: 1195: 1188: 1180: 1174: 1173: 1167: 1158: 1157:External links 1155: 1153: 1152: 1129: 1088: 1066: 1038: 1007: 996: 984: 940: 915: 908: 891: 870: 836: 785: 770: 739: 737: 734: 733: 732: 727: 722: 717: 710: 707: 691:hyperlipidemia 682: 679: 662: 659: 656: 655: 636: 633: 626: 621: 618: 612: 611: 608: 605: 602: 597: 594: 588: 587: 575: 572: 569: 564: 563:Lexiva, Telzir 561: 555: 554: 550: 547: 540: 535: 532: 526: 525: 518: 515: 508: 503: 500: 494: 493: 489: 488:April 15, 1999 486: 479: 474: 471: 465: 464: 461: 460:March 14, 1997 458: 451: 446: 443: 437: 436: 433: 432:March 13, 1996 430: 423: 418: 415: 409: 408: 404: 401: 394: 389: 386: 380: 379: 372: 369: 362: 357: 354: 348: 347: 344: 341: 338: 335: 332: 294: 291: 285:(–mastat) and 271: 270: 268: 267: 266: 261: 256: 238: 237: 236: 231: 226: 221: 216: 211: 206: 185: 184: 183: 178: 173: 168: 163: 158: 153: 148: 143: 138: 127:HIV-1 protease 124:Antiretroviral 120: 109:HIV-1 protease 68: 67: 38: 36: 29: 15: 9: 6: 4: 3: 2: 3426: 3415: 3412: 3411: 3409: 3390: 3387: 3386: 3384: 3382:Miscellaneous 3380: 3374: 3370: 3369: 3366: 3362: 3361: 3359: 3356: 3352: 3346: 3343: 3341: 3337: 3336: 3331: 3328: 3326: 3323: 3321: 3320:Enkephalinase 3318: 3317: 3316: 3313: 3309: 3306: 3304: 3301: 3300: 3299: 3298:Endopeptidase 3296: 3292: 3289: 3287: 3284: 3283: 3282: 3278: 3274: 3273: 3270: 3267: 3265: 3264:Neuraminidase 3262: 3260: 3256: 3255: 3252: 3249: 3247: 3244: 3242: 3238: 3237: 3235: 3232: 3228: 3218: 3215: 3214: 3213: 3210: 3209: 3208: 3205: 3201: 3198: 3196: 3193: 3192: 3191: 3187: 3186: 3183: 3179: 3178: 3175: 3172: 3170: 3166: 3165: 3162: 3158: 3157: 3154: 3151: 3149: 3145: 3144: 3142: 3139: 3135: 3129: 3126: 3124: 3120: 3119: 3116: 3113: 3111: 3107: 3106: 3103: 3099: 3098: 3095: 3091: 3090: 3087: 3083: 3082: 3079: 3075: 3074: 3071: 3068: 3066: 3062: 3061: 3059: 3056: 3052: 3049: 3045: 3039: 3036: 3034: 3031: 3029: 3026: 3024: 3021: 3019: 3016: 3015: 3013: 3009: 3005: 3001: 2994: 2989: 2987: 2982: 2980: 2975: 2974: 2971: 2955: 2953: 2950: 2949: 2947: 2944: 2941: 2938: 2936: 2933: 2932: 2928: 2918: 2915: 2913: 2910: 2908: 2905: 2903: 2900: 2899: 2897: 2893: 2887: 2884: 2882: 2879: 2877: 2874: 2872: 2869: 2867: 2864: 2862: 2859: 2857: 2854: 2852: 2849: 2847: 2844: 2842: 2839: 2837: 2834: 2832: 2829: 2827: 2824: 2822: 2819: 2818: 2816: 2812: 2805: 2801: 2798: 2796: 2793: 2790: 2786: 2783: 2781: 2778: 2776: 2773: 2771: 2768: 2767: 2765: 2762: 2758: 2752: 2749: 2747: 2744: 2742: 2739: 2738: 2736: 2734: 2730: 2727: 2723: 2716: 2712: 2709: 2707: 2704: 2702: 2698: 2697: 2696:release phase 2693: 2689: 2688: 2684: 2681: 2679: 2676: 2674: 2670: 2669: 2668:M2 inhibitors 2665: 2661: 2660: 2657: 2654: 2652: 2649: 2647: 2644: 2643: 2641: 2638: 2633: 2627: 2624: 2622: 2618: 2617: 2615: 2613: 2609: 2603: 2600: 2599: 2597: 2595: 2591: 2581: 2578: 2576: 2573: 2571: 2568: 2566: 2563: 2561: 2558: 2556: 2553: 2551: 2548: 2547: 2545: 2541: 2535: 2532: 2530: 2527: 2525: 2522: 2520: 2517: 2515: 2512: 2510: 2507: 2505: 2502: 2500: 2497: 2495: 2492: 2490: 2487: 2485: 2482: 2480: 2479:Bemnifosbuvir 2477: 2475: 2472: 2471: 2469: 2466: 2463: 2459: 2453: 2450: 2448: 2445: 2443: 2440: 2438: 2435: 2433: 2430: 2428: 2425: 2423: 2420: 2418: 2415: 2413: 2410: 2408: 2405: 2403: 2400: 2399: 2397: 2394: 2390: 2384: 2381: 2379: 2376: 2374: 2371: 2369: 2366: 2364: 2361: 2359: 2356: 2354: 2351: 2349: 2346: 2344: 2341: 2339: 2336: 2334: 2331: 2329: 2326: 2324: 2321: 2319: 2316: 2314: 2311: 2310: 2308: 2305: 2301: 2297: 2294: 2292: 2288: 2283: 2279: 2275: 2271: 2268: 2261: 2256: 2254: 2249: 2247: 2242: 2241: 2238: 2226: 2223: 2220: 2210: 2208: 2205: 2204: 2202: 2199: 2196: 2193: 2191: 2188: 2187: 2183: 2173: 2170: 2168: 2165: 2163: 2160: 2158: 2155: 2153: 2150: 2148: 2145: 2143: 2140: 2138: 2135: 2133: 2130: 2128: 2125: 2123: 2120: 2118: 2115: 2113: 2110: 2108: 2105: 2104: 2102: 2100:Failed agents 2098: 2092: 2089: 2087: 2084: 2082: 2079: 2077: 2074: 2072: 2069: 2067: 2064: 2062: 2059: 2057: 2054: 2052: 2049: 2047: 2044: 2042: 2039: 2037: 2034: 2032: 2029: 2027: 2024: 2022: 2019: 2017: 2014: 2012: 2009: 2007: 2004: 2002: 1999: 1998: 1996: 1992: 1986: 1983: 1982: 1980: 1978: 1974: 1968: 1967:Trichosanthin 1965: 1964: 1962: 1960: 1956: 1950: 1947: 1946: 1944: 1942: 1938: 1931: 1928: 1927: 1925: 1923: 1919: 1916: 1912: 1906: 1905:Ritonavir (r) 1903: 1901: 1898: 1897: 1895: 1891: 1885: 1882: 1880: 1877: 1875: 1872: 1870: 1867: 1865: 1862: 1860: 1857: 1855: 1852: 1850: 1847: 1845: 1842: 1840: 1837: 1835: 1832: 1830: 1827: 1825: 1822: 1820: 1817: 1815: 1812: 1810: 1807: 1804: 1801: 1798: 1795: 1792: 1789: 1787: 1784: 1781: 1778: 1776: 1773: 1771: 1768: 1765: 1762: 1760: 1757: 1755: 1752: 1749: 1746: 1744: 1741: 1740: 1738: 1736: 1732: 1718: 1715: 1713: 1710: 1706: 1703: 1701: 1698: 1696: 1693: 1692: 1691: 1690: 1686: 1685: 1683: 1679: 1673: 1670: 1668: 1665: 1663: 1660: 1659: 1657: 1653: 1650: 1648: 1646: 1640: 1636: 1630: 1627: 1625: 1622: 1620: 1616: 1612: 1611: 1608: 1605: 1603: 1600: 1598: 1595: 1593: 1590: 1588: 1585: 1583: 1580: 1578: 1575: 1573: 1570: 1568: 1565: 1563: 1560: 1558: 1555: 1553: 1550: 1548: 1545: 1543: 1540: 1538: 1534: 1530: 1529: 1527: 1525: 1519: 1516: 1513: 1507: 1497: 1494: 1492: 1489: 1486: 1483: 1480: 1477: 1476: 1474: 1470: 1464: 1461: 1459: 1456: 1454: 1451: 1449: 1446: 1444: 1441: 1439: 1436: 1434: 1431: 1430: 1428: 1424: 1421: 1419: 1417: 1411: 1407: 1401: 1398: 1396: 1393: 1391: 1388: 1387: 1385: 1383: 1379: 1373: 1370: 1368: 1365: 1363: 1360: 1358: 1355: 1353: 1350: 1348: 1345: 1343: 1340: 1339: 1337: 1333: 1329: 1322: 1318: 1317: 1313: 1310: 1306: 1302: 1301: 1297: 1294: 1290: 1286: 1283: 1281: 1277: 1276: 1272: 1269: 1265: 1264: 1260: 1259: 1257: 1255: 1253: 1247: 1243: 1237: 1234: 1233: 1231: 1229: 1225: 1220: 1216: 1213:used against 1212: 1208: 1201: 1196: 1194: 1189: 1187: 1182: 1181: 1178: 1171: 1168: 1165: 1164:brief history 1161: 1160: 1148: 1144: 1140: 1133: 1125: 1121: 1116: 1111: 1107: 1103: 1099: 1092: 1076: 1070: 1054: 1053: 1048: 1042: 1034: 1030: 1026: 1022: 1018: 1011: 1005: 1000: 994: 988: 980: 976: 972: 968: 964: 960: 956: 952: 944: 925: 919: 911: 909:9780857111562 905: 901: 895: 880: 874: 861: 857: 853: 849: 843: 841: 832: 828: 823: 818: 813: 808: 804: 800: 796: 789: 781: 774: 755: 749: 747: 745: 740: 731: 728: 726: 723: 721: 718: 716: 713: 712: 706: 704: 700: 699:kidney stones 696: 692: 688: 687:lipodystrophy 678: 676: 672: 668: 653: 649: 645: 641: 637: 635:June 23, 2006 634: 631: 627: 625: 622: 619: 617: 614: 613: 609: 607:June 22, 2005 606: 603: 601: 598: 595: 593: 590: 589: 585: 580: 576: 573: 570: 568: 565: 562: 560: 559:Fosamprenavir 557: 556: 551: 549:June 20, 2003 548: 545: 541: 539: 536: 533: 531: 528: 527: 523: 519: 516: 513: 509: 507: 504: 501: 499: 496: 495: 490: 487: 484: 480: 478: 475: 472: 470: 467: 466: 462: 459: 456: 452: 450: 447: 444: 442: 439: 438: 434: 431: 428: 424: 422: 419: 416: 414: 411: 410: 405: 403:March 1, 1996 402: 399: 395: 393: 390: 387: 385: 382: 381: 377: 373: 370: 367: 363: 361: 358: 355: 353: 350: 349: 345: 342: 339: 336: 333: 330: 329: 322: 318: 316: 312: 308: 304: 299: 290: 288: 284: 279: 277: 269: 265: 262: 260: 257: 255: 252: 251: 250: 246: 242: 239: 235: 232: 230: 227: 225: 222: 220: 217: 215: 212: 210: 207: 205: 202: 201: 200: 196: 192: 189: 186: 182: 179: 177: 174: 172: 169: 167: 164: 162: 159: 157: 154: 152: 151:Fosamprenavir 149: 147: 144: 142: 139: 137: 134: 133: 132: 128: 125: 122: 121: 119: 116: 114: 110: 106: 102: 98: 94: 90: 86: 82: 78: 74: 64: 54: 50: 48: 42: 39:This article 37: 28: 27: 22: 3314: 3281:Exopeptidase 3276: 3251:Ribonuclease 3217:Janus kinase 3102:Lipoxygenase 3078:5α-Reductase 3000:Pharmacology 2861:Molnupiravir 2856:Mericitabine 2826:Deuremidevir 2800:Simnotrelvir 2785:Nirmatrelvir 2775:Ibuzatrelvir 2761:3CL protease 2690: 2662: 2619: 2612:Picornavirus 2534:Uprifosbuvir 2432:Pibrentasvir 2383:Voxilaprevir 2353:Paritaprevir 2221: 2021:Cyanovirin-N 2011:Calanolide A 1687: 1681:2 generation 1655:1 generation 1642: 1613: 1592:Elvucitabine 1582:Apricitabine 1531: 1472:2 generation 1426:1 generation 1413: 1409: 1400:Fipravirimat 1314: 1309:Semzuvolimab 1298: 1289:Cenicriviroc 1273: 1261: 1249: 1141:(277): 1–4. 1138: 1132: 1108:(3): 243–4. 1105: 1101: 1091: 1079:. Retrieved 1069: 1057:. Retrieved 1050: 1041: 1024: 1020: 1010: 999: 987: 954: 950: 943: 931:. Retrieved 918: 899: 894: 882:. Retrieved 873: 863:, retrieved 851: 805:(17): 9124. 802: 798: 788: 773: 761:. Retrieved 705:(Crixivan). 684: 681:Side effects 671:nirmatrelvir 664: 584:slow release 300: 296: 280: 273: 264:Simnotrelvir 259:Nirmatrelvir 248: 224:Paritaprevir 198: 130: 117: 76: 72: 71: 61:January 2020 58: 44: 40: 3330:Oxytocinase 3138:Transferase 2942:from market 2907:Merimepodib 2881:Triazavirin 2876:Taribavirin 2836:Galidesivir 2831:Favipiravir 2795:Rupintrivir 2780:Lufotrelvir 2770:Ensitrelvir 2715:Laninamivir 2701:Oseltamivir 2683:Rimantadine 2621:viral entry 2602:Bulevirtide 2594:Hepatitis D 2452:Velpatasvir 2407:Daclatasvir 2402:Coblopasvir 2378:Vedroprevir 2348:Narlaprevir 2343:Grazoprevir 2338:Glecaprevir 2333:Faldaprevir 2313:Asunaprevir 2291:Hepatitis C 2272:(primarily 2222:recommended 2197:from market 2147:Lersivirine 2122:Capravirine 2061:Miltefosine 2046:Griffithsin 2041:Fosdevirine 1587:Censavudine 1217:(primarily 1059:23 December 652:leapfrogged 276:antibiotics 254:Ensitrelvir 219:Glecaprevir 214:Grazoprevir 204:Asunaprevir 97:hepatitis C 81:medications 2917:Presatovir 2912:Moroxydine 2846:Remdesivir 2804:+ritonavir 2789:+ritonavir 2733:Interferon 2678:Amantadine 2673:Adapromine 2656:Umifenovir 2626:Pleconaril 2529:Radalbuvir 2524:TMC-647055 2514:Sofosbuvir 2509:Setrobuvir 2489:Deleobuvir 2474:Beclabuvir 2447:Samatasvir 2437:Ravidasvir 2427:Ombitasvir 2417:Ledipasvir 2373:Vaniprevir 2368:Telaprevir 2363:Sovaprevir 2358:Simeprevir 2328:Danoprevir 2323:Ciluprevir 2318:Boceprevir 2270:antivirals 2152:Lodenosine 2132:Droxinavir 2117:Brecanavir 2112:Atevirdine 2076:Seliciclib 2071:Scytovirin 1985:Elipovimab 1930:TRIM5alpha 1607:Stampidine 1512:inhibitors 1496:TMC-310911 1395:BMS-955176 1293:Leronlimab 1285:Vicriviroc 933:5 November 884:8 November 865:2024-06-20 763:5 November 736:References 592:Tipranavir 530:Atazanavir 469:Amprenavir 441:Nelfinavir 352:Saquinavir 334:Trade name 307:saquinavir 289:(–zomib). 234:Telaprevir 229:Simeprevir 209:Boceprevir 181:Tipranavir 176:Saquinavir 166:Nelfinavir 141:Atazanavir 136:Amprenavir 3231:Hydrolase 3195:Integrase 3110:Aromatase 3047:Substrate 2952:Phase III 2940:Withdrawn 2871:Ribavirin 2841:GS-441524 2711:Peramivir 2706:Zanamivir 2651:Pimodivir 2637:influenza 2519:Tegobuvir 2494:Filibuvir 2484:Dasabuvir 2422:Odalasvir 2267:RNA virus 2207:Phase III 2195:Withdrawn 2172:Telinavir 2167:Palinavir 2162:Mozenavir 2142:Emivirine 2137:Lasinavir 2107:Aplaviroc 2036:Foscarnet 2016:Ceragenin 1577:Amdoxovir 1390:Bevirimat 1367:BI 224436 1027:(34): 9. 703:indinavir 644:phase III 616:Darunavir 498:Lopinavir 473:Agenerase 413:Indinavir 384:Ritonavir 315:indinavir 311:ritonavir 171:Ritonavir 161:Lopinavir 156:Indinavir 146:Darunavir 105:proteases 3408:Category 3277:Protease 2442:Ruzasvir 2412:Elbasvir 2157:Loviride 1147:11364559 1124:12626882 979:26084893 971:17617272 860:31644200 831:34502033 709:See also 667:Paxlovid 620:Prezista 445:Viracept 417:Crixivan 249:–trelvir 101:COVID-19 93:HIV/AIDS 3303:Trypsin 2866:NITD008 2504:IDX-184 2499:GS-6620 2276:, also 2056:KP-1461 1602:Racivir 1372:MK-2048 1081:14 June 822:8430524 596:Aptivus 579:prodrug 534:Reyataz 502:Kaletra 378:(FDA). 337:Company 199:–previr 3357:(EC 4) 3233:(EC 3) 3140:(EC 2) 3100:1.13 3057:(EC 1) 2935:WHO-EM 2851:MK-608 2821:CMX521 2639:agents 2190:WHO-EM 2006:BIT225 2001:Abzyme 1932:(gene) 1619:NtRTIs 1514:(RTIs) 1145:  1122:  977:  969:  951:Lancet 906:  858:  829:  819:  697:, and 506:AbbVie 392:AbbVie 388:Norvir 346:Notes 340:Patent 313:, and 131:–navir 107:(e.g. 79:) are 3355:Lyase 3315:Mixed 3308:Renin 3286:DPP-4 3121:1.17 3115:COX-2 3108:1.14 3011:Class 2902:EICAR 2635:Anti- 2282:D06BB 2278:S01AD 1994:Other 1977:BNAbs 1537:NRTIs 1316:gp120 975:S2CID 927:(PDF) 757:(PDF) 640:OARAC 3371:4.2 3363:4.1 3338:3.5 3275:3.4 3257:3.2 3239:3.1 3188:2.7 3180:2.6 3167:2.5 3161:PARP 3159:2.4 3148:COMT 3146:2.1 3092:1.5 3084:1.4 3076:1.3 3063:1.1 2462:NS5B 2393:NS5A 2280:and 2219:DHHS 1275:CCR5 1263:gp41 1143:PMID 1120:PMID 1083:2024 1061:2021 967:PMID 935:2016 904:ISBN 886:2013 856:PMID 827:PMID 765:2016 331:Name 99:and 3291:ACE 2300:NS3 2274:J05 1300:CD4 1219:J05 1215:HIV 1110:doi 1052:NPR 1029:doi 959:doi 955:370 817:PMC 807:doi 191:NS3 77:PIs 3410:: 3279:: 3002:: 2948:: 2713:, 2304:4A 2203:: 1307:, 1291:, 1287:, 1209:: 1162:A 1118:. 1106:32 1104:. 1100:. 1049:. 1025:84 1023:. 1019:. 973:. 965:. 953:. 850:, 839:^ 825:. 815:. 803:22 801:. 797:. 743:^ 693:, 689:, 577:A 463:— 435:— 309:, 195:4A 115:. 95:, 2992:e 2985:t 2978:v 2806:) 2802:( 2791:) 2787:( 2717:) 2699:( 2694:/ 2685:) 2671:( 2666:/ 2623:: 2302:/ 2284:) 2259:e 2252:t 2245:v 2217:° 1805:° 1799:° 1793:° 1782:° 1766:° 1750:° 1647:) 1643:( 1621:: 1617:/ 1539:: 1535:/ 1487:° 1481:° 1418:) 1414:( 1323:) 1319:( 1311:) 1303:( 1295:) 1278:( 1270:) 1266:( 1254:) 1250:( 1221:) 1199:e 1192:t 1185:v 1149:. 1126:. 1112:: 1085:. 1063:. 1035:. 1031:: 981:. 961:: 937:. 912:. 888:. 833:. 809:: 767:. 604:— 571:— 193:/ 75:( 63:) 59:( 49:. 23:.

Index

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
Grazoprevir

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