Telbivudine

Highest phase reached
Drug type
Small molecule
First approval year

First approval year
Listing at source
Listed
Highest phase reached

Drug type
Small molecule
Drug name
Telbivudine
Molecular weight
Structure (SMILES)
Cc1cn([C@@H]2C[C@@H](O)[C@H](CO)O2)c(=O)[nH]c1=O

  • sebivo
  • Sebivo
  • tyzeka
  • Tyzeka

  • 2 4 1h 3h pyrimidinedione 1 2 deoxy beta l erythro pentofuranosyl 5 methyl
  • 2 deoxy l thymidine
  • 2,4(1H,3H)-PYRIMIDINEDIONE,1-(2-DEOXY-.BETA.-L-ERYTHRO-PENTOFURANOSYL)-5-METHYL-
  • 2'-deoxy-l-thymidine
  • ldt 600
  • ldt telbivudine and lamivudine
  • LDT-600
  • ldt600
  • LDT600
  • LDT600 (Telbivudine)
  • nv 02b
  • NV-02B
  • Sebivo
  • telbivudina
  • Telbivudina
  • telbivudine
  • Telbivudine
  • Telbivudine (LdT)
  • telbivudine (ROADMAP)
  • Telbivudine (Standard of Care)
  • TELBIVUDINE [EMA EPAR]
  • telbivudine [INN]
  • TELBIVUDINE [MART.]
  • TELBIVUDINE [MI]
  • TELBIVUDINE [ORANGE BOOK]

And 12 more, listed on the interactive page.

ATC classification codes
  • J05AF11
Sources for recorded values
CAS registry numbers
  • 3424-98-4
ChEMBL ID
CHEMBL374731
InChIKey
IQFYYKKMVGJFEH-CSMHCCOUSA-N
PubChem compound IDs
  • 159269
RxNorm IDs (RxCUI)
  • 474128
FDA ingredient codes (UNII)
  • 2OC4HKD3SF

Applicant
NOVARTIS
Approval date
25 Oct 2006
Application number
NDA022011

Status
Withdrawn
Authorisation date
24 Apr 2007
Approved indications
Sebivo is indicated for the treatment of chronic hepatitis B in adult patients with compensated liver disease and evidence of viral replication, persistently elevated serum alanine aminotransferase (ALT) levels and histological evidence of active inflammation and/or fibrosis. Initiation of Sebivo treatment should only be considered when the use of an alternative antiviral agent with a higher genetic barrier to resistance is not available or appropriate.
Product number
EMEA/H/C/000713
Authorisation holder
Novartis Europharm Limited
Priority medicines scheme
No
Generic
No
Biosimilar
No
Generic medicines
0
Biosimilar medicines
0
Advanced therapy
No
Conditional approval
No
Additional monitoring
No
Accelerated assessment
No
Exceptional circumstances
No

Therapeutic areas

  • Hepatitis B, Chronic
European medicines record

First in class
No
Orphan designation
No
Availability
discontinued
Boxed warning
Yes

Drug name stem
-vudine

Administration routes

  • Oral

Mechanisms of action

  • Mechanism
    DNA polymerase/reverse transcriptase inhibitor
    Action type
    Inhibitor
    Target
    DNA polymerase/reverse transcriptase
    Protein identifier
    Q9IF40

Open Targets mechanisms

  • Mechanism
    DNA polymerase/reverse transcriptase inhibitor
    Action type
    Inhibitor
    Target
    DNA polymerase/reverse transcriptase

DrugCentral mechanisms

  • Action type
    Inhibitor
    Gene symbol
    P
    Protein identifier
    Q9IF40
    Organism
    Hepatitis B virus

  • Condition
    Virus Diseases
    Highest recorded phase
    4
    Condition identifier
    EFO:0000763
    Subject identifier
    D014777
  • Condition
    Liver Cirrhosis
    Highest recorded phase
    3
    Condition identifier
    EFO:0001422
    Subject identifier
    D008103
  • Condition
    Hepatitis B, Chronic
    Highest recorded phase
    4
    Condition identifier
    EFO:0004197
    Subject identifier
    D019694
  • Condition
    Hepatitis B, Chronic
    Highest recorded phase
    4
    Condition identifier
    EFO:0004239
    Subject identifier
    D019694
  • Condition
    Hepatitis
    Highest recorded phase
    3
    Condition identifier
    HP:0012115
    Subject identifier
    D006505

  • Condition identifier
    EFO_0000763
  • Condition identifier
    EFO_0001422
    Highest recorded phase
    3
  • Condition identifier
    EFO_0004197
  • Condition identifier
    EFO_0004239
  • Condition identifier
    HP_0012115
    Highest recorded phase
    3
  • Condition identifier
    MONDO_0001343
    Highest recorded phase
    2
  • Condition identifier
    MONDO_0005108
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0005155
    Highest recorded phase
    3
  • Condition identifier
    MONDO_0005244
    Highest recorded phase
    3
  • Condition identifier
    MONDO_0005300
  • Condition identifier
    MONDO_0005344
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0005366
    Highest recorded phase
    4
  • Condition identifier
    MONDO_0007256

Warnings

  • Warning
    Black Box Warning

Open Targets warnings

  • Warning
    Black Box Warning
    Country
    United States

  • Event
    accessory auricle
    Reports
    5
    Reporting signal score
    30.803
  • Event
    acquired gene mutation
    Reports
    3
    Reporting signal score
    9.06185
  • Event
    alanine aminotransferase increased
    Reports
    30
    Reporting signal score
    42.6785
  • Event
    aldolase abnormal
    Reports
    3
    Reporting signal score
    22.017
  • Event
    alpha hydroxybutyrate dehydrogenase increased
    Reports
    8
    Reporting signal score
    52.8581
  • Event
    amyotrophy
    Reports
    4
    Reporting signal score
    16.7052
  • Event
    anuria
    Reports
    5
    Reporting signal score
    8.98175
  • Event
    apolipoprotein b increased
    Reports
    2
    Reporting signal score
    13.8654
  • Event
    areflexia
    Reports
    4
    Reporting signal score
    10.4322
  • Event
    ascites
    Reports
    8
    Reporting signal score
    9.51855
  • Event
    aspartate aminotransferase increased
    Reports
    31
    Reporting signal score
    48.3861
  • Event
    asthenia
    Reports
    44
    Reporting signal score
    32.1699
  • Event
    asymptomatic viral hepatitis
    Reports
    5
    Reporting signal score
    39.2583
  • Event
    base excess increased
    Reports
    2
    Reporting signal score
    10.7072
  • Event
    blood bilirubin increased
    Reports
    9
    Reporting signal score
    10.4746
  • Event
    blood creatine phosphokinase
    Reports
    2
    Reporting signal score
    9.38392
  • Event
    blood creatine phosphokinase abnormal
    Reports
    3
    Reporting signal score
    11.8341
  • Event
    blood creatine phosphokinase increased
    Reports
    165
    Reporting signal score
    625.836
  • Event
    blood creatine phosphokinase mb increased
    Reports
    27
    Reporting signal score
    132.852
  • Event
    blood creatinine increased
    Reports
    14
    Reporting signal score
    12.5884
  • Event
    blood lactate dehydrogenase increased
    Reports
    26
    Reporting signal score
    69.5536
  • Event
    blood lactic acid increased
    Reports
    24
    Reporting signal score
    91.5591
  • Event
    blood ph decreased
    Reports
    5
    Reporting signal score
    16.3739
  • Event
    blood phosphorus decreased
    Reports
    8
    Reporting signal score
    24.1073
  • Event
    blood uric acid increased
    Reports
    13
    Reporting signal score
    42.3526

And 85 more, listed on the interactive page.

And 18 more, listed on the interactive page.

Hydrogen bond acceptors
6
Hydrogen bond donors
3
Polar surface area
104.55
Calculated partition coefficient (ALogP)
-1.51
Calculated partition coefficient (XLogP)
-1.2
Prodrug
Yes
Chirality
Single enantiomer
Inorganic
No
Rule-of-five violations
0
Rotatable bonds
2
Heavy atoms
17
Molecular formula
C10H14N2O5
Monoisotopic mass
242.09027155
Natural product
Yes

Recorded assays
399
Active assays
10

Active assay types

  • Confirmatory

Oral bioavailability

Median
52
Mean
52
Minimum
52
Maximum
52
Unit
%
Assays
1
Standard deviation
0
Summary method
median
Censored results excluded
0
Other units excluded
0
Unknown units excluded
0

Measurement types

  • F

Related records

Trials (633)

Approved for (3)

In development for (2)