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Peramivir (BCX-1812, RWJ-270201, S-021812)

Alias: RWJ 270201; RWJ270201; BCX-1812; Rapiacta; 229614-55-5; Peramivir anhydrous; RAPIVAB; Brand name: Rapivab; Rapiacta and Peramiflu; BCX1812; BCX1812; BCX 1812; RWJ270201;
Cat No.:V9167 Purity: ≥98%
Peramivir (formerly RWJ270201;BCX1812; S021812; Rapivab; Rapiacta; Peramiflu)is an antiviral agent acting as a neuraminidase inhibitor and has been approved for treating influenza.
Peramivir (BCX-1812, RWJ-270201, S-021812)
Peramivir (BCX-1812, RWJ-270201, S-021812) Chemical Structure CAS No.: 330600-85-6
Product category: Influenza Virus
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Peramivir (BCX-1812, RWJ-270201, S-021812):

  • Peramivir Trihydrate (RWJ-270201; BCX-1812)
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description
Peramivir (formerly RWJ270201; BCX1812; S021812; Rapivab; Rapiacta; Peramiflu) is an antiviral agent acting as a neuraminidase inhibitor and has been approved for treating influenza. As a transition-state analogue, it inhibits neuraminidase with an IC50 of median 0.09 nM.
Biological Activity I Assay Protocols (From Reference)
Targets
NA/neuraminidase(IC50 = 0.9-4.3 nM); IKK-α;STAT3;ERK1;ERK2
Influenza virus neuraminidase (NA). Peramivir (BCX-1812, RWJ-270201, S-021812) demonstrated an IC50 of 1.1 nM against influenza B virus (B/Brisbane/60/2008, BR/08) in a fluorescence-based NA inhibition assay [2].
- The anti-cytokine storm effect is mediated partly through intervention of NF-κB activity in LPS-induced macrophage models [1].
ln Vitro
For macrophages, peramivir (0.3125–40 μM, 4 h) is nontoxic.In LPS-induced hPBMCs, peramivir (2–10 μM, 6–12 h) inhibits the release of cytokines[1].
Antiviral activity in cell culture[5] Oseltamivir carboxylate and peramivir were evaluated in combination for inhibition of virus yield in MDCK cell cultures using doses of 0.32 to 100 μM (Table 1). Oseltamivir carboxylate alone reduced virus yield by 4.4 log10 at 100 μM. Peramivir at 32 and 100 μM reduced virus yield by ≥ 5 log10 below the detection limit of the assay. Greater than 10-fold inhibition of virus titer from expected was found at three specific conditions, when 10 μM oseltamivir carboxylate was combined with either 3.2 or 10 μM peramivir, and using the combination of 3.2 μM of each inhibitor. A three-dimensional MacSynergy plot of the data showing values above and below expected are shown in Figure 1. A region of significant synergy was evident between 1 and 10 μM oseltamivir and 1 and 10 μM peramivir, giving a volume of synergy of 9.1. A region of minor antagonism occurred when 0.32 μM peramivir was combined with 3.2-32 μM oseltamivir carboxylate, for a calculated volume of antagonism of −1.7. The net effect across the entire surface was a volume of synergy of 7.4.
Viral neuraminidase inhibition studies[5] The effects of the combination of oseltamivir carboxylate and peramivir on neuraminidase activity are presented in Table 2. Minimal neuraminidase activity was evident in the presence of 10 nM oseltamivir carboxylate treatment or 1 to 10 nM peramivir treatment. The majority of the low-dose combinations (0.01 to 3.2 nM oseltamivir carboxylate combined with 0.01 to 0.32 nM peramivir) caused greater inhibition than either compound used alone. Higher concentrations of each inhibitor used in combination (0.32 to 10 nM) caused less inhibition than expected. This was in a region where peramivir alone was highly inhibitory to enzymatic activity, with not much potential for further inhibition by a drug combination. The three-dimensional MacSynergy plot of the data is shown in Figure 2. The percentages of increase or decrease for the combinations were small. The low-dose combination region had a volume of synergy of 86 (moderate synergy), whereas the high-dose combination region had a volume of antagonism of −65 (moderate antagonism) for a net effect across the entire surface of 21 (indifference).
In LPS-induced mouse peritoneal macrophages, Peramivir (BCX-1812, RWJ-270201, S-021812) at 10 μM inhibited TNF-α release by 67.2%, showing the strongest effect among three neuraminidase inhibitors (oseltamivir, zanamivir, and peramivir). The IC50 for TNF-α inhibition was 4.3 μM [1].
- In LPS-induced human peripheral blood mononuclear cells (hPBMCs) from healthy donors, Peramivir (BCX-1812, RWJ-270201, S-021812) (2.5, 5, and 10 μM) significantly and dose-dependently counteracted the elevated TNF-α levels at both 6 and 12 hours post-LPS stimulation [1].
- In MDCK cells infected with influenza A/NWS/33 (H1N1) virus, Peramivir (BCX-1812, RWJ-270201, S-021812) alone at concentrations of 32 and 100 μM reduced virus yield by ≥5 log10 below the detection limit [5].
- Peramivir (BCX-1812, RWJ-270201, S-021812) potently inhibited the NA activity of influenza A/Vietnam/1203/04 (H5N1) in vitro with an IC50 of 0.171 nM [4].
ln Vivo
Peramivir (20–60 mg/kg, intraperitoneal injection, single dose) reduces acute lung injury, prevents LPS-induced cytokine storm, and increases the survival time of mice modelled by cytokine storm syndrome[1].
In immunocompromised murine models of influenza B virus infection, peramivir (75 mg/kg, intramuscular injection, once daily for 7 days) saved BALB scid mice from a lethal challenge with BR/08[2].
In a mouse model of LPS-induced cytokine storm syndrome (CSS), pre-treatment with Peramivir (BCX-1812, RWJ-270201, S-021812) (60 mg/kg, i.p.) significantly reduced serum levels of TNF-α, IFN-α, IFN-γ, MCP-1, GM-CSF, IL-1β, IL-6, and IL-12. In bronchoalveolar lavage fluid (BALF), it significantly reduced TNF-α and IL-6. It also alleviated acute lung injury and prolonged survival time in mice challenged with a lethal dose of LPS [1].
- In BALB/c mice infected with a lethal dose of influenza B virus (B/Brisbane/60/2008, BR/08), treatment with Peramivir (BCX-1812, RWJ-270201, S-021812) (75 mg/kg/day, i.m.) in a single dose (1×), double dose (2×), or four-dose (4×) regimen conferred complete protection (100% survival). In immunocompromised BALB scid mice, the same treatment regimens resulted in 40% (1×), 60% (2×), and 60% (4×) survival, respectively [2].
- In a lethal mouse model of influenza A/NWS/33 (H1N1) virus infection, Peramivir (BCX-1812, RWJ-270201, S-021812) administered intramuscularly (i.m.) at 0.4 and 1 mg/kg/day (twice daily for 5 days) provided 100% protection [5]. When combined with suboptimal doses of oseltamivir (0.4 mg/kg/day, p.o.), peramivir at 0.1 and 0.2 mg/kg/day (i.m.) significantly increased survival rates to 80% and 100%, respectively, compared to either drug alone [5].
- In mice infected with a lethal dose of highly pathogenic avian influenza A/Vietnam/1203/04 (H5N1), post-exposure treatment with Peramivir (BCX-1812, RWJ-270201, S-021812) (30 mg/kg, i.m., single or multiple doses) resulted in 70-80% survival, comparable to oseltamivir (70% survival) and significantly better than the vehicle control (36% survival) [4].
- In ferrets infected with a lethal dose of influenza A/Vietnam/1203/04 (H5N1), intramuscular administration of Peramivir (BCX-1812, RWJ-270201, S-021812) (30 mg/kg, multiple doses) significantly improved survival rates to 70-75% compared to untreated/vehicle-treated controls (11-30%) in two out of three trials [4].
Enzyme Assay
Viral neuraminidase inhibition assay[5]
The effects of compounds on viral neuraminidase activity were determined using a commercially available kit in 96-well solid white microplates following the Manufacturer's instructions and as has been reported (Smee et al., 2010). Compounds in half-log dilution increments were incubated with virus (as the source of neuraminidase). The amount of influenza A/NWS/33 (H1N1) virus in each microwell was approximately 500 cell culture infectious doses. Plates were pre-incubated for 10 min at 37°C prior to addition of chemiluminescent substrate. Following addition of substrate the plates were incubated for 30 min at 37°C. The neuraminidase activity was evaluated using a Centro LB 960 luminometer (Berthold Technologies, Oak Ridge, TN) for 0.5 sec immediately after addition of NA-Star® accelerator solution. Percentages of chemiluminescent counts at each compound concentration were based upon counts normalized to 100% under untreated conditions.
The susceptibility of influenza B viruses to neuraminidase inhibitors (NAIs) was assessed in a fluorescence-based assay. A fluorogenic substrate was used. The concentration of drug required to inhibit a standardized amount of NA activity by 50% (IC50) was calculated. For the BR/08 virus, the IC50 for Peramivir (BCX-1812, RWJ-270201, S-021812) was determined to be 1.1 nM [2].
- A commercial chemiluminescent neuraminidase inhibition assay kit was used to evaluate the effects of Peramivir (BCX-1812, RWJ-270201, S-021812) and oseltamivir carboxylate, alone and in combination. The virus (influenza A/NWS/33) was used as the source of NA. Compounds in half-log dilution increments were incubated with the virus. After a pre-incubation, a chemiluminescent substrate was added. Neuraminidase activity was measured using a luminometer. The percentage of chemiluminescent counts at each compound concentration was normalized to 100% under untreated conditions [5].
Cell Assay
Cell culture antiviral studies[5]
Antiviral activities of oseltamivir carboxylate and peramivir were determined in confluent cultures of MDCK cells. The assays were performed in 96-well microplates infected with approximately fifty 50% cell culture infectious doses (CCID50) of virus, by quantifying virus yield after three days in culture. The plates of samples were frozen at - 80°C. Medium from two microwells were later pooled and used to produce samples for titration. Virus yields at each inhibitor concentration were determined by titration of samples (in 10-fold dilution increments) on fresh monolayers of MDCK cells in 96-well microplates by endpoint dilution method (Reed and Muench, 1938) using four microwells per dilution. Microplates were examined at 3 and 6 days of infection for the presence or absence of viral cytopathology. Virus titers were expressed as log10 CCID50 per 0.1 ml.
For anti-inflammatory screening, peritoneal macrophages were stimulated with LPS (100 ng/ml) for 4 hours in the presence of a test compound at 10 μM. The cell supernatant was collected, and the concentration of TNF-α was measured using an ELISA kit. The remaining cells were examined for cytotoxicity using a CCK-8 assay [1].
- For the virus yield reduction assay, confluent MDCK cells in 96-well plates were infected with influenza A/NWS/33 (H1N1) virus (approximately 50 CCID50). Peramivir (BCX-1812, RWJ-270201, S-021812) and oseltamivir carboxylate were added at concentrations ranging from 0.32 to 100 μM. After three days of culture, the plates were frozen. The virus titers in the supernatants were then determined by an endpoint dilution method on fresh MDCK cells. Virus titers were expressed as log10 CCID50 per 0.1 ml [5].
- The viability of macrophages treated with Peramivir (BCX-1812, RWJ-270201, S-021812) was assessed using a Cell Counting Kit-8 (CCK-8) assay. Cells were seeded in 96-well plates. After treatment, the CCK-8 solution was added to each well, and the plates were incubated for 1 hour at 37°C. Absorbance was measured at 450 nm. No apparent cytotoxicity was observed at concentrations up to 40 μM [1].
- For NF-κB luciferase activity assay, RAW264.7 cells stably transfected with an NF-κB-responsive luciferase construct were seeded in 96-well plates. Cells were pretreated with Peramivir (BCX-1812, RWJ-270201, S-021812) for 1 hour, followed by stimulation with LPS (100 ng/ml) for 6 hours. Cells were then collected, and luciferase activity was measured using a luciferase assay system [1].
- Western blotting was performed to assess the effect of Peramivir (BCX-1812, RWJ-270201, S-021812) on LPS-induced activation of NF-κB and MAPK pathways. Protein samples were separated by SDS-PAGE, transferred to NC membranes, and probed with specific primary antibodies against phosphorylated and total forms of p65, IκBα, p38, Erk1/2, and others, followed by HRP-linked secondary antibodies. The signal was detected by chemiluminescence [1].
Animal Protocol
Animal experiment design[5]
Female BALB/c mice (18-20 g) were anesthetized by i.p. injection of ketamine (100 mg/kg) followed by intranasal infection with a 50-μl suspension of influenza virus; the infection inoculation of approximately 104.5 CCID50/mouse equaled three 50% mouse lethal challenge doses (MLD50). Compounds were administered p.o. (oseltamivir) by gavage or i.m. (peramivir) twice a day at 12-hour intervals for 5 days starting 2 hours before virus challenge. Placebo-treated mice received both p.o. and i.m. treatments. Ten drug-treated infected mice and 10 placebo-treated controls were observed daily for death through 21 days. Mice that died during the treatment phase were excluded from the total count. Body weights were determined every other day.
Pharmacokinetic (PK) analysis[4]
PK data was obtained in ferrets and mice, as follows . Male ferrets (three per group) were injected via i.m. route with a dose of 1, 3 or 9 mg/kg peramivir. Prior to dosing (time 0) and at time intervals between 0.083 and 72 hrs following dosing, blood samples of approximately 0.5 ml were collected and analyzed via liquid chromatography with tandem mass spectrophotometry (LS/MS/MS). Mice PK data were generated based upon modeling from a 10 mg/kg i.m. dose. PK parameters were calculated and modeling performed using WinNonlin® 5.0.1. PK data were obtained following a single i.m. injection of ferrets (3 per group) with doses of 1, 3 or 9 mg/kg peramivir. Animals were monitored for peramivir concentration in plasma over a 72 hour period.
Mice[4]
Ten-week-old mice (10-11 per group) were infected intranasally with a dose of 6 × 102 TCID50 of influenza A H5N1 (A/Vietnam/1203/04) grown in MDCK cells. Subsequently, mice were treated with peramivir (30 mg/kg) in a single dose at 1 h post-inoculation (+1 h) or multiple doses (+1 h, daily on day +1 through day +4) via i.m. injection. As control, mice were treated with drug diluent (“vehicle” at +1 h, daily on day +1 through day +4. For comparison, mice were treated orally (per os, p.o.) with oseltamivir (10 mg/kg/day) at +1 h and daily on day +1 through day +4. Animals were monitored daily for a period of 15 days for death, disease development, and body temperature. Body mass (weight) was recorded on days indicated in figure legend. Severe disease was defined as the loss of ≥20% of their initial body mass.
Ferrets[4]
Six- to eight-week-old ferrets were infected intranasally with 1.5 × 103 TCID50 (trial 1), 1.5 × 104 TCID50 (trial 2), or 1.7 × 104 TCID50 of influenza A H5N1 (A/Vietnam/1203/04) using virus stock prepared in MDCK cells (trial 1) or in eggs (trial 2 and 3). Ferrets were then treated with multiple doses of peramivir (30 mg/kg) or, as control, were treated with vehicle at +1 h, and daily on day +1 through day +4 (trial 1 and 3) or were untreated (trial 2). Following infection and drug treatment, animals were monitored daily for a period of 16-18 days following infection for death and disease development. Daily telemetric monitoring of body temperature was performed. For trial 3, five animals per group were randomly pre-selected to be euthanized on day 4 and on day 6 post-infection for organ harvest and infectious virus titration.
Animal Model: Cytokine storm syndrome model mice [1]
Dosage: 20 mg/kg, 60 mg/kg
Administration: Intraperitoneal injection (i.p.)
Result: reduced levels of eight cytokines, including GM-CSF, IL-1β, IL-6, IL-12, chemokines (MCP-1), TNF-a, IFN-a, and IFN-γ.demonstrated a decrease in bleeding sites or congestion, a mild thickening of the alveoli, and an infiltration of inflammatory cells.demonstrated a strong protective effect on the lung tissues.

Cytokine Storm Syndrome (CSS) Model in Mice: CSS was induced by a single intraperitoneal (i.p.) injection of LPS (15 mg/kg). Peramivir (BCX-1812, RWJ-270201, S-021812) (60 mg/kg) was administered i.p. 1 hour before LPS injection. Mice were sacrificed 4 hours post-LPS for serum collection or 8 hours post-LPS for bronchoalveolar lavage fluid (BALF) and lung tissue collection. For survival studies, a lethal dose of LPS (30 mg/kg) was given, and mice were treated with low-dose (20 mg/kg) or high-dose (60 mg/kg) peramivir i.p. 1 hour before LPS challenge. Survival was monitored every 2 hours for 40 hours [1].
- Influenza B Virus Infection Model in Mice: Female 6-week-old BALB/c, NOD scid, and BALB scid mice were inoculated intranasally (i.n.) with influenza B virus (MA/12, PH/13, or BR/08). Peramivir (BCX-1812, RWJ-270201, S-021812) was administered by intramuscular (i.m.) injection at a dose of 75 mg/kg/day. Treatment regimens included a single dose at +24 hpi (1×), double dose at +24 and +72 hpi (2×), or four doses at +24, +72, +120, and +168 hpi (4×). Control animals received sterile water. Mice were monitored daily for weight loss, clinical signs, and survival up to 30 days post-infection (dpi) [2].
- Influenza A/NWS/33 (H1N1) Mouse Model: Female BALB/c mice were infected intranasally with the virus (approximately 3 MLD50). Peramivir (BCX-1812, RWJ-270201, S-021812) was administered intramuscularly (i.m.) twice a day at 12-hour intervals for 5 days, starting 2 hours before virus challenge. The drug was prepared in sterile saline. Oseltamivir was administered orally (p.o.) by gavage. Ten mice per group were used, and they were observed for death for 21 days. Body weights were recorded every other day [5].
- H5N1 Influenza A Virus Model in Mice and Ferrets: Mice (10-week-old) were infected intranasally with a lethal dose (6×10^2 TCID50) of A/Vietnam/1203/04 (H5N1). Peramivir (BCX-1812, RWJ-270201, S-021812) was given intramuscularly at 30 mg/kg as a single dose at 1 hpi, or as multiple doses (daily on day +1 through +4). For comparison, oseltamivir was given orally at 10 mg/kg/day. Ferrets (6-8 week-old) were infected intranasally with a lethal dose (1.5×10^3 to 1.7×10^4 TCID50) of the same virus and treated with multiple doses of peramivir (30 mg/kg, i.m.) at +1 hpi and daily on day +1 through +4. Control animals received vehicle or were untreated. Animals were monitored for survival and disease development for 15-18 days [4].
0.025 mg/kg/d, 0.05 mg/kg/d, and 0.1 mg/kg/d
Mice
ADME/Pharmacokinetics
Researchers also evaluated the post-exposure therapeutic effect of peramivir in non-inbred animals (ferrets), as pharmacokinetic analysis of peramivir in ferrets showed that the drug rapidly entered the bloodstream after intramuscular injection. Pharmacokinetic analysis also showed that the injectable form of peramivir rapidly entered the bloodstream of these mice after intramuscular injection. https://pmc.ncbi.nlm.nih.gov/articles/PMC2680697/
In mice, after a single intramuscular (i.m.) injection of 10 mg/kg, the plasma concentration of Peramivir (BCX-1812, RWJ-270201, S-021812) peaked immediately, and the elimination half-life is more than 24 hours, supporting once-daily dosing [2].
- In ferrets, following a single i.m. injection of 1, 3, or 9 mg/kg, Peramivir (BCX-1812, RWJ-270201, S-021812) was rapidly absorbed into the circulation. The maximum plasma concentrations (Cmax) achieved were up to 20,000-fold above the IC50 for H5N1 isolates [4].
- In humans, oral peramivir has low bioavailability (≤3%). The elimination half-life of peramivir following a single IV administration of 600 mg to healthy subjects is approximately 20 hours. It is almost entirely eliminated by renal excretion, with 90% of the drug excreted unchanged. Clearance is linearly related to creatinine clearance (CrCl) when CrCl values are below 115 mL/min. Dose adjustment is required for patients with renal impairment (e.g., 200 mg for CrCl 30-49 mL/min, 100 mg for CrCl 10-29 mL/min) [3].
Toxicity/Toxicokinetics
Hepatotoxicity
Despite the widespread use of peramivir, there is little evidence that a single intravenous infusion of peramivir at the recommended dose causes liver injury, whether it is elevated serum enzymes or clinically apparent liver disease. Some influenza patients may experience mild elevations in serum enzymes during the acute phase, but this appears to be unrelated to treatment and is not exacerbated by peramivir. Probability score: E (unlikely to be the cause of clinically apparent liver injury). Pregnancy and Lactation Effects ◉ Overview of Use During Lactation Due to poor oral absorption of peramivir, it is unlikely to enter the infant's bloodstream at clinically significant concentrations. However, since there is currently no information on the use of peramivir during lactation, alternative medications may be preferred, especially for breastfed newborns or premature infants. ◉ Effects on Breastfed Infants No relevant published information was found as of the revision date. ◉ Effects on Lactation and Breast Milk No relevant published information was found as of the revision date.
In cell viability assays (CCK-8) on macrophages, Peramivir (BCX-1812, RWJ-270201, S-021812) showed no apparent cytotoxicity at concentrations up to 40 μM [1].
- In clinical studies, Peramivir (BCX-1812, RWJ-270201, S-021812) demonstrated good tolerability and safety. The most common adverse events were mild to moderate and included gastrointestinal disorders (diarrhea, nausea, vomiting) and decreased neutrophil counts, which were self-limiting. No significant drug interactions were observed with oseltamivir or rimantadine [3].
- In the ferret model, no significant toxicity was observed with multiple doses of peramivir (30 mg/kg, i.m.) [4].
References

[1]. Peramivir, an anti-influenza virus drug, exhibits potential anti-cytokine storm effects [J]. Frontiers in Immunology, 2022, 13: 856327.

[2]. Pathogenicity and peramivir efficacy in immunocompromised murine models of influenza B virus infection [J]. Scientific reports, 2017, 7(1): 7345.

[3]. Peramivir: a novel intravenous neuraminidase inhibitor for treatment of acute influenza infections [J]. Frontiers in microbiology, 2016, 7: 450.

[4]. Virology.2008 Apr 25;374(1):198-209.

[5]. Antiviral Res.2010 Oct;88(1):38-44.

Additional Infomation
Peramivir belongs to the guanidine class of drugs, and its trihydrate is used to treat acute uncomplicated influenza in patients aged 18 years and older with symptoms lasting no more than two days. It is an antiviral drug and an EC 3.2.1.18 (exo-α-sialidase) inhibitor. Peramivir belongs to the cyclopentanol, acetamide, guanidine, and 3-hydroxymonocarboxylic acid class of compounds. It contains peramivir hydrate. Peramivir is an antiviral drug developed by Biocryst Pharmaceuticals for the treatment of influenza A/B. The development of peramivir was supported by the U.S. Department of Health and Human Services as part of the government's pandemic response. As an influenza virus neuraminidase inhibitor, peramivir's mechanism of action is to prevent the release of new virus from infected cells. Due to low oral bioavailability, Johnson & Johnson had previously discontinued production of the oral formulation of this drug. In September 2017, the U.S. Food and Drug Administration (FDA) approved an injectable form of peramivir for the treatment of acute uncomplicated influenza in children aged 2 years and older with symptoms lasting no more than two days. Peramivir is an influenza virus neuraminidase inhibitor used to treat acute influenza A and B. No elevation of serum enzymes or clinically significant liver damage has been observed during peramivir treatment. Peramivir is a cyclopentane derivative active against both influenza A and B viruses. As a neuraminidase inhibitor, peramivir prevents the normal processing of viral particles, thus preventing their release from infected cells. Drug Indications Peramivir is indicated for the treatment of acute uncomplicated influenza in patients 6 months or older with symptoms presenting for no more than two days. FDA Label Peramivir is indicated for the treatment of uncomplicated influenza in adults 2 years of age and older and children. Influenza Treatment Mechanism of Action Peramivir is an influenza virus neuraminidase inhibitor that prevents new viral particles from leaving infected cells.
Peramivir (BCX-1812, RWJ-270201, S-021812) is a novel cyclopentane neuraminidase inhibitor. It was approved by the U.S. Food and Drug Administration (FDA) in December 2014 for the treatment of acute uncomplicated influenza in patients 18 years and older. It is administered as a single intravenous (IV) dose of 600 mg [3].
- During the 2009 H1N1 influenza pandemic, the FDA issued an Emergency Use Authorization (EUA) for IV peramivir for hospitalized adult and pediatric patients who were not responsive to approved antivirals or for whom alternative routes were not feasible [3].
- The unique structure of Peramivir (BCX-1812, RWJ-270201, S-021812) (a cyclopentane ring with a guanidino group and a hydrophobic side chain) allows it to form eight strong hydrogen bonds with conserved arginine residues in the NA active site, contributing to its tight binding and slow dissociation rate (t1/2 > 24 h), compared to oseltamivir and zanamivir (t1/2 = 1.25 h) [3].
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C15H28N4O4
Molecular Weight
328.41
Exact Mass
328.211
Elemental Analysis
C, 54.86; H, 8.59; N, 17.06; O, 19.49
CAS #
330600-85-6
Related CAS #
Peramivir trihydrate;1041434-82-5
PubChem CID
154234
Appearance
White to off-white solid powder
Density
1.4±0.1 g/cm3
Index of Refraction
1.614
LogP
-1.37
Hydrogen Bond Donor Count
5
Hydrogen Bond Acceptor Count
5
Rotatable Bond Count
7
Heavy Atom Count
23
Complexity
460
Defined Atom Stereocenter Count
5
SMILES
O[C@H]1[C@]([C@H](C(CC)CC)NC(C)=O)([H])[C@H](NC(N)=N)C[C@@H]1C(O)=O
InChi Key
XRQDFNLINLXZLB-CKIKVBCHSA-N
InChi Code
InChI=1S/C15H28N4O4/c1-4-8(5-2)12(18-7(3)20)11-10(19-15(16)17)6-9(13(11)21)14(22)23/h8-13,21H,4-6H2,1-3H3,(H,18,20)(H,22,23)(H4,16,17,19)/t9-,10+,11+,12-,13+/m0/s1
Chemical Name
(1S,2S,3R,4R)-3-((S)-1-acetamido-2-ethylbutyl)-4-guanidino-2-hydroxycyclopentanecarboxylic acid
Synonyms
RWJ 270201; RWJ270201; BCX-1812; Rapiacta; 229614-55-5; Peramivir anhydrous; RAPIVAB; Brand name: Rapivab; Rapiacta and Peramiflu; BCX1812; BCX1812; BCX 1812; RWJ270201;
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 3.0450 mL 15.2249 mL 30.4497 mL
5 mM 0.6090 mL 3.0450 mL 6.0899 mL
10 mM 0.3045 mL 1.5225 mL 3.0450 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
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Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
NCT Number Recruitment interventions Conditions Sponsor/Collaborators Start Date Phases
NCT00957996 COMPLETEDWITH RESULTS Drug: Peramivir
Drug: Peramivir
Cough
Fatigue
Headache
Myalgia
BioCryst Pharmaceuticals 2009-10 Phase 3
NCT02635724 COMPLETEDWITH RESULTS Drug: Peramivir Influenza BioCryst Pharmaceuticals 2015-12 Phase 3
NCT02665351 COMPLETED Drug: Peramivir Influenza Chinese University of Hong Kong 2011-02 Phase 2
Phase 3
NCT01063933 WITHDRAWN Drug: Peramivir Influenza National Institute of Allergy and Infectious Diseases (NIAID) 2011-08 Phase 1
Phase 2
NCT00297050 COMPLETED Drug: Peramivir Influenza National Institute of Allergy and Infectious Diseases (NIAID) 2006-02-23 Phase 1
Biological Data
  • Identification of peramivir as anti-inflammatory agents. (A) Chemical structures of peramivir, oseltamivir and zanamivir. (B) Peramivir showed the strongest TNF-α inhibitory effect compared with oseltamivir and zanamivir, **P < 0.01, ***P < 0.001 vs peramivir. (C) The dose-response curves for the TNF-α inhibitions of peramivir exhibited IC50s of 4.3 µM. (D) Cell viabilities of macrophages with peramivir treatment at different concentrations. N = 3.[1].Peramivir, an anti-influenza virus drug, exhibits potential anti-cytokine storm effects [J]. Frontiers in Immunology, 2022, 13: 856327.
  • Peramivir has a significant effect on some cytokines in mouse serum and bronchoalveolar lavage fluid (BALF). (A–H) Serum cytokines. (I, J) BALF cytokines. *P < 0.05, **P <0.01, ***P < 0.001, ****P < 0.0001. N = 8-10.[1].Peramivir, an anti-influenza virus drug, exhibits potential anti-cytokine storm effects [J]. Frontiers in Immunology, 2022, 13: 856327.
  • The weak effect of peramivir on some cytokines in the bronchoalveolar lavage fluid (BALF) of mice. (A, B) BALF cytokines: IFN-γ, IFN-β. (C) BALF chemokines: MCP-1. (D) BALF cytokines: GM-CSF. (E–J) BALF cytokines: IL-1α, IL-1β, IL-10, IL-17A, IL-27, IL-23. ns, no significance. N = 8-10.[1].Peramivir, an anti-influenza virus drug, exhibits potential anti-cytokine storm effects [J]. Frontiers in Immunology, 2022, 13: 856327.
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