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Tenofovir exalidex (CMX-157)

Alias: Tenofovir exalidex; HDP-Tenofovir; Tenofovir; CMX-157; HDP-Tenofovir; CMX-157; 3-(Hexadecyloxy)propyl hydrogen ((((R)-1-(6-amino-9H-purin-9-yl)propan-2-yl)oxy)methyl)phosphonate; K7J545MEMA; 9-R-(2-(Phosphonomethoxy)propyl)adenine; CMX157; CMX 157
Cat No.:V16066 Purity: ≥98%
Tenofovir exalidex (formerly known as HDP-Tenofovir and CMX-157) is a novel and potent lipophilic / acyclic nucleoside phosphonate that is able to deliver high concentrations of the active antiviral agent tenofovir to target cells.
Tenofovir exalidex (CMX-157)
Tenofovir exalidex (CMX-157) Chemical Structure CAS No.: 911208-73-6
Product category: HIV
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
5mg
10mg
25mg
50mg
100mg
250mg
Other Sizes

Other Forms of Tenofovir exalidex (CMX-157):

  • Tenofovir hydrate (GS 1278)
  • Tenofovir maleate (GS 1278)
  • Tenofovir alafenamide hemifumarate (GS-7340)
Official Supplier of:
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Tenofovir exalidex (formerly known as HDP-Tenofovir and CMX-157) is a novel and potent lipophilic / acyclic nucleoside phosphonate that is able to deliver high concentrations of the active antiviral agent tenofovir to target cells. Tenofovir exalidex results in decreased circulating levels, lowering systemic exposure and thereby reducing the potential for renal and bone side effects. Potential Advantages of Tenofovir exalidex over Increased efficacy by boosting bioavailability; Takes advantage of natural lipid uptake mechanisms; Decreased renal toxicity by reduced circulating TFV; 97-fold more active against HBV in vitro.

Biological Activity I Assay Protocols (From Reference)
Targets
HIV-1;HIV-2
ln Vitro
Tenofovir exalidex exhibits a consistent >300-fold increase in activity compared to Tenofovir against various viruses across multiple cell systems. Tenofovir exalidex is effective against MNR mutants, including those that don't react to any of the NRTIs that are on the market right now. CMX157's average EC50 in PBMCs was 2.6 nM (range, 0.2 to 7.2 nM) against a panel of 27 wild-type HIV-1 isolates representing group M subtypes A to G and group O. This is noteworthy[1].
Although cyclophilins are not known to bind to HBV polymerase or participate in DNA elongation, tenofovir exalidex works as a therapeutic by blocking HBV polymerase-mediated HBV DNA elongation. Tenofovir exalidex (direct-acting) and CRV431 (host-targeting) together have a combination effect on HBV DNA production that is more consistent with the two drugs acting on different stages of the HBV life cycle[3].
ln Vivo
Oral administration of tenofovir exalidex (Sprague-Dawley rats) at doses of 10, 30, or 100 mg/kg/day to rats for seven days does not appear to be toxic[2]. Metovir exalidex (5–10 mg/kg; oral gavage; once daily for 16 days) reduces HBV DNA levels in the liver in a dose-dependent manner[3].
Cell Assay
CMX157 is a lipid (1-0-hexadecyloxypropyl) conjugate of the acyclic nucleotide analog tenofovir (TFV) with activity against both wild-type and antiretroviral drug-resistant HIV strains, including multidrug nucleoside/nucleotide analog-resistant viruses. CMX157 was consistently >300-fold more active than tenofovir against multiple viruses in several different cell systems. CMX157 was active against all major subtypes of HIV-1 and HIV-2 in fresh human peripheral blood mononuclear cells (PBMCs) and against all HIV-1 strains evaluated in monocyte-derived macrophages, with 50% effective concentrations (EC(50)s) ranging between 0.20 and 7.2 nM. The lower CMX157 EC(50)s can be attributed to better cellular uptake of CMX157, resulting in higher intracellular levels of the active antiviral anabolite, TFV-diphosphate (TFV-PP), inside target cells. CMX157 produced >30-fold higher levels of TFV-PP in human PBMCs exposed to physiologically relevant concentrations of the compounds than did TFV. Unlike conventional prodrugs, including TFV disoproxil fumarate (Viread), CMX157 remains intact in plasma, facilitating uptake by target cells and decreasing relative systemic exposure to TFV. There was no detectable antagonism with CMX157 in combination with any marketed antiretroviral drug, and it possessed an excellent in vitro cytotoxicity profile. CMX157 is a promising clinical candidate to treat wild-type and antiretroviral drug-resistant HIV, including strains that fail to respond to all currently available nucleoside/nucleotide reverse transcriptase inhibitors[1].
Animal Protocol
Animal Model: transgenic mice that are female Tg05 transgenic mice for HBV (C57BL/6)[1]
Dosage: 5 mg/kg, 10 mg/kg
Administration: Oral gavage; daily for a period of 16 days
Result: For low-dose (5 mg/kg/day) and high-dose (10 mg/kg/day), the reductions in HBV DNA were 55% and 97%, respectively.
References

[1]. Development of hexadecyloxypropyl tenofovir (CMX157) for treatment of infection caused by wild-type and nucleoside/nucleotide-resistant HIV. Antimicrob Agents Chemother. 2010;54(7):2901-2909.

[2]. The cyclophilin inhibitor CRV431 inhibits liver HBV DNA and HBsAg in transgenic mice. PLoS One. 2019;14(6):e0217433. Published 2019 Jun 10.

[3]. Evaluation of hexadecyloxypropyl-9-R-[2-(Phosphonomethoxy)propyl]- adenine, CMX157, as a potential treatment for human immunodeficiency virus type 1 and hepatitis B virus infections [published correction appears in Antimicrob Agents Chemother. 2007 Dec;51(12):4538]. Antimicrob Agents Chemother. 2007;51(10):3505-3509.

Additional Infomation
Tenofovir exalidex is under investigation in clinical trial NCT01080820 (A Safety, Tolerability and Pharmacokinetic Study of a Single Dose of CMX157 in Healthy Volunteers).
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C28H52N5O5P
Molecular Weight
569.7278
Exact Mass
569.371
Elemental Analysis
C, 59.03; H, 9.20; N, 12.29; O, 14.04; P, 5.44
CAS #
911208-73-6
Related CAS #
202138-50-9n(fumarate);206184-49-8 (hydrate);379270-37-8n(alafenamide);206184-49-8 (hydrate);1571075-19-8n(aspartate);201341-05-1 Tenofovir dsoproxil);1236287-04-9 (Tenofovirnmaleate);1392275-56-7 (Tenofovir alafenamide hemifumarate);379270-38-9n(Tenofovir alafenamide fumarate);1453166-76-1 (Tenofovir disoproxil phosphate);1637632-97-3n(Tenofovir disoproxil succinate)
PubChem CID
23628250
Appearance
White to off-white solid powder.
LogP
7.442
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
9
Rotatable Bond Count
25
Heavy Atom Count
39
Complexity
650
Defined Atom Stereocenter Count
1
SMILES
C(N1C=NC2C(=NC=NC1=2)N)[C@@H](C)OCP(O)(=O)OCCCOCCCCCCCCCCCCCCCC
InChi Key
BPPMYUZIZUESBY-MLEONAHRSA-N
InChi Code
InChI=1S/C28H52N5O5P/c1-3-4-5-6-7-8-9-10-11-12-13-14-15-16-18-36-19-17-20-38-39(34,35)24-37-25(2)21-33-23-32-26-27(29)30-22-31-28(26)33/h22-23,25H,3-21,24H2,1-2H3,(H,34,35)(H2,29,30,31)/t25-/m1/s1
Chemical Name
3-(hexadecyloxy)propyl hydrogen ((((R)-1-(6-amino-9H-purin-9-yl)propan-2-yl)oxy)methyl)phosphonate
Synonyms
Tenofovir exalidex; HDP-Tenofovir; Tenofovir; CMX-157; HDP-Tenofovir; CMX-157; 3-(Hexadecyloxy)propyl hydrogen ((((R)-1-(6-amino-9H-purin-9-yl)propan-2-yl)oxy)methyl)phosphonate; K7J545MEMA; 9-R-(2-(Phosphonomethoxy)propyl)adenine; CMX157; CMX 157
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)
DMSO : ~100 mg/mL (~175.52 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2 mg/mL (3.51 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.0 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 1.7552 mL 8.7761 mL 17.5522 mL
5 mM 0.3510 mL 1.7552 mL 3.5104 mL
10 mM 0.1755 mL 0.8776 mL 1.7552 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

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Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
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In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
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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.
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Clinical Trial Information
A Single Dose Study Evaluating PK of TXL Oral Formulations in Healthy Subjects
CTID: NCT03279146
Phase: Phase 1
Status: Completed
Date: 2018-08-02
Evaluation of Effect of Renal Impairment on the PK of Tenofovir Exalidex
CTID: NCT03284164
Phase: Phase 1
Status: Completed
Date: 2018-06-06
Phase 2, Multiple Ascending Dose Proof of Concept Study
CTID: NCT02710604
Phase: Phase 2
Status: Completed
Date: 2017-09-13
A Multiple Dose Study of the Safety, Tolerability and PK of CMX157 in Healthy Subjects
CTID: NCT02585440
Phase: Phase 1
Status: Completed
Date: 2017-02-02
A Safety, Tolerability and Pharmacokinetic Study of a Single Dose of CMX157 in Healthy Volunteers
CTID: NCT01080820
Phase: Phase 1
Status: Completed
Date: 2011-07-04
Biological Data
  • Pre-screening of HBV transgenic mice.[2]. The cyclophilin inhibitor CRV431 inhibits liver HBV DNA and HBsAg in transgenic mice. PLoS One. 2019;14(6):e0217433. Published 2019 Jun 10.
  • Body weight analysis and liver, kidney and serum HBV marker analysis.[2]. The cyclophilin inhibitor CRV431 inhibits liver HBV DNA and HBsAg in transgenic mice. PLoS One. 2019;14(6):e0217433. Published 2019 Jun 10.
  • HBV marker analysis.[2]. The cyclophilin inhibitor CRV431 inhibits liver HBV DNA and HBsAg in transgenic mice. PLoS One. 2019;14(6):e0217433. Published 2019 Jun 10.
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