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Fosamprenavir
Also known as: 226700-81-8, Fosamprenavir calcium salt, Lexiva, Telzir, Fosamprenavir (calcium salt), Fosamprenavir calcium [usan]
Molecular Formula
C25H34CaN3O9PS
Molecular Weight
623.7  g/mol
InChI Key
PMDQGYMGQKTCSX-HQROKSDRSA-L
FDA UNII
ID1GU2627N

Fosamprenavir Calcium is the calcium salt form of fosamprenavir, prodrug of amprenavir, and a human immunodeficiency virus (HIV) protease inhibitor with antiviral property. Fosamprenavir is converted to amprenavir by cellular phosphatases in the epithelial cells of the intestine. Then amprenavir binds to the active site of HIV-1 protease, thereby preventing the proteolytic cleavage of viral Gag-Pol polypeptide into individual functional proteins, thereby leading to the formation of immature non-infectious viral particles.
1 2D Structure

Fosamprenavir

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
calcium;[(2R,3S)-1-[(4-aminophenyl)sulfonyl-(2-methylpropyl)amino]-3-[[(3S)-oxolan-3-yl]oxycarbonylamino]-4-phenylbutan-2-yl] phosphate
2.1.2 InChI
InChI=1S/C25H36N3O9PS.Ca/c1-18(2)15-28(39(33,34)22-10-8-20(26)9-11-22)16-24(37-38(30,31)32)23(14-19-6-4-3-5-7-19)27-25(29)36-21-12-13-35-17-21;/h3-11,18,21,23-24H,12-17,26H2,1-2H3,(H,27,29)(H2,30,31,32);/q;+2/p-2/t21-,23-,24+;/m0./s1
2.1.3 InChI Key
PMDQGYMGQKTCSX-HQROKSDRSA-L
2.1.4 Canonical SMILES
CC(C)CN(CC(C(CC1=CC=CC=C1)NC(=O)OC2CCOC2)OP(=O)([O-])[O-])S(=O)(=O)C3=CC=C(C=C3)N.[Ca+2]
2.1.5 Isomeric SMILES
CC(C)CN(C[C@H]([C@H](CC1=CC=CC=C1)NC(=O)O[C@H]2CCOC2)OP(=O)([O-])[O-])S(=O)(=O)C3=CC=C(C=C3)N.[Ca+2]
2.2 Other Identifiers
2.2.1 UNII
ID1GU2627N
2.3 Synonyms
2.3.1 MeSH Synonyms

1. (3-(((4-aminophenyl)sulfonyl)(2-methylpropyl)amino)-1-(phenylmethyl)-2-(phosphonooxy)propyl)carbamic Acid C-(tetrahydro-3-furanyl) Ester

2. Fos-amprenavir

3. Fosamprenavir

4. Fosamprenavir Sodium

5. Gw 433908

6. Gw 433908a

7. Gw 433908g

8. Gw 908

9. Gw-433908

10. Gw-433908a

11. Gw-433908g

12. Gw-908

13. Gw433908

14. Gw433908g

15. Lexiva

16. Telzir

17. Vx 175

18. Vx-175

2.3.2 Depositor-Supplied Synonyms

1. 226700-81-8

2. Fosamprenavir Calcium Salt

3. Lexiva

4. Telzir

5. Fosamprenavir (calcium Salt)

6. Fosamprenavir Calcium [usan]

7. Gw433908g

8. Gw 433908g

9. Gw-433908g

10. Id1gu2627n

11. Lexiva (tn)

12. Calcium;[(2r,3s)-1-[(4-aminophenyl)sulfonyl-(2-methylpropyl)amino]-3-[[(3s)-oxolan-3-yl]oxycarbonylamino]-4-phenylbutan-2-yl] Phosphate

13. Carbamic Acid, ((1s,2r)-3-(((4-aminophenyl)sulfonyl)(2-methylpropyl)amino)-1-(phenylmethyl)-2-(phosphonooxy)propyl)-, C-((3s)-tetrahydro-3-furanyl) Ester, Calcium Salt (1:1)

14. Fosamprenavir Calcium (usan)

15. Amprenavir Phosphate Calcium

16. Calcium (2r,3s)-1-(4-amino-n-isobutylphenylsulfonamido)-4-phenyl-3-(((((s)-tetrahydrofuran-3-yl)oxy)carbonyl)amino)butan-2-yl Phosphate

17. Unii-id1gu2627n

18. Telzir (tn)

19. Ncgc00168771-01

20. Dsstox_cid_26777

21. Dsstox_rid_81896

22. Dsstox_gsid_46777

23. ((3s)oxolan-3-yloxy)-n-((1s,2r)-3-(((4-aminophenyl)sulfonyl)(2-methylpropyl)amino)-1-benzyl-2-(phosphonooxy)propyl)carboxamide Calcium Salt

24. Mls006012033

25. Schembl1649283

26. Chembl1200734

27. Dtxsid0046777

28. Amy6787

29. Tox21_112632

30. Fosamprenavir Calcium [mart.]

31. Akos015950832

32. Fosamprenavir Calcium [who-dd]

33. Cs-1411

34. Fosamprenavir Calcium Salt [mi]

35. Fosamprenavir Calcium [ema Epar]

36. Fosamprenavir Calcium, >=98% (hplc)

37. (3s)-tetrahydro-3-furyl ((alphas)-alpha-((1r)-1-hydroxy-2-(n(sup 1)-isobutylsulfanilamido)ethyl)phenethyl)carbamate, Calcium Phosphate (ester) (1:1)

38. As-82030

39. Carbamic Acid, ((1s,2r)-3-(((4-aminophenyl)sulfonyl)(2-methylpropyl)amino)-1-(phenylmethyl)-2-(phosphonooxy)propyl)-, C-((3s)-tetrahydro-3-furanyl) Ester, Calcium Salt

40. Hy-17431

41. Smr004703563

42. Fosamprenavir Calcium [orange Book]

43. Cas-226700-81-8

44. C74170

45. D03835

46. Q27280661

47. (3s)-tetrahydro-3-furyl ((.alpha.s)-.alpha.-((1r)-1-hydroxy-2-(n(sup 1)-isobutylsulfanilamido)ethyl)phenethyl)carbamate, Calcium Phosphate (ester) (1:1)

48. (3s)-tetrahydro-3-furyl ((.alpha.s)-.alpha.-((1r)-1-hydroxy-2-(n1-isobutylsulfanilamido)ethyl)phenethyl)carbamate, Calcium Phosphate (ester) (1:1)

49. Calcium(2r,3s)-1-(4-amino-n-isobutylphenylsulfonamido)-4-phenyl-3-(((((s)-tetrahydrofuran-3-yl)oxy)carbonyl)amino)butan-2-ylphosphate

2.4 Create Date
2005-08-08
3 Chemical and Physical Properties
Molecular Weight 623.7 g/mol
Molecular Formula C25H34CaN3O9PS
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count11
Rotatable Bond Count13
Exact Mass623.1379287 g/mol
Monoisotopic Mass623.1379287 g/mol
Topological Polar Surface Area192 Ų
Heavy Atom Count40
Formal Charge0
Complexity901
Isotope Atom Count0
Defined Atom Stereocenter Count3
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count2
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameLexiva
PubMed HealthFosamprenavir (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelLEXIVA (fosamprenavir calcium) is a prodrug of amprenavir, an inhibitor of HIV protease. The chemical name of fosamprenavir calcium is (3S)-tetrahydrofuran-3-yl (1S,2R)-3-[[(4-aminophenyl) sulfonyl](isobutyl)amino]-1-benzyl-2-(phosphonooxy) propylcar...
Active IngredientFosamprenavir calcium
Dosage FormTablet; Suspension
RouteOral
Strengtheq 700mg base; eq 50mg base/ml
Market StatusPrescription
CompanyViiv Hlthcare

2 of 2  
Drug NameLexiva
PubMed HealthFosamprenavir (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelLEXIVA (fosamprenavir calcium) is a prodrug of amprenavir, an inhibitor of HIV protease. The chemical name of fosamprenavir calcium is (3S)-tetrahydrofuran-3-yl (1S,2R)-3-[[(4-aminophenyl) sulfonyl](isobutyl)amino]-1-benzyl-2-(phosphonooxy) propylcar...
Active IngredientFosamprenavir calcium
Dosage FormTablet; Suspension
RouteOral
Strengtheq 700mg base; eq 50mg base/ml
Market StatusPrescription
CompanyViiv Hlthcare

4.2 Drug Indication

Telzir in combination with low-dose ritonavir is indicated for the treatment of human-immunodeficiency-virus-type-1-infected adults, adolescents and children of six years and above in combination with other antiretroviral medicinal products.

In moderately antiretroviral-experienced adults, Telzir in combination with low-dose ritonavir has not been shown to be as effective as lopinavir / ritonavir. No comparative studies have been undertaken in children or adolescents.

In heavily pretreated patients, the use of Telzir in combination with low-dose ritonavir has not been sufficiently studied.

In protease-inhibitor-experienced patients, the choice of Telzir should be based on individual viral resistance testing and treatment history.


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

HIV Protease Inhibitors

Inhibitors of HIV PROTEASE, an enzyme required for production of proteins needed for viral assembly. (See all compounds classified as HIV Protease Inhibitors.)


Anti-HIV Agents

Agents used to treat AIDS and/or stop the spread of the HIV infection. These do not include drugs used to treat symptoms or opportunistic infections associated with AIDS. (See all compounds classified as Anti-HIV Agents.)


5.2 FDA Pharmacological Classification
5.2.1 Pharmacological Classes
Cytochrome P450 3A4 Inhibitors [MoA]; HIV Protease Inhibitors [MoA]; P-Glycoprotein Inducers [MoA]; Protease Inhibitor [EPC]; Cytochrome P450 3A4 Inducers [MoA]
5.3 ATC Code

J05AE07


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