2'-Fluoro-6'-
methylene-carbocyclic
adenosine (FMCA, 21) and its
phosphoramidate prodrug (FMCAP, 31) have demonstrated potential anti-HBV activity against both
adefovir- resistant as well as
lamivudine-resistant double (rtL180M / rtM204V)
mutant hepatitis B
virus (HBV). In addition,
in vitro, these molecules have reinstated a significant activity against
lamivudine /
entecavir triple mutants (L180M+S202G+M204V). This invention is directed to compounds, pharmaceuticals and methods of treating HBV infections, especially including infections caused by resistant and multiple resistant HBV. Pursuant to the present invention, a complete structure-activity relationship (SAR) of 2'-fluoro-6'-
methylene-carbocyclic derived nucleos(t)ides has been evaluated and that analysis is presented herein. Pursuant to the present invention, the synthesis and antiviral evaluation of
purine and
pyrimidine-derived nucleosides have been reported against wild-type and various HBV mutants.
Guanosine analog (FMCG, 25) demonstrated an EC50 value of 0.217μM and
cytosine analog (FMCC, 41) expressed a potent EC50 value of 0.0025 μM compared to
entecavir (EC50 = 0.0029) against wild-type HBV. Additionally, FMCC (41) maintains its antiviral
potency against various HBV mutants. Furthermore, chiral pure FMCAP Sp (34) isomer demonstrated an EC50 value of 1.3 nM and was more potent against several HBV mutants than
entecavir.