The present invention relates to a combination therapy for treating an HIV infection or inhibiting integrase comprising (S)-6-(3-Chloro-2-fluorobenzyl)-1-(1-hydroxymethyl-2-methylpropyl)-7-methoxy-4-oxo-1,4-dihydroquinoline-3-carboxylic acid (“Compound A”) or a pharmaceutically acceptable solvate or salt thereof in combination with at least one other anti-HIV agent. In some embodiments of the present invention, the other anti-HIV agents are chosen from reverse transcriptase inhibitors and protease inhibitors. In certain embodiments of the present invention, the other anti-HIV agents are chosen from AZT, 3TC, PMPA, efavirenz, indinavir, nelfinavir, a combination of AZT / 3TC, and a combination of PMPA / 3TC. Since Compound A has a high inhibitory activity specific for integrases, when used in combinations with other anti-HIV agents it can provide a combination therapy with fewer side effects for humans.
The present invention provides a kind of chiral ligand (1R, 2R)-2-N,N-substituted amino-1-(4-substituted phenyl)-1-ethanol or its enantiomorph and a method using the above-mentioned chiral ligand or its enantiomorph as catalyst for asymmetric addition of acetylenecopper or acetylenezinc to trifluoromethylarylketone. Said invention provides its structural general formula. Said invention adopts the asymmetric addition process so as to can high-effectively and high enantiomeric-selectively create the chiral quanternary carbon center in HIV transfrase high-activity inhibitor Efavirenz (Sustiva TM), so that it can high-effectively synthesize Efavirenz (Sustiva TM).
The invention discloses a tri-combination compound mini-pill tablet co-prepared by disoproxil fumarate DF coated mini-pills, lamivudine coated mini-pills and efavirenz mini-pills and a preparation method thereof. The invention solves the problems that effective component degradation and dissolution delaying phenomena are generated due to interaction among the tri-combination compound components, tabletting is not facilitated during preparation and patient swallowing is not facilitated; and the single-layer tablet having the three component drugs without mutual contact is prepared by a mini-pill tabletting method, so as to obtain good stability and fast dissolving rate.
The invention discloses a synthetic method of intermediate cyclopropyl acetylene of an anti-aids drugefavirenz, and relates to the technical field of synthesis of cyclopropyl acetylene. The synthetic method comprises the following steps: reacting in an organic solvent to produce alpha, alpha-ethyl dichloride cyclopropane by taking cyclopropyl methyl ketone as a raw material and taking phosphorus pentachloride as a chlorinating agent; and obtaining the cyclopropyl acetylene by adding the alpha, alpha-ethyl dichloride cyclopropane into strong base aqueous liquor through a phase transfer catalyst. The synthetic method has the beneficial effects that the organic solvent and inorganic strong base are not needed to be adopted, expensive reagents such as the organic solvent and potassium tert-butoxide are avoided; moreover, process raw materials are easily available, process is simple, operation is convenient, cost is lowered and the three wastes are reduced, and therefore, the synthetic method is suitable for industrial production.
The invention discloses a method of synthesizing efavirenz which is an anti-AIDS medicine. The synthesizing steps are that: 4-chloro-2-trifluoroethylanilid is taken as raw material, after an h (hydrogen) on N being protected by protective group and the function of a ligand, the raw material is reacted with the substitute of cyclopropyl acetylene, thereby acquiring a chiral intermediate which is ring-closured and deprotected to obtain efavirenz product. The synthesizing method has the advantages that the cost is low, the reaction route is safe and environment protective and the chiral ee value of the product is high, etc.
The invention relates to an efavirenz preparation method. The method concretely comprises the following steps: 1, washing a separated chloroform layer by using brine, drying, and concentrating; 2, separating out an organic layer, washing the organic layer by using brine, drying, and concentrating to obtain 2-trifluoroacetyl-4-chloroaniline; and 3, adding 1mol / L of hydrochloric acid into n-butanol, reacting at 60DEG C for 72h, and splitting to obtain optically activeefavirenz. The efavirenz preparation method has the advantages of simple preparation, high output and low cost.
The invention is based on the finding that an increased daily dose of Efavirenz should be used for the treatment of cancer compared to the daily dose used in the treatment of AIDS. The invention thus relates to the use of Efavirenz for preparing a medicament intended for the treatment of cancer, wherein Efavirenz is administered at a dose generating an Efavirenz plasma concentration in said patient superior to 3000 ng / ml. It further relates to the use of Efavirenz for preparing a medicament intended for the treatment of cancer, wherein Efavirenz is administered at a daily dose of at least 1800 mg, in particular between 1800 and 2200 mg. It also relates to the use of Efavirenz for preparing a medicament intended for the treatment of cancer, in which the daily dose of Efavirenz is optimized after administration of a preliminary daily dose and measure or Efavirenz plasma concentration. It also relates to a unique dosage form of Efavirenz, comprising Efavirenz in an amount generating an Efavirenz plasma concentration in said patient superior to 3000 ng / ml, and a pharmaceutically acceptable carrier.
The invention discloses a tri-combination compound mini-pill tablet co-prepared by disoproxil fumarate DF coated mini-pills, lamivudine coated mini-pills and efavirenz mini-pills and a preparation method thereof. The invention solves the problems that effective component degradation and dissolution delaying phenomena are generated due to interaction among the tri-combination compound components, tabletting is not facilitated during preparation and patient swallowing is not facilitated; and the single-layer tablet having the three component drugs without mutual contact is prepared by a mini-pill tabletting method, so as to obtain good stability and fast dissolving rate.
The invention relates to a middle tablet of a triple compound tablet composed of tenofovir disoproxil fumarate, efavirenz and lamivudine in the field of pharmaceutical preparations and a preparation method thereof. The tablet-in-tablet contains a coated tablet core of tenofovir disoproxil fumarate, in which the core is contained by efavirenz, lamivudine and auxiliary materials. The invention solves the problems of degradation and slow dissolution caused by contacting tenofovir disoproxil fumarate with other two raw materials. The tablet-in-tablet preparation method adopted in the present invention can effectively avoid the degradation of tenofovir disoproxil fumarate due to contact with efavirenz and lamivudine, thereby obtaining a good product stability.
The invention relates to the field of medicine preparations, and provides a tenofovir disoproxil fumarate, efavirenz and lamivudine triplex compound tablet in tablet and a preparation method thereof. The tablet in tablet comprises a tenofovir disoproxil fumarate coating tablet core, and the tablet core is coated by the efavirenz, the lamivudine and auxiliary materials. The preparation method of the tablet in tablet has the advantages that the problem of degrading and slow dissolving caused by contact with the tenofovir disoproxil fumarate and other two crude drugs is solved; the degrading of the tenofovir disoproxil fumarate caused by contact of the tenofovir disoproxil fumarate with the efavirenz and the lamivudine is effectively avoided, and the good product stability is obtained.