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Zidovudine

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1379:. Reverse transcriptase is an enzyme that retroviruses, including HIV, utilize to replicate themselves. Secondary testing was performed in mouse cells infected with the retroviruses Friend virus or Harvey sarcoma virus, as the Wellcome group did not have a viable in-house HIV antiviral assay in place at that time, and these other retroviruses were believed to represent reasonable surrogates. AZT proved to be a remarkably potent inhibitor of both Friend virus and Harvey sarcoma virus, and a search of the company's records showed that it had demonstrated low toxicity when tested for its antibacterial activity in rats many years earlier. Based in part on these results, AZT was selected by nucleoside chemist Janet Rideout as one of 11 compounds to send to the NCI for testing in that organization's HIV antiviral assay. 663: 640: 58: 1203:, but regardless of dosage AZT has an approximately 100-fold greater affinity for HIV's reverse transcriptase. The selectivity has been suggested to be due to the cell's ability to quickly repair its own DNA chain if it is disrupted by AZT during its formation, whereas the HIV virus lacks that ability. Thus AZT inhibits HIV replication without affecting the function of uninfected cells. At sufficiently high dosages, AZT begins to inhibit the cellular DNA polymerase used by 6033: 961:, where mother-to-child transmission was a significant problem. A number of studies were initiated in the late 1990s that sought to test the efficacy of a shorter, simpler regimen for use in 'resource-poor' countries. This AZT short course was an inferior standard of care and would have been considered malpractice if trialed in the US; however, it was nonetheless a treatment that would improve the care and survival of impoverished subjects. 49: 6073: 6061: 1017:(heartburn), headache, cosmetic reduction in abdominal body fat, trouble sleeping, and loss of appetite. Less common side effects include faint discoloration of fingernails and toenails, mood elevation, occasional tingling or transient numbness of the hands or feet, and minor skin discoloration. Allergic reactions are rare. 3264:"Mechanism of inhibition of human immunodeficiency virus type 1 reverse transcriptase and human DNA polymerases alpha, beta, and gamma by the 5'-triphosphates of carbovir, 3'-azido-3'-deoxythymidine, 2',3'-dideoxyguanosine and 3'-deoxythymidine. A novel RNA template for the evaluation of antiretroviral drugs" 1391:
counts, restored T cell immunity as measured by skin testing, and that it showed strong evidence of clinical effectiveness, such as inducing weight gain in AIDS patients. It also showed that levels of AZT that worked in vitro could be injected into patients in serum and suppository form, and that the
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AZT was subsequently approved unanimously for infants and children in 1990. AZT was initially administered in significantly higher dosages than today, typically 400 mg every four hours, day and night, compared to modern dosage of 300 mg twice daily. The paucity of alternatives for treating
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ruled in 1992 in favor of Burroughs Wellcome, ruling that even though they had never tested it against HIV, they had conceived of it working before they sent it to the NCI scientists. This suit was appealed up to the Supreme Court of the US, but in 1996 the Court declined to formally review it. The
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development. Without AZT, 10–15% of fetuses with HIV-infected mothers will themselves become infected. AZT has been shown to reduce this risk to 8% when given in a three-part regimen post-conception, delivery, and six weeks post-delivery. Consistent and proactive precautionary measures, such as the
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filed a lawsuit claiming that the patents were invalid. Subsequently, Barr Laboratories and Novopharm Ltd. also challenged the patent, in part based on the assertion that NCI scientists Samuel Broder, Hiroaki Mitsuya, and Robert Yarchoan should have been named as inventors, and those two companies
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During 1994 to 1999, AZT was the primary form of prevention of mother-to-child HIV transmission. AZT prophylaxis prevented more than 1000 parental and infant deaths from AIDS in the United States. In the U.S. at that time, the accepted standard of care for HIV-positive mothers was known as the 076
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of AZT at the NCI was initiated at the NCI and Duke University. In doing this Phase I trial, they built on their experience in doing an earlier trial, with suramin, another drug that had shown effective anti-HIV activity in the laboratory. This initial trial of AZT proved that the drug could be
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Until 1991, 80% of the $ 420 million allocated to the National Institute of Health's AIDS Clinical Trials Group, went toward studies of AZT. Aside from two similarly designed chemotherapies, ddI and ddC, from approval of the drug until 1993, no other drugs against AIDS were approved, leading to
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of AZT was subsequently conducted by Burroughs-Wellcome and suggested that AZT safely prolongs the lives of people with HIV. However, it was quickly unblinded and several more in the drug receiving group later perished. Burroughs-Wellcome filed for a patent for AZT in 1985. The Anti-Infective
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that they had made, they developed an assay to screen drugs for their ability to protect CD4 T cells from being killed by HIV. In order to expedite the process of discovering a drug, the NCI researchers actively sought collaborations with pharmaceutical companies having access to libraries of
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Even at the highest doses that can be tolerated in patients, AZT is not potent enough to prevent all HIV replication and may only slow the replication of the virus and progression of the disease. Prolonged AZT treatment can lead to HIV developing resistance to AZT by
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Yarchoan R, Klecker RW, Weinhold KJ, Markham PD, Lyerly HK, Durack DT, Gelmann E, Lehrman SN, Blum RM, Barry DW (1986). "Administration of 3'-azido-3'-deoxythymidine, an inhibitor of HTLV-III/LAV replication, to patients with AIDS or AIDS-related complex".
1421:) for use against HIV, AIDS, and AIDS Related Complex (ARC, a now-obsolete medical term for pre-AIDS illness) on March 20, 1987. The time between the first demonstration that AZT was active against HIV in the laboratory and its approval was 25 months. 2943:
Yarchoan R, Klecker R, Weinhold K, Markham P, Lyerly H, Durack D, Gelmann E, Lehrman S, Blum R, Barry D (1986). "Administration of 3'-azido-3'-deoxythymidine, an inhibitor of HTLV-III/LAV replication, to patients with AIDS or AIDS-related complex".
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In June 1984, Burroughs-Wellcome virologist Marty St. Clair set up a program to discover drugs with the potential to inhibit HIV replication. Burroughs-Wellcome had expertise in nucleoside analogs and viral diseases, led by researchers including
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decreased the elimination rate and increased the therapeutic strength of the medication. Today, side effects are much less common with the use of lower doses of AZT. According to IARC, there is sufficient evidence in experimental animals for the
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Fischl MA, Richman DD, Grieco MH, Gottlieb MS, Volberding PA, Laskin OL, et al. (July 1987). "The efficacy of azidothymidine (AZT) in the treatment of patients with AIDS and AIDS-related complex. A double-blind, placebo-controlled trial".
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Antonello RM, Di Bella S, Betts J, La Ragione R, Bressan R, Principe L, et al. (July 2021). "Zidovudine in synergistic combination with fosfomycin: an in vitro and in vivo evaluation against multidrug-resistant Enterobacterales".
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In parallel work, other compounds that successfully blocked the synthesis of nucleic acids had been proven to be both antibacterial, antiviral, and anticancer agents, the leading work being done at the laboratory of Nobel laureates
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In 1983, researchers at the Institut Pasteur in Paris identified the retrovirus now known as the Human Immunodeficiency Virus (HIV) as the cause of acquired immunodeficiency syndrome (AIDS) in humans. Shortly thereafter,
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regimen and involved five daily doses of AZT from the second trimester onwards, as well as AZT intravenously administered during labour. As this treatment was lengthy and expensive, it was deemed unfeasible in the
2328:"Repurposing the anti-viral drug zidovudine (AZT) in combination with meropenem as an effective treatment for infections with multi-drug resistant, carbapenemase-producing strains of Klebsiella pneumoniae" 4705: 2827:"Changing patterns in the selection of viral mutations among patients receiving nucleoside and nucleotide drug combinations directed against human immunodeficiency virus type 1 reverse transcriptase" 732: 2765: 2883:"3'-Azido-3'-deoxythymidine (BW A509U): an antiviral agent that inhibits the infectivity and cytopathic effect of human T-lymphotropic virus type III/lymphadenopathy-associated virus in vitro" 4110: 969:
Zidovudine also has antibacterial properties, though not routinely used in clinical settings. It acts on bacteria with a mechanism of action still not fully explained. Promising results from
953:, face masks, heavy-duty rubber gloves, clinically segregated disposable diapers, and avoidance of mouth contact will further reduce child-attendant transmission of HIV to as little as 1–2%. 928:. Together they work to substantially reduce the risk of HIV infection following the first single exposure to the virus. More recently, AZT has been replaced by other antiretrovirals such as 4679: 1192:
Cellular enzymes convert AZT into the effective 5'-triphosphate form. Studies have shown that the termination of HIV's forming DNA chains is the specific factor in the inhibitory effect.
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HIV/AIDS at that time unambiguously affirmed the health risk/benefit ratio, with inevitable slow, disfiguring, and painful death from HIV outweighing the drug's side effect of transient
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This report attracted little interest from other researchers as the Friend leukemia virus is a retrovirus, and at the time, there were no known human diseases caused by retroviruses.
1126: 1040:. All of these conditions were generally found to be reversible upon reduction of AZT dosages. They have been attributed to several possible causes, including transient depletion of 3036:"Reverse transcriptase inhibitors can selectively block the synthesis of differently sized viral DNA transcripts in cells acutely infected with human immunodeficiency virus type 1" 4185: 2149:"Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group" 1444:
criticism that research preoccupation with AZT and its close relatives, and the massive diverting of funds to such, had delayed the development of more efficacious drugs.
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compounds with potential antiviral activity. This assay could simultaneously test both the anti-HIV effect of the compounds and their toxicity against infected T cells.
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Brook I (September 1987). "Approval of zidovudine (AZT) for acquired immunodeficiency syndrome. A challenge to the medical and pharmaceutical communities".
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AZT was usually dosed twice a day in combination with other antiretroviral therapies. This approach is referred to as Highly Active Antiretroviral Therapy (
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Yarchoan R, Mitsuya H, Myers C, Broder S (1989). "Clinical pharmacology of 3'-azido-2',3'-dideoxythymidine (zidovudine) and related dideoxynucleosides".
3085:"Phosphorylation of 3'-azido-3'-deoxythymidine and selective interaction of the 5'-triphosphate with human immunodeficiency virus reverse transcriptase" 3330:"Intracellular metabolism of CycloSaligenyl 3'-azido-2', 3'-dideoxythymidine monophosphate, a prodrug of 3'-azido-2', 3'-dideoxythymidine (zidovudine)" 790: 2938: 2936: 4102: 870: 1935:"Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis" 912:) and is used to prevent the likelihood of HIV resistance. As of 2019, the standard is a three-drug once-daily oral treatment that can include AZT. 131: 4846: 4207: 2933: 5970: 4904: 4824: 4909: 1311: 2504:
Sun R, Eriksson S, Wang L (June 2010). "Identification and characterization of mitochondrial factors modulating thymidine kinase 2 activity".
4857: 4258: 80: 4879: 4863: 1611: 746: 3365: 5232: 5227: 1697: 2686: 4874: 4177: 2482: 2031:"Haematological safety of perinatal zidovudine in pregnant HIV-1-infected women in Thailand: secondary analysis of a randomized trial" 4884: 1296: 2743: 2283:
Crane J (December 2010). "Adverse events and placebo effects: African scientists, HIV, and ethics in the 'global health sciences'".
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Richman DD (May 1990). "Susceptibility to nucleoside analogues of zidovudine-resistant isolates of human immunodeficiency virus".
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Early long-term higher-dose therapy with AZT was initially associated with side effects that sometimes limited therapy, including
5963: 4795: 4087: 1557: 2717: 1272:, that nearly all avian cancers were caused by bird retroviruses, but corresponding human retroviruses had not yet been found. 5250: 5141: 3771: 3312: 3150: 1658: 888: 3144:"Induction of Endogenous Virus and of Thymidline Kinase by Bromodeoxyuridine in Cell Cultures Transformed by Friend Virus" 774:
InChI=1S/C10H13N5O4/c1-5-3-15(10(18)12-9(5)17)8-2-6(13-14-11)7(4-16)19-8/h3,6-8,16H,2,4H2,1H3,(H,12,17,18)/t6-,7+,8+/m0/s1
6123: 5580: 5353: 4899: 4236: 3694:"Induction of endogenous virus and of thymidine kinase by bromodeoxyuridine in cell cultures transformed by Friend virus" 6103: 4914: 1418: 3887: 1125:. To slow the development of resistance, physicians generally recommend that AZT be given in combination with another 797: 148: 5977: 4470: 4251: 1740: 1691: 1130: 766: 3510: 2117: 6133: 5984: 5267: 4924: 4808: 1382:
In February 1985, the NCI scientists found that AZT had potent efficacy in vitro. Several months later, a phase 1
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Connor E, Sperling R, Gelber R, Kiselev P, Scott G, O'Sullivan M, VanDyke R, Bey M, Shearer W, Jacobson R (1994).
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Dyer I, Low JN, Tollin P, Wilson HR, Howie RA (April 1988). "Structure of 3'-azido-3'-deoxythymidine, AZT".
4244: 4203: 1414: 830:. It is generally recommended for use in combination with other antiretrovirals. It may be used to prevent 658: 491: 2029:
Briand N, Lallemant M, Jourdain G, Techapalokul S, Tunthanathip P, Suphanich S, et al. (April 2007).
5498: 5019: 3528: 3215:"Effect of nucleoside reverse transcriptase inhibitors on mitochondrial DNA synthesis in rats and humans" 1713: 1503:"FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)" 619: 4199: 2090: 1558:"Retrovir – zidovudine capsule Retrovir – zidovudine solution Retrovir – zidovudine injection, solution" 940:
of HIV during pregnancy, labor, and delivery and has been proven to be integral to uninfected siblings'
6051: 4057: 2379:"Activity of Tigecycline or Colistin in Combination with Zidovudine against Escherichia coli Harboring 1890:
Phanuphak N, Gulick RM (January 2020). "HIV treatment and prevention 2019: current standards of care".
1471: 1310:. Development was shelved after it proved biologically inert in mice. In 1974, Wolfram Ostertag of the 4126:"Inventorship and ownership considerations and pitfalls with collaborative research: patent highlight" 1994:"Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health" 1264:
gained clinical support and funding. It had recently become known, due to the work of Nobel laureates
560: 6118: 6113: 5675: 1784: 1756: 1502: 1417:(FDA) voted ten to one to recommend the approval of AZT. The FDA approved the drug (via the then-new 1351: 1236: 921: 823: 126: 6012: 5905: 5679: 5562: 5458: 5448: 5348: 5091: 5001: 4982: 4869: 4830: 2196:
Walensky RP, Paltiel AD, Losina E, Mercincavage LM, Schackman BR, Sax PE, et al. (July 2006).
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Horwitz JP, Chua J, Noel MJ (1964). "The monomesylates of 1-(2-deoxy-bd-lyxofuranosyl) thymines".
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Furman PA, Fyfe JA, St Clair MH, Weinhold K, Rideout JL, Freeman GA, et al. (November 1986).
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Mitsuya H, Weinhold KJ, Furman PA, St Clair MH, Lehrman SN, Gallo RC, et al. (October 1985).
580: 5443: 5255: 4851: 3489: 1603: 887:. It was approved in the United States in 1987 and was the first treatment for HIV. It is on the 185: 70: 1968:"UK guideline for the use of post-exposure prophylaxis for HIV following sexual exposure (2011)" 303:
Complete absorption, following first-pass metabolism systemic availability 75% (range 52 to 75%)
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Parker WB, White EL, Shaddix SC, Ross LJ, Buckheit RW, Germany JM, et al. (January 1991).
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Zidovudine was first described in 1964. It was resynthesized from a public-domain formula by
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Balzarini J, Naesens L, Aquaro S, Knispel T, Perno C, De Clercq E, Meier C (December 1999).
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Ostertag W, Roesler G, Krieg CJ, Kind J, Cole T, Crozier T, et al. (December 1974).
1478:. The patent case was dismissed in 2003 and AHF filed a new case challenging the patent. 1277: 1138: 1105: 386: 196: 192: 5670: 3800: 3709: 3439: 3392: 3100: 3004: 2898: 1860: 662: 639: 4150: 4125: 3938: 3856: 3831: 3665: 3595: 3570: 3357: 3244: 3231: 3214: 3173: 3171: 2969: 2851: 2826: 2664: 2621: 2578: 2529: 2460: 2411: 2378: 2308: 2262: 2178: 2057: 2030: 2004: 1915: 1868: 1453: 892: 884: 853:
Common side effects include headaches, fever, and nausea. Serious side effects include
835: 159: 3926: 3728: 3693: 3458: 3423: 3280: 3263: 3119: 3084: 3060: 3035: 2957: 2917: 2882: 2683:"ZIDOVUDINE (AZT) – ORAL (Retrovir) side effects, medical uses, and drug interactions" 2448: 2250: 5762: 5311: 5086: 4749: 4155: 4023: 4019: 3988: 3930: 3861: 3812: 3767: 3756: 3733: 3600: 3571:"The development of antiretroviral therapy and its impact on the HIV-1/AIDS pandemic" 3463: 3404: 3349: 3308: 3285: 3236: 3195: 3124: 3065: 3016: 2961: 2922: 2856: 2807: 2803: 2656: 2613: 2570: 2521: 2464: 2452: 2416: 2359: 2300: 2254: 2237:
Morris K (February 1998). "Short course of AZT halves HIV-1 perinatal transmission".
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Fisher JW (December 1997). "Erythropoietin: physiologic and pharmacologic aspects".
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GSK's patents on AZT expired in 2005, and in September 2005, the FDA approved three
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De Clercq E (January 1994). "HIV resistance to reverse transcriptase inhibitors".
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Richard E. Beltz first synthesized AZT in 1961, but did not publish his research.
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Fisher JW (January 2003). "Erythropoietin: physiology and pharmacology update".
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Proceedings of the National Academy of Sciences of the United States of America
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Proceedings of the National Academy of Sciences of the United States of America
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Proceedings of the National Academy of Sciences of the United States of America
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producing isolates), especially in combination with other active agents (e.g.
990: 6087: 5920: 5841: 5508: 5503: 5408: 5027: 4777: 4612: 4498: 3957:"Did Controversial AZT Treatment Kill More Patients than AIDS in '80s, '90s?" 2344: 2327: 2296: 1934: 1372: 1355: 1354:(NCI) initiated a program to develop therapies for HIV/AIDS. Using a line of 1339: 1307: 1300: 1207:
to replicate, accounting for its potentially toxic but reversible effects on
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that HIV uses to make DNA and therefore decreases replication of the virus.
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Panlilio AL, Cardo DM, Grohskopf LA, Heneine W, Ross CS (September 2005).
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Cimons M (March 21, 1987). "U.S. Approves Sale of AZT to AIDS Patients".
2402: 2125: 1371:, David Barry, Paul (Chip) McGuirt Jr., Philip Furman, Martha St. Clair, 1025: 1014: 1002: 847: 200: 98: 3631: 1797: 1769: 460: 5935: 5884: 5792: 5744: 5558: 5548: 5543: 5533: 5413: 5212: 5192: 5177: 5172: 5136: 5131: 5045: 4990: 4960: 4772: 4760: 4755: 4727: 4667: 4657: 4617: 4607: 4556: 4551: 4539: 4523: 4513: 4493: 4455: 4365: 4353: 4345: 2354: 1261: 1101: 1088: 994: 925: 838:
or other potential exposure. It is sold both by itself and together as
708: 471: 4141: 2565: 2549:"Mechanisms of zidovudine-induced mitochondrial toxicity and myopathy" 2548: 1789:
World Health Organization model list of essential medicines: 22nd list
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World Health Organization model list of essential medicines: 21st list
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of the muscle cells. Anemia due to AZT was successfully treated using
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studies showed the efficacy of AZT also against multidrug-resistant
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Yarchoan R, Mitsuya H, Broder S (October 1988). "AIDS therapies".
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safely administered to patients with HIV, that it increased their
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In 2002, another lawsuit was filed challenging the patent by the
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for both pre-exposure prophylaxis and post-exposure treatment of
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Collins ML, Sondel N, Cesar D, Hellerstein MK (September 2004).
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Proceedings of the Society for Experimental Biology and Medicine
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Zhou YF, Liu P, Dai SH, Sun J, Liu YH, Liao XP (December 2020).
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applied to the FDA to sell AZT as a generic drug. In response,
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At very high doses, AZT's triphosphate form may also inhibit
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Elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide
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Elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil
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to provide PEP. Before tenofovir, a principal part of the
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Darunavir/cobicistat/emtricitabine/tenofovir alafenamide
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Induction of Endogenous Virus and of Thymidline Kinase.
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World Health Organization's List of Essential Medicines
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United States Court of Appeals for the Federal Circuit
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of zidovudine; it is possibly carcinogenic to humans (
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Quan Y, Rong L, Liang C, Wainberg MA (August 1999).
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analogue. AZT works by selectively inhibiting HIV's
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and an antiretroviral from another group, such as a
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and appears to be safe for the fetus. ZDV is of the
3378: 2546: 2325: 2273: 1495: 1456:Co. filed a lawsuit against the two companies. The 1318:, Germany, reported that AZT specifically targeted 1044:, sensitivity of the γ-DNA polymerase in some cell 1013:Most common side effects include nausea, vomiting, 439: 6109:Nucleoside analog reverse transcriptase inhibitors 4123: 2326:DeSarno AE, Parcell BJ, Coote PJ (December 2020). 1392:drug penetrated deeply only into infected brains. 4088:"Zidovudine (AZT) | Johns Hopkins ABX Guide" 3829: 3787:Weiss RA (May 1993). "How does HIV cause AIDS?". 1295:of the Barbara Ann Karmanos Cancer Institute and 871:nucleoside analog reverse-transcriptase inhibitor 6085: 4847:Dolutegravir/emtricitabine/tenofovir alafenamide 3482:"The Nobel Prize in Physiology or Medicine 1975" 2088:CIDRZ. Prevention of AIDS Transmission (PMTCT). 1395: 419: 5971:GlaxoSmithKline Services Unlimited v Commission 4905:Emtricitabine/rilpivirine/tenofovir alafenamide 4825:Bictegravir/emtricitabine/tenofovir alafenamide 3645:Detours V; Henry D (writers/directors) (2002). 3617: 3564: 3562: 3560: 3219:Journal of Acquired Immune Deficiency Syndromes 2503: 1889: 1679: 394: 4910:Emtricitabine/rilpivirine/tenofovir disoproxil 4396:(Integrase strand transfer inhibitors (INSTI)) 4058:"HEALTH : AZT Approved for AIDS Children" 3881:"Clinical Center 50th Anniversary Celebration" 3422:Camerman A, Mastropaolo D, Camerman N (1987). 3302: 2876: 2874: 2872: 2870: 2825:Wainberg MA, Brenner BG, Turner D (May 2005). 1312:Max Planck Institute for Experimental Medicine 1231:A crystal of AZT, viewed under polarized light 1135:non-nucleoside reverse-transcriptase inhibitor 6129:World Health Organization essential medicines 5312: 4858:Dolutegravir/lamivudine/tenofovir alafenamide 4252: 4171: 4169: 2437:International Journal of Antimicrobial Agents 2376: 1728: 1709: 1707: 1474:, which also filed an antitrust case against 1157:AZT in oral, injectable, and suppository form 4880:Efavirenz/emtricitabine/tenofovir disoproxil 4864:Dolutegravir/lamivudine/tenofovir disoproxil 4124:Armstrong M, Murphy Jr GM (April 26, 2012). 3649:(Film). ADR Productions/Good & Bad News. 3557: 2506:Nucleosides, Nucleotides & Nucleic Acids 2189: 2022: 1467:, was a landmark in US law of inventorship. 949:rigorous use of antiretroviral medications, 579: 147: 3638: 2867: 1649: 1464:Burroughs Wellcome Co. v. Barr Laboratories 964: 282:In general: ℞ (Prescription only) 5319: 5305: 4875:Doravirine/lamivudine/tenofovir disoproxil 4259: 4245: 4166: 4100: 3647:I am alive today (history of an AIDS drug) 3307:(3rd ed.). Pearson Professional Ltd. 3076: 1704: 1647: 1645: 1643: 1641: 1639: 1637: 1635: 1633: 1631: 1629: 1251: 661: 638: 479: 30:"AZT" redirects here. For other uses, see 4885:Efavirenz/lamivudine/tenofovir disoproxil 4149: 3855: 3727: 3717: 3611: 3594: 3457: 3447: 3279: 3230: 3118: 3108: 3059: 2916: 2906: 2850: 2740:"Summary of Data Reported and Evaluation" 2564: 2410: 2353: 2343: 2213: 2164: 2056: 2046: 1811: 1796: 1768: 1297:Wayne State University School of Medicine 1145:(Highly Active Anti Retroviral Therapy). 873:(NRTI) class. It works by inhibiting the 499: 5152:Zinc finger protein transcription factor 3878:NIH Clinical Center's 50th Anniversary. 3368:from the original on September 21, 2007. 2987:Mitsuya H, Yarchoan R, Broder S (1990). 1226: 1152: 5964:Christopher v. SmithKline Beecham Corp. 4188:from the original on November 17, 2016. 4113:from the original on November 17, 2016. 3753: 3653: 3156:from the original on September 24, 2015 2789: 2540: 1777: 1749: 1700:from the original on September 8, 2017. 1626: 634: 459: 103: 14: 6086: 4210:from the original on October 23, 2016. 4175: 4040: 4034: 3830:Douek DC, Roederer M, Koup RA (2009). 3568: 3496: 3474: 2720:from the original on December 26, 2011 2638: 2595: 2485:from the original on December 20, 2010 2236: 1686:. John Wiley & Sons. p. 505. 1661:from the original on December 21, 2016 1432: 1148: 652: 274: 246: 121: 5439:Recherche et Industrie Thérapeutiques 5300: 4240: 4076:– via From Times Wire Services. 4005: 3786: 3526: 2831:Antimicrobial Agents and Chemotherapy 2391:Antimicrobial Agents and Chemotherapy 2282: 1791:. Geneva: World Health Organization. 1763:. Geneva: World Health Organization. 1614:from the original on October 25, 2012 846:. It can be used by mouth or by slow 600: 559: 539: 259: 138: 89: 4232:. U.S. National Library of Medicine. 3848:10.1146/annurev.med.60.041807.123549 3673:from the original on August 16, 2009 3661:"A Failure Led to Drug Against AIDS" 3303:Rang HP, Dale MM, Ritter JM (1995). 2989:"Molecular targets for AIDS therapy" 2746:from the original on January 4, 2012 2547:Scruggs ER, Dirks Naylor AJ (2008). 2481:. Medicinenet.com. August 12, 2010. 1413:Advisory Committee to United States 1332: 1235:Enantiopure AZT crystallizes in the 606: 219: 5354:GlaxoSmithKline Pharmaceuticals Ltd 4900:Emtricitabine/tenofovir alafenamide 3973:The New England Journal of Medicine 3268:The Journal of Biological Chemistry 1256:In the 1960s, the theory that most 1141:; this type of therapy is known as 1111: 832:mother-to-child spread during birth 519: 410: 24: 4915:Emtricitabine/tenofovir disoproxil 3545: 3232:10.1097/01.qai.0000131585.77530.64 2689:from the original on June 30, 2005 2202:The Journal of Infectious Diseases 1974:from the original on April 8, 2014 1869:10.1038/scientificamerican1088-110 25: 6145: 5978:United States v. Glaxo Group Ltd. 4218: 4101:Greenhouse L (January 17, 1996). 3504:"The Purine Path To Chemotherapy" 2641:Experimental Biology and Medicine 2449:10.1016/j.ijantimicag.2021.106362 2115:Transmission of HIV from infants 915: 170: 6071: 6059: 6032: 6031: 5985:United States v. GlaxoSmithKline 5288:. Formerly or rarely used agent. 4925:Lamivudine/nevirapine/zidovudine 4809:Abacavir/dolutegravir/lamivudine 4068:from the original on May 4, 2015 4055:AZT Approved for AIDS Children. 4020:10.1001/jama.1987.03400110099035 2792:The American Journal of Medicine 1608:PubChem Public Chemical Database 1299:synthesized AZT in 1964 under a 903: 692: 686: 56: 47: 6002:Drug Industry Documents Archive 5092:Epigallocatechin gallate (EGCG) 4935:Lamivudine/tenofovir disoproxil 4920:Lamivudine/nevirapine/stavudine 4192: 4130:ACS Medicinal Chemistry Letters 4117: 4094: 4080: 4049: 3999: 3963: 3949: 3905: 3872: 3823: 3780: 3685: 3587:10.1016/j.antiviral.2009.10.002 3539: 3520: 3415: 3372: 3321: 3296: 3255: 3206: 3135: 3052:10.1128/JVI.73.8.6700-6707.1999 3027: 2980: 2843:10.1128/AAC.49.5.1671-1678.2005 2818: 2783: 2758: 2732: 2701: 2675: 2632: 2589: 2497: 2471: 2427: 2370: 2319: 2230: 2140: 2109: 2082: 2073: 1986: 1960: 1926: 1892:Current Opinion in HIV and AIDS 1883: 1840: 1805: 1732:Entry Inhibitors in HIV Therapy 1680:Fischer J, Ganellin CR (2006). 1419:FDA accelerated approval system 1199:used by human cells to undergo 1127:reverse-transcriptase inhibitor 1076:production. Drugs that inhibit 1008: 898: 779:Key:HBOMLICNUCNMMY-XLPZGREQSA-N 754:O=C1NC(C(C)=CN12O(CO)(N==)C2)=O 377:1--5-methylpyrimidine-2,4-dione 5957:Canada v. GlaxoSmithKline Inc. 4815:Abacavir/lamivudine/zidovudine 2124:. July 1, 2012. Archived from 1729:Reeves JD, Derdeyn CA (2007). 1722: 1673: 1596: 1583:"Active substance: Zidovudine" 1575: 1550: 1524: 1173:that the virus uses to make a 844:abacavir/lamivudine/zidovudine 698: 680: 13: 1: 3927:10.1016/s0140-6736(86)92808-4 3281:10.1016/S0021-9258(18)52360-7 2958:10.1016/S0140-6736(86)92808-4 2251:10.1016/S0140-6736(05)78436-1 1683:Analogue-based Drug Discovery 1488: 1396:Patent filed and FDA approval 1304:National Institutes of Health 1260:were caused by environmental 1056:, reduction of intracellular 4204:Food and Drug Administration 2804:10.1016/0002-9343(90)90414-9 2048:10.1371/journal.pctr.0020011 1904:10.1097/COH.0000000000000588 1826:10.1016/0006-2952(94)90001-9 1447:In 1991, the advocacy group 1415:Food and Drug Administration 1222: 938:mother-to-child transmission 375:3'-deoxy-3'-azido-thymidine 7: 4690:Tenofovir alafenamide (TAF) 3985:10.1056/NEJM198707233170401 3192:10.1056/NEJM198909143211106 2707:Side Effects. NAM Aidsmap. 2166:10.1056/NEJM199411033311801 1714:Linda Marsa, 'Toxic Hope', 10: 6150: 6124:Drugs developed by GSK plc 4685:Tenofovir disoproxil (TDF) 3758:Drug Discovery – A History 2653:10.1177/153537020322800101 2610:10.3181/00379727-216-44183 1801:. WHO/MHP/HPS/EML/2021.02. 1472:AIDS Healthcare Foundation 1436: 1246: 826:used to prevent and treat 670:Chemical and physical data 29: 6104:IARC Group 2B carcinogens 6027: 5994: 5948: 5898: 5827: 5820: 5694: 5573: 5481: 5474: 5467: 5459:Smith, Kline & French 5394: 5378: 5341: 5334: 5245: 5160: 5054: 5036: 5018: 5000: 4981: 4974: 4953: 4794: 4741: 4715: 4706:Discovery and development 4698: 4581: 4569: 4532: 4486: 4477:Discovery and development 4469: 4441: 4391: 4313:Discovery and development 4305: 4287: 3836:Annual Review of Medicine 3569:Broder S (January 2010). 3527:Marsa L (June 20, 1993). 3401:10.1107/S0108270188000368 2518:10.1080/15257771003741018 2285:Social Studies of Science 1785:World Health Organization 1757:World Health Organization 1590:European Medicines Agency 1352:National Cancer Institute 922:post-exposure prophylaxis 865:. It is commonly used in 863:high blood lactate levels 824:antiretroviral medication 787: 762: 742: 720: 707: 674: 669: 650: 618: 590: 570: 550: 530: 510: 490: 470: 450: 430: 405: 385: 363: 358: 342: 329: 317: 307: 297: 289: 236: 231: 206: 184: 158: 111: 97: 79: 69: 64: 55: 46: 27:Antiretroviral medication 5449:S. E. Massengill Company 5349:GlaxoSmithKline Pakistan 5002:Transcription inhibitors 4954:Pharmacokinetic boosters 4870:Dolutegravir/rilpivirine 4831:Cabotegravir/rilpivirine 4471:Protease Inhibitors (PI) 4176:Meland M (May 3, 2004). 2995:(Submitted manuscript). 2297:10.1177/0306312710371145 1814:Biochemical Pharmacology 965:Antibacterial properties 6134:Hydroxymethyl compounds 5444:Reliant Pharmaceuticals 5326: 5286:initial regimen options 4852:Dolutegravir/lamivudine 4329:Enfuvirtide (ENF, T-20) 4307:Entry/fusion inhibitors 4230:Drug Information Portal 4206:(FDA). August 8, 2014. 3809:10.1126/science.8493571 3719:10.1073/pnas.71.12.4980 3449:10.1073/pnas.84.23.8239 3110:10.1073/pnas.83.21.8333 3013:10.1126/science.1699273 2908:10.1073/pnas.82.20.7096 1252:Initial cancer research 891:. It is available as a 5127:Portmanteau inhibitors 5020:Translation inhibitors 4930:Lamivudine/raltegravir 4700:Non-nucleoside (NNRTI) 4658:Islatravir (EFdA, ISL) 3669:. September 20, 1986. 3620:Org. Chem. Ser. Monogr 3428:Proc Natl Acad Sci USA 3334:Molecular Pharmacology 2479:"zidovudine, Retrovir" 2345:10.1093/femspd/ftaa063 1232: 1185:(where it is called a 1158: 1050:thymidine triphosphate 983:gram-negative bacteria 920:AZT has been used for 6007:GlaxoSmithKline Prize 5434:Human Genome Sciences 5142:Synergistic enhancers 4940:Lamivudine/zidovudine 4820:Atazanavir/cobicistat 4796:Combined formulations 4633:Zidovudine (AZT, ZDV) 4571:Reverse-transcriptase 4443:Maturation inhibitors 3959:. September 21, 2021. 3346:10.1124/mol.56.6.1354 2332:Pathogens and Disease 1439:Cost of HIV treatment 1377:reverse transcriptase 1350:of the United States 1324:murine leukemia virus 1230: 1167:reverse transcriptase 1156: 1123:reverse transcriptase 989:carrying and metallo- 878:reverse transcriptase 848:injection into a vein 840:lamivudine/zidovudine 5404:Allen & Hanburys 5359:Stiefel Laboratories 4983:Uncoating inhibitors 4836:Darunavir/cobicistat 4676:Nucleotide analogues 4594:Nucleoside analogues 4393:Integrase inhibitors 4272:antiretroviral drugs 2403:10.1128/AAC.01172-20 2097:on February 14, 2012 2035:PLOS Clinical Trials 1592:. November 30, 2017. 1093:acetylsalicylic acid 32:AZT (disambiguation) 4975:Experimental agents 4945:Lopinavir/ritonavir 4804:Abacavir/lamivudine 4778:Elsulfavirine (ESV) 4613:Emtricitabine (FTC) 4499:Fosamprenavir (FPV) 3801:1993Sci...260.1273W 3795:(5112): 1273–1279. 3710:1974PNAS...71.4980O 3632:10.1021/jo01030a546 3492:on January 3, 2017. 3440:1987PNAS...84.8239C 3393:1988AcCrC..44..767D 3101:1986PNAS...83.8333F 3040:Journal of Virology 3005:1990Sci...249.1533M 2899:1985PNAS...82.7096M 2128:on December 3, 2013 1861:1988SciAm.259d.110Y 1849:Scientific American 1538:. December 14, 2018 1433:Society and culture 1278:George H. Hitchings 1149:Mechanism of action 1139:integrase inhibitor 1048:, the depletion of 255:(Prescription only) 43: 5911:Silas M. Burroughs 5454:SmithKline Beecham 5419:Burroughs Wellcome 5272:Never to phase III 4418:Elvitegravir (EVG) 4413:Dolutegravir (DTG) 4408:Cabotegravir (CAB) 4107:The New York Times 3762:. Wiley. pp.  3754:Sneader W (2006). 3666:The New York Times 3575:Antiviral Research 3516:on August 8, 2017. 3381:Acta Crystallogr C 2710:"Zidovudine (AZT, 1454:Burroughs Wellcome 1233: 1159: 1131:protease inhibitor 893:generic medication 885:Burroughs Wellcome 836:needlestick injury 201:rectal suppository 39: 6047: 6046: 5944: 5943: 5816: 5815: 5690: 5689: 5390: 5389: 5294: 5293: 5241: 5240: 5087:Diarylpyrimidines 4790: 4789: 4786: 4785: 4766:Rilpivirine (RPV) 4750:diarylpyrimidines 4733:Delavirdine (DLV) 4628:Zalcitabine (ddC) 4585:nucleotide (NRTI) 4565: 4564: 4423:Raltegravir (RAL) 4403:Bictegravir (BIC) 4382:Fostemsavir (FTR) 4297:Lenacapavir (LEN) 4289:Capsid inhibitors 4142:10.1021/ml300084e 4062:Los Angeles Times 4043:Los Angeles Times 3773:978-0-471-89980-8 3704:(12): 4980–4985. 3533:Los Angeles Times 3434:(23): 8239–8242. 3314:978-0-443-05974-2 3095:(21): 8333–8337. 2999:(4976): 1533–44. 2893:(20): 7096–7100. 2566:10.1159/000134943 2010:on April 22, 2006 1716:Los Angeles Times 1333:HIV/AIDS research 1059: 1042:mitochondrial DNA 822:), was the first 814:), also known as 805: 804: 733:Interactive image 620:CompTox Dashboard 278: 263: 250: 174: 141: 124: 16:(Redirected from 6141: 6119:Tetrahydrofurans 6114:Pyrimidinediones 6076: 6075: 6064: 6063: 6062: 6055: 6035: 6034: 5862:Patrick Vallance 5825: 5824: 5554:Wellbutrin/Zyban 5479: 5478: 5472: 5471: 5339: 5338: 5321: 5314: 5307: 5298: 5297: 5112:Hydroxycarbamide 4979: 4978: 4773:Doravirine (DOR) 4761:Etravirine (ETR) 4756:Dapivirine (DPV) 4728:Nevirapine (NVP) 4713: 4712: 4618:Lamivudine (3TC) 4608:Didanosine (ddI) 4579: 4578: 4552:Tipranavir (TPV) 4540:Atazanavir (ATV) 4524:Saquinavir (SQV) 4514:Nelfinavir (NFV) 4494:Amprenavir (APV) 4484: 4483: 4366:Ibalizumab (IBA) 4261: 4254: 4247: 4238: 4237: 4233: 4212: 4211: 4196: 4190: 4189: 4173: 4164: 4163: 4153: 4121: 4115: 4114: 4098: 4092: 4091: 4084: 4078: 4077: 4075: 4073: 4053: 4047: 4046: 4038: 4032: 4031: 4003: 3997: 3996: 3967: 3961: 3960: 3953: 3947: 3946: 3921:(8481): 575–80. 3909: 3903: 3902: 3900: 3898: 3893:on June 19, 2013 3892: 3886:. Archived from 3885: 3876: 3870: 3869: 3859: 3827: 3821: 3820: 3784: 3778: 3777: 3761: 3751: 3742: 3741: 3731: 3721: 3689: 3683: 3682: 3680: 3678: 3657: 3651: 3650: 3642: 3636: 3635: 3615: 3609: 3608: 3598: 3566: 3555: 3554: 3552: 3543: 3537: 3536: 3524: 3518: 3517: 3515: 3509:. Archived from 3508: 3500: 3494: 3493: 3488:. Archived from 3478: 3472: 3471: 3461: 3451: 3419: 3413: 3412: 3376: 3370: 3369: 3340:(6): 1354–1361. 3325: 3319: 3318: 3300: 3294: 3293: 3283: 3274:(3): 1754–1762. 3259: 3253: 3252: 3234: 3225:(1): 1132–1139. 3210: 3204: 3203: 3175: 3166: 3165: 3163: 3161: 3155: 3148: 3139: 3133: 3132: 3122: 3112: 3080: 3074: 3073: 3063: 3046:(8): 6700–6707. 3031: 3025: 3024: 2984: 2978: 2977: 2952:(8481): 575–80. 2940: 2931: 2930: 2920: 2910: 2878: 2865: 2864: 2854: 2837:(5): 1671–1678. 2822: 2816: 2815: 2787: 2781: 2780: 2778: 2776: 2770: 2762: 2756: 2755: 2753: 2751: 2736: 2730: 2729: 2727: 2725: 2705: 2699: 2698: 2696: 2694: 2679: 2673: 2672: 2636: 2630: 2629: 2593: 2587: 2586: 2568: 2544: 2538: 2537: 2512:(4–6): 382–385. 2501: 2495: 2494: 2492: 2490: 2475: 2469: 2468: 2431: 2425: 2424: 2414: 2374: 2368: 2367: 2357: 2347: 2323: 2317: 2316: 2280: 2271: 2270: 2234: 2228: 2227: 2217: 2193: 2187: 2186: 2168: 2144: 2138: 2137: 2135: 2133: 2122:Aids Perspective 2113: 2107: 2106: 2104: 2102: 2093:. Archived from 2086: 2080: 2077: 2071: 2070: 2060: 2050: 2026: 2020: 2019: 2017: 2015: 2009: 1998: 1990: 1984: 1983: 1981: 1979: 1964: 1958: 1957: 1939: 1930: 1924: 1923: 1887: 1881: 1880: 1844: 1838: 1837: 1809: 1803: 1802: 1800: 1781: 1775: 1774: 1772: 1753: 1747: 1746: 1726: 1720: 1711: 1702: 1701: 1677: 1671: 1670: 1668: 1666: 1651: 1624: 1623: 1621: 1619: 1600: 1594: 1593: 1587: 1579: 1573: 1572: 1570: 1568: 1554: 1548: 1547: 1545: 1543: 1528: 1522: 1521: 1519: 1517: 1507:nctr-crs.fda.gov 1499: 1410:randomized trial 1365:George Hitchings 1286:6-mercaptopurine 1213:skeletal muscles 1112:Viral resistance 1057: 1054:oxidative stress 951:cesarean section 934:clinical pathway 801: 800: 793: 735: 715: 700: 694: 688: 682: 665: 654: 643: 642: 628: 626: 610: 604: 583: 563: 543: 523: 503: 483: 463: 443: 423: 413: 412: 398: 334: 276: 273: 268: 261: 258: 248: 245: 223: 172: 169: 151: 140: 137: 134: 123: 120: 107: 93: 75:Retrovir, others 60: 51: 44: 42: 38: 21: 6149: 6148: 6144: 6143: 6142: 6140: 6139: 6138: 6084: 6083: 6082: 6070: 6060: 6058: 6050: 6048: 6043: 6023: 5990: 5940: 5894: 5890:Laurie Glimcher 5857:Manvinder Banga 5852:Roy M. Anderson 5847:Simon Dingemans 5829: 5812: 5686: 5569: 5463: 5396: 5386: 5374: 5369:ViiV Healthcare 5330: 5325: 5295: 5290: 5289: 5277: 5262:Clinical trials 5237: 5188:Dexelvucitabine 5156: 5147:Tre recombinase 5050: 5032: 5014: 5010:Tat antagonists 4996: 4970: 4949: 4782: 4737: 4723:Efavirenz (EFV) 4702: 4694: 4623:Stavudine (d4T) 4584: 4572: 4561: 4546:Darunavir (DRV) 4528: 4519:Ritonavir (RTV) 4509:Lopinavir (LPV) 4504:Indinavir (IDV) 4473: 4465: 4437: 4395: 4387: 4341:Maraviroc (MVC) 4309: 4301: 4283: 4268:Antiviral drugs 4265: 4224: 4221: 4216: 4215: 4198: 4197: 4193: 4174: 4167: 4122: 4118: 4099: 4095: 4086: 4085: 4081: 4071: 4069: 4064:. May 3, 1990. 4056: 4054: 4050: 4039: 4035: 4004: 4000: 3968: 3964: 3955: 3954: 3950: 3910: 3906: 3896: 3894: 3890: 3883: 3879: 3877: 3873: 3828: 3824: 3785: 3781: 3774: 3752: 3745: 3690: 3686: 3676: 3674: 3659: 3658: 3654: 3644: 3643: 3639: 3616: 3612: 3567: 3558: 3550: 3548:"Inventing AZT" 3544: 3540: 3525: 3521: 3513: 3506: 3502: 3501: 3497: 3480: 3479: 3475: 3420: 3416: 3377: 3373: 3326: 3322: 3315: 3301: 3297: 3260: 3256: 3211: 3207: 3176: 3169: 3159: 3157: 3153: 3146: 3142: 3140: 3136: 3081: 3077: 3032: 3028: 2985: 2981: 2941: 2934: 2879: 2868: 2823: 2819: 2788: 2784: 2774: 2772: 2771:. July 29, 2011 2768: 2764: 2763: 2759: 2749: 2747: 2738: 2737: 2733: 2723: 2721: 2708: 2706: 2702: 2692: 2690: 2685:. MedicineNet. 2681: 2680: 2676: 2637: 2633: 2594: 2590: 2545: 2541: 2502: 2498: 2488: 2486: 2477: 2476: 2472: 2432: 2428: 2375: 2371: 2324: 2320: 2281: 2274: 2235: 2231: 2194: 2190: 2159:(18): 1173–80. 2145: 2141: 2131: 2129: 2116: 2114: 2110: 2100: 2098: 2089: 2087: 2083: 2078: 2074: 2027: 2023: 2013: 2011: 2007: 1996: 1992: 1991: 1987: 1977: 1975: 1966: 1965: 1961: 1942:MMWR Recomm Rep 1937: 1931: 1927: 1888: 1884: 1845: 1841: 1810: 1806: 1782: 1778: 1754: 1750: 1743: 1727: 1723: 1712: 1705: 1694: 1678: 1674: 1664: 1662: 1653: 1652: 1627: 1617: 1615: 1602: 1601: 1597: 1585: 1581: 1580: 1576: 1566: 1564: 1556: 1555: 1551: 1541: 1539: 1530: 1529: 1525: 1515: 1513: 1501: 1500: 1496: 1491: 1441: 1435: 1398: 1348:Robert Yarchoan 1344:Hiroaki Mitsuya 1335: 1270:David Baltimore 1254: 1249: 1242: 1225: 1151: 1114: 1102:carcinogenicity 1081:glucuronidation 1011: 967: 918: 906: 901: 796: 794: 791:(what is this?) 788: 783: 780: 775: 770: 769: 758: 755: 750: 749: 738: 713: 703: 697: 691: 685: 646: 622: 614: 586: 566: 546: 526: 506: 486: 466: 446: 426: 409: 401: 381: 378: 376: 371: 370: 332: 309:Protein binding 299:Bioavailability 291:Pharmacokinetic 285: 266: 227: 187: 180: 161: 154: 35: 28: 23: 22: 15: 12: 11: 5: 6147: 6137: 6136: 6131: 6126: 6121: 6116: 6111: 6106: 6101: 6096: 6081: 6080: 6068: 6045: 6044: 6042: 6041: 6028: 6025: 6024: 6022: 6021: 6016: 6009: 6004: 5998: 5996: 5992: 5991: 5989: 5988: 5981: 5974: 5967: 5960: 5952: 5950: 5946: 5945: 5942: 5941: 5939: 5938: 5933: 5928: 5926:Henry Wellcome 5923: 5918: 5913: 5908: 5906:Thomas Beecham 5902: 5900: 5896: 5895: 5893: 5892: 5887: 5882: 5877: 5874: 5872:Lynn Elsenhans 5869: 5864: 5859: 5854: 5849: 5844: 5839: 5837:Philip Hampton 5833: 5831: 5822: 5818: 5817: 5814: 5813: 5811: 5810: 5805: 5800: 5795: 5790: 5785: 5780: 5775: 5770: 5765: 5763:Goody's Powder 5760: 5755: 5752: 5747: 5742: 5737: 5732: 5727: 5722: 5717: 5712: 5707: 5704: 5698: 5696: 5692: 5691: 5688: 5687: 5685: 5684: 5673: 5668: 5663: 5658: 5653: 5648: 5643: 5638: 5633: 5628: 5623: 5618: 5613: 5608: 5603: 5598: 5593: 5588: 5583: 5577: 5575: 5571: 5570: 5568: 5567: 5556: 5551: 5546: 5541: 5536: 5531: 5526: 5521: 5516: 5511: 5506: 5501: 5496: 5491: 5485: 5483: 5476: 5469: 5465: 5464: 5462: 5461: 5456: 5451: 5446: 5441: 5436: 5431: 5429:Glaxo Wellcome 5426: 5421: 5416: 5411: 5406: 5400: 5398: 5392: 5391: 5388: 5387: 5382: 5380: 5376: 5375: 5373: 5372: 5366: 5361: 5356: 5351: 5345: 5343: 5336: 5332: 5331: 5324: 5323: 5316: 5309: 5301: 5292: 5291: 5276: 5275: 5274: 5273: 5270: 5259: 5253: 5247: 5246: 5243: 5242: 5239: 5238: 5236: 5235: 5230: 5225: 5220: 5215: 5210: 5205: 5200: 5195: 5190: 5185: 5180: 5175: 5170: 5164: 5162: 5158: 5157: 5155: 5154: 5149: 5144: 5139: 5134: 5129: 5124: 5119: 5114: 5109: 5104: 5099: 5094: 5089: 5084: 5079: 5074: 5069: 5064: 5058: 5056: 5052: 5051: 5049: 5048: 5042: 5040: 5034: 5033: 5031: 5030: 5024: 5022: 5016: 5015: 5013: 5012: 5006: 5004: 4998: 4997: 4995: 4994: 4987: 4985: 4976: 4972: 4971: 4969: 4968: 4963: 4961:Cobicistat (c) 4957: 4955: 4951: 4950: 4948: 4947: 4942: 4937: 4932: 4927: 4922: 4917: 4912: 4907: 4902: 4897: 4892: 4887: 4882: 4877: 4872: 4867: 4861: 4855: 4849: 4844: 4838: 4833: 4828: 4822: 4817: 4812: 4806: 4800: 4798: 4792: 4791: 4788: 4787: 4784: 4783: 4781: 4780: 4775: 4770: 4769: 4768: 4763: 4758: 4745: 4743: 4739: 4738: 4736: 4735: 4730: 4725: 4719: 4717: 4710: 4696: 4695: 4693: 4692: 4687: 4671: 4670: 4665: 4660: 4655: 4650: 4645: 4640: 4635: 4630: 4625: 4620: 4615: 4610: 4605: 4603:Abacavir (ABC) 4589: 4587: 4583:Nucleoside and 4576: 4567: 4566: 4563: 4562: 4560: 4559: 4554: 4549: 4543: 4536: 4534: 4530: 4529: 4527: 4526: 4521: 4516: 4511: 4506: 4501: 4496: 4490: 4488: 4481: 4467: 4466: 4464: 4463: 4458: 4453: 4447: 4445: 4439: 4438: 4436: 4435: 4430: 4425: 4420: 4415: 4410: 4405: 4399: 4397: 4389: 4388: 4386: 4385: 4373: 4357: 4343: 4332: 4319: 4317: 4303: 4302: 4300: 4299: 4293: 4291: 4285: 4284: 4264: 4263: 4256: 4249: 4241: 4235: 4234: 4220: 4219:External links 4217: 4214: 4213: 4191: 4165: 4116: 4093: 4079: 4048: 4033: 3998: 3979:(4): 185–191. 3962: 3948: 3904: 3871: 3822: 3779: 3772: 3743: 3684: 3652: 3637: 3610: 3556: 3538: 3519: 3495: 3486:NobelPrize.org 3473: 3414: 3371: 3320: 3313: 3295: 3254: 3205: 3186:(11): 726–38. 3167: 3134: 3075: 3026: 2979: 2932: 2866: 2817: 2798:(5B): 8S–10S. 2782: 2757: 2731: 2700: 2674: 2631: 2604:(3): 358–369. 2588: 2539: 2496: 2470: 2426: 2369: 2338:(9): ftaa063. 2318: 2291:(6): 843–870. 2272: 2229: 2215:10.1086/505147 2188: 2139: 2108: 2081: 2079:Science Codex. 2072: 2021: 1985: 1959: 1948:(RR-9): 1–17. 1925: 1882: 1855:(4): 110–119. 1839: 1820:(2): 155–169. 1804: 1776: 1748: 1741: 1721: 1718:, 20 June 1993 1703: 1692: 1672: 1625: 1595: 1574: 1549: 1523: 1493: 1492: 1490: 1487: 1449:Public Citizen 1434: 1431: 1397: 1394: 1384:clinical trial 1369:Gertrude Elion 1334: 1331: 1293:Jerome Horwitz 1282:Gertrude Elion 1253: 1250: 1248: 1245: 1240: 1239:space group P2 1224: 1221: 1197:DNA polymerase 1150: 1147: 1113: 1110: 1095:(aspirin) and 1074:red blood cell 1034:cardiomyopathy 1030:hepatotoxicity 1010: 1007: 966: 963: 917: 916:HIV prevention 914: 905: 902: 900: 897: 855:liver problems 816:azidothymidine 803: 802: 785: 784: 782: 781: 778: 776: 773: 765: 764: 763: 760: 759: 757: 756: 753: 745: 744: 743: 740: 739: 737: 736: 728: 726: 718: 717: 711: 705: 704: 701: 695: 689: 683: 678: 672: 671: 667: 666: 656: 648: 647: 645: 644: 631: 629: 616: 615: 613: 612: 596: 594: 588: 587: 585: 584: 576: 574: 568: 567: 565: 564: 556: 554: 548: 547: 545: 544: 536: 534: 528: 527: 525: 524: 516: 514: 508: 507: 505: 504: 496: 494: 488: 487: 485: 484: 476: 474: 468: 467: 465: 464: 456: 454: 448: 447: 445: 444: 436: 434: 428: 427: 425: 424: 416: 414: 403: 402: 400: 399: 391: 389: 383: 382: 380: 379: 374: 366: 365: 364: 361: 360: 356: 355: 346: 340: 339: 338:0.5 to 3 hours 336: 327: 326: 321: 315: 314: 311: 305: 304: 301: 295: 294: 287: 286: 284: 283: 280: 271: 256: 242: 240: 234: 233: 229: 228: 226: 225: 212: 210: 204: 203: 190: 188:administration 182: 181: 179: 178: 176: 166: 164: 156: 155: 153: 152: 135: 117: 115: 109: 108: 101: 95: 94: 87: 77: 76: 73: 67: 66: 62: 61: 53: 52: 26: 18:Azidothymadine 9: 6: 4: 3: 2: 6146: 6135: 6132: 6130: 6127: 6125: 6122: 6120: 6117: 6115: 6112: 6110: 6107: 6105: 6102: 6100: 6097: 6095: 6092: 6091: 6089: 6079: 6074: 6069: 6067: 6057: 6056: 6053: 6040: 6039: 6030: 6029: 6026: 6020: 6017: 6015: 6014: 6010: 6008: 6005: 6003: 6000: 5999: 5997: 5993: 5987: 5986: 5982: 5980: 5979: 5975: 5973: 5972: 5968: 5966: 5965: 5961: 5959: 5958: 5954: 5953: 5951: 5947: 5937: 5934: 5932: 5929: 5927: 5924: 5922: 5921:John K. Smith 5919: 5917: 5914: 5912: 5909: 5907: 5904: 5903: 5901: 5897: 5891: 5888: 5886: 5883: 5881: 5878: 5876:Jesse Goodman 5875: 5873: 5870: 5868: 5865: 5863: 5860: 5858: 5855: 5853: 5850: 5848: 5845: 5843: 5842:Emma Walmsley 5840: 5838: 5835: 5834: 5832: 5826: 5823: 5819: 5809: 5806: 5804: 5801: 5799: 5796: 5794: 5791: 5789: 5786: 5784: 5781: 5779: 5776: 5774: 5771: 5769: 5766: 5764: 5761: 5759: 5756: 5753: 5751: 5748: 5746: 5743: 5741: 5738: 5736: 5733: 5731: 5728: 5726: 5723: 5721: 5718: 5716: 5713: 5711: 5708: 5705: 5703: 5700: 5699: 5697: 5693: 5683: 5682: 5677: 5674: 5672: 5669: 5667: 5664: 5662: 5659: 5657: 5654: 5652: 5649: 5647: 5644: 5642: 5639: 5637: 5634: 5632: 5629: 5627: 5624: 5622: 5619: 5617: 5614: 5612: 5609: 5607: 5604: 5602: 5599: 5597: 5594: 5592: 5589: 5587: 5584: 5582: 5579: 5578: 5576: 5572: 5566: 5565: 5560: 5557: 5555: 5552: 5550: 5547: 5545: 5542: 5540: 5537: 5535: 5534:Paxil/Seroxat 5532: 5530: 5527: 5525: 5522: 5520: 5517: 5515: 5512: 5510: 5507: 5505: 5502: 5500: 5497: 5495: 5492: 5490: 5487: 5486: 5484: 5480: 5477: 5473: 5470: 5466: 5460: 5457: 5455: 5452: 5450: 5447: 5445: 5442: 5440: 5437: 5435: 5432: 5430: 5427: 5425: 5422: 5420: 5417: 5415: 5412: 5410: 5409:Beecham Group 5407: 5405: 5402: 5401: 5399: 5395:Predecessors, 5393: 5385: 5381: 5377: 5370: 5367: 5365: 5362: 5360: 5357: 5355: 5352: 5350: 5347: 5346: 5344: 5340: 5337: 5333: 5329: 5322: 5317: 5315: 5310: 5308: 5303: 5302: 5299: 5287: 5284: 5281: 5271: 5269: 5266: 5265: 5263: 5260: 5257: 5254: 5252: 5249: 5248: 5244: 5234: 5231: 5229: 5226: 5224: 5221: 5219: 5216: 5214: 5211: 5209: 5206: 5204: 5201: 5199: 5196: 5194: 5191: 5189: 5186: 5184: 5181: 5179: 5176: 5174: 5171: 5169: 5166: 5165: 5163: 5161:Failed agents 5159: 5153: 5150: 5148: 5145: 5143: 5140: 5138: 5135: 5133: 5130: 5128: 5125: 5123: 5120: 5118: 5115: 5113: 5110: 5108: 5105: 5103: 5100: 5098: 5095: 5093: 5090: 5088: 5085: 5083: 5080: 5078: 5075: 5073: 5070: 5068: 5065: 5063: 5060: 5059: 5057: 5053: 5047: 5044: 5043: 5041: 5039: 5035: 5029: 5028:Trichosanthin 5026: 5025: 5023: 5021: 5017: 5011: 5008: 5007: 5005: 5003: 4999: 4992: 4989: 4988: 4986: 4984: 4980: 4977: 4973: 4967: 4966:Ritonavir (r) 4964: 4962: 4959: 4958: 4956: 4952: 4946: 4943: 4941: 4938: 4936: 4933: 4931: 4928: 4926: 4923: 4921: 4918: 4916: 4913: 4911: 4908: 4906: 4903: 4901: 4898: 4896: 4893: 4891: 4888: 4886: 4883: 4881: 4878: 4876: 4873: 4871: 4868: 4865: 4862: 4859: 4856: 4853: 4850: 4848: 4845: 4842: 4839: 4837: 4834: 4832: 4829: 4826: 4823: 4821: 4818: 4816: 4813: 4810: 4807: 4805: 4802: 4801: 4799: 4797: 4793: 4779: 4776: 4774: 4771: 4767: 4764: 4762: 4759: 4757: 4754: 4753: 4752: 4751: 4747: 4746: 4744: 4740: 4734: 4731: 4729: 4726: 4724: 4721: 4720: 4718: 4714: 4711: 4709: 4707: 4701: 4697: 4691: 4688: 4686: 4683: 4681: 4677: 4673: 4672: 4669: 4666: 4664: 4661: 4659: 4656: 4654: 4651: 4649: 4646: 4644: 4641: 4639: 4636: 4634: 4631: 4629: 4626: 4624: 4621: 4619: 4616: 4614: 4611: 4609: 4606: 4604: 4601: 4599: 4595: 4591: 4590: 4588: 4586: 4580: 4577: 4574: 4568: 4558: 4555: 4553: 4550: 4547: 4544: 4541: 4538: 4537: 4535: 4531: 4525: 4522: 4520: 4517: 4515: 4512: 4510: 4507: 4505: 4502: 4500: 4497: 4495: 4492: 4491: 4489: 4485: 4482: 4480: 4478: 4472: 4468: 4462: 4459: 4457: 4454: 4452: 4449: 4448: 4446: 4444: 4440: 4434: 4431: 4429: 4426: 4424: 4421: 4419: 4416: 4414: 4411: 4409: 4406: 4404: 4401: 4400: 4398: 4394: 4390: 4383: 4379: 4378: 4374: 4371: 4367: 4363: 4362: 4358: 4355: 4351: 4347: 4344: 4342: 4338: 4337: 4333: 4330: 4326: 4325: 4321: 4320: 4318: 4316: 4314: 4308: 4304: 4298: 4295: 4294: 4292: 4290: 4286: 4281: 4277: 4274:used against 4273: 4269: 4262: 4257: 4255: 4250: 4248: 4243: 4242: 4239: 4231: 4227: 4223: 4222: 4209: 4205: 4201: 4195: 4187: 4183: 4179: 4172: 4170: 4161: 4157: 4152: 4147: 4143: 4139: 4136:(5): 349–51. 4135: 4131: 4127: 4120: 4112: 4108: 4104: 4097: 4089: 4083: 4067: 4063: 4059: 4052: 4044: 4037: 4029: 4025: 4021: 4017: 4013: 4009: 4002: 3994: 3990: 3986: 3982: 3978: 3974: 3966: 3958: 3952: 3944: 3940: 3936: 3932: 3928: 3924: 3920: 3916: 3908: 3889: 3882: 3875: 3867: 3863: 3858: 3853: 3849: 3845: 3841: 3837: 3833: 3826: 3818: 3814: 3810: 3806: 3802: 3798: 3794: 3790: 3783: 3775: 3769: 3765: 3760: 3759: 3750: 3748: 3739: 3735: 3730: 3725: 3720: 3715: 3711: 3707: 3703: 3699: 3695: 3688: 3672: 3668: 3667: 3662: 3656: 3648: 3641: 3633: 3629: 3626:(7): 2076–9. 3625: 3621: 3614: 3606: 3602: 3597: 3592: 3588: 3584: 3580: 3576: 3572: 3565: 3563: 3561: 3549: 3542: 3534: 3530: 3523: 3512: 3505: 3499: 3491: 3487: 3483: 3477: 3469: 3465: 3460: 3455: 3450: 3445: 3441: 3437: 3433: 3429: 3425: 3418: 3410: 3406: 3402: 3398: 3394: 3390: 3386: 3382: 3375: 3367: 3363: 3359: 3355: 3351: 3347: 3343: 3339: 3335: 3331: 3324: 3316: 3310: 3306: 3299: 3291: 3287: 3282: 3277: 3273: 3269: 3265: 3258: 3250: 3246: 3242: 3238: 3233: 3228: 3224: 3220: 3216: 3209: 3201: 3197: 3193: 3189: 3185: 3181: 3174: 3172: 3152: 3145: 3138: 3130: 3126: 3121: 3116: 3111: 3106: 3102: 3098: 3094: 3090: 3086: 3079: 3071: 3067: 3062: 3057: 3053: 3049: 3045: 3041: 3037: 3030: 3022: 3018: 3014: 3010: 3006: 3002: 2998: 2994: 2990: 2983: 2975: 2971: 2967: 2963: 2959: 2955: 2951: 2947: 2939: 2937: 2928: 2924: 2919: 2914: 2909: 2904: 2900: 2896: 2892: 2888: 2884: 2877: 2875: 2873: 2871: 2862: 2858: 2853: 2848: 2844: 2840: 2836: 2832: 2828: 2821: 2813: 2809: 2805: 2801: 2797: 2793: 2786: 2767: 2761: 2745: 2741: 2735: 2719: 2715: 2713: 2704: 2688: 2684: 2678: 2670: 2666: 2662: 2658: 2654: 2650: 2646: 2642: 2635: 2627: 2623: 2619: 2615: 2611: 2607: 2603: 2599: 2592: 2584: 2580: 2576: 2572: 2567: 2562: 2558: 2554: 2550: 2543: 2535: 2531: 2527: 2523: 2519: 2515: 2511: 2507: 2500: 2484: 2480: 2474: 2466: 2462: 2458: 2454: 2450: 2446: 2443:(1): 106362. 2442: 2438: 2430: 2422: 2418: 2413: 2408: 2404: 2400: 2396: 2392: 2388: 2386: 2382: 2373: 2365: 2361: 2356: 2351: 2346: 2341: 2337: 2333: 2329: 2322: 2314: 2310: 2306: 2302: 2298: 2294: 2290: 2286: 2279: 2277: 2268: 2264: 2260: 2256: 2252: 2248: 2245:(9103): 651. 2244: 2240: 2233: 2225: 2221: 2216: 2211: 2207: 2203: 2199: 2192: 2184: 2180: 2176: 2172: 2167: 2162: 2158: 2154: 2150: 2143: 2127: 2123: 2119: 2112: 2096: 2092: 2085: 2076: 2068: 2064: 2059: 2054: 2049: 2044: 2040: 2036: 2032: 2025: 2006: 2002: 1995: 1989: 1973: 1969: 1963: 1955: 1951: 1947: 1943: 1936: 1929: 1921: 1917: 1913: 1909: 1905: 1901: 1897: 1893: 1886: 1878: 1874: 1870: 1866: 1862: 1858: 1854: 1850: 1843: 1835: 1831: 1827: 1823: 1819: 1815: 1808: 1799: 1794: 1790: 1786: 1780: 1771: 1766: 1762: 1758: 1752: 1744: 1742:9783764377830 1738: 1734: 1733: 1725: 1719: 1717: 1710: 1708: 1699: 1695: 1693:9783527607495 1689: 1685: 1684: 1676: 1660: 1656: 1650: 1648: 1646: 1644: 1642: 1640: 1638: 1636: 1634: 1632: 1630: 1613: 1609: 1605: 1599: 1591: 1584: 1578: 1563: 1559: 1553: 1537: 1533: 1527: 1512: 1508: 1504: 1498: 1494: 1486: 1484: 1479: 1477: 1473: 1468: 1466: 1465: 1459: 1455: 1450: 1445: 1440: 1430: 1429:and malaise. 1428: 1422: 1420: 1416: 1411: 1407: 1403: 1393: 1390: 1385: 1380: 1378: 1374: 1373:Janet Rideout 1370: 1366: 1360: 1357: 1353: 1349: 1345: 1341: 1340:Samuel Broder 1330: 1327: 1325: 1321: 1317: 1313: 1309: 1305: 1302: 1298: 1294: 1289: 1287: 1283: 1279: 1273: 1271: 1267: 1263: 1259: 1244: 1238: 1229: 1220: 1218: 1214: 1210: 1206: 1202: 1201:cell division 1198: 1193: 1190: 1188: 1184: 1180: 1176: 1172: 1168: 1164: 1155: 1146: 1144: 1140: 1136: 1132: 1128: 1124: 1120: 1109: 1107: 1103: 1098: 1094: 1090: 1086: 1082: 1079: 1075: 1072:to stimulate 1071: 1070:erythropoetin 1067: 1063: 1055: 1051: 1047: 1043: 1039: 1035: 1031: 1027: 1023: 1018: 1016: 1006: 1004: 1000: 996: 992: 988: 984: 980: 979: 974: 973: 962: 960: 954: 952: 947: 943: 939: 935: 931: 927: 923: 913: 911: 904:HIV treatment 896: 894: 890: 886: 881: 879: 876: 872: 868: 864: 860: 859:muscle damage 856: 851: 849: 845: 841: 837: 833: 829: 825: 821: 817: 813: 809: 799: 792: 786: 777: 772: 771: 768: 761: 752: 751: 748: 741: 734: 730: 729: 727: 724: 719: 712: 710: 706: 679: 677: 673: 668: 664: 660: 657: 655: 653:ECHA InfoCard 649: 641: 637: 636:DTXSID8020127 633: 632: 630: 621: 617: 609: 608:RCSB PDB 603: 598: 597: 595: 593: 589: 582: 578: 577: 575: 573: 569: 562: 558: 557: 555: 553: 549: 542: 538: 537: 535: 533: 529: 522: 518: 517: 515: 513: 509: 502: 498: 497: 495: 493: 489: 482: 478: 477: 475: 473: 469: 462: 458: 457: 455: 453: 449: 442: 438: 437: 435: 433: 429: 422: 418: 417: 415: 408: 404: 397: 393: 392: 390: 388: 384: 373: 372: 369: 362: 357: 354: 350: 347: 345: 341: 337: 335: 328: 325: 322: 320: 316: 312: 310: 306: 302: 300: 296: 292: 288: 281: 279: Rx-only 272: 269: 257: 254: 244: 243: 241: 239: 235: 230: 222: 217: 214: 213: 211: 209: 205: 202: 198: 194: 191: 189: 183: 177: 168: 167: 165: 163: 157: 150: 145: 136: 133: 128: 119: 118: 116: 114: 110: 106: 102: 100: 96: 92: 88: 86: 82: 78: 74: 72: 68: 65:Clinical data 63: 59: 54: 50: 45: 37: 33: 19: 6099:Hepatotoxins 6094:Organoazides 6037: 6013:Side Effects 6011: 5983: 5976: 5969: 5962: 5955: 5931:Andrew Witty 5916:Mahlon Kline 5867:Vivienne Cox 5680: 5636:H5N1 vaccine 5563: 5397:acquisitions 5335:Subsidiaries 5282: 5082:Cyanovirin-N 5072:Calanolide A 4748: 4742:2 generation 4716:1 generation 4703: 4674: 4653:Elvucitabine 4643:Apricitabine 4632: 4592: 4533:2 generation 4487:1 generation 4474: 4461:Fipravirimat 4375: 4370:Semzuvolimab 4359: 4350:Cenicriviroc 4334: 4322: 4310: 4229: 4226:"Zidovudine" 4194: 4181: 4133: 4129: 4119: 4106: 4096: 4082: 4070:. Retrieved 4061: 4051: 4045:. p. 1. 4042: 4036: 4014:(11): 1517. 4011: 4007: 4001: 3976: 3972: 3965: 3951: 3918: 3914: 3907: 3895:. Retrieved 3888:the original 3874: 3839: 3835: 3825: 3792: 3788: 3782: 3757: 3701: 3697: 3687: 3675:. Retrieved 3664: 3655: 3646: 3640: 3623: 3619: 3613: 3578: 3574: 3541: 3532: 3522: 3511:the original 3498: 3490:the original 3485: 3476: 3431: 3427: 3417: 3387:(4): 767–9. 3384: 3380: 3374: 3337: 3333: 3323: 3305:Pharmacology 3304: 3298: 3271: 3267: 3257: 3222: 3218: 3208: 3183: 3180:N Engl J Med 3179: 3160:November 14, 3158:. Retrieved 3137: 3092: 3088: 3078: 3043: 3039: 3029: 2996: 2992: 2982: 2949: 2945: 2890: 2886: 2834: 2830: 2820: 2795: 2791: 2785: 2775:November 14, 2773:. Retrieved 2760: 2748:. Retrieved 2734: 2722:. Retrieved 2711: 2703: 2691:. Retrieved 2677: 2644: 2640: 2634: 2601: 2597: 2591: 2559:(2): 83–88. 2556: 2553:Pharmacology 2552: 2542: 2509: 2505: 2499: 2489:December 14, 2487:. 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