2′,4′-substituted nucleosides as antiviral agents
Embodiments of the invention are to compounds, methods, and compositions for use in the treatment of viral infections. More specifically embodiments of the invention are 2′,4′-substituted nucleoside compounds useful for the treatment of viral infections, such as HIV, HCV, and HBV infections.
1. A method of treating a Hepatitis B Virus (HBV) infection comprising administering to a subject in need thereof an effective amount of a compound of the following formula:
or a pharmaceutically acceptable salt thereof, wherein:
(a) R 2 is CH 3 , CH 2 F, CHF 2 , CF 3 , CN, C 2-4 alkenyl, C 2-4 alkynyl, or C 1-4 alkyl optionally substituted with amino, hydroxyl, or 1 to 3 fluorine or chlorine atoms;
(f) Base is a naturally occurring or modified purine base represented by the following structure:
wherein for:
R 5 and R 6 are independently H, OH or NH 2 .
2. The method of claim 1 , wherein the compound is selected from the group consisting of:
3. The method of claim 1 , further comprising administering one or more antiviral agents, antibacterial agents, antiproliferative agents, or a combination thereof.
4. The method of claim 1 , wherein he compound is administered orally.
5. The method of claim 4 , wherein between about 0.1 g and about 10 g of the compound is administered daily in a monotherapy or a combination therapy.
6. The method of claim 5 , wherein between about 0.5 g and about 7.5 g of the compound is administered daily.
7. The method of claim 6 , wherein between about 1.5 g and about 6.0 g of the compound is administered daily.
8. The method of claim 4 , wherein the compound is administered in an initial loading dose fallowed by a decreased dose.