Tenofovir alafenamide
Tenofovir alafenamide, sold under the brand name Vemlidy, is an antiviral medication used against hepatitis B and HIV. It is used for the treatment of chronic hepatitis B virus (HBV) infection in adults with compensated liver disease and is given in combination with other medications for the prevention and treatment of HIV. It is taken by mouth.
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Pronunciation | /ˌtəˈnoʊfəvɪər ˌæləˈfɛnəmaɪd/ |
Trade names | Vemlidy Genvoya (with elvitegravir, cobicistat and emtricitabine) Odefsey (with emtricitabine and rilpivirine) Descovy (with emtricitabine) Symtuza (with darunavir, cobicistat, and emtricitabine) |
Other names | GS-7340 |
AHFS/Drugs.com | Monograph |
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Routes of administration | By mouth |
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Protein binding | ~80% |
Elimination half-life | 0.51 hour |
Excretion | Feces (31.7%), urine (<1%) |
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Formula | C21H29N6O5P |
Molar mass | 476.474 g·mol−1 |
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Tenofovir alafenamide is a nucleotide reverse transcriptase inhibitor and is a prodrug of tenofovir. It was developed by Gilead Sciences based on the protide technology of Chris McGuigan and is applied in the form of tenofovir alafenamide fumarate (TAF). Closely related to the commonly used reverse-transcriptase inhibitor tenofovir disoproxil fumarate (TDF), TAF has greater antiviral activity and better distribution into lymphoid tissues than that agent. It was approved for use in the US against HIV in 2015 and against hepatitis B in 2016. It is available as a generic medication.