Oteseconazole

Oteseconazole
Names
Trade namesVivjoa
Other namesVT-1161
IUPAC name
  • (2R)-2-(2,4-Difluorophenyl)-1,1-difluoro-3-(tetrazol-1-yl)-1-[5-[4-(2,2,2-trifluoroethoxy)phenyl]pyridin-2-yl]propan-2-ol
Clinical data
Drug classAntifungal
Main usesRecurrent vaginal yeast infections[1]
Side effectsHeadache, nausea[1]
WHO AWaReUnlinkedWikibase error: ⧼unlinkedwikibase-error-statements-entity-not-set⧽
Pregnancy
category
  • Contraindicated[2]
Routes of
use
By mouth
External links
AHFS/Drugs.comMonograph
Legal
License data
Legal status
Chemical and physical data
FormulaC23H16F7N5O2
Molar mass527.403 g·mol−1
3D model (JSmol)
SMILES
  • C1=CC(=CC=C1C2=CN=C(C=C2)C([C@](CN3C=NN=N3)(C4=C(C=C(C=C4)F)F)O)(F)F)OCC(F)(F)F
InChI
  • InChI=1S/C23H16F7N5O2/c24-16-4-7-18(19(25)9-16)21(36,11-35-13-32-33-34-35)23(29,30)20-8-3-15(10-31-20)14-1-5-17(6-2-14)37-12-22(26,27)28/h1-10,13,36H,11-12H2/t21-/m0/s1
  • Key:IDUYJRXRDSPPRC-NRFANRHFSA-N

Oteseconazole, sold under the brand name Vivjoa, is a medication used to decrease the frequency of recurrent vaginal yeast infections.[1] It is taken by mouth.[1] It may be used with fluconazole.[1]

Commons side effects include headache and nausea.[1] Use within two years of pregnancy may harm the baby and thus it should not be used in women who could become pregnant.[1] Use is not recommended in those with significant kidney or liver problems.[1] It is a 14α-demethylase (CYP51) inhibitor.[4]

Oteseconazole was approved for medical use in the United States in 2022.[1] It is not approved in Europe or the United Kingdom as of 2022.[4] In the United States a course of treatment costs about 2,900 USD as of 2022.[5]

Medical use

Dosage

It is initially taken at a dose of 600 mg followed by 450 mg the next day.[1] Starting on day 14 it is than taken at a dose of 150 mg once per week for 11 weeks.[1]

Society and culture

It was developed by Mycovia Pharmaceuticals.[6]

Names

Oteseconazole is the international nonproprietary name (INN).[7]

References

  1. 1 2 3 4 5 6 7 8 9 10 11 "DailyMed - VIVJOA- oteseconazole capsule". dailymed.nlm.nih.gov. Archived from the original on 13 August 2022. Retrieved 12 December 2022.
  2. "Oteseconazole (Vivjoa) Use During Pregnancy". Drugs.com. Retrieved 12 December 2022.
  3. https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/215888s000lbl.pdf Archived 2022-05-23 at the Wayback Machine
  4. 1 2 "Oteseconazole". SPS - Specialist Pharmacy Service. 3 April 2021. Archived from the original on 8 August 2022. Retrieved 12 December 2022.
  5. "Vivjoa Prices, Coupons, Copay & Patient Assistance". Drugs.com. Retrieved 12 December 2022.
  6. "FDA Approves Mycovia Pharmaceuticals' VIVJOA (oteseconazole), the First and Only FDA-Approved Medication for Recurrent Vulvovaginal Candidiasis (Chronic Yeast Infection)" (Press release). Mycovia Pharmaceuticals. 28 April 2022. Archived from the original on 28 April 2022. Retrieved 28 April 2022 via Business Wire.
  7. World Health Organization (2016). "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 76". WHO Drug Information. 30 (3). hdl:10665/331020.
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