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The following contains excerpts from Wikipedia; About.com (Mary Bellis) and Milestones in Drug Therapy – Sildenafil, by Michael J. Parnham, Jacques Bruinvels and other contributors, 2004, also found at www.coreynahman.com.
| The Synthesis of Viagra (How Viagra is Made) | - Methylation of 3-propylpyrazole-5-carboxylic acid ethyl ester with hot dimethyl sulfate
- Hydrolysis with aqueous NaOH to free acid
- Nitration with oleum/fuming nitric acid
- Carboxamide formation with refluxing thionyl chloride/NH4OH
- Reduction of nitro group to amino
- Acylation with 2-ethoxybenzoyl chloride
- Cyclization
- Sulfonation to the chlorosulfonyl derivative
- Condensation with 1-methylpiperazine
- Empirical formula = C22H30N6O4S
- Molecular weight = 474.5
- Solubility = 3.5 mg/mL in water
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Although the British press portrayed Pfizer employees Peter Dunn and Albert Wood as the inventors of sildenafil, now known as Viagra, they are generally accepted as the duo who synthesized the drug in 1989, along with other Pfizer co-workers at the company’s Sandwich, Kent research facility in England. The names of Andrew Bell, Dr. David Brown and Dr. Nicholas Terrett (also Pfizer employees at the same English research facility) are important to the history of Viagra because they originally helped discover that chemical compounds belonging to the pyrazolopyrimidinone class were useful in treating heart problems such as angina. Terrett was named in the 1991 British patent for sildenafil as a heart medicine, and some experts consider him as the father of Viagra. Terrett maintains that his team discovered how useful the drug might be, but that Dunn and Wood actually synthesized the drug in 1989, bringing all of the components of Viagra together into one pill/dosage. Dunn and Wood do appear on the manufacturing patent application for sildenafil citrate, although Pfizer states that numerous employees contributed to the discovery of compound UK-92,480/sildenafil/sildenafil citrate/Viagra. Viagra was initially studied for use in hypertension (high blood pressure) and angina pectoris (a symptom of ischaemic heart disease). Phase I clinical trials under the direction of Ian Osterloh suggested that the drug had little effect on angina, but that it could induce marked penile erections. After Phase II testing of sildenafil for angina failed to show promising results, Pfizer decided to pursue its use for erectile dysfunction rather than for angina. The drug was patented in 1996 and approved for use in erectile dysfunction by the U.S. Food and Drug Administration on March 27, 1998. Viagra became the first oral treatment approved to treat erectile dysfunction in the United States, and it was offered for sale in the United States later that year. Sales of Viagra continue to exceed well over $1 billion per year. Dr. Simon Campbell, who was the Senior Vice President of Medicinal Discovery at Pfizer and oversaw Viagra's development, was also a key player in the discovery of Viagra. He retired from Pfizer in 1998 and according to a Pfizer press release on June 8 of that year, Campbell was “a key member of the Pfizer teams that discovered three of the company's important new medicines (including)… Viagra, the first oral medication for erectile dysfunction…” Even though sildenafil is available only by prescription from a doctor, many have argued that Viagra has been marketed by Pfizer as a recreational drug. Many famous celebrities and politicians have appeared in TV, radio and print ads to help sell the product, including former United States Senator Bob Dole and soccer star Pelé, in Latin America and Europe. Political analyst Rush Limbaugh, former baseball player Rafael Palmeiro and former NASCAR driver Mark Martin have also served as spokesmen. Online pharmacies now provide Viagra after an online consultation with a doctor, which typically involves an online health/medical questionnaire. The Viagra name has grown to be so popular since 1998 that countless companies, many not located in the United States, illegally manufacture and sell products such as "herbal Viagra," “professional Viagra” or “generic Viagra.” Pfizer has not granted the permission for these companies to use the Viagra name or to sell these non-FDA approved drugs that bear Viagra’s name. These non-genuine, counterfeit versions of Viagra, although usually cheaper, contain unknown ingredients that produce unknown results, and are thereby considered a health risk. In 2000, Viagra sales accounted for 92 percent of the global market for prescribed erectile dysfunction pills. By 2007, Viagra's global share had plunged to about 50 percent due to several factors, including the 2003 market introductions of FDA-approved Cialis and Levitra, along with several other counterfeits and clones. Pfizer's worldwide patents on sildenafil citrate will expire between 2011 and 2013. Viagra History: Discovery Timeline
1989
Pfizer Scientists (including Peter Dunn and Albert Wood) synthesize silendafil citrate and classify it as experimental compound UK-92,480. UK-92,480 was believed to be useful as a high blood pressure and angina treatment. The scientists hoped it may act as a vasodilator and be useful in treating cardiovascular ailments such as hypertension and angina.
1991
Researchers at Pfizer's Sandwich, England research facility (Peter Ellis and Nick Terrett) observe that drugs that inhibit the PDE5 enzyme may be helpful in reversing erectile dysfunction. Early Phase 1 trials regarding the use of Viagra for angina are unconvincing.
1992
A second Phase 1 angina trial reveals one side effect of sildenafil citrate is penile erections. The first and only Phase 2 clinical study to show sildenafil citrate's usefulness as an angina treatment reveals only “mild” effects for hemodynamics (relating to or functioning in the mechanics of blood circulation).
1993
A pilot study using sildenafil citrate as a treatment for erectile dysfunction is conducted in Bristol, England. Test subjects take it three times a day for a week.
1994
Second pilot study on sildenafil as an Erectile dysfunction treatment demonstrates that a once-per-day dose is capable of producing erections. Pfizer accelerates the program to examine sildenafil citrate for erectile dysfunction treatment.
1994 - 1997
A total of 21 clinical trials are conducted that involve almost 4,500 men. They demonstrate Viagra (in its current form as an ED drug) is safe and effective.
1997
Pfizer files a New Drug Application for Viagra (NDA 020895) with the FDA, which agrees to a priority review, reserved for drugs that represent great advances in treatment or fulfill a significant medical need.
1998
FDA approves Viagra as the first oral treatment for erectile dysfunction.
The FDA lists two patents for Viagra: - 5250534 expires March 27, 2012
- 6469012 (patent use code U-155; Treatment of Erectile Dysfunction) expires Oct. 22, 2019
From http://inventors.about.com/od/uvstartinventions/a/Viagra.htm Related Links NobelPrize.org U.S. discoverers of Viagra principle get Nobel Prize
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