NCIt definition : A cyclodiester antiviral prodrug with specific activity against hepatitis B virus
(HBV). Pradefovir is specifically metabolized in the liver by hepatic enzymes, mainly
by CYP4503A4, to adefovir. In turn, adefovir is phosphorylated by cellular kinases
to its activated form adevofir diphosphate. By competing with the natural substrate
dATP, the diphosphate form is incorporated into viral DNA and inhibits RNA-dependent
DNA polymerase. This causes DNA chain termination and eventually results in an inhibition
of HBV replication.;