“…6-Benzyl-1-(ethoxymethyl)-5-isopropyluracil (MKC 422, [3]) (Baba et al, 1994;De Clercq, 1999) has been tested clinically but was subsequently withdrawn due to insufficient reduction in plasma viral load in Phase III studies. Other HEPT analogues have also been described, including 6-[(3,5-dimethylbenzyl)-5-ethyl-1-(ethylthio)methyl]uracil [4] (Danel et al, 1996), 6-[(3,5-dimethylphenyl)selenyl]-1-(ethoxymethyl)-5-isopropyluracil [5] (Kim et al, 1996), 3,4-dihydro-2-sec-butoxy-6-(3,5-dimethylbenzyl)-4-oxo-pyrimi dine [6] (Mai et al, 1999), 5-ethyl-6-methyl-3-carbetoxy-4-[(3′,5′-dimethylphenyl)thio]-pyridine-2(1H)-one [7] (Dolle et al, 1995). We have previously reported the biological anti-HIV-1 activity and resistance profile of another highly potent HEPT analogue, 1-[(2-hydroxyethoxy)methyl]-6-(phenylthio)thymine and the initial identification of the first member of the pyrimidinedione series of compounds described herein (1-(3-cyclopenten-1-ylmethyl)-5-ethyl-6-(3,5-dimethylbenzoyl)-2,4(1H,3H)-pyrimidinedione; (Buckheit et al, 2001).…”