grazoprevir (MK-5172) / Merck (MSD) 
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 18 Diseases   2 Trials   2 Trials   132 News 


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  • ||||||||||  grazoprevir (MK-5172) / Merck (MSD)
    Journal:  Hemoprotein-catalyzed cyclopropanation en route to the chiral cyclopropanol fragment of grazoprevir. (Pubmed Central) -  Feb 7, 2020   
    Here we describe hemoprotein cyclopropanation catalysts derived from thermophilic bacterial globins that react with diazoacetone and an unactivated olefin substrate to furnish a cyclopropyl ketone, a previously unreported reaction for enzyme catalysts. We further demonstrate that the resulting cyclopropyl ketone can be converted to a key cyclopropanol intermediate that occurs en route to the anti-hepatitis C drug grazoprevir.
  • ||||||||||  Ruzasvir (MK-8408) / Merck (MSD), grazoprevir (MK-5172) / Merck (MSD)
    Preclinical, Journal:  In Vitro Antiviral Profile of Ruzasvir: A Potent and Pan-genotype Inhibitor of HCV NS5A. (Pubmed Central) -  Oct 10, 2019   
    The interaction of ruzasvir with NS3/4A protease inhibitor (grazoprevir) and NS5B polymerase (uprifosbuvir) pro-drug was additive to synergistic with no evidence of antagonism or cytotoxicity. The antiviral profile of ruzasvir supported its further evaluation in human trials in combination with grazoprevir and uprifosbuvir.
  • ||||||||||  Journal:  Direct-Acting Antivirals to Prevent Vertical Transmission of Viral Hepatitis C: When Is the Optimal Time to Treat? (Pubmed Central) -  Sep 26, 2019   
    The antiviral profile of ruzasvir supported its further evaluation in human trials in combination with grazoprevir and uprifosbuvir. Data to determine the best treatment point along the pregnancy-pediatric continuum are limited; however, given the lack of human data for use of DAAs during pregnancy, low rate of VT, high rate of spontaneous pediatric clearance, and recent approval of DAAs for pediatric patients, treatment of chronically infected children seems to be the optimal strategy currently.
  • ||||||||||  grazoprevir (MK-5172) / Merck (MSD), paritaprevir/ritonavir (ABT-450/r) / AbbVie
    Clinical, Journal:  Molecular Mechanism of Resistance in a Clinically Significant Double-Mutant Variant of HCV NS3/4A Protease. (Pubmed Central) -  Sep 20, 2019   
    For such inhibitors, the Y56H substitution disrupts favorable stacking interactions with the neighboring catalytic His57. This indirect mechanism of resistance threatens to cause multi-PI failure as all HCV PIs in clinical development rely on interactions with the catalytic triad.
  • ||||||||||  grazoprevir (MK-5172) / Merck (MSD), elbasvir (MK-8742) / Merck (MSD)
    Journal:  Interplay of Amino Acid Residues at Positions 28 and 31 in NS5A Defines Resistance Pathways in HCV GT2. (Pubmed Central) -  Sep 19, 2019   
    Ruzasvir, a potent, pan-genotype NS5A inhibitor successfully inhibited replicons bearing GT2 resistance-associated substitutions (RASs) at positions 28 and 31. The studies demonstrate crosstalk between amino acids at positions 28 and 31 in NS5A modulate inhibitor potency and may impact treatment outcomes in some HCV GT2-infected patients.
  • ||||||||||  Review, Journal:  HCV therapy: no one to let behind. (Pubmed Central) -  Sep 4, 2019   
    New triple regimens have solved the issue of retreatment of the few patients who present failure to DAAs therapy. In the present review we describe the current HCV landscape that allows to cure nearly all HCV infected patients.
  • ||||||||||  grazoprevir (MK-5172) / Merck (MSD), ViraferonPeg (peginterferon-?-2b) / Merck (MSD)
    Trial primary completion date:  Grazoprevir (MK-5172) Administered With Peginterferon and Ribavirin in Treatment-Na (clinicaltrials.gov) -  Mar 2, 2016   
    P2,  N=368, Completed, 
    Phase classification: P=N/A --> P2 | Trial primary completion date: Sep 2020 --> Sep 2021 Trial primary completion date: Jun 2012 --> Mar 2015