- |||||||||| 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), 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.
- |||||||||| uprifosbuvir (IDX21437) / Merck (MSD), Ruzasvir (MK-8408) / Merck (MSD), grazoprevir (MK-5172) / Merck (MSD)
Clinical, P2 data, Journal: Safety and efficacy of a fixed-dose combination regimen of grazoprevir, ruzasvir, and uprifosbuvir with or without ribavirin in participants with and without cirrhosis with chronic hepatitis C virus genotype 1, 2, or 3 infection (C-CREST-1 and C-CREST-2, part B): two randomised, phase 2, open-label trials. (Pubmed Central) - Jul 25, 2018 P2 Merck Sharp & Dohme Corp. The combined regimen of grazoprevir (100 mg/day), ruzasvir (60 mg/day), and uprifosbuvir (450 mg/day) has the potential to provide a simplified treatment for HCV that is effective and well tolerated in most individuals infected with HCV, as well as a shorter duration of treatment in many individuals.
- |||||||||| Enrollment closed: Efficacy and Safety of Grazoprevir (MK-5172) and Uprifosbuvir (MK-3682) With Elbasvir (MK-8742) or Ruzasvir (MK-8408) for Chronic Hepatitis C Virus (HCV) Genotype (GT) 3, GT4, GT5, and GT6 Infection (MK-3682-012) (clinicaltrials.gov) - Jun 20, 2016
P2, N=500, Active, not recruiting, Active, not recruiting --> Recruiting Recruiting --> Active, not recruiting
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