U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C49H54F2N8O6
Molecular Weight 888.9999
Optical Activity UNSPECIFIED
Defined Stereocenters 6 / 6
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of LEDIPASVIR

SMILES

COC(=O)N[C@@H](C(C)C)C(=O)N1CC2(CC2)C[C@H]1C3=NC=C(N3)C4=CC=C5C(=C4)C(F)(F)C6=C5C=CC(=C6)C7=CC8=C(C=C7)N=C(N8)[C@@H]9[C@H]%10CC[C@H](C%10)N9C(=O)[C@@H](NC(=O)OC)C(C)C

InChI

InChIKey=VRTWBAAJJOHBQU-KMWAZVGDSA-N
InChI=1S/C49H54F2N8O6/c1-24(2)39(56-46(62)64-5)44(60)58-23-48(15-16-48)21-38(58)42-52-22-37(55-42)28-9-13-32-31-12-8-26(18-33(31)49(50,51)34(32)19-28)27-10-14-35-36(20-27)54-43(53-35)41-29-7-11-30(17-29)59(41)45(61)40(25(3)4)57-47(63)65-6/h8-10,12-14,18-20,22,24-25,29-30,38-41H,7,11,15-17,21,23H2,1-6H3,(H,52,55)(H,53,54)(H,56,62)(H,57,63)/t29-,30+,38-,39-,40-,41-/m0/s1

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including http://www.ncbi.nlm.nih.gov/pubmed/?term=23384816; http://www.ncbi.nlm.nih.gov/pubmed/?term=22314425

Ledipasvir is an inhibitor of the Hepatitis C Virus (HCV) NS5A protein required for viral RNA replication and assembly of HCV virions. Approved in October 2014 by the FDA, ledipasvir and sofosbuvir (tradename Harvoni) are direct-acting antiviral agents indicated for the treatment of HCV genotype 1 with or without cirrhosis.

CNS Activity

Curator's Comment: Low levels of C14-ledipasvir-derived radioactivity were observed in the CNS

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
141.0 nM [EC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
HARVONI

Approved Use

Indicated for the treatment of patients with chronic hepatitis C virus (HCV) genotype 1, 4, 5, or 6 infection

Launch Date

2014
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
531 ng/mL
45 mg 1 times / day multiple, oral
dose: 45 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered: [NO STEREO] PSI-7851|[NO STEREO] SOFOSBUVIR
[NO STEREO] LEDIPASVIR plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: FED
323 ng/mL
90 mg 1 times / day steady-state, oral
dose: 90 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: [NO STEREO] PSI-7851|[NO STEREO] SOFOSBUVIR
[NO STEREO] LEDIPASVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
9320 ng × h/mL
45 mg 1 times / day multiple, oral
dose: 45 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered: [NO STEREO] PSI-7851|[NO STEREO] SOFOSBUVIR
[NO STEREO] LEDIPASVIR plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: FED
7290 ng × h/mL
90 mg 1 times / day steady-state, oral
dose: 90 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: [NO STEREO] PSI-7851|[NO STEREO] SOFOSBUVIR
[NO STEREO] LEDIPASVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
47 h
90 mg 1 times / day steady-state, oral
dose: 90 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: [NO STEREO] PSI-7851|[NO STEREO] SOFOSBUVIR
[NO STEREO] LEDIPASVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
0.2%
90 mg 1 times / day steady-state, oral
dose: 90 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered: [NO STEREO] PSI-7851|[NO STEREO] SOFOSBUVIR
[NO STEREO] LEDIPASVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
90 mg 1 times / day multiple, oral
Highest studied dose
Dose: 90 mg, 1 times / day
Route: oral
Route: multiple
Dose: 90 mg, 1 times / day
Sources:
unhealthy, 49 years
Health Status: unhealthy
Age Group: 49 years
Sex: M+F
Sources:
PubMed

PubMed

TitleDatePubMed
Interferon-free therapy for hepatitis C: The hurdles amid a golden era.
2015-09
Treatment with ledipasvir and sofosbuvir improves patient-reported outcomes: Results from the ION-1, -2, and -3 clinical trials.
2015-06
Fixed-dose combination of sofosbuvir and ledipasvir for the treatment of chronic hepatitis C genotype 1.
2015-04
Virologic response following combined ledipasvir and sofosbuvir administration in patients with HCV genotype 1 and HIV co-infection.
2015-02-24
Ledipasvir and sofosbuvir: Interferon free therapy for hepatitis C virus genotype 1 infection.
2015-02-12
Changing the face of hepatitis C management - the design and development of sofosbuvir.
2015
Ledipasvir : a novel synthetic antiviral for the treatment of HCV infection.
2014-04
Patents

Patents

Sample Use Guides

One tablet (90 mg of ledipasvir and 400 mg of sofosbuvir) taken orally once daily with or without food. Recommended treatment duration: treatment-naive with or without cirrhosis: 12 week. Treatment-experienced without cirrhosis: 12 weeks. Treatment-experienced with cirrhosis: 24 weeks. A dose recommendation cannot be made for patients with severe renal impairment or end stage renal disease.
Route of Administration: Oral
Ledipasvir inhibitory activity in vitro was characterized by EC50 of 0.031, 0.004, 10.8, 10.1 and 0.045 nM against GT1a, GT1b, GT2a, GT31 and GT4a, respectively.
Name Type Language
ledipasvir [INN]
Preferred Name English
LEDIPASVIR
DASH   INN   USAN   VANDF   WHO-DD  
INN   USAN  
Official Name English
HARVONI COMPONENT LEDIPASVIR
Brand Name English
LEDIPASVIR [VANDF]
Common Name English
LEDIPASVIR ACETONATE [JAN]
Common Name English
LEDIPASVIR [MI]
Common Name English
LEDIPASVIR [USAN]
Common Name English
GS-5885
Code English
Ledipasvir [WHO-DD]
Common Name English
LEDIPASVIR [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
WHO-ATC J05AX65
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
NDF-RT N0000191256
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
FDA ORPHAN DRUG 535916
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
EMA ASSESSMENT REPORTS HARVONI (AUTHORIZED: HEPATITIS C, CHRONIC)
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
NCI_THESAURUS C281
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
WHO-ATC J05AP51
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
Code System Code Type Description
DRUG BANK
DB09027
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
PRIMARY
SMS_ID
100000143385
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
DRUG CENTRAL
4899
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
NCI_THESAURUS
C129019
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
LACTMED
Ledipasvir
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
NDF-RT
N0000185503
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
PRIMARY P-Glycoprotein Inhibitors [MoA]
MERCK INDEX
m11788
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PRIMARY
INN
9796
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PRIMARY
CAS
1256388-51-8
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
PRIMARY
FDA UNII
013TE6E4WV
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
RXCUI
1591922
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
PRIMARY RxNorm
EPA CompTox
DTXSID90154829
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
DAILYMED
013TE6E4WV
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
CHEBI
85089
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
ChEMBL
CHEMBL2374220
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
PRIMARY
EVMPD
SUB120165
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
PRIMARY
PUBCHEM
67505836
Created by admin on Wed Apr 02 08:33:24 GMT 2025 , Edited by admin on Wed Apr 02 08:33:24 GMT 2025
PRIMARY
NDF-RT
N0000190113
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY Breast Cancer Resistance Protein Inhibitors [MoA]
WIKIPEDIA
Ledipasvir
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY
USAN
ZZ-132
Created by admin on Wed Apr 02 08:33:25 GMT 2025 , Edited by admin on Wed Apr 02 08:33:25 GMT 2025
PRIMARY