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Details

Stereochemistry ABSOLUTE
Molecular Formula C40H52F4N6O9S
Molecular Weight 868.934
Optical Activity UNSPECIFIED
Defined Stereocenters 8 / 8
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of VOXILAPREVIR

SMILES

[H][C@]12CN([C@@H]([C@@H]1CC)C(=O)N[C@@]3(C[C@H]3C(F)F)C(=O)NS(=O)(=O)C4(C)CC4)C(=O)[C@@H](NC(=O)O[C@@H]5C[C@H]5CCCCC(F)(F)C6=NC7=CC=C(OC)C=C7N=C6O2)C(C)(C)C

InChI

InChIKey=MZBLZLWXUBZHSL-FZNJKFJKSA-N
InChI=1S/C40H52F4N6O9S/c1-7-22-27-19-50(28(22)32(51)48-39(18-23(39)31(41)42)35(53)49-60(55,56)38(5)14-15-38)34(52)30(37(2,3)4)47-36(54)59-26-16-20(26)10-8-9-13-40(43,44)29-33(58-27)46-25-17-21(57-6)11-12-24(25)45-29/h11-12,17,20,22-23,26-28,30-31H,7-10,13-16,18-19H2,1-6H3,(H,47,54)(H,48,51)(H,49,53)/t20-,22-,23+,26-,27+,28+,30-,39-/m1/s1

HIDE SMILES / InChI

Molecular Formula C40H52F4N6O9S
Molecular Weight 868.934
Charge 0
Count
MOL RATIO 1 MOL RATIO (average)
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 8 / 8
E/Z Centers 0
Optical Activity UNSPECIFIED

Description

Voxilaprevir is a Direct-Acting Antiviral (DAA) medication used as part of combination therapy to treat chronic Hepatitis C, an infectious liver disease caused by infection with Hepatitis C Virus (HCV). Sofosbuvir/velpatasvir/voxilaprevir (Vosevi) is indicated for adult patients with chronic HCV without cirrhosis or with compensated cirrhosis who have (1) genotype 1 through 6 and have previously been treated with an NS5A inhibitor or (2) genotype 1a or 3 and have previously been treated with sofosbuvir without an NS5A inhibitor. Voxilaprevir exerts its antiviral action by reversibley binding and inhibiting the NS3/4A serine protease of Hepatitis C Virus (HCV). Following viral replication of HCV genetic material and translation into a single polypeptide, Nonstructural Protein 3 (NS3) and its activating cofactor Nonstructural Protein 4A (NS4A) are responsible for cleaving genetic material into the following structural and nonstructural proteins required for assembly into mature virus: NS3, NS4A, NS4B, NS5A, and NS5B. By inhibiting viral protease NS3/4A, voxilaprevir therefore prevents viral replication and function.

Originator

Approval Year

Targets

Primary TargetPharmacologyConditionPotency
38.0 pM [Ki]

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
VOSEVI

Cmax

ValueDoseCo-administeredAnalytePopulation
28.6 ng/mL
50 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
70.4 ng/mL
100 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
156.7 ng/mL
300 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
39.8 ng/mL
50 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens
155.1 ng/mL
100 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens
413.8 ng/mL
300 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens

AUC

ValueDoseCo-administeredAnalytePopulation
183.3 ng × h/mL
50 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
479.2 ng × h/mL
100 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
1227 ng × h/mL
300 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
372.3 ng × h/mL
50 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens
1357.6 ng × h/mL
100 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens
3926.9 ng × h/mL
300 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens

T1/2

ValueDoseCo-administeredAnalytePopulation
11.87 h
50 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
11.18 h
100 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
9.8 h
300 mg single, oral
VOXILAPREVIR plasma
Homo sapiens
39.71 h
50 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens
37.28 h
100 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens
30.33 h
300 mg 1 times / day multiple, oral
VOXILAPREVIR plasma
Homo sapiens

Funbound

ValueDoseCo-administeredAnalytePopulation
1%
unknown, unknown
VOXILAPREVIR plasma
Homo sapiens

Doses

AEs

PubMed

Sample Use Guides

In Vivo Use Guide
The safety, tolerability, antiviral activity and pharmacokinetics (PK) of Voxilaprevir (GS-9857) were evaluated in patients with chronic HCV genotype 1-4 infection. Patients with genotype 1-4 infection received placebo or once-daily GS-9857 at doses ranging from 50 to 300 mg for 3 days under fasting conditions.
Route of Administration: Oral
In Vitro Use Guide
Voxilaprevir (VOX) had EC50s against HCV replicons 1b, 2a, 4a, 4d, 5a, and 6a of between 1.21 and 3.25 nM.
Substance Class Chemical
Record UNII
0570F37359
Record Status Validated (UNII)
Record Version