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

Details

Stereochemistry ABSOLUTE
Molecular Formula C38H46F4N6O9S.H2O
Molecular Weight 856.881
Optical Activity UNSPECIFIED
Defined Stereocenters 7 / 7
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of GLECAPREVIR HYDRATE

SMILES

O.[H][C@@]12C[C@H](N(C1)C(=O)[C@@H](NC(=O)O[C@]3([H])CCC[C@@]3([H])OC\C=C\C(F)(F)C4=NC5=CC=CC=C5N=C4O2)C(C)(C)C)C(=O)N[C@@]6(C[C@H]6C(F)F)C(=O)NS(=O)(=O)C7(C)CC7

InChI

InChIKey=URRDETDWTZIRAA-UKBVCNFKSA-N
InChI=1S/C38H46F4N6O9S.H2O/c1-35(2,3)28-32(50)48-19-20(17-24(48)30(49)46-37(18-21(37)29(39)40)33(51)47-58(53,54)36(4)14-15-36)56-31-27(43-22-9-5-6-10-23(22)44-31)38(41,42)13-8-16-55-25-11-7-12-26(25)57-34(52)45-28;/h5-6,8-10,13,20-21,24-26,28-29H,7,11-12,14-19H2,1-4H3,(H,45,52)(H,46,49)(H,47,51);1H2/b13-8+;/t20-,21+,24+,25-,26-,28-,37-;/m1./s1

HIDE SMILES / InChI

Molecular Formula H2O
Molecular Weight 18.0153
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C38H46F4N6O9S
Molecular Weight 838.865
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 7 / 7
E/Z Centers 0
Optical Activity UNSPECIFIED

Glecaprevir is a direct acting antiviral agent and Hepatitis C virus (HCV) NS3/4A protease inhibitor that targets the the viral RNA replication. In combination with Pibrentasvir, glecaprevir is a useful therapy for patients who experienced therapeutic failure from other NS3/4A protease inhibitors. It demonstrates a high genetic barrier against resistance mutations of the virus. Glecaprevir is available as an oral combination therapy with Pibrentasvir under the brand name Mavyret. On 3 August 2017 the FDA approved the combination for hepatitis C treatment. Mavyret is indicated for the treatment of adult patients with chronic hepatitis C virus (HCV) genotype 1, 2, 3, 4, 5 or 6 infection without cirrhosis or with compensated cirrhosis (Child-Pugh A). Mavyret is also indicated for the treatment of adult patients with HCV genotype 1 infection, who previously have been treated with a regimen containing an HCV NS5A inhibitor or an NS3/4A protease inhibitor (PI), but not both.

CNS Activity

Curator's Comment: Glecaprevir does not readily cross the blood:brain barrier.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
3.5 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
MAVYRET

Approved Use

MAVYRET is indicated for the treatment of adult patients with chronic hepatitis C virus (HCV) genotype 1, 2, 3, 4, 5 or 6 infection without cirrhosis or with compensated cirrhosis (Child-Pugh A). MAVYRET is also indicated for the treatment of adult patients with HCV genotype 1 infection, who previously have been treated with a regimen containing an HCV NS5A inhibitor or an NS3/4A protease inhibitor (PI), but not both.

Launch Date

2017
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1270 ng/mL
300 mg 1 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered: PIBRENTASVIR
GLECAPREVIR plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
4500 ng × h/mL
300 mg 1 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered: PIBRENTASVIR
GLECAPREVIR plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.69 h
300 mg 1 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered: PIBRENTASVIR
GLECAPREVIR plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
Doses

Doses

DosePopulationAdverse events​
700 mg 1 times / day multiple, oral
Highest studied dose
Dose: 700 mg, 1 times / day
Route: oral
Route: multiple
Dose: 700 mg, 1 times / day
Sources:
unhealthy, 50.3 ± 9.04 years
n = 9
Health Status: unhealthy
Condition: chronic HCV infection
Age Group: 50.3 ± 9.04 years
Sex: M
Population Size: 9
Sources:
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Retreatment of patients with treatment failure of direct-acting antivirals: Focus on hepatitis C virus genotype 1b.
2017 Dec 14
Formulary Drug Review: Etelcalcetide.
2017 Nov
Glecaprevir + pibrentasvir (ABT493 + ABT-530) for the treatment of Hepatitis C.
2018 Jan
Glecaprevir-Pibrentasvir for 8 or 12 Weeks in HCV Genotype 1 or 3 Infection.
2018 Jan 25
Effects of Renal Impairment and Hemodialysis on the Pharmacokinetics and Safety of the Glecaprevir and Pibrentasvir Combination in Hepatitis C Virus-Negative Subjects.
2018 Mar
Patents

Sample Use Guides

Each tablet of Mavyret (glecaprevir and pibrentasvir): 100 mg glecaprevir and 40 mg pibrentasvir. Recommended dosage: Three tablets (total daily dose: glecaprevir 300 mg and pibrentasvir 120 mg) taken orally once daily with food.
Route of Administration: Oral
Glecaprevir inhibited the enzymatic activity of purified NS3/4A proteases from HCV genotypes 1 to 6 in vitro (half-maximal [50%] inhibitory concentration = 3.5 to 11.3 nM) and the replication of stable HCV subgenomic replicons containing proteases from genotypes 1 to 6 (50% effective concentration [EC50] = 0.21 to 4.6 nM). Glecaprevir had a median EC50 of 0.30 nM (range, 0.05 to 3.8 nM) for HCV replicons containing proteases from 40 samples from patients infected with HCV genotypes 1 to 5.
Substance Class Chemical
Created
by admin
on Sat Dec 16 19:06:15 GMT 2023
Edited
by admin
on Sat Dec 16 19:06:15 GMT 2023
Record UNII
2QC49GD4S6
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
GLECAPREVIR HYDRATE
Common Name English
CYCLOPROPANECARBOXAMIDE, N-((((1R,2R)-2-(((2E)-4,4-DIFLUORO-4-(3-HYDROXY-2-QUINOXALINYL)-2-BUTEN-1-YL)OXY)CYCLOPENTYL)OXY)CARBONYL)-3-METHYL-L-VALYL-(4R)-4-HYDROXY-L-PROLYL-1-AMINO-2-(DIFLUOROMETHYL)-N-((1-METHYLCYCLOPROPYL)SULFONYL)-, CYCLIC (1->2)-ETHE
Systematic Name English
GLECAPREVIR HYDRATE [JAN]
Common Name English
Code System Code Type Description
PUBCHEM
134694621
Created by admin on Sat Dec 16 19:06:15 GMT 2023 , Edited by admin on Sat Dec 16 19:06:15 GMT 2023
PRIMARY
SMS_ID
300000015121
Created by admin on Sat Dec 16 19:06:15 GMT 2023 , Edited by admin on Sat Dec 16 19:06:15 GMT 2023
PRIMARY
FDA UNII
2QC49GD4S6
Created by admin on Sat Dec 16 19:06:15 GMT 2023 , Edited by admin on Sat Dec 16 19:06:15 GMT 2023
PRIMARY
CAS
1838572-01-2
Created by admin on Sat Dec 16 19:06:15 GMT 2023 , Edited by admin on Sat Dec 16 19:06:15 GMT 2023
NON-SPECIFIC STOICHIOMETRY
Related Record Type Details
PARENT -> SALT/SOLVATE
ANHYDROUS->SOLVATE
Related Record Type Details
ACTIVE MOIETY