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Details

Stereochemistry ABSOLUTE
Molecular Formula C38H50N6O9S.H2O
Molecular Weight 784.919
Optical Activity UNSPECIFIED
Defined Stereocenters 7 / 7
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of GRAZOPREVIR

SMILES

O.COC1=CC2=NC3=C(CCCCC[C@@H]4C[C@H]4OC(=O)N[C@H](C(=O)N5C[C@@H](C[C@H]5C(=O)N[C@@]6(C[C@H]6C=C)C(=O)NS(=O)(=O)C7CC7)O3)C(C)(C)C)N=C2C=C1

InChI

InChIKey=RXSARIJMSJWJLZ-CIAYNJNFSA-N
InChI=1S/C38H50N6O9S.H2O/c1-6-22-19-38(22,35(47)43-54(49,50)25-13-14-25)42-32(45)29-18-24-20-44(29)34(46)31(37(2,3)4)41-36(48)53-30-16-21(30)10-8-7-9-11-27-33(52-24)40-28-17-23(51-5)12-15-26(28)39-27;/h6,12,15,17,21-22,24-25,29-31H,1,7-11,13-14,16,18-20H2,2-5H3,(H,41,48)(H,42,45)(H,43,47);1H2/t21-,22-,24-,29+,30-,31-,38-;/m1./s1

HIDE SMILES / InChI

Molecular Formula C38H50N6O9S
Molecular Weight 766.903
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 7 / 7
E/Z Centers 0
Optical Activity UNSPECIFIED

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

Grazoprevir is a second generation NS3/4A protease inhibitor approved in the EU and the USA for the treatment of hepatitis C virus (HCV) genotypes 1 and 4 infections in adult patients in combination with elbasvir (C virus (HCV) NS5A inhibitor) as the fixed-dose combination product Zepatier with or without ribavirin. In phase III trials, 12 or 16 weeks of treatment with once-daily elbasvir/grazoprevir (fixed-dose tablet or as individual agents), taken with or without ribavirin, generally provided high rates of sustained virological response at 12 weeks (SVR12) in treatment-naive and -experienced adult patients with chronic HCV genotype 1a, 1b or 4 infection, including those with or without compensated cirrhosis, HIV co-infection, inherited blood disorders or chronic kidney disease or patients receiving opioid agonist therapy or of Japanese origin. Elbasvir/grazoprevir was generally well tolerated. Thus, elbasvir/grazoprevir, with or without ribavirin, represents an effective new option for the treatment of adults with chronic HCV genotype 1 and 4 infection, including a number of difficult-to-treat populations.

Originator

Curator's Comment: # Merck

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ZEPATIER

Approved Use

ZEPATIER is a fixed-dose combination product containing elbasvir, a hepatitis C virus (HCV) NS5A inhibitor, and grazoprevir, an HCV NS3/4A protease inhibitor, and is indicated for treatment of chronic HCV genotype 1 or 4 infection in adults. ZEPATIER is indicated for use with ribavirin in certain patient populations.

Launch Date

2016
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
165 ng/mL
100 mg 1 times / day steady-state, oral
dose: 100 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
GRAZOPREVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1420 ng × h/mL
100 mg 1 times / day steady-state, oral
dose: 100 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
GRAZOPREVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
31 h
100 mg 1 times / day steady-state, oral
dose: 100 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
GRAZOPREVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
1.2%
100 mg 1 times / day steady-state, oral
dose: 100 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
GRAZOPREVIR plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Elbasvir/grazoprevir does not worsen renal function in patients with hepatitis C virus infection and pre-existing renal disease.
2017-11
Elbasvir/Grazoprevir Use in Postliver Transplantation Patients on Hemodialysis.
2017-09
Elbasvir/Grazoprevir for Patients With Hepatitis C Virus Infection and Inherited Blood Disorders: A Phase III Study.
2017-09
Elbasvir/Grazoprevir: A Review in Chronic HCV Genotypes 1 and 4.
2017-05
Unraveling the structural basis of grazoprevir potency against clinically relevant substitutions in hepatitis C virus NS3/4A protease from genotype 1a.
2017-04-14
Elbasvir/Grazoprevir (Zepatier) for Hepatitis C Virus Infection.
2017-03-15
Elbasvir/grazoprevir.
2017-02
Grazoprevir and Elbasvir in Patients with Genotype 1 Hepatitis C Virus Infection: A Comprehensive Efficacy and Safety Analysis.
2017
MK-5172, a selective inhibitor of hepatitis C virus NS3/4a protease with broad activity across genotypes and resistant variants.
2012-08
Discovery of MK-5172, a Macrocyclic Hepatitis C Virus NS3/4a Protease Inhibitor.
2012-04-12
Identification of the E5 open reading frame of human papillomavirus type 16.
1988-03
Patents

Sample Use Guides

ZEPATIER is a two-drug, fixed-dose combination product containing 50 mg of elbasvir and 100 mg of grazoprevir in a single tablet. The recommended dosage of ZEPATIER is one tablet taken orally once daily with or without food
Route of Administration: Oral
In a cell-based replicon system, MK-5172 (Grazoprevir) inhibited HCV with EC50 values of 2 nM against genotype 1a, 0.5 nM against genotype 1b, 8 nM against genotype 2a and 13 nM against genotype 3. Also, MK-5172 is effective against HCV genotypes 1a, 2a, 1b, 2b and 3a.
Substance Class Chemical
Created
by admin
on Mon Mar 31 22:12:37 GMT 2025
Edited
by admin
on Mon Mar 31 22:12:37 GMT 2025
Record UNII
4O2AB118LA
Record Status Validated (UNII)
Record Version
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Name Type Language
GRAZOPREVIR MONOHYDRATE
WHO-DD  
Preferred Name English
GRAZOPREVIR
DASH   USAN  
USAN  
Official Name English
GRAZOPREVIR HYDRATE
Common Name English
GRAZOPREVIR [ORANGE BOOK]
Common Name English
GRAZOPREVIR HYDRATE [JAN]
Common Name English
GRAZOPREVIR [USAN]
Common Name English
Grazoprevir monohydrate [WHO-DD]
Common Name English
MK-5172 MONOHYDRATE
Code English
CYCLOPROPANECARBOXAMIDE, N-((((1R,2R)-2-(5-(3-HYDROXY-6-METHOXY-2-QUINOXALINYL)PENTYL)CYCLOPROPYL)OXY)CARBONYL)-3-METHYL-L-VALYL-(4R)-4-HYDROXY-L-PROLYL-1-AMINO-N-(CYCLOPROPYLSULFONYL)-2-ETHENYL-, CYCLIC (1->2)-ETHER, HYDRATE (1:1), (1R,2S)-
Systematic Name English
GRAZOPREVIR HYDRATE [MI]
Common Name English
Classification Tree Code System Code
WHO-ATC J05AP54
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
Code System Code Type Description
DRUG CENTRAL
5081
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
CAS
1350462-55-3
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
ChEMBL
CHEMBL2063090
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
LACTMED
Grazoprevir
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
EPA CompTox
DTXSID00159229
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
WIKIPEDIA
Grazoprevir
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
SMS_ID
100000166286
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
NCI_THESAURUS
C166768
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
FDA UNII
4O2AB118LA
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
USAN
AB-59
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
EVMPD
SUB180368
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
RXCUI
1734630
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
DRUG BANK
DB11575
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
PUBCHEM
71576667
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
CHEBI
132975
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
MERCK INDEX
m11947
Created by admin on Mon Mar 31 22:12:37 GMT 2025 , Edited by admin on Mon Mar 31 22:12:37 GMT 2025
PRIMARY
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