Delving into the Latest Updates on Boceprevir with Synapse

Overview

Basic Info

Drug Type

Small molecule drug

Synonyms

Boceprevir (INN/USAN)

+ [2]

Target

NS3/NS4A

Mechanism

NS3/NS4A inhibitors(Hepatitis C virus serine protease, NS3/NS4A inhibitors)

Therapeutic Areas

Infectious DiseasesDigestive System Disorders

Active Indication

Hepatitis C

Inactive Indication

AnemiaChronic hepatitis C genotype 1Coinfection+ [4]

Originator Organization

Merck & Co., Inc.

Active Organization

Merck GmbH

Inactive Organization

Merck Sharp & Dohme Corp.Merck Sharp & Dohme Ireland Ltd.F. Hoffmann-La Roche Ltd.

+ [2]

Drug Highest PhaseApproved

First Approval Date

US (13 May 2011),

FibrosisHepatitis C, ChronicHepatitis C+ [1]

Regulation-

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Structure

Molecular FormulaC27H45N5O5

InChIKeyLHHCSNFAOIFYRV-DOVBMPENSA-N

CAS Registry394730-60-0

Objectives: 1) To evaluate la proportion of hepatitic C virus (HCV)-monoinfected patients who show sustained virologic response (SVR) to treatment including direct-acting antivirals (DAAs) in the clinical practice in clinical units that treat infectious diseases and 2) to determine the frequency of adverse events, including those that are severe and/or cause treatment interruption, in DAA-based therapy in this setting.
Design: Multicentric, prospective post-authorised cohort study. Setting: Hospitals of the Hepatitis Study Group (GEHEP) of the Spanish Society of Infectious Diseases and Microbiology (SEIMC).
Study population: HCV-monoinfected patients that initiate DAA-based treatment outside clinical trials.
Variables: The primary efficacy outcome variable is the proportion of patients who reach undetectable HCV-RNA 12 weeks after the scheduled end of therapy (SVR12). The primary safety outcome variable is the percentage of subjects who discontinue therapy due to adverse events.
Statistical analysis: A descriptive study will be performed, as well as a double sensibility analysis of the frequency of SVR12 using both an intention-to-treat and an on-treatment approach. Those variables that are associated with SVR12 with a p-value <0.2 will be included in a logistic regression analysis in which SVR12 will be the dependent variable.

Start Date01 Dec 2014

Sponsor / Collaborator

Hospital Universitario de Canarias

[+6]

NCT02118597 / TerminatedNot Applicable

Non-interventional Study to Observe Triple Combination Therapy With Boceprevir or Simeprevir Plus Peginterferon Alfa-2a Plus Ribavirin for Re-treatment of Chronic Hepatitis C in Hungary (IMPERIAL)

This prospective, national, multicenter, non-interventional study examined the use of triple combination therapy with boceprevir, pegylated interferon (peginterferon) alfa-2a and ribavirin in re-treating participants with genotype 1 chronic hepatitis C (CHC) infection. Dosing and treatment duration were at the discretion of the investigator in accordance with local clinical practice and local labeling. Participants were to be observed for the duration of their triple combination therapy and for up to 24 weeks thereafter.

Start Date01 May 2014

Sponsor / Collaborator

Hoffmann-La Roche, Inc.

NCT01641666 / WithdrawnPhase 3

An Open-Label Study to Assess the Safety and Tolerability of Boceprevir in Combination With Peginterferon Alfa-2b Plus Ribavirin for Treatment of Vietnamese Subjects With Chronic Hepatitis C Genotype 1 Who Failed Prior Treatment With Any Interferon Plus Ribavirin in Vietnam

This study is designed to assess the safety and tolerability of boceprevir dosed 800 mg three times daily (TID) orally (PO) in combination with Peginterferon alfa-2b (PEG2b) 1.5 mcg/kg once a week (QW) administered subcutaneously (SC) plus ribavirin (RBV) (800 to 1400 mg/day) PO in Response Guided Therapy (RGT) in adult Vietnamese subjects with Chronic Hepatitis C, Genotype 1 (CHC GT1) who failed prior treatment with any interferon and ribavirin in Vietnam.

Start Date01 May 2014

Sponsor / Collaborator

Merck Sharp & Dohme Corp.

100 Clinical Results associated with Boceprevir

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100 Translational Medicine associated with Boceprevir

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100 Patents (Medical) associated with Boceprevir

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965

Literatures (Medical) associated with Boceprevir

13 Mar 2024·Science Translational MedicineQ1 · MEDICINE

An orally bioavailable SARS-CoV-2 main protease inhibitor exhibits improved affinity and reduced sensitivity to mutations

Q1 · MEDICINE

Article

Author: Tat, Vivian ; Blish, Catherine ; Lo, Chieh-Wen ; Rustagi, Arjun ; Zou, Xinzhi ; Ning, Lin ; Su, Yichi ; Fernandez, Daniel ; Tseng, Chien-Te K ; Saenkham-Huntsinger, Panatda ; Wu, Yan ; Garhyan, Jaishree ; Einav, Shirit ; Karim, Marwah ; Peng, Bi-Hung ; Huang, Pinghan ; Patel, Puja Bhavesh ; Hao, Chenzhou ; Lin, Michael Z ; Drelich, Aleksandra ; Westberg, Michael ; Beck, Aimee

Inhibitors of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) main protease (M pro ) such as nirmatrelvir (NTV) and ensitrelvir (ETV) have proven effective in reducing the severity of COVID-19, but the presence of resistance-conferring mutations in sequenced viral genomes raises concerns about future drug resistance. Second-generation oral drugs that retain function against these mutants are thus urgently needed. We hypothesized that the covalent hepatitis C virus protease inhibitor boceprevir (BPV) could serve as the basis for orally bioavailable drugs that inhibit SARS-CoV-2 M pro more efficiently than existing drugs. Performing structure-guided modifications of BPV, we developed a picomolar-affinity inhibitor, ML2006a4, with antiviral activity, oral pharmacokinetics, and therapeutic efficacy similar or superior to those of NTV. A crucial feature of ML2006a4 is a derivatization of the ketoamide reactive group that improves cell permeability and oral bioavailability. Last, ML2006a4 was found to be less sensitive to several mutations that cause resistance to NTV or ETV and occur in the natural SARS-CoV-2 population. Thus, anticipatory design can preemptively address potential resistance mechanisms to expand future treatment options against coronavirus variants.

29 Jan 2024·Zeitschrift für Naturforschung C

In silico study of inhibition activity of boceprevir drug against 2019-nCoV main protease

Article

Author: Chauhan, Madan Singh ; Tiwari, Gargi ; Sharma, Dipendra

AbstractBoceprevir drug is a ketoamide serine protease inhibitor with a linear peptidomimetic structure that exhibits inhibition activity against 2019-nCoV main protease. This paper reports electronic properties of boceprevir and its molecular docking as well as molecular dynamics simulation analysis with protein receptor. For this, the equilibrium structure of boceprevir has been obtained by DFT at B3LYP and ωB97XD levels with 6-311+G(d,p) basis set in gas and water mediums. HOMO–LUMO and absorption spectrum analysis have been used to evaluate the boceprevir’s toxicity and photosensitivity, respectively. Molecular docking simulation has been performed to test the binding affinity of boceprevir with 2019-nCoV MPRO; which rendered a variety of desirable binding locations between the ligand and target protein’s residue positions. The optimum binding location has been considered for molecular dynamics simulation. The findings have been addressed to clarify the boceprevir drug efficacy against the 2019-nCoV MPRO.

31 Dec 2023·Emerging Microbes & Infections

Orthogonal dual reporter-based gain-of-signal assay for probing SARS-CoV-2 3CL protease activity in living cells: inhibitor identification and mutation investigation

Article

Author: Wang, Baogang ; Zhao, Liangliang ; Zhang, Dongna ; Bei, Zhu-Chun ; Song, Yabin ; Li, Qingyun ; Wang, Hong ; Xu, Likun ; Dong, Shuwei ; Yu, Huanhuan

ABSTRACTThe main protease (3-chymotrypsin-like protease, 3CLpro) of SARS-CoV-2 has become a focus of anti-coronavirus research. Despite efforts, drug development targeting 3CLpro has been hampered by limitations in the currently available activity assays. Additionally, the emergence of 3CLpro mutations in circulating SARS-CoV-2 variants has raised concerns about potential resistance. Both emphasize the need for a more reliable, sensitive, and facile 3CLpro assay. Here, we report an orthogonal dual reporter-based gain-of-signal assay for measuring 3CLpro activity in living cells. It builds on the finding that 3CLpro induces cytotoxicity and reporter expression suppression, which can be rescued by its inhibitor or mutation. This assay circumvents most limitations in previously reported assays, especially false positives caused by nonspecific compounds and signal interference from test compounds. It is also convenient and robust for high throughput screening of compounds and comparing the drug susceptibilities of mutants. Using this assay, we screened 1789 compounds, including natural products and protease inhibitors, with 45 compounds that have been reported to inhibit SARS-CoV-2 3CLpro among them. Except for the approved drug PF-07321332, only five of these inhibit 3CLpro in our assays: GC376; PF-00835231; S-217622; Boceprevir; and Z-FA-FMK. The susceptibilities of seven 3CLpro mutants prevalent in circulating variants to PF-07321332, S-217622, and GC376 were also assessed. Three mutants were identified as being less susceptible to PF-07321322 (P132H) and S-217622 (G15S, T21I). This assay should greatly facilitate the development of novel 3CLpro-targeted drugs and the monitoring of the susceptibility of emerging SARS-CoV-2 variants to 3CLpro inhibitors.

2

News (Medical) associated with Boceprevir

08 Feb 2023

·www.biospace.com

Infectious disease specialist Dr. Regis A. Vilchez is appointed CMO of MicuRx Pharmaceuticals, Inc.

SHANGHAI, Feb. 8, 2023 /PRNewswire/ -- Shanghai MicuRx Pharmaceutical Co., Ltd. ("MicuRx," 688373) announced recently that it has appointed Regis A. Vilchez, MD, PhD, an experienced R&D biopharmaceutical executive and infectious disease expert, as Chief Medical Officer of its American subsidiary, MicuRx Pharmaceuticals, Inc. He oversees new drug development programs and clinical activities in the United States, Europe and other regions. Dr. Vilchez earned an M.D. from the Universidad Autónoma de Centro América in Costa Rica and a Ph.D. from Baylor College of Medicine in Houston, Texas, the United States. He completed an internal medicine residency at Robert Wood Johnson Medical School, a clinical infectious diseases fellowship at the University of Pittsburgh, and a molecular virology fellowship at Baylor College of Medicine. Prior to entering the biopharmaceutical industry, Dr. Vilchez was full time faculty in the Departments of Medicine and Molecular Virology & Microbiology at Baylor College of Medicine. Dr. Vilchez has served in multiple R&D roles at Boehringer Ingelheim, Merck, Roche, Abbott/AbbVie, Mallinckrodt Pharmaceuticals and other smaller biotechnology companies. In those roles, Dr. Vilchez has been a key contributor to the global development of new therapies such as Vicriviroc, Victrelis, Viekirax, Technivie, Ocaliva, Terlivaz, and StrataGraft. Dr. Vilchez has co-authored more than 100 peer-reviewed scientific publications in high impact biomedical journals such as the New England Journal of Medicine, The Lancet, and Clinical Microbiology Reviews. The leadership of Dr. Vilchez will enhance MicuRx's global R&D programs and clinical activities. MicuRx is rapidly expanding its business and assembling an international expert team with extensive experience and an innovative spirit to develop a robust global R&D organization. Moving forward, MicuRx will remain focused on advancing its anti-infective product pipeline, and provide more effective and safer treatment options for patients around the world. View original content to download multimedia: SOURCE MicuRx Pharmaceuticals Company Codes: Shanghai:688373, Shanghai:688373.SS

Executive Change

01 Nov 2010

·www.biospace.com

Merck & Co., Inc.'s Investigational Medicine Boceprevir Achieved Significantly Higher SVR Rates In Treatment-Failure and Treatment-Naïve Adult Patients with Chronic Hepatitis C Genotype 1 Compared to Control

BOSTON--(BUSINESS WIRE)--Merck reported today that final results from two pivotal Phase III studies of boceprevir, its investigational oral hepatitis C protease inhibitor, demonstrated significantly higher sustained virologic response (SVR)1 rates in adult patients who previously failed treatment (treatment-failure; HCV RESPOND-2) and in adult patients who were new to treatment (treatment-naïve; HCV SPRINT-2) for chronic hepatitis C virus (HCV) genotype 1 compared to control, the primary objective of the studies. The results for the primary endpoints of these studies, which were first reported in a news release in August 20102, and a broad range of further data analyses from these studies are being presented in oral and poster presentations at the 61st Annual Meeting of the American Association for the Study of Liver Diseases (AASLD).

100 Deals associated with Boceprevir

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External Link

KEGG	Wiki	ATC	Drug Bank
D08876	Boceprevir	J05AP03	DB08873

R&D Status

Approved

10 top approved records.

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Indication	Country/Location	Organization	Date
Hepatitis C	BR	Merck GmbH	07 Sep 2011

Developing

10 top R&D records.

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Indication	Highest Phase	Country/Location	Organization	Date
Chronic hepatitis C genotype 1	Phase 2	-	Merck Sharp & Dohme Corp.	01 Aug 2008
Fibrosis	Discovery	US	Merck Sharp & Dohme Corp.	13 May 2011
Hepatitis C	Discovery	US	Merck Sharp & Dohme Corp.	13 May 2011
Hepatitis C, Chronic	Discovery	US	Merck Sharp & Dohme Corp.	13 May 2011
Anemia	Discovery	-	Merck Sharp & Dohme Corp.	07 Dec 2009
Chronic hepatitis C genotype 1	Discovery	-	Merck Sharp & Dohme Corp.	01 Aug 2008

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Clinical Result

Indication

Phase

Evaluation

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Study	Phase	Population	Analyzed Enrollment	Group	Results	Evaluation	Publication Date


NCT02060058 (BOLERO-CB, CTgov)	Phase 3	-	12	boceprevir+ribavirin (Patients With 32 Week Therapy)	wwdnqcbnoq(icwbeammys) = iofvbsshmc emogmvqyna (ifcibolhwd, qwkviuzqlz - qnkfpomzfx) View more	-	13 Mar 2018
				boceprevir+ribavirin (Patients With 48 Weeks Therapy)	szejzxvxqt(drtthqaydq) = bkpdgoghxe kljwzhzxtu (jyovbiqovi, gzyvloelks - ysntksvitk) View more
NCT01925183 (HIVCOBOC-RGT, CTgov)	Phase 4	HIV Infections \| Hepatitis C, Chronic	6	Pegylated interferon alpha-2a+Boceprevir+Ribavirin (28 Weeks of Treatment Duration)	pyppjbshys(jfgjxzgcmc) = fkukpsssdl gkowuegngd (xvvqtzwpim, pjttfdmatj - xvxkzjhygc) View more	-	09 Feb 2017
				Pegylated interferon alpha-2a+Boceprevir+Ribavirin (48 Weeks of Treatment Duration)	pyppjbshys(jfgjxzgcmc) = avrrednhtt gkowuegngd (xvvqtzwpim, ygramelhsa - igqaxmrkfn) View more
NCT01945294 (3034-107, CTgov)	Phase 3	Chronic hepatitis C genotype 1	257	Boceprevir+Peg-interferon alfa-2b+Ribavirin (Arm 1: 16-week Treatment Arm)	gxnjrwipbf(wymraeilrw) = shpmmyywml snifowsyfq (jfjaquwspo, nfxwwbdskf - ddanjmcevz) View more	-	23 Nov 2016
				Boceprevir+Peg-interferon alfa-2b+Ribavirin (Arm 2: 28-week Treatment Arm)	gxnjrwipbf(wymraeilrw) = ynbimkfaka snifowsyfq (jfjaquwspo, nkakcdaaoe - hpbwfxiyir) View more
NCT01756079 (3034-105, CTgov)	Phase 4	Chronic hepatitis C genotype 1 \| Fibrosis	58	boceprevir+RBV (Overall Participants)	sshkjmxxqi(tfcijepawp) = yubfcyviet txqbybrmgl (yqdfkgzhpy, mzoclohlpy - iitgnypvzd) View more	-	21 Nov 2016
				boceprevir+RBV (Overall Participants: Lead-in, Treatment and Follow-up)	lgyqfeukch(zreysaigwi) = oncqucdgkz yirvikhudm (muujamxspv, jbswtoyyqp - mtzmrfcuis) View more
NCT01591460 (TriCo, Pubmed \| Infect Dis Ther) Manual	Phase 4	Hepatitis C	165	Peginterferon Alfa-2a+Ribavirin+Boceprevir	(evewdarrwc) = hslqyxaibn szqyyusuvn (jjdcsqdczq, 74 - 86)	Positive	01 Jun 2016
NCT01544920 (P07755, CTgov)	Phase 3	Chronic hepatitis C genotype 1	737	peg-Interferon alfa-2a+Boceprevir+Ribavirin (Arm 1: Peg-IFN + RBV)	zxsohdpzwi(powsqyptar) = znjmsxojeu vyxyjoehgh (uvxykfsphs, xjlslawzuj - dsgywmbqif) View more	-	30 May 2016
				peg-Interferon alfa-2a+Boceprevir+Ribavirin (Arm 2: BOC + Peg-IFN + RBV)	zxsohdpzwi(powsqyptar) = mqggzxqbgr vyxyjoehgh (uvxykfsphs, xmahcfusnx - knhkxudeuv) View more
NCT01912495 (DAHHS, Pubmed \| J Hepatol) Manual	Phase 2	HIV Infections \| Hepatitis C	127	ribavirin+peginterferon+boceprevir	(ptshxladqs) = arwlrncjtu bzrwxpziix (nhwvkfjlgn ) View more	Positive	01 Apr 2016
				ribavirin+peginterferon	(hclqgwhzcm) = tqvyvphjyy zmiexfwqzw (dxabknuziu )
NCT01912495 (DAHHS, CTgov)	Phase 2	Coinfection \| HIV Infections \| Hepatitis C	65	Peginterferon+Boceprevir+Ribavirin (Boceprevir, Peginterferon and Ribavirin)	esubmnkysk(dbzyticxas) = azihgojipk sncmiwuvvy (gycjulfavp, cvnltrabrd - qghhjomjrj) View more	-	01 Apr 2016
				Boceprevir Peginterferon+Ribavirin (Boceprevir Peginterferon Ribavirin)	fcatopqnqb(vxobgleyyr) = plavnrsvox ixboezggpo (calvczlcwx, ilkdmfeedg - ymyccsgsxh)
NCT01335529 (BocepreVIH, Pubmed) Manual	Phase 2	HIV Infections \| Hepatitis C	64	ribavirin+PEGylated-interferonα2b+boceprevir	(trhncjrcrt) = cfvuycfmen vzbotfyjrx (nvfeprxddr, 43 - 63) View more	Positive	01 Mar 2016
NCT01425203 (P08160, Pubmed) Manual	Phase 3	Hepatitis C, Chronic	238	peginterferon+ribavirin+Boceprevir	(jzyjfnfsrn) = zbcumsfkfl lresndnvev (wwafhtjpyj )	Positive	28 Feb 2016
				peginterferon+ribavirin+Placebo	(jzyjfnfsrn) = rjrtprvxrh lresndnvev (wwafhtjpyj )