MK-5172, a selective inhibitor of hepatitis C virus NS3/4a protease with broad activity across genotypes and resistant variants

Antimicrob Agents Chemother. 2012 Aug;56(8):4161-7. doi: 10.1128/AAC.00324-12. Epub 2012 May 21.

Abstract

HCV NS3/4a protease inhibitors are proven therapeutic agents against chronic hepatitis C virus infection, with boceprevir and telaprevir having recently received regulatory approval as add-on therapy to pegylated interferon/ribavirin for patients harboring genotype 1 infections. Overcoming antiviral resistance, broad genotype coverage, and a convenient dosing regimen are important attributes for future agents to be used in combinations without interferon. In this communication, we report the preclinical profile of MK-5172, a novel P2-P4 quinoxaline macrocyclic NS3/4a protease inhibitor currently in clinical development. The compound demonstrates subnanomolar activity against a broad enzyme panel encompassing major hepatitis C virus (HCV) genotypes as well as variants resistant to earlier protease inhibitors. In replicon selections, MK-5172 exerted high selective pressure, which yielded few resistant colonies. In both rat and dog, MK-5172 demonstrates good plasma and liver exposures, with 24-h liver levels suggestive of once-daily dosing. When administered to HCV-infected chimpanzees harboring chronic gt1a or gt1b infections, MK-5172 suppressed viral load between 4 to 5 logs at a dose of 1 mg/kg of body weight twice daily (b.i.d.) for 7 days. Based on its preclinical profile, MK-5172 is anticipated to be broadly active against multiple HCV genotypes and clinically important resistance variants and highly suited for incorporation into newer all-oral regimens.

MeSH terms

  • Amides
  • Animals
  • Antiviral Agents / pharmacology
  • Carbamates
  • Cyclopropanes
  • Dogs
  • Drug Resistance, Viral
  • Genotype
  • Hepacivirus / drug effects*
  • Hepacivirus / enzymology
  • Hepacivirus / genetics
  • Hepatitis C, Chronic / drug therapy
  • Hepatitis C, Chronic / virology
  • Liver / drug effects
  • Pan troglodytes
  • Protease Inhibitors / pharmacology*
  • Quinoxalines / metabolism
  • Quinoxalines / pharmacokinetics*
  • Quinoxalines / pharmacology*
  • Rats
  • Sulfonamides
  • Viral Load / drug effects
  • Viral Nonstructural Proteins / antagonists & inhibitors*

Substances

  • Amides
  • Antiviral Agents
  • Carbamates
  • Cyclopropanes
  • NS3 protein, hepatitis C virus
  • NS4A protein, flavivirus
  • Protease Inhibitors
  • Quinoxalines
  • Sulfonamides
  • Viral Nonstructural Proteins
  • grazoprevir