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Ledipasvir information


Ledipasvir
Clinical data
Trade namesHarvoni (combination with sofosbuvir)
Other namesGS-5885
License data
  • EU EMA: by INN
Routes of
administration
By mouth
ATC code
  • J05AP51 (WHO) (combination with sofosbuvir)
Legal status
Legal status
  • US: ℞-only
Pharmacokinetic data
Bioavailability76%
Protein binding>99%
MetabolismNo cytochrome metabolism
Elimination half-life47 hrs
Identifiers
IUPAC name
  • Methyl N-[(2S)-1-[(6S)-6-[5-[9,9-Difluoro-7-[2-[(1S,2S,4R)-3-[(2S)-2-(methoxycarbonylamino)-3-methylbutanoyl]-3-azabicyclo[2.2.1]heptan-2-yl]-3H-benzimidazol-5-yl]fluoren-2-yl]-1H-imidazol-2-yl]-5-azaspiro[2.4]heptan-5-yl]-3-methyl-1-oxobutan-2-yl]carbamate
CAS Number
  • 1256388-51-8
PubChem CID
  • 67505836
DrugBank
  • DB09027
ChemSpider
  • 29271894
UNII
  • 013TE6E4WV
KEGG
  • D10442 checkY
ChEBI
  • CHEBI:85089 checkY
CompTox Dashboard (EPA)
  • DTXSID90154829 Edit this at Wikidata
Chemical and physical data
FormulaC49H54F2N8O6
Molar mass889.018 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • COC(=O)N[C@H](C(=O)N1CC2(CC2)C[C@H]1c1ncc(-c2ccc3c(c2)C(F)(F)c2cc(-c4ccc5nc([C@@H]6[C@H]7CC[C@H](C7)N6C(=O)[C@@H](NC(=O)OC)C(C)C)[nH]c5c4)ccc2-3)[nH]1)C(C)C
InChI
  • InChI=1S/C49H54F2N8O6/c1-24(2)39(56-46(62)64-5)44(60)58-23-48(15-16-48)21-38(58)42-52-22-37(55-42)28-9-13-32-31-12-8-26(18-33(31)49(50,51)34(32)19-28)27-10-14-35-36(20-27)54-43(53-35)41-29-7-11-30(17-29)59(41)45(61)40(25(3)4)57-47(63)65-6/h8-10,12-14,18-20,22,24-25,29-30,38-41H,7,11,15-17,21,23H2,1-6H3,(H,52,55)(H,53,54)(H,56,62)(H,57,63)/t29-,30+,38-,39-,40-,41-/m0/s1
  • Key:VRTWBAAJJOHBQU-KMWAZVGDSA-N

Ledipasvir is a drug for the treatment of hepatitis C that was developed by Gilead Sciences.[1] After completing Phase III clinical trials, on February 10, 2014, Gilead filed for U.S. approval of a ledipasvir/sofosbuvir fixed-dose combination tablet for genotype 1 hepatitis C.[2][3] The ledipasvir/sofosbuvir combination is a direct-acting antiviral agent that interferes with HCV replication and can be used to treat patients with genotypes 1a or 1b without PEG-interferon or ribavirin.

Ledipasvir is an inhibitor of NS5A, a hepatitis C virus protein.[citation needed]

Data presented at the 20th Conference on Retroviruses and Opportunistic Infections in March 2013 showed that a triple regimen of the nucleotide analog inhibitor sofosbuvir, ledipasvir, and ribavirin produced a 12-week post-treatment sustained virological response (SVR12) rate of 100% for both treatment-naive patients and prior non-responders with HCV genotype 1.[4][5] The sofosbuvir/ledipasvir coformulation is being tested with and without ribavirin. In February 2014 Gilead filed for United States Food and Drug Administration (FDA) approval of ledipasvir/sofosbuvir oral treatment, without interferon and ribavirin.[6]

On 10 October 2014 the FDA approved the combination product ledipasvir/sofosbuvir called Harvoni.[7]

  1. ^ "Ledipasvir" (PDF). United States Adopted Name. Archived from the original (PDF) on 2016-01-31. Retrieved 2013-05-14.
  2. ^ "Ledipasvir-submitted-to-FDA".
  3. ^ "GS-5885". Gilead Sciences. Archived from the original on 2013-04-10. Retrieved 2013-03-08.
  4. ^ ELECTRON: 100% Suppression of Viral Load through 4 Weeks’ Post-treatment for Sofosbuvir + Ledipasvir (GS-5885) + Ribavirin for 12 Weeks in Treatment-naïve and -experienced Hepatitis C Virus GT 1 Patients Archived 2013-03-23 at the Wayback Machine. Gane, Edward et al. 20th Conference on Retroviruses and Opportunistic Infections. March 3–6, 2013. Abstract 41LB.
  5. ^ CROI 2013: Sofosbuvir + Ledipasvir + Ribavirin Combo for HCV Produces 100% Sustained Response Archived 2015-09-24 at the Wayback Machine. Highleyman, Liz. HIVandHepatitis.com. 4 March 2013.
  6. ^ "Gilead Files for U.S. Approval of Ledipasvir/Sofosbuvir Fixed-Dose Combination Tablet for Genotype 1 Hepatitis C". Gilead Sciences. 10 February 2014.
  7. ^ "U.S. Food and Drug Administration Approves Gilead's Harvoni (Ledipasvir/Sofosbuvir), the First Once-Daily Single Tablet Regimen for the Treatment of Genotype 1 Chronic Hepatitis C". 10 October 2014. Archived from the original on 12 October 2018. Retrieved 10 October 2014.

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Ledipasvir

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Sofosbuvir

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Annie Luetkemeyer

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Wong, David K.; Dieterich, Douglas; Sulkowski, Mark (August 20, 2015). "Ledipasvir and Sofosbuvir for HCV in Patients Coinfected with HIV-1". New England...

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WHO Model List of Essential Medicines

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Sofosbuvir Sofosbuvir/velpatasvir (sofosbuvir + velpatasvir) Ledipasvir/sofosbuvir (ledipasvir + sofosbuvir) Ribavirin Diloxanide Metronidazole Amphotericin...

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Hetero Drugs

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(sofosbuvir) and Ledifos (a fixed-dose combination of sofosbuvir and ledipasvir).[citation needed] Hetero Group's subsidiaries include Hetero Drugs, Hetero...

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Gilead Sciences

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HIV/AIDS, hepatitis B, hepatitis C, influenza, and COVID-19, including ledipasvir/sofosbuvir and sofosbuvir. Gilead is a member of the NASDAQ Biotechnology...

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Simeprevir

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care providers about nine people that began taking its hepatitis C drugs ledipasvir/sofosbuvir or sofosbuvir along with amiodarone, daclatasvir, or simeprevir...

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Hepatitis

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telaprevir, boceprevir, simeprevir, and others NS5A inhibitors, including ledipasvir, daclatasvir, and others NS5B inhibitors, including sofosbuvir, dasabuvir...

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Discovery and development of NS5A inhibitors

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been approved, among them notably the first FDA-approved NS5A inhibitor ledipasvir, approved October 2014 in combination with sofosbuvir to comprise the...

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List of largest selling pharmaceutical products

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Adalimumab Humira Biologic Rheumatoid arthritis AbbVie Inc. 14,012 1,469 2 Ledipasvir/sofosbuvir Harvoni Small molecule Hepatitis C Gilead Sciences 13,864 11...

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Amiodarone

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healthcare providers about people who began taking the hepatitis C drugs ledipasvir/sofosbuvir or sofosbuvir along with amiodarone, who developed abnormally...

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Buyers club

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obtain legal access to generic versions of sofosbuvir, daclatasvir, and ledipasvir. At EASL International Liver Congress, Dr. Freeman presented data showing...

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Catherine Stedman

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Susanna Naggie; Curtis Cooper; Michael Saag; et al. (21 July 2015). "Ledipasvir and Sofosbuvir for HCV in Patients Coinfected with HIV-1". The New England...

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Uprifosbuvir

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rapidly after the introduction in 2014 of sofosbuvir and the combination ledipasvir/sofosbuvir, drugs that cured hepatitis C, and whose market was also diminishing...

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Palisaded neutrophilic and granulomatous dermatitis

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granulomatous dermaititis is associated with subacute bacterial endocarditis, ledipasvir/sofosbuvir, allopurinol, Hodgkin’s and non-Hodgkin’s lymphoma, chronic...

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List of drugs granted breakthrough therapy designation

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Pharmaceuticals aplastic anemia Pembrolizumab Merck metastatic melanoma Ledipasvir/sofosbuvir Gilead Sciences Hepatitis C Pirfenidone Genentech idiopathic...

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Boceprevir

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overwhelming superiority of newer direct-acting antiviral agents, such as ledipasvir/sofosbuvir. The SPRINT-1 trial was a phase-II trial of boceprevir in difficult-to-treat...

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Interferon Lambda 4

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variant are less likely to respond to NS5A inhibitors such as daclatasvir, ledipasvir and ombitasvir, which are commonly used in popular DAA regimens (e.g....

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ATC code J05

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Grazoprevir J05AP12 Coblopasvir J05AP13 Ravidasvir J05AP51 Sofosbuvir and ledipasvir J05AP52 Dasabuvir, ombitasvir, paritaprevir and ritonavir J05AP53 Ombitasvir...

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Hepatitis C virus nonstructural protein 5B

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development terminated. Sofosbuvir (Sovaldi; Harvoni (combination with ledipasvir)): nucleotide analog, approved by the FDA in December 2013. Gehring S...

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Hepatitis C virus nonstructural protein 5A

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they are often used in combination with NS5B inhibitors: FDA-approved: Ledipasvir, approved on October 10, 2014 in a fixed-dose combination (FDC) with sofosbuvir...

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Hepatitis C and HIV coinfection

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cirrhosis provided an overall SVR12 of 93% (14 out of 15 individuals). Ledipasvir/Sofosbuvir The multi-center, open-label, ION-4 Study showed that a 12-week...

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NS5B inhibitor

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virus. It has high efficacy in combination with several other drugs, like ledipasvir, either with or without peginterferon-alfa. It has many advantages due...

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