Preclinical Characteristics of the Hepatitis C Virus NS3/4A Protease Inhibitor ITMN-191 (R7227)

被引:156
作者
Seiwert, Scott D. [1 ]
Andrews, Steven W. [2 ]
Jiang, Yutong [2 ]
Serebryany, Vladimir [1 ]
Tan, Hua [1 ]
Kossen, Karl [1 ]
Rajagopalan, P. T. Ravi [1 ]
Misialek, Shawn [1 ]
Stevens, Sarah K. [1 ]
Stoycheva, Antitsa [1 ]
Hong, Jin [1 ]
Lim, Sharlene R. [1 ]
Qin, Xiaoli [1 ]
Rieger, Robert [2 ]
Condroski, Kevin R. [2 ]
Zhang, Hailong [2 ]
Do, Mary Geck [2 ]
Lemieux, Christine [2 ]
Hingorani, Gary P. [2 ]
Hartley, Dylan P. [2 ]
Josey, John A. [2 ]
Pan, Lin [1 ]
Beigelman, Leonid [1 ]
Blatt, Lawrence M. [1 ]
机构
[1] InterMune Inc, Brisbane, CA 94005 USA
[2] Array Biopharma Inc, Boulder, CO 80301 USA
关键词
D O I
10.1128/AAC.00699-08
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Future treatments for chronic hepatitis C virus (HCV) infection are likely to include agents that target viral components directly. Here, the preclinical characteristics of ITMN-191, a peptidomimetic inhibitor of the NS3/4A protease of HCV, are described. ITMN-191 inhibited a reference genotype 1 NS3/4A protein in a time-dependent fashion, a hallmark of an inhibitor with a two-step binding mechanism and a low dissociation rate. Under preequilibrium conditions, 290 pM ITMN-191 half-maximally inhibited the reference NS3/4A protease, but a 35,000-fold-higher concentration did not appreciably inhibit a panel of 79 proteases, ion channels, transporters, and cell surface receptors. Subnanomolar biochemical potency was maintained against NS3/4A derived from HCV genotypes 4, 5, and 6, while single-digit nanomolar potency was observed against NS3/4A from genotypes 2b and 3a. Dilution of a preformed enzyme inhibitor complex indicated ITMN-191 remained bound to and inhibited NS3/4A for more than 5 h after its initial association. In cell-based potency assays, half-maximal reduction of genotype 1b HCV replicon RNA was afforded by 1.8 nM; 45 nM eliminated the HCV replicon from cells. Peginterferon alfa-2a displayed a significant degree of antiviral synergy with ITMN-191 and reduced the concentration of ITMN-191 required for HCV replicon elimination. A 30-mg/kg of body weight oral dose administered to rats or monkeys yielded liver concentrations 12 h after dosing that exceeded the ITMN-191 concentration required to eliminate replicon RNA from cells. These preclinical characteristics compare favorably to those of other inhibitors of NS3/4A in clinical development and therefore support the clinical investigation of ITMN-191 for the treatment of chronic hepatitis C.
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页码:4432 / 4441
页数:10
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