Development of boceprevir: a first-in-class direct antiviral treatment for chronic hepatitis C infection

Daria J Hazuda1, Margaret Burroughs, Anita Y M Howe

  • 1Merck Research Laboratories, West Point, Pennsylvania 19486, USA. Daria_hazuda@merck.com

Insights

Boceprevir, a direct-acting antiviral, was developed to target hepatitis C virus (HCV) protease. This breakthrough treatment offers a new modality for managing chronic HCV infection.

Area of Science:

  • Hepatology
  • Virology
  • Drug Discovery

Background:

  • Hepatitis C virus (HCV) identified as cause of non-A, non-B hepatitis over 20 years ago.
  • Intensive research focused on direct-acting antivirals targeting viral polymerase and protease.
  • Over two decades of effort led to the development of HCV protease inhibitors.

Purpose of the Study:

  • Describe the discovery and development of boceprevir.
  • Highlight boceprevir as a first-in-class direct antiviral treatment for chronic hepatitis C.
  • Discuss challenges and lessons learned in developing novel HCV therapeutics.

Main Methods:

  • Targeted development of direct-acting antivirals.
  • Focus on inhibiting key viral proteins: polymerase and protease.
  • Clinical trials and regulatory approval processes for boceprevir.

Main Results:

  • Boceprevir approved in 2011 as one of the first HCV protease inhibitors.
  • Represents a major advancement in treating HCV infection.
  • Paved the way for new HCV antiviral therapeutics.

Conclusions:

  • Boceprevir's development signifies a milestone in HCV treatment.
  • Lessons from its discovery inform future antiviral drug development.
  • Offers a new therapeutic modality for chronic HCV infection, aiding eradication efforts.

Related Concept Videos

Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion of food...
Inhibitors of Viral Protein Synthesis01:30

Inhibitors of Viral Protein Synthesis

Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF01:24

Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF

Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab (Humira),...
Preclinical Development: Overview01:28

Preclinical Development: Overview

Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
Subviral Agents01:29

Subviral Agents

Subviral agents are infectious entities that resemble viruses but lack one or more viral components, such as a capsid or essential replication machinery. These agents include viroids, prions, and satellites, each possessing distinct structural and functional characteristics that influence their mode of infection and replication.Viroids are the simplest subviral agents, consisting of circular, single-stranded RNA molecules without a protein coat. They exclusively infect plants, relying entirely...