Drug General Information
Drug ID D0X9CH
Drug Name Telaprevir
Synonyms 402957-28-2; VX-950; Incivek; Telaprevir (VX-950); Incivo; MP-424; VX 950; Telavic; VX-950(Telaprevir); LY-570310; UNII-655M5O3W0U; VRT-111950; CHEMBL231813; CHEBI:68595; 655M5O3W0U; S-Telaprevir; (1S,3aR,6aS)-2-((S)-2-((S)-2-cyclohexyl-2-(pyrazine-6-carboxamido)acetamido)-3,3-dimethylbutanoyl)-N-((S)-1-(cyclopropylamino)-1,2-dioxohexan-3-yl)-octahydrocyclopenta[c]pyrrole-1-carboxamide
Drug Type Small molecular drug
Structure D0X9CH
Drug Resistance Mutations
Target Name HCV Serine protease (NS3) Target Info
Gene Name NS3
Uniprot ID POLG_HCVJA(1027-1657)
Species Hepatitis C virus genotype 1b
Reference Sequence APITAYSQQTRGLLGCIITSLTGRDKNQVDGEVQVLSTATQSFLATCVNGVCWTVYHGAG
SKTLAGPKGPITQMYTNVDQDLVGWPAPPGARSMTPCTCGSSDLYLVTRHADVVPVRRRG
DSRGSLLSPRPISYLKGSSGGPLLCPSGHVVGIFRAAVCTRGVAKAVDFIPVESMETTMR
SPVFTDNSSPPAVPQTFQVAHLHAPTGSGKSTKVPAAYAAQGYKVLVLNPSVAATLGFGA
YMSKAHGIEPNIRTGVRTITTGGPITYSTYCKFLADGGCSGGAYDIIICDECHSTDSTTI
LGIGTVLDQAETAGARLVVLATATPPGSITVPHPNIEEVALSNTGEIPFYGKAIPIEAIK
GGRHLIFCHSKKKCDELAAKLTGLGLNAVAYYRGLDVSVIPTSGDVVVVATDALMTGFTG
DFDSVIDCNTCVTQTVDFSLDPTFTIETTTLPQDAVSRAQRRGRTGRGRSGIYRFVTPGE
RPSGMFDSSVLCECYDAGCAWYELTPAETSVRLRAYLNTPGLPVCQDHLEFWESVFTGLT
HIDAHFLSQTKQAGDNLPYLVAYQATVCARAQAPPPSWDQMWKCLIRLKPTLHGPTPLLY
RLGAVQNEVTLTHPITKYIMACMSADLEVVT [Hepatitis C virus genotype
1b]
Targeted Disease HCV infection
Drug Resistance Mutations
Mutation info Missense: A156F [1], [2], [3]
Level of Resistance Confer >62 fold resistance
Mutation info Missense: A156N [1], [2], [3]
Level of Resistance Confer >93 fold resistance
Mutation info Missense: A156S [1], [2], [3]
Level of Resistance Confer 9.6 fold resistance
Mutation info Missense: A156T [1], [2], [3]
Level of Resistance Confer >62 fold resistance
Mutation info Missense: A156V [1], [2], [3]
Level of Resistance Confer >62 fold resistance
Mutation info Missense: D168N [1], [2], [3]
Level of Resistance Confer 0.63 fold resistance
Mutation info Missense: I132V [1], [2], [3]
Level of Resistance Confer 1.8 fold resistance
Mutation info Missense: R155G [1], [2], [3]
Level of Resistance Confer 7.4 fold resistance
Mutation info Missense: R155K [1], [2], [3]
Level of Resistance Confer 7.4 fold resistance
Mutation info Missense: R155M [1], [2], [3]
Level of Resistance Confer 5.6 fold resistance
Mutation info Missense: R155T [1], [2], [3]
Level of Resistance Confer 20 fold resistance
Mutation info Missense: T54A [1], [2], [3]
Level of Resistance Confer 6.3 fold resistance
Mutation info Missense: T54S [1], [2], [3]
Level of Resistance Confer 4.2 fold resistance
Mutation info Missense: V36A [1], [2], [3]
Level of Resistance Confer 7.4 fold resistance
Mutation info Missense: V36G [1], [2], [3]
Level of Resistance Confer 11 fold resistance
Mutation info Missense: V36I [1], [2], [3]
Level of Resistance Confer 0.3 fold resistance
Mutation info Missense: V36L [1], [2], [3]
Level of Resistance Confer 2.2 fold resistance
Mutation info Missense: V36M + R155K [1], [2], [3]
Level of Resistance Confer ~64 fold resistance
Mutation info Missense: V36M [1], [2], [3]
Level of Resistance Confer 7 fold resistance
References
REF 1 In vitro resistance studies of hepatitis C virus serine protease inhibitors, VX-950 and BILN 2061: structural analysis indicates different resistan... J Biol Chem. 2004 Apr 23;279(17):17508-14.
REF 2 In vitro studies of cross-resistance mutations against two hepatitis C virus serine protease inhibitors, VX-950 and BILN 2061. J Biol Chem. 2005 Nov 4;280(44):36784-91.
REF 3 Hepatitis C viral evolution in genotype 1 treatment-nae and treatment-experienced patients receiving telaprevir-based therapy in clinical trials. PLoS One. 2012;7(4):e34372.

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