velpatasvir
Trade name: Epclusa
Approved
Jun 28, 2016
Velpatasvir (VEL; GS-5816) is an inhibitor of HCV NS5A protein, it demonstrated favourable in vitro and in vivo properties, including potent antiviral activity against hepatitis C virus genotypes 1 to 6 replicon, good metabolic stability, low systemic clearance, and adequate bioavailability and physicochemical properties to warrant clinical evaluation. Velpatasvir is used together with sofosbuvir in the treatment of hepatitis C infection of all six major genotypes. A once-daily, single-tablet, pangenotypic regimen comprising the HCV NS5B polymerase inhibitor sofosbuvir and the HCV NS5A inhibitor velpatasvir (sofosbuvir/ velpatasvir; Epclusa) has recently been approved for the treatment of adults with chronic HCV genotype 1, 2, 3, 4, 5 or 6 infection in the USA, EU and Canada. — NCATS
Clinical trial activity
95 trials · 63 clinical orgs · 1 marketing orgs
Earliest trial started Nov 1, 2012 (NCT01740791)
Timeline
2010s
- Jan 1, 2012
Gilead Sciences — Earliest Phase 1 Sponsor(trial)
- Jan 1, 2013
Gilead Sciences — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2014
Gilead Sciences — Earliest Phase 3 Sponsor(trial)
- Jun 28, 2016
Gilead Sciences — Earliest FDA Approval
- Jun 28, 2016
Gilead Sciences — NDA Secondary Org
- Jun 28, 2016
Gilead Sciences — NDA Organization
Indications
Approved for
Studied for
- Bone Diseases, Metabolic · Phase 4
- Buprenorphine · Phase 4
- Carcinoma, Hepatocellular · Phase 4
- Cardiovascular Diseases · Phase 4
- Coinfection · Phase 4
- Deglutition Disorders · Phase 1
- Diabetes Mellitus · Phase 4
- Diagnostic Tests, Routine · Early Phase 1
- Drug Misuse · Phase 4
- Drug Users · Phase 4
- End Stage Liver Disease · Phase 4
- Fibrosis · Phase 4
- Heart Failure · Phase 2
- Heart Transplantation · Phase 2
- Hepacivirus · Phase 1
- Hepatitis B, Chronic · Phase 4
- Hepatitis C · Phase 4
- HIV · Phase 4
- HIV Infections · Phase 4
- Implementation Science · Phase 4
- Kidney Failure, Chronic · Phase 2
- Kidney Transplantation · Phase 2/Phase 3
- Liver Diseases · Phase 4
- Liver Transplantation · Phase 2
- Lung Diseases · Phase 1/Phase 2
- Lung Transplantation · Phase 4
- Methadone · Phase 4
- Neoplasms · Phase 4
- Opioid-Related Disorders · Phase 4
- Organ Transplantation · Phase 4
- Pharmacology · Phase 4
- Pregnancy Complications · Phase 4
- Respiratory Insufficiency · Phase 4
- Thalassemia · Phase 4
Mechanism of action
- Nonstructural protein 5AINHIBITOR
NS5A inhibitor
Combination products
epclusa
with sofosbuvir
Also known as sofosbuvir and velpatasvir
vosevi
with sofosbuvir, voxilaprevir
Also known as sofosbuvir, velpatasvir and voxilaprevir
Approval history
- approvedPriority reviewFast trackBreakthroughJun 28, 2016
Chemistry & pharmacology
SMILES
COC[C@H]1C[C@H](N(C1)C(=O)[C@H](NC(=O)OC)C2=CC=CC=C2)C3=NC=C(N3)C4=CC5=C(C=C4)C6=CC7=C(C=C6OC5)C8=C(C=C7)N=C(N8)[C@@H]9CC[C@H](C)N9C(=O)[C@@H](NC(=O)OC)C(C)C- Mol. weight
- 883.0019 g/mol
- Lipinski Ro5
- 2 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaVelpatasvir ↗
- NCATSKCU0C7RS7Z ↗
- ChEMBLCHEMBL3545062 ↗
Also known as
- cdi-31244
- epclusa
- epclusa
- epclusa
- epclusa
- gs5816
- gs-5816
- gs-5816
- gs-5816
- gs-5816
- gs-5816
- methyl {(2s)-1-[(2s,5s)-2-(9-{2-[(2s,4s)-1-{(2r)-2-[(methoxycarbonyl)amino]-2-phenylacetyl}-4-(methoxymethyl)pyrrolidin-2-yl]-1h-imidazol-4-yl}-1,11-dihydro[2]benzopyrano[4',3':6,7]naphtho[1,2-d]imidazol-2-yl)-5-methylpyrrolidin-1-yl]-3-methyl-1-oxobutan-2-yl}carbamate
- methyl {(2s)-1-[(2s,5s)-2-(9-{2-[(2s,4s)-1-{(2r)-2-[(methoxycarbonyl)amino]-2-phenylacetyl}-4-(methoxymethyl)pyrrolidin-2-yl]-1h-imidazol-4-yl}-1,11-dihydro[2]benzopyrano[4',3':6,7]naphtho[1,2-d]imidazol-2-yl)-5-methylpyrrolidin-1-yl]-3-methyl-1-oxobutan-2-yl}carbamate
- sofosbuvir / velpatasvir
- sofosbuvir / velpatasvir
- sofosbuvir velpatasvir drug combination
- sofosbuvir-velpatasvir drug combination
- sofosbuvir, velpatasvir drug combination
- sofosbuvir / velpatasvir / voxilaprevi
- velpatasvir
- velpatasvir
- velpatasvir
- velpatasvir
- velpatasvir
- velpatasvir
- velpatasvir
- velpatasvir
- velpatsvir
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06953479 | Phase 4 | Jun 11, 2025 | Brown University, National Institute on Drug Abuse (NIDA) |
| NCT06533319 | N/A | Aug 1, 2024 | Eastern Idaho Public Health |
| NCT06159504 | Early Phase 1 (Phase 1) | Mar 31, 2024 | Burnet Institute, Médecins du Monde, UNITAID, University of Bristol |
| NCT05248919 | N/A | Jun 1, 2023 | Aga Khan University, Dow University of Health Sciences, University of Bristol, University of London, University of Oxford |
| NCT05467826 | Phase 4 | Sep 1, 2022 | Peking University |
| NCT06306300 | Phase 4 | Jul 4, 2022 | Conselho Nacional de Desenvolvimento Científico e Tecnológico, Oswaldo Cruz Foundation |
| NCT05264558 | Phase 4 | May 25, 2022 | Cairns Hospital, University of Queensland |
| NCT05140941 | Phase 4 | Feb 1, 2022 | Gilead Sciences, University of Pittsburgh |
| NCT05016609 | Phase 4 | Oct 31, 2021 | Burnet Institute |
| NCT04997564 | Phase 4 | Aug 31, 2021 | Peking University |
| NCT04695769 | Phase 4 | Nov 21, 2020 | Helwan University |
| NCT04653818 | Phase 4 | Oct 5, 2020 | Alexandria University |
| NCT04382404 | Phase 1 | Jul 1, 2020 | Gilead Sciences, National Institutes of Health (NIH), University of Pittsburgh |
| NCT04211909 | Phase 3 | Dec 31, 2019 | Gilead Sciences |
| NCT04075916 | Phase 2 | Nov 30, 2019 | Gilead Sciences, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), University of Pennsylvania |
| NCT04112303 | Phase 3 | Oct 31, 2019 | Gilead Sciences |
| NCT03987503 | Phase 4 | Sep 30, 2019 | Gilead Sciences, University of California, San Francisco |
| NCT03949764 | Phase 4 | Aug 21, 2019 | Gilead Sciences, Icahn School of Medicine at Mount Sinai, National Cancer Institute (NCI), National Institute on Drug Abuse (NIDA), University of Bristol, University of Kentucky |
| NCT04039698 | N/A | Jul 22, 2019 | Federal University of Health Science of Porto Alegre, Federal University of Rio Grande do Sul, Government of Brazil, State Department of Health of Rio Grande do Sul |
| NCT03809533 | Phase 2 | May 31, 2019 | University of Pittsburgh |
Organizations
Research & Development (63)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Gilead Sciences | For profit | 52 | 38 | 4 | 2012 |
| University of Pittsburgh | Academic/Hospital | 7 | 7 | 3 | 2017 |
| Harvard University | Academic/Hospital | 5 | 4 | 1 | 2017 |
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | Government | 3 | 2 | 2 | 2015 |
| University of Bristol | Academic/Hospital | 3 | 0 | 3 | 2019 |
| University of California, San Francisco | Academic/Hospital | 3 | 2 | 1 | 2017 |
| University of New South Wales | Academic/Hospital | 3 | 3 | 2 | 2014 |
| Burnet Institute | Academic/Hospital | 2 | 1 | 2 | 2021 |
| Cocrystal Pharma, Inc. | For profit | 2 | 2 | 2 | 2016 |
| Johns Hopkins University | Academic/Hospital | 2 | 1 | 1 | 2017 |
| National Institute on Drug Abuse (NIDA) | Government | 2 | 0 | 1 | 2019 |
| Peking University | Academic/Hospital | 2 | 2 | 1 | 2021 |
| Radboud University | Academic/Hospital | 2 | 2 | 2 | 2018 |
| University of Maryland | Academic/Hospital | 2 | 1 | 1 | 2016 |
| University of Pennsylvania | Academic/Hospital | 2 | 2 | 1 | 2018 |
| Aga Khan University | Academic/Hospital | 1 | 0 | 1 | 2023 |
| AIDS Clinical Trials Group | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Alexandria University | Academic/Hospital | 1 | 1 | 1 | 2020 |
| American University of Beirut | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Baylor University | Academic/Hospital | 1 | 1 | 1 | 2018 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Gilead Sciences | For profit | NDA2 | Jun 28, 2016 |
| Gilead Sciences | For profit | NDA | Jun 28, 2016 |