pibrentasvir
Trade name: Mavyret
Approved
Aug 3, 2017
Pibrentasvir is a direct acting antiviral agent and Hepatitis C virus (HCV) NS5A inhibitor that targets the the viral RNA replication and viron assembly. NS5A is a phosphoprotein that plays an essential role in replication, assembly and maturation of infectious viral proteins. The basal phosphorylated form of NS5A, which is maintained by C-terminal serine cluster, is key in ensuring its interaction with the viral capsid protein, or the core protein. By blocking this interaction, pibrentasvir inhibits the assembly of proteins and production of mature HCV particles. In the United States and Europe, Pibrentasvir is approved for use with glecaprevir as the combination drug glecaprevir/pibrentasvir (trade name Mavyret in the US and Maviret in the EU) for the treatment of hepatitis C. This fixed-dose combination therapy was FDA-approved in August 2017 to treat adults with chronic hepatitis C virus (HCV) genotypes 1-6 without cirrhosis (liver disease) or with mild cirrhosis, including patients with moderate to severe kidney disease and those who are on dialysis. — NCATS
Clinical trial activity
55 trials · 25 clinical orgs · 2 marketing orgs
Earliest trial started Nov 1, 2013 (NCT01995071)
Timeline
2010s
- Jan 1, 2013
- Jan 1, 2014
- Jan 1, 2015
- Jan 9, 2017
Orphan Drug Designation
- Aug 3, 2017
Gilead Sciences — Earliest FDA Approval
- Aug 3, 2017
AbbVie — NDA Secondary Org
- Aug 3, 2017
Gilead Sciences — NDA Organization
Indications
Approved for
Studied for
- Analgesics, Opioid · Phase 4
- Heart Transplantation · Phase 4
- Hepacivirus · Phase 3
- Hepatitis C · Phase 4
- Heroin Dependence · Phase 4
- HIV · Phase 4
- HIV Infections · Phase 2
- Infections · Phase 2
- Kidney Diseases · Phase 4
- Kidney Failure, Chronic · Phase 4
- Kidney Transplantation · Phase 4
- Liver Cirrhosis · Phase 3
- Liver Diseases · Phase 1
- Lung Transplantation · Phase 3
- Opioid-Related Disorders · Phase 4
- Renal Insufficiency · Phase 4
- Renal Insufficiency, Chronic · Phase 4
- Respiratory Insufficiency · Phase 4
- Risk Reduction Behavior · Phase 4
- Stress Disorders, Post-Traumatic · Phase 2/Phase 3
Mechanism of action
- Nonstructural protein 5AINHIBITOR
NS5A inhibitor
Combination products
mavyret
with glecaprevir
Also known as glecaprevir and pibrentasvir
Approval history
- approvedPriority reviewFast trackBreakthroughAug 3, 2017
Chemistry & pharmacology
SMILES
CO[C@H](C)[C@H](NC(=O)OC)C(=O)N1CCC[C@H]1C2=NC3=C(N2)C=C(F)C(=C3)[C@H]4CC[C@@H](N4C5=CC(F)=C(N6CCC(CC6)C7=CC=C(F)C=C7)C(F)=C5)C8=CC9=C(NC(=N9)[C@@H]%10CCCN%10C(=O)[C@@H](NC(=O)OC)[C@@H](C)OC)C=C8F- Mol. weight
- 1113.1802 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaPibrentasvir ↗
- NCATS2WU922TK3L ↗
- ChEMBLCHEMBL3545123 ↗
Also known as
- a-1325912.0
- a-1325912.0
- abt-530
- abt-530
- abt-530
- mavyret
- pibrentasvir
- pibrentasvir
- pibrentasvir
- pibrentasvir
- pibrentasvir
- pibrentasvir
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07040319 | Phase 1/Phase 2 (Phase 2) | Nov 28, 2025 | AbbVie, National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Mental Health (NIMH), National Institutes of Health (NIH) |
| NCT05637879 | Phase 2/Phase 3 (Phase 3) | Jul 1, 2023 | Department of Veteran Affairs |
| NCT05446857 | Phase 2/Phase 3 (Phase 3) | Jan 1, 2023 | Department of Veteran Affairs |
| NCT05582681 | Phase 4 | Nov 11, 2022 | AbbVie, Cornell University |
| NCT05108935 | Phase 4 | Dec 1, 2021 | Duke University |
| NCT04903626 | Phase 3 | Aug 24, 2021 | AbbVie |
| NCT04682509 | Early Phase 1 (Phase 1) | Mar 1, 2021 | New York University |
| NCT04575896 | Phase 4 | Nov 20, 2020 | Johns Hopkins University |
| NCT04614142 | Phase 4 | Nov 1, 2020 | Harvard University |
| NCT04515797 | Phase 4 | Oct 31, 2020 | Harvard University |
| NCT04596475 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2020 | University of California, San Diego |
| NCT04508907 | Phase 4 | Sep 10, 2020 | Mayo Clinic |
| NCT04235049 | Phase 4 | May 1, 2020 | Government of Maryland, Merck, University of Maryland |
| NCT04042740 | Phase 2 | Oct 15, 2019 | AbbVie, Duke University, Harvard University, National Institute of Allergy and Infectious Diseases (NIAID), University of Colorado |
| NCT03981211 | N/A | Oct 1, 2019 | University of New South Wales |
| NCT03855917 | Phase 4 | Apr 30, 2019 | University of New South Wales |
| NCT03781726 | Phase 4 | Apr 10, 2019 | AbbVie, Cornell University, Harvard University, Johns Hopkins University, Northwestern University, University of Cincinnati, University of Michigan, University of Pennsylvania |
| NCT03492112 | Phase 4 | Nov 30, 2018 | University of New South Wales |
| NCT03623568 | Phase 4 | Oct 15, 2018 | Harvard University |
| NCT03625687 | Phase 4 | Oct 15, 2018 | Harvard University |
Organizations
Research & Development (25)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| AbbVie | For profit | 36 | 29 | 5 | 2013 |
| Harvard University | Academic/Hospital | 6 | 5 | 2 | 2018 |
| University of New South Wales | Academic/Hospital | 5 | 5 | 3 | 2016 |
| Johns Hopkins University | Academic/Hospital | 3 | 2 | 1 | 2018 |
| Cornell University | Academic/Hospital | 2 | 1 | 1 | 2019 |
| Department of Veteran Affairs | Government | 2 | 2 | 1 | 2023 |
| Duke University | Academic/Hospital | 2 | 1 | 2 | 2019 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 2 | 2 | 1 | 2019 |
| New York University | Academic/Hospital | 2 | 2 | 2 | 2018 |
| Government of Maryland | Government | 1 | 0 | 1 | 2020 |
| Id Care | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Mayo Clinic | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Merck | For profit | 1 | 0 | 1 | 2020 |
| National Institute of Mental Health (NIMH) | Government | 1 | 0 | 1 | 2025 |
| National Institutes of Health (NIH) | Government | 1 | 0 | 1 | 2025 |
| Northwestern University | Academic/Hospital | 1 | 0 | 1 | 2019 |
| University of California, San Diego | Academic/Hospital | 1 | 1 | 1 | 2020 |
| University of Cincinnati | Academic/Hospital | 1 | 0 | 1 | 2019 |
| University of Colorado | Academic/Hospital | 1 | 0 | 1 | 2019 |
| University of Florida | Academic/Hospital | 1 | 1 | 1 | 2017 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | NDA2 | Aug 3, 2017 |
| AbbVie | For profit | SYN | Aug 3, 2017 |
| Gilead Sciences | For profit | NDA | Aug 3, 2017 |