Drugs / Elbasvir
last change Jun 2023 re-read 9 days ago

Elbasvir

Small molecule

Developed for
chronic hepatitis C virus infection · hepatitis C virus infection · cirrhosis of liver · disease related to solid organ transplantation · acute hepatitis C virus infection · chronic kidney disease
Investigated by
Merck Sharp & Dohme LLC · Fundacion Clinic per a la Recerca Biomédica · University of Maryland, Baltimore · University of Pennsylvania · Albert Einstein Healthcare Network · Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Palermo
+32 more · CD Pharma Group S.r.l. · Cairo University · Celerion · Chulalongkorn University · Dallas VA Medical Center · Davita Clinical Research · Erasmus Medical Center · French National Institute of Health and Medical Research · Hepatitis C Trust · Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba · Institute Of Cardiology & Internal Diseases, Kazakhstan · Istituto Clinico Humanitas · Johns Hopkins University · Kaohsiung Medical University Chung-Ho Memorial Hospital · King Fahad Medical City · King Faisal Specialist Hospital & Research Center · King's College Hospital NHS Trust · Kirby Institute · Kyushu University · Massachusetts General Hospital · Mater Misericordiae University Hospital · Norte Study Group · Raymond T. Chung, MD · Synergy Research Group · Taichung Veterans General Hospital · Taoyuan General Hospital · The HIV Netherlands Australia Thailand Research Collaboration · University Hospital, Clermont-Ferrand · University of California, Los Angeles · University of Dundee · University of Zurich · Virginia Commonwealth University

Regulatory milestones approvals, filings & regulatory actions · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed chronic hepatitis C virus infection 1 milestone
Filed US (FDA) — chronic hepatitis C virus infection 2015-07-28

“Food and Drug Administration (FDA) has accepted for review the New Drug Application for grazoprevir/elbasvir” merck.com ↗

Approved Indication not stated 2 milestones
Approved EU (EMA) Zepatier — 2016-07-22 europa.eu ↗
Approved US (FDA) ZEPATIER — 2016-01-28 fda.gov ↗

Trials 55

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03249194 Aug 2017 → Mar 2020 hepatitis C virus infection Virginia Commonwealth University Completed No outcome recorded
Phase 13 trials
Phase 1 NCT01937975 Sep → Dec 2013 chronic hepatitis C virus infection, impaired renal function disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT01797536 Mar 2013 → Aug 2014 liver disorder Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT01532973 Feb 2012 → May 2013 hepatitis C virus infection Merck Sharp & Dohme LLC Completed Mixed
Phase 1/21 trial
Phase 1/2 NCT03146741 May 2017 → Sep 2019 heart failure University of Pennsylvania Completed No outcome recorded
Phase 210 trials · 2 met primary · 1 missed
Phase 2 NCT03379506 Jan 2018 → Oct 2019 hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT03236506 Jan 2018 → Aug 2020 hepatitis C virus infection University of Dundee Completed Met primary
Phase 2 NCT02886624 May 2017 → Dec 2018 HIV infectious disease, acute hepatitis C virus infection Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba Completed No outcome recorded
Phase 2 NCT02601573 Jan → Oct 2016 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT02332720 Jan 2015 → Sep 2016 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT02332707 Jan 2015 → Sep 2016 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT02133131 Jun 2014 → Nov 2015 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2 NCT02105454 May 2014 → May 2015 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed Met primary
Phase 2 NCT01932762 Oct 2013 → Dec 2014 hepatitis C virus infection Merck Sharp & Dohme LLC Completed Missed primary
Phase 2 NCT01717326 Feb 2013 → Feb 2015 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2/33 trials · 1 met primary
Phase 2/3 NCT02203149 Aug 2014 → Oct 2015 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2/3 NCT02115321 May 2014 → Mar 2015 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 2/3 NCT02092350 Mar 2014 → Mar 2015 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Completed Met primary
Phase 317 trials · 2 met primary · 1 missed
Phase 3 NCT03496233 Sep 2018 → May 2020 chronic hepatitis C virus infection Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Palermo Completed No outcome recorded
Phase 3 NCT03578640 Jul 2018 → Jun 2020 chronic hepatitis C virus infection King Fahad Medical City Completed No outcome recorded
Phase 3 NCT03222167 Oct 2017 → Apr 2019 chronic hepatitis C virus infection, cirrhosis of liver, fibrotic liver disease, metabolic syndrome X Institute Of Cardiology & Internal Diseases, Kazakhstan Unknown No outcome recorded
Phase 3 NCT03186365 Jun 2017 → Sep 2018 chronic hepatitis C virus infection Kaohsiung Medical University Chung-Ho Memorial Hospital Completed Missed primary
Phase 3 NCT02897596 Apr 2017 → Apr 2019 HIV infectious disease, hepatitis C virus infection Fundacion Clinic per a la Recerca Biomédica Unknown No outcome recorded
Phase 3 NCT02973503 Jan 2017 → Nov 2018 chronic hepatitis C virus infection University Hospital, Clermont-Ferrand Completed No outcome recorded
Phase 3 NCT02890719 Aug 2016 → Jun 2017 hepatitis C virus infection Fundacion Clinic per a la Recerca Biomédica Withdrawn No outcome recorded
Phase 3 NCT02785666 Jun 2016 → Apr 2018 HIV infectious disease, hepatitis C virus infection University of Zurich Completed No outcome recorded
Phase 3 NCT02732405 May → Dec 2016 chronic hepatitis C virus infection, cirrhosis of liver Istituto Clinico Humanitas Unknown No outcome recorded
Phase 3 NCT02600325 Feb 2016 → Apr 2018 HIV infectious disease, acute hepatitis C virus infection Erasmus Medical Center Completed No outcome recorded
Phase 420 trials
Phase 4 NCT03381859 Dec 2019 → Jun 2020 chronic hepatitis C virus infection University of Maryland, Baltimore Withdrawn No outcome recorded
Phase 4 NCT03365635 Sep 2019 → May 2020 hepatitis C virus infection, nosocomial infection University of Pennsylvania Completed No outcome recorded
Phase 4 NCT03797066 Mar 2019 → Jul 2020 chronic hepatitis C virus infection King's College Hospital NHS Trust Terminated No outcome recorded Stop: Enrollment
Phase 4 NCT03723824 Feb 2019 → Nov 2020 chronic hepatitis C virus infection, disease related to solid organ transplantation Taichung Veterans General Hospital Terminated No outcome recorded
Phase 4 NCT03791814 Jan → Jun 2019 hepatitis C virus infection Albert Einstein Healthcare Network Withdrawn No outcome recorded
Phase 4 NCT03026023 Aug 2018 → Dec 2020 disease related to solid organ transplantation, hepatitis C virus infection Raymond T. Chung, MD Withdrawn No outcome recorded
Phase 4 NCT03037151 Aug 2018 → Dec 2020 cirrhosis of liver The HIV Netherlands Australia Thailand Research Collaboration Unknown No outcome recorded
Phase 4 NCT03585101 Aug 2018 → Jun 2019 hepatitis C virus infection University of California, Los Angeles Withdrawn No outcome recorded Stop: Business
Phase 4 NCT02895958 Mar 2018 → May 2019 hepatitis C virus infection Mater Misericordiae University Hospital Terminated No outcome recorded Stop: Enrollment
Phase 4 NCT03143998 Feb 2018 → Jan 2019 chronic hepatitis C virus infection Merck Sharp & Dohme LLC Withdrawn No outcome recorded Stop: Business
Comparator or background therapy2 trials
Phase 3 NCT04546802 Comparator Sep 2019 → Jun 2021 chronic hepatitis C virus infection, hepatocellular carcinoma Bayside Health Withdrawn No outcome recorded Stop: Enrollment
Phase 3 NCT02358044 Comparator Feb → Nov 2015 hepatitis C virus infection Merck Sharp & Dohme LLC Completed Met primary

News releases announcing trial results or a regulatory action · 29

DateIssuerRelease
2017-10-21 Merck Sharp & Dohme LLC Results Real-World Study Shows ZEPATIER® (Elbasvir and Grazoprevir) Resulted in High Rates of Sustained Virologic Response in Patients with Chronic Hepatitis C Infection Who Have Chronic Kidney Disease merck.com ↗
2017-04-22 Merck Sharp & Dohme LLC Results Merck Announces New Phase 2 Data on Investigational Triple Combination Therapy MK-3682B for Chronic Hepatitis C merck.com ↗
The study showed that 100 percent (43/43) of patients who completed 16 weeks of treatment plus ribavirin (RBV) achieved SVR12 and 100 percent (49/49) of patients who completed 24 weeks of treatment achieved SVR12 (abstract PS-159).
2017-04-21 Merck Sharp & Dohme LLC Results Real-World Observational Study in the U.S. Veterans Affairs System Evaluating Use of Merck’s ZEPATIER® (Elbasvir and Grazoprevir) Shows High Sustained Virologic Response Rates in Patients with Chronic Hepatitis C merck.com ↗
For the evaluable population (n=2,436), 95.6 percent of veterans treated with ZEPATIER achieved the primary outcome of sustained virologic response (SVR), defined as undetectable HCV RNA at least twelve weeks after the end of treatment.
2017-04-05 Merck Sharp & Dohme LLC Results Merck to Present New Data on ZEPATIER® (elbasvir and grazoprevir) and Investigational Combination Therapy MK-3682B for the Treatment of Chronic Hepatitis C Infection at The International Liver Congress™ 2017 merck.com ↗
Successful Treatment of Patients With HCV GT3 Infection and Cirrhosis with Elbasvir/Grazoprevir Plus Sofosbuvir Does Not Correct Insulin Resistance by 12 weeks Post-Treatment
2016-11-13 Merck Sharp & Dohme LLC Results Merck Announces Findings for Investigational Triple-Combination Chronic Hepatitis C Therapy Showing High Rates of Sustained Virologic Response in People with Genotypes 1, 2 or 3 Infection merck.com ↗
Eight weeks of treatment with MK-3682B resulted in SVR12 rates of 95 percent, 86 percent and 95 percent in GT1, GT2 and GT3 patients, respectively.
2016-11-12 Merck Sharp & Dohme LLC Results Merck Announces Presentation of New Findings for ZEPATIER™ (Elbasvir and Grazoprevir) in Patients with Chronic Hepatitis C at The Liver Meeting® merck.com ↗
The analysis showed 97 percent of patients (1040/1070) achieved sustained virologic response 12 weeks after the completion of therapy (SVR12, considered virologic cure).
2016-05-27 Merck Sharp & Dohme LLC Regulatory Merck Receives Positive CHMP Opinion for ZEPATIER™ (elbasvir and grazoprevir) in the European Union merck.com ↗
The CHMP positive opinion will be reviewed by the European Commission.
2016-04-16 Merck Sharp & Dohme LLC Results Merck Announces Results From Phase 3 Studies of ZEPATIER™ (Elbasvir and Grazoprevir) in Chronic Hepatitis C Patient Populations at The International Liver Congress™ merck.com ↗
Findings from C-EDGE CO-STAR showed a high rate of SVR 24 weeks after completion of treatment (SVR24) for the baseline chronic HCV infection and provided insights into the incidence of reinfection in this high risk population (abstract #SAT-163).
2016-04-13 Merck Sharp & Dohme LLC Results Merck’s ZEPATIER™ (Elbasvir and Grazoprevir) Showed Superiority on Efficacy and Safety Endpoints Compared to Sofosbuvir Plus Peginterferon and Ribavirin Treatment Regimen in Phase 3 Trial merck.com ↗
In this study, ZEPATIER demonstrated superiority on efficacy and safety endpoints compared to sofosbuvir plus pegIFN/RBV, based on pre-specified analyses.
2016-01-28 Merck Sharp & Dohme LLC Regulatory Merck Receives FDA Approval of ZEPATIER™ (elbasvir and grazoprevir) for the Treatment of Chronic Hepatitis C Virus Genotype 1 or 4 Infection in Adults Following Priority Review merck.com ↗
2015-12-18 Merck Sharp & Dohme LLC Regulatory Merck Provides Update on European Medicines Agency Marketing Authorization Application for Investigational Chronic Hepatitis C Therapy Elbasvir/Grazoprevir merck.com ↗
The CHMP advised Merck that the application will now be reviewed on a standard timetable, rather than the accelerated assessment timeline previously announced.
2015-11-16 Merck Sharp & Dohme LLC Results Merck Announces Presentation of Results from Two Phase 2 Studies of Investigational Triple-Combination Chronic Hepatitis C Therapy at The Liver Meeting® merck.com ↗

All press releases naming this drug 38 releases

DateIssuerRelease

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 65 sources stand behind the page.

FieldValueCited text
Known as Elbasvir “Zepatier (elbasvir and grazoprevir +/- Ribavirin) will be administered in a community setting to HCV infected G1/4 treatment naïve patients on stable opiate substitution...” NCT02895958 ↗
55

“Open-labelled pilot clinical trial of Zepatier (MK-5172 and MK-8742/Grazoprevir + Elbasvir) in at least 20 HCV-negative subjects receiving a heart transplant from a HCV-positive donor.” NCT03146741 ↗

“Grazoprevir, an HCV nonstructural protein 3/4A (NS3/4A) inhibitor 100 mg, plus elbasvir, an HCV NS5A inhibitor 50 mg fixed dose combination,Zepatier Oral Product” NCT03186365 ↗

“The study drug is administered as a single tablet; which is a combination of 100 mg of grazoprevir and 50 mg of elbasvir; as outlined below:” NCT03797066 ↗

“Zepatier Open-label Zepatier (grazoprevir 100 mg and elbasvir 50 mg) will be administered in this study.(14, 15)” NCT03791814 ↗

“The dosages of study drugs are 100 mg of grazoprevir once daily and 50 mg of elbasvir once daily.” NCT03037151 ↗

“fixed dose combination (FDC) of elbasvir (EBR) 50 mg + grazoprevir (GZR) 100 mg (i.e., MK-5172A)” NCT03111108 ↗

“A single FDC tablet containing grazoprevir 100 mg + elbasvir 50 mg taken once daily by mouth.” NCT03143998 ↗

“Fixed dose Grazoprevir 100 mg/Elbasvir 50 mg by mouth daily for 12 weeks” NCT02781649 ↗

“Elbasvir and Grazoprevir (EBR/GZR) tablet by mouth, once daily.” NCT03221582 ↗

“ELBASVIR/GRAZOPREVIR (Zepatier, Merck)” NCT03249194 ↗

Show 45 more sources

Known as EBR “This study is being done to evaluate the efficacy and safety of the drug combination grazoprevir (GZR; MK-5172) + elbasvir (EBR; MK-8742) in participants with chronic hepatitis...” NCT02115321 ↗
10

“This study uses pharmacokinetic modeling to identify pediatric doses of elbasvir/grazoprevir (EBR/GZR) that achieve plasma concentrations similar to those seen in adults...” PMID 36790337 ↗ Feb 2023

“Elbasvir (EBR; HCV NS5A inhibitor) and grazoprevir (GZR; HCV NS3/4A protease inhibitor) are approved as a fixed-dose combination to treat patients chronically infected with HCV...” PMID 28470815 ↗ Jun 2017

“The C-EDGE Head-2-Head Study compared the safety and efficacy of elbasvir/grazoprevir (EBR/GZR) with sofosbuvir plus pegylated interferon/ribavirin (SOF/PR) in patients with...” PMID 27542322 ↗ Aug 2016

“Elbasvir (EBR) in combination with grazoprevir (GZR) has demonstrated efficacy in patients with hepatitis C virus (HCV) infections in trials primarily conducted in the USA and Europe.” PMID 27873094 ↗ Nov 2016

“We aimed to assess the efficacy and tolerability of grazoprevir (GZR)/elbasvir (EBR) treatment in genotype-1b (GT-1b) HCV-infected liver or kidney transplant recipients.” PMID 34902265 ↗ Dec 2021

“All patients received elbasvir (EBR) 50 mg/grazoprevir (GZR) 100 mg with sofosbuvir (SOF) 400 mg for 4-12 weeks.” PMID 27770561 ↗ Dec 2016

“Daily fixed-dose combination (FDC) elbasvir (EBR) (50 mg)/grazoprevir (GZR) (100 mg) for 12 weeks” NCT03585101 ↗

“fixed dose combination (FDC) of elbasvir (EBR) 50 mg + grazoprevir (GZR) 100 mg (i.e., MK-5172A)” NCT03111108 ↗

“Elbasvir (EBR) 50 mg and Grazoprevir (GZR) 100 mg single tablet by mouth, once daily.” NCT03221582 ↗

“Elbasvir (EBR)” NCT02105454 ↗

Known as Elbasvir component of zepatier ChEMBL registry synonym — accepted as the source's own label CHEMBL3039514 ↗
Known as MK-8742 “Subjects with Hepatitis C Virus (HCV) infection, genotype 1 or 4 and with hepatocellular carcinoma (HCC) and a complete response to HCC therapy will be randomised to immediate...” NCT04546802 ↗
17

“PURPOSE: Elbasvir (MK-8742) and grazoprevir (MK-5172; Merck & Co, Inc, Kenilworth, New Jersey) are hepatitis C virus (HCV)-specific inhibitors of the nonstructural protein 5A...” PMID 29703432 ↗ Apr 2018

“Study of Efficacy and Safety of Grazoprevir (MK-5172)/Elbasvir (MK-8742) Combination Regimen for Treatment-Naïve Participants With Chronic Hepatitis C Virus Genotypes 1, 4, and...” NCT02105467 ↗

“Open-labelled pilot clinical trial of Zepatier (MK-5172 and MK-8742/Grazoprevir + Elbasvir) in at least 20 HCV-negative subjects receiving a heart transplant from a HCV-positive donor.” NCT03146741 ↗

“This is a study of grazoprevir (MK-5172) + elbasvir (MK-8742) and sofosbuvir (SOF) in treatment-naive participants with chronic hepatitis C (HCV) genotype (GT) 1 or GT3.” NCT02133131 ↗

“Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Boceprevir/Pegylated Interferon/Ribavarin for Chronic Hepatitis C Infection (MK-5172-066)” NCT02204475 ↗

“Grazoprevir (MK-5172) and elbasvir (MK-8742) combination therapy is such a, albeit not yet EMA/FDA approved combination DAA therapy.” NCT02600325 ↗

“Grazoprevir (MK-5172) and Elbasvir (MK-8742) Combination for Chronic Hepatitis C Virus (HCV) Genotypes 1, 4, and 6 (MK-5172-065)” NCT02252016 ↗

“Grazoprevir (MK-5172) and Elbasvir (MK-8742) Combination in Treatment-Naïve Hepatitis C Virus Participants (MK-5172-067)” NCT02251990 ↗

“Study of Grazoprevir (MK-5172) and Elbasvir (MK-8742) in Japanese Participants With Chronic Hepatitis C (MK-5172-058)” NCT02203149 ↗

“tablets of MK-5172 100 mg/MK-8742 50 mg will be administered orally, daily for 12 weeks without ribavirin” NCT02732405 ↗

Show 7 more sources

Action Inhibit “PURPOSE: Elbasvir (MK-8742) and grazoprevir (MK-5172; Merck & Co, Inc, Kenilworth, New Jersey) are hepatitis C virus (HCV)-specific inhibitors of the nonstructural protein 5A...” PMID 29703432 ↗ Apr 2018
Modality Small molecule — CHEMBL3039514 ↗
Route Oral “Elbasvir was administered orally by tablet(s)” NCT01532973 ↗