The EC50 against key variants, Gt1a_Q30R and Gt1a_Y93H, observed frequently in patients
who fail NS5A inhibitor-based therapy are 3 and 6 pM respectively. The potency against all tested commonly observed Gt1 NS5A resistant variants resulting from a single nucleotide change is < 10 pM. MK-8408 is also pan-genotype; notably, the EC50 in the RAD001 chemical structure more difficult-to-in-hibit Gt3a replicons, NC009824 and S52, are 0.3 and 3 pM respectively. De novo resistance selection studies in Gt1 replicon cells demonstrated that two or more mutations at positions 28, 30, 31 and 93 were required to elicit resistance consistent with a high genetic barrier to resistance for the compound. No resistant Saracatinib in vivo variants were selected with MK-8408 in Gt1b_(con1) at ≥10X EC90. MK-8408 inhibited replicons bearing signature RAVs selected with NS3 protease and NS5B nucleotide and non-nucleotide inhibitors with no shift in potency relative to its wild-type activity. Preclinical studies support a once-daily oral administration of MK-8408 in patients chronically infected with HCV. Conclusions: We have identified a potent, pan-genotype NS5A inhibitor with activity against resistant variants
selected with previous inhibitors in the class. MK-8408 does not display evidence of cross-resistance when tested against RAVs from other HCV DAA classes and therefore provides an attractive alternative to patients who fail these PtdIns(3,4)P2 therapies. Disclosures: Ernest Asante-Appiah – Employment: Merck Stephanie Curry -
Employment: Merck Patricia McMonagle – Employment: Merck and Co. Donna Carr – Employment: merck sharpe and dohme, merck research laboratory Frederick Lahser – Employment: Merck Robert Chase – Employment: Merck, Inc Stuart Black – Employment: Merck Eric B. Ferrari – Employment: Merck Paul Ingravallo – Employment: Merck & Co Wensheng Yu – Employment: Merck Joseph Kozlowski – Employment: Merck The following people have nothing to disclose: Rong Liu, Sony Agrawal, Laura Rokosz, Karin Bystol, Shiying Chen, Ling Tong Methods: A randomized, placebo-controlled, dose-escalation FTIH study was conducted in healthy volunteers (HV) to evaluate safety and pharmacokinetics (PK) of single dose (SD) and repeat doses (RD) of GSK175. A randomized, placebo-controlled, dose-escalation POC study is ongoing to evaluate safety, PK, and antiviral activity of GSK175 in chronic hepatitis C (CHC) subjects with HCV genotype (GT) 1, 2, or 3. Results: In the completed FTIH study, GSK175 SD (Fasted: 5, 15, 30, 60mg; Fed: 30mg) was given orally to 17 HV (13 active, 4 placebo). RD (Fasted: 10, 30, 60mg) was given to 30 HV (24 active, 6 placebo) once daily (QD) for 14 days. No drug-related adverse events (AEs) leading to discontinuation of drug or SAEs were reported. Treatment-related AEs were infrequent across the dose groups.