PMID- 23629699 OWN - NLM STAT- MEDLINE DCOM- 20131231 LR - 20211021 IS - 1098-6596 (Electronic) IS - 0066-4804 (Print) IS - 0066-4804 (Linking) VI - 57 IP - 7 DP - 2013 Jul TI - Identification of PTC725, an orally bioavailable small molecule that selectively targets the hepatitis C Virus NS4B protein. PG - 3250-61 LID - 10.1128/AAC.00527-13 [doi] AB - While new direct-acting antiviral agents for the treatment of chronic hepatitis C virus (HCV) infection have been approved, there is a continued need for novel antiviral agents that act on new targets and can be used in combination with current therapies to enhance efficacy and to restrict the emergence of drug-resistant viral variants. To this end, we have identified a novel class of small molecules, exemplified by PTC725, that target the nonstructural protein 4B (NS4B). PTC725 inhibited HCV 1b (Con1) replicons with a 50% effective concentration (EC50) of 1.7 nM and an EC90 of 9.6 nM and demonstrated a >1,000-fold selectivity window with respect to cytotoxicity. The compounds were fully active against HCV replicon mutants that are resistant to inhibitors of NS3 protease and NS5B polymerase. Replicons selected for resistance to PTC725 harbored amino acid substitutions F98L/C and V105M in NS4B. Anti-replicon activity of PTC725 was additive to synergistic in combination with alpha interferon or with inhibitors of HCV protease and polymerase. Immunofluorescence microscopy demonstrated that neither the HCV inhibitors nor the F98C substitution altered the subcellular localization of NS4B or NS5A in replicon cells. Oral dosing of PTC725 showed a favorable pharmacokinetic profile with high liver and plasma exposure in mice and rats. Modeling of dosing regimens in humans indicates that a once-per-day or twice-per-day oral dosing regimen is feasible. Overall, the preclinical data support the development of PTC725 for use in the treatment of chronic HCV infection. FAU - Gu, Zhengxian AU - Gu Z AD - PTC Therapeutics, Inc., South Plainfield, New Jersey, USA. FAU - Graci, Jason D AU - Graci JD FAU - Lahser, Frederick C AU - Lahser FC FAU - Breslin, Jamie J AU - Breslin JJ FAU - Jung, Stephen P AU - Jung SP FAU - Crona, James H AU - Crona JH FAU - McMonagle, Patricia AU - McMonagle P FAU - Xia, Ellen AU - Xia E FAU - Liu, Shaotang AU - Liu S FAU - Karp, Gary AU - Karp G FAU - Zhu, Jin AU - Zhu J FAU - Huang, Song AU - Huang S FAU - Nomeir, Amin AU - Nomeir A FAU - Weetall, Marla AU - Weetall M FAU - Almstead, Neil G AU - Almstead NG FAU - Peltz, Stuart W AU - Peltz SW FAU - Tong, Xiao AU - Tong X FAU - Ralston, Robert AU - Ralston R FAU - Colacino, Joseph M AU - Colacino JM LA - eng PT - Journal Article DEP - 20130429 PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 RN - 0 (6-(3-cyano-6-ethyl-5-fluoro-1-(pyrimidin-2-yl)-1H-indol-2-yl)-N-(1,1,1-trifluoropropan-2-yl)pyridine-3-sulfonamide) RN - 0 (Antiviral Agents) RN - 0 (Indoles) RN - 0 (Interferon-alpha) RN - 0 (NS4B protein, flavivirus) RN - 0 (Sulfonamides) RN - 0 (Viral Nonstructural Proteins) SB - IM MH - Amino Acid Substitution MH - Animals MH - Antiviral Agents/*metabolism/pharmacokinetics/*pharmacology MH - Cell Line, Tumor MH - Drug Resistance, Viral/genetics MH - Drug Synergism MH - Hepacivirus/*drug effects MH - Hepatitis C/*drug therapy MH - Humans MH - Indoles/metabolism/pharmacokinetics/*pharmacology MH - Interferon-alpha/pharmacology MH - Male MH - Mice MH - Microbial Sensitivity Tests MH - Rats MH - Rats, Sprague-Dawley MH - Sulfonamides/metabolism/pharmacokinetics/*pharmacology MH - Viral Nonstructural Proteins/genetics/*metabolism MH - Virus Replication/drug effects PMC - PMC3697315 EDAT- 2013/05/01 06:00 MHDA- 2014/01/01 06:00 PMCR- 2013/07/01 CRDT- 2013/05/01 06:00 PHST- 2013/05/01 06:00 [entrez] PHST- 2013/05/01 06:00 [pubmed] PHST- 2014/01/01 06:00 [medline] PHST- 2013/07/01 00:00 [pmc-release] AID - AAC.00527-13 [pii] AID - 00527-13 [pii] AID - 10.1128/AAC.00527-13 [doi] PST - ppublish SO - Antimicrob Agents Chemother. 2013 Jul;57(7):3250-61. doi: 10.1128/AAC.00527-13. Epub 2013 Apr 29.