Drug intelligence / Profile preview

bemnifosbuvir + ruzasvir + biktarvy

Development stage
Unknown
Lead developer
Atea Pharmaceuticals
Modality
Small Molecules
Administration
Oral
01

Overview

Bemnifosbuvir + ruzasvir + biktarvy is a combination of direct acting antivirals and an antiretroviral regimen, currently being studied for potential drug-drug interactions. Bemnifosbuvir is an oral purine nucleotide prodrug that inhibits the hepatitis C virus (HCV) nonstructural protein 5B (NS5B), an RNA-dependent RNA polymerase essential for viral replication. Ruzasvir is a potent, selective inhibitor of HCV nonstructural protein 5A (NS5A), another key component in the viral replication complex. Both agents are pan-genotypic and have demonstrated synergistic antiviral activity against HCV with favorable safety profiles and low risk of drug-drug interactions[3][6][8]. Biktarvy is a fixed-dose combination tablet containing bictegravir, emtricitabine, and tenofovir alafenamide; it acts as a complete treatment for HIV‑1 infection by inhibiting HIV integrase and reverse transcriptase enzymes to prevent viral replication[2]. The combination of bemnifosbuvir plus ruzasvir has shown high efficacy in phase 2 trials for HCV with SVR12 rates above 95%[7][8], while Biktarvy is approved for HIV‑1 treatment.

Brand names
Biktarvy (for bictegravir + emtricitabine + tenofovir alafenamide)
Other names
bictegravir/emtricitabine/tenofovir alafenamide (for Biktarvy)bictegravir sodium/emtricitabine/tenofovir alafenamide fumarate (for Biktarvy)
02

Targets

NS5B (Hepatitis C virus non-structural protein 5B (NS5B) RNA-dependent RNA polymerase)Human immunodeficiency virus type 1 reverse transcriptaseIntegrase allosteric pocket (HIV)NS5A (Hepatitis C virus nonstructural protein 5A (genotype 1b))

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