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Grazoprevir is a second-generation, direct-acting antiviral drug used in combination therapy for the treatment of chronic hepatitis C virus (HCV) infection. It acts as an inhibitor of the HCV NS3/4A serine protease, an enzyme essential for viral replication and polyprotein processing. By inhibiting this protease, grazoprevir prevents the maturation of viral proteins necessary for HCV replication. Grazoprevir is effective against multiple HCV genotypes, including those resistant to other antivirals. It is administered orally and most commonly combined with elbasvir (an NS5A inhibitor) under the brand name Zepatier. The drug was developed by Merck and has completed Phase III trials.
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