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GS-8873 is a preclinical, orally bioavailable small-molecule hepatitis B virus (HBV) surface antigen (HBsAg) suppressor developed by Gilead Sciences for the treatment of chronic hepatitis B. It is a dihydropyridophthalazinone (DPP) compound that acts as an inhibitor of the human poly(A) polymerases PAPD5 and PAPD7 (PAPD5/7). By inhibiting PAPD5/7, GS-8873 destabilizes and promotes the degradation of HBV RNA transcripts, leading to potent suppression of HBsAg production with an EC50 of approximately 4 nM. Although nominated as a development candidate with projected once-daily dosing at a human dose under 5 mg, its development was halted during preclinical safety assessments after 13-week toxicity studies in rats and cynomolgus monkeys revealed a liability for neurotoxicity, specifically peripheral neuropathy and neuroelectrophysiology deficits.
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