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Narlaprevir (SCH 900518) is a potent small molecule inhibitor of the hepatitis C virus (HCV) nonstructural protein 3 (NS3) serine protease. It is primarily metabolized by the cytochrome P450-3A4 system and can be pharmacokinetically boosted with ritonavir to enhance its plasma levels. Ritonavir acts as a CYP3A4 inhibitor to increase exposure of narlaprevir. Peginterferon alfa-2b is a pegylated form of interferon alpha that enhances immune response against HCV and prolongs drug activity in the body. The combination of these agents has been studied for the treatment of chronic hepatitis C infection (genotype 1), particularly in both treatment-naive and experienced patients. Clinical studies have shown that this triple regimen leads to rapid and significant reductions in HCV RNA levels[3][8]. Narlaprevir was developed by Schering-Plough.
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