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Uprifosbuvir (MK-3682, formerly IDX21437) is an experimental nucleotide prodrug and Hepatitis C virus (HCV) NS5B polymerase inhibitor. Originally developed by Idenix Pharmaceuticals, it was acquired by Merck & Co. in 2014 for approximately $3.85 billion to strengthen its HCV portfolio. Uprifosbuvir was designed as a pan-genotypic, once-daily oral treatment and was frequently evaluated in combination with other direct-acting antivirals, such as ruzasvir and grazoprevir (forming the combination MK-3682B). However, in 2017, Merck recorded a $2.9 billion impairment charge on the asset due to changes in the product's profile and revised expectations for pricing and market opportunity, effectively ending its development.
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