Drug General Information (ID: D0739)
  Drug Name
Grazoprevir
  Drug Type Small molecule
  Drug Synonymous
Grazoprevir; 1350514-68-9; MK-5172; MK5172; UNII-8YE81R1X1J; Grazoprevir monohydrate; MK 5172; MK-5172 ANHYDROUS; MK-5172 MONOHYDRATE; 8YE81R1X1J; (1R,18R,20R,24S,27S)-24-tert-butyl-N-[(1R,2S)-1-(cyclopropylsulfonylcarbamoyl)-2-ethenylcyclopropyl]-7-methoxy-22,25-dioxo-2,21-dioxa-4,11,23,26-tetrazapentacyclo[24.2.1.03,12.05,10.018,20]nonacosa-3,5(10),6,8,11-pentaene-27-carboxamide; Grazoprevir [INN]; Grazoprevir anhydrous; MK-5172; Grazoprevir; SCHEMBL2175313; CHEMBL2063090; GTPL11573; DTXSID50159234; CHEBI:132975; EX-A2253; BDBM50485492; s3728; ZINC95551509; AKOS030253227; CCG-270451; CS-1374; DB11575; ino[11,12-b]quinoxaline-8-carboxamide; analog 15 [PMID: 24900473]; NCGC00378916-02; AC-29227; AS-55861; HY-15298; D82934; A887766; Zepatier [elbasvir (NS5A inhibitor) + grazoprevir]; Q19786991; (1aR,5S,8S,10R,22aR)-5-tert-butyl-N-((1R,2S)-1-{[(cyclopropylsulfonyl)amino]carbonyl}-2-vinylcyclopropyl)-14-methoxy-3,6-dioxo-1,1a,3,4,5,6,9,10,18,19,20,21,22,22a-tetradecahydro-8H-7,10-methanocyclopropa[18,19][1,10,3,6]dioxadiazacyclononadecino[11,12-b]quinoxaline-8-carboxamide; (1aR,5S,8S,10R,22aR)-5-tert-butyl-N-{(1R,2S)-1-[(cyclopropanesulfonyl)carbamoyl]-2-ethenylcyclopropyl}-14-methoxy-3,6-dioxo-1,1a,3,4,5,6,9,10,18,19,20,21,22,22a-tetradecahydro-8H-7,10-methanocyclopropa[18,19][1,10,3,6]dioxadiazacyclononadecino[11,12-b]quinoxaline-8-carboxamide; (1aR,5S,8S,10R,22aR)-5-tert-butyl-N-{(1R,2S)-1-[(cyclopropylsulfonyl)carbamoyl]-2-ethenylcyclopropyl}-14-methoxy-3,6-di; (1R,18R,20R,24S,27S)-24-tert-butyl-N-[(1R,2S)-1-[(cyclopropanesulfonyl)carbamoyl]-2-ethenylcyclopropyl]-7-methoxy-22,25-dioxo-2,21-dioxa-4,11,23,26-tetraazapentacyclo[24.2.1.0?,??.0?,??.0??,??]nonacosa-3,5,7,9,11-pentaene-27-carboxamide; (1R,2S)-N-[[[(1R,2R)-2-[5-(3-hydroxy-6-methoxy-2-quinoxalinyl)pentyl]cyclopropyl]oxy]carbonyl]-3-methyl-L-valyl-(4R)-4-hydroxy-L-prolyl-1-amino-N-(cyclopropylsulfonyl)-2-ethenyl-cyclopropanecarboxamide, cyclic (1-->2)-ether;MK-5172; (33R,35S,91R,92R,5S)-5-(tert-butyl)-N-((1R,2S)-1-((cyclopropylsulfonyl)carbamoyl)-2-vinylcyclopropyl)-17-methoxy-4,7-dioxo-2,8-dioxa-6-aza-1(2,3)-quinoxalina-3(3,1)-pyrrolidina-9(1,2)-cyclopropanacyclotetradecaphane-35-carboxamide; oxo-1,1a,3,4,5,6,9,10,18,19,20,21,22,22a-tetradecahydro-8H-7,10-methanocyclopropa[18,19][1,10,3,6]dioxadiazacyclononadec
    Click to Show/Hide
  Therapeutic Class Antiviral Agents
  Structure Could Not Find 2D Structure
3D Structure 2D Structure
  Formula C38H50N6O9S
  InChI InChI=1S/C38H50N6O9S/c1-6-22-19-38(22,35(47)43-54(49,50)25-13-14-25)42-32(45)29-18-24-20-44(29)34(46)31(37(2,3)4)41-36(48)53-30-16-21(30)10-8-7-9-11-27-33(52-24)40-28-17-23(51-5)12-15-26(28)39-27/h6,12,15,17,21-22,24-25,29-31H,1,7-11,13-14,16,18-20H2,2-5H3,(H,41,48)(H,42,45)(H,43,47)/t21-,22-,24-,29+,30-,31-,38-/m1/s1
  InChIKey OBMNJSNZOWALQB-NCQNOWPTSA-N
  Canonical SMILES CC(C)(C)[C@H]1C(=O)N2C[C@@H](C[C@H]2C(=O)N[C@@]3(C[C@H]3C=C)C(=O)NS(=O)(=O)C4CC4)OC5=NC6=C(C=CC(=C6)OC)N=C5CCCCC[C@@H]7C[C@H]7OC(=O)N1
  External Link
Pubchem ID 44603531
INTEDE ID DR0789

Drug-Drug Interaction Network
  Sunburst Graph
AM002  Affected cellular transport
AM004  Affected intra/extra-hepatic metabolism
BM010  Transporter inhibition
BM017  CYP450 enzyme inhibition
BM022  CYP450 enzyme induction
  Relation Graph
 Full list of drugs interacting with Grazoprevir
      Affected cellular transport
   Transporter inhibition Drug Num:  34
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0007
 
Abiraterone
 
C24H31NO
 
132971 
Major    Inter Info   
[1], [2], [3]
D0109
 
Artesunate
 
C19H28O8
 
6917864 
Major    Inter Info   
[1], [2], [3]
D0116
 
Atazanavir
 
C38H52N6O7
 
148192 
Major    Inter Info   
[1], [2], [3]
D0120
 
Atorvastatin
 
C33H35FN2O5
 
60823 
Major    Inter Info   
[4], [1], [3]
D0303
 
Cerivastatin
 
C26H34FNO5
 
446156 
Major    Inter Info   
[4], [1], [3]
D0402
 
Cyclosporine
 
C62H111N11O12
 
5284373 
Major    Inter Info   
[1], [2], [3]
D0406
 
Dabrafenib
 
C23H20F3N5O2S2
 
44462760 
Major    Inter Info   
[1], [2], [3]
D0408
 
Daclatasvir
 
C40H50N8O6
 
25154714 
Major    Inter Info   
[1], [2], [3]
D0426
 
Darunavir
 
C27H37N3O7S
 
213039 
Major    Inter Info   
[1], [2], [3]
D0561
 
Eltrombopag
 
C25H22N4O4
 
135449332 
Major    Inter Info   
[1], [2], [3]
D0562
 
Eluxadoline
 
C32H35N5O5
 
11250029 
Major    Inter Info   
[1], [2], [3]
D0686
 
Fluvastatin
 
C24H26FNO4
 
446155 
Major    Inter Info   
[4], [1], [3]
D0715
 
Gemfibrozil
 
C15H22O3
 
3463 
Major    Inter Info   
[1], [2], [3]
D0425
 
Darolutamide
 
C19H19ClN6O2
 
67171867 
Major    Inter Info   
[1], [2], [3]
D0700
 
Fostemsavir
 
C25H26N7O8P
 
11319217 
Major    Inter Info   
[1], [2], [3]
D1258
 
Pexidartinib
 
C20H15ClF3N5
 
25151352 
Major    Inter Info   
[1], [2], [3]
D0894
 
Lapatinib
 
C29H26ClFN4O4S
 
208908 
Major    Inter Info   
[1], [2], [3]
D0903
 
Lenvatinib
 
C21H19ClN4O4
 
9823820 
Major    Inter Info   
[1], [2], [3]
D1062
 
Midostaurin
 
C35H30N4O4
 
9829523 
Major    Inter Info   
[1], [2], [3]
D1160
 
Obeticholic acid
 
C26H44O4
 
447715 
Major    Inter Info   
[1], [2], [3]
D1167
 
Olaparib
 
C24H23FN4O3
 
23725625 
Major    Inter Info   
[1], [2], [3]
D1232
 
Pazopanib
 
C21H23N7O2S
 
10113978 
Major    Inter Info   
[1], [2], [3]
D1415
 
Ritonavir
 
C37H48N6O5S2
 
392622 
Major    Inter Info   
[1], [2], [3]
D1430
 
Rosuvastatin
 
C22H28FN3O6S
 
446157 
Major    Inter Info   
[4], [1], [3]
D1444
 
Saquinavir
 
C38H50N6O5
 
441243 
Major    Inter Info   
[1], [2], [3]
D1471
 
Simeprevir
 
C38H47N5O7S2
 
24873435 
Major    Inter Info   
[1], [2], [3]
D1473
 
Simvastatin
 
C25H38O5
 
54454 
Major    Inter Info   
[4], [1], [3]
D1541
 
Telaprevir
 
C36H53N7O6
 
3010818 
Major    Inter Info   
[1], [2], [3]
D1544
 
Telithromycin
 
C43H65N5O10
 
3002190 
Major    Inter Info   
[1], [2], [3]
D1556
 
Teriflunomide
 
C12H9F3N2O2
 
54684141 
Major    Inter Info   
[1], [2], [3]
D1592
 
Tipranavir
 
C31H33F3N2O5S
 
54682461 
Major    Inter Info   
[1], [2], [3]
D0568
 
Enasidenib
 
C19H17F6N7O
 
89683805 
Moderate    Inter Info   
[4], [9], [10]
D0569
 
Encorafenib
 
C22H27ClFN7O4S
 
50922675 
Moderate    Inter Info   
[1], [11]
D0577
 
Entrectinib
 
C31H34F2N6O2
 
25141092 
Moderate    Inter Info   
[4], [1], [12]
      Affected intra/extra-hepatic metabolism
   CYP450 enzyme inhibition Drug Num:  58
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0080
 
Amprenavir
 
C25H35N3O6S
 
65016 
Major    Inter Info   
[1], [3]
D0302
 
Ceritinib
 
C28H36ClN5O3S
 
57379345 
Major    Inter Info   
[1], [3]
D0349
 
Clarithromycin
 
C38H69NO13
 
84029 
Major    Inter Info   
[1], [3]
D0375
 
Cobicistat
 
C40H53N7O5S2
 
25151504 
Major    Inter Info   
[4], [1], [3]
D0386
 
Conivaptan
 
C32H26N4O2
 
151171 
Major    Inter Info   
[1], [3]
D0439
 
Delavirdine
 
C22H28N6O3S
 
5625 
Major    Inter Info   
[1], [3]
D0692
 
Fosamprenavir
 
C25H36N3O9PS
 
131536 
Major    Inter Info   
[1], [3]
D1653
 
Troleandomycin
 
C41H67NO15
 
202225 
Major    Inter Info   
[1], [3]
D1660
 
Tucatinib
 
C26H24N8O2
 
51039094 
Major    Inter Info   
[1], [3]
D0789
 
Idelalisib
 
C22H18FN7O
 
11625818 
Major    Inter Info   
[1], [3]
D0799
 
Indinavir
 
C36H47N5O4
 
5362440 
Major    Inter Info   
[1], [3]
D0867
 
Itraconazole
 
C35H38Cl2N8O4
 
55283 
Major    Inter Info   
[1], [3]
D0880
 
Ketoconazole
 
C26H28Cl2N4O4
 
456201 
Major    Inter Info   
[1], [3]
D0956
 
Lovastatin
 
C24H36O5
 
53232 
Major    Inter Info   
[4], [1], [3]
D1117
 
Nefazodone
 
C25H32ClN5O2
 
4449 
Major    Inter Info   
[1], [3]
D1119
 
Nelfinavir
 
C32H45N3O4S
 
64143 
Major    Inter Info   
[1], [3]
D1315
 
Posaconazole
 
C37H42F2N8O4
 
468595 
Major    Inter Info   
[1], [3]
D1706
 
Voriconazole
 
C16H14F3N5O
 
71616 
Major    Inter Info   
[1], [3]
D0066
 
Amiodarone
 
C25H29I2NO3
 
2157 
Moderate    Inter Info   
[8], [3]
D0100
 
Aprepitant
 
C23H21F7N4O3
 
135413536 
Moderate    Inter Info   
[8], [3]
D0180
 
Bicalutamide
 
C18H14F4N2O4S
 
2375 
Moderate    Inter Info   
[8], [3]
D0313
 
Chloramphenicol
 
C11H12Cl2N2O5
 
5959 
Moderate    Inter Info   
[8], [3]
D0341
 
Ciprofloxacin
 
C17H18FN3O3
 
2764 
Moderate    Inter Info   
[8], [3]
D0367
 
Clotrimazole
 
C22H17ClN2
 
2812 
Moderate    Inter Info   
[8], [3]
D0393
 
Crizotinib
 
C21H22Cl2FN5O
 
11626560 
Moderate    Inter Info   
[8], [3]
D0416
 
Danazol
 
C22H27NO2
 
28417 
Moderate    Inter Info   
[8], [3]
D0428
 
Dasatinib
 
C22H26ClN7O2S
 
3062316 
Moderate    Inter Info   
[8], [3]
D0497
 
Diltiazem
 
C22H26N2O4S
 
39186 
Moderate    Inter Info   
[8], [3]
D0534
 
Dronedarone
 
C31H44N2O5S
 
208898 
Moderate    Inter Info   
[8], [3]
D0597
 
Erythromycin
 
C37H67NO13
 
12560 
Moderate    Inter Info   
[8], [3]
D0667
 
Fluconazole
 
C13H12F2N6O
 
3365 
Moderate    Inter Info   
[8], [3]
D0687
 
Fluvoxamine
 
C15H21F3N2O2
 
5324346 
Moderate    Inter Info   
[8], [3]
D0693
 
Fosaprepitant
 
C23H22F7N4O6P
 
135413538 
Moderate    Inter Info   
[8], [3]
D0735
 
Goldenseal
 
NA
 
NA
Moderate    Inter Info   
[8], [3]
D0896
 
Larotrectinib
 
C21H22F2N6O2
 
46188928 
Moderate    Inter Info   
[8], [3]
D0901
 
Lemborexant
 
C22H20F2N4O2
 
56944144 
Moderate    Inter Info   
[8], [3]
D0906
 
Letermovir
 
C29H28F4N4O4
 
45138674 
Moderate    Inter Info   
[8], [3]
D1398
 
Ribociclib
 
C23H30N8O
 
44631912 
Moderate    Inter Info   
[8], [3]
D1709
 
Voxelotor
 
C19H19N3O3
 
71602803 
Moderate    Inter Info   
[8], [3]
D0740
 
Grepafloxacin
 
C19H22FN3O3
 
72474 
Moderate    Inter Info   
[8], [3]
D0793
 
Imatinib
 
C29H31N7O
 
5291 
Moderate    Inter Info   
[8], [3]
D0852
 
Isavuconazonium
 
C35H35F2N8O5S+
 
6918606 
Moderate    Inter Info   
[8], [3]
D0858
 
Isoniazid
 
C6H7N3O
 
3767 
Moderate    Inter Info   
[8], [3]
D0869
 
Ivacaftor
 
C24H28N2O3
 
16220172 
Moderate    Inter Info   
[8], [3]
D0944
 
Lomitapide
 
C39H37F6N3O2
 
9853053 
Moderate    Inter Info   
[8], [3]
D1057
 
Miconazole
 
C18H14Cl4N2O
 
4189 
Moderate    Inter Info   
[8], [3]
D1063
 
Mifepristone
 
C29H35NO2
 
55245 
Moderate    Inter Info   
[1], [13], [14]
D1134
 
Nifedipine
 
C17H18N2O6
 
4485 
Moderate    Inter Info   
[8], [3]
D1136
 
Nilotinib
 
C28H22F3N7O
 
644241 
Moderate    Inter Info   
[8], [3]
D1203
 
Oxycodone
 
C18H21NO4
 
5284603 
Moderate    Inter Info   
[4], [1], [15]
D1214
 
Palbociclib
 
C24H29N7O2
 
5330286 
Moderate    Inter Info   
[8], [3]
D1383
 
Ranolazine
 
C24H33N3O4
 
56959 
Moderate    Inter Info   
[8], [3]
D1505
 
Stiripentol
 
C14H18O3
 
5311454 
Moderate    Inter Info   
[8], [3]
D1524
 
Suvorexant
 
C23H23ClN6O2
 
24965990 
Moderate    Inter Info   
[8], [3]
D1526
 
Tacrolimus
 
C44H69NO12
 
445643 
Moderate    Inter Info   
[16], [17], [3]
D1579
 
Ticagrelor
 
C23H28F2N6O4S
 
9871419 
Moderate    Inter Info   
[8], [3]
D1690
 
Verapamil
 
C27H38N2O4
 
2520 
Moderate    Inter Info   
[8], [3]
D1714
 
Zafirlukast
 
C31H33N3O6S
 
5717 
Moderate    Inter Info   
[8], [3]
   CYP450 enzyme induction Drug Num:  27
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0194
 
Bosentan
 
C27H29N5O6S
 
104865 
Major    Inter Info   
[5], [6], [3]
D0255
 
Carbamazepine
 
C15H12N2O
 
2554 
Major    Inter Info   
[7], [3]
D0300
 
Cenobamate
 
C10H10ClN5O2
 
11962412 
Major    Inter Info   
[5], [6], [3]
D0453
 
Dexamethasone
 
C22H29FO5
 
5743 
Major    Inter Info   
[5], [6], [3]
D0554
 
Efavirenz
 
C14H9ClF3NO2
 
64139 
Major    Inter Info   
[7], [3]
D0578
 
Enzalutamide
 
C21H16F4N4O2S
 
15951529 
Major    Inter Info   
[7], [3]
D0628
 
Etravirine
 
C20H15BrN6O
 
193962 
Major    Inter Info   
[5], [6], [3]
D0697
 
Fosphenytoin
 
C16H15N2O6P
 
56339 
Major    Inter Info   
[7], [3]
D0095
 
Apalutamide
 
C21H15F4N5O2S
 
24872560 
Major    Inter Info   
[7], [3]
D0953
 
Lorlatinib
 
C21H19FN6O2
 
71731823 
Major    Inter Info   
[5], [6], [3]
D1078
 
Mitotane
 
C14H10Cl4
 
4211 
Major    Inter Info   
[7], [3]
D1081
 
Modafinil
 
C15H15NO2S
 
4236 
Major    Inter Info   
[5], [6], [3]
D1099
 
Nafcillin
 
C21H22N2O5S
 
8982 
Major    Inter Info   
[5], [6], [3]
D1265
 
Phenobarbital
 
C12H12N2O3
 
4763 
Major    Inter Info   
[7], [3]
D1283
 
Phenytoin
 
C15H12N2O2
 
1775 
Major    Inter Info   
[7], [3]
D1340
 
Primidone
 
C12H14N2O2
 
4909 
Major    Inter Info   
[7], [3]
D1399
 
Rifabutin
 
C46H62N4O11
 
135398743 
Major    Inter Info   
[7], [3]
D1400
 
Rifampicin
 
C43H58N4O12
 
135398735 
Major    Inter Info   
[3]
D1401
 
Rifapentine
 
C47H64N4O12
 
135403821 
Major    Inter Info   
[7], [3]
D1502
 
St. John's Wort
 
NA
 
NA
Major    Inter Info   
[7], [3]
D0178
 
Bexarotene
 
C24H28O2
 
82146 
Moderate    Inter Info   
[3]
D0225
 
Butalbital
 
C11H16N2O3
 
2481 
Moderate    Inter Info   
[3]
D0432
 
Deferasirox
 
C21H15N3O4
 
214348 
Moderate    Inter Info   
[3]
D0639
 
Felbamate
 
C11H14N2O4
 
3331 
Moderate    Inter Info   
[3]
D1198
 
Oxcarbazepine
 
C15H12N2O2
 
34312 
Moderate    Inter Info   
[3]
D1652
 
Troglitazone
 
C24H27NO5S
 
5591 
Moderate    Inter Info   
[3]
D1687
 
Vemurafenib
 
C23H18ClF2N3O3S
 
42611257 
Moderate    Inter Info   
[3]
References
1 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
2 Product Information. Nexlizet (bempedoic acid-ezetimibe). Esperion Therapeutics, Ann Arbor, MI.
3 Product Information. Zepatier (elbasvir-grazoprevir). Merck &amp Company Inc, Whitehouse Station, NJ.
4 Cerner Multum, Inc. "Australian Product Information.".
5 Mir F, Pearce RE, Baig-Ansari N, et al. Serum amoxicillin levels in young infants (0-59 days) with sepsis treated with oral amoxicillin.?Arch Dis Child. 2020;105(12):1208-1214. [PMID: 32404437]
6 Neu HC "Antimicrobial activity and human pharmacology of amoxicillin." J Infect Dis 129 (1974): s123-31. [PMID: 4601187]
7 Patel S, Robinson R, Burk M "Hypertensive crisis associated with St. John's Wort." Am J Med 112 (2002): 507-8. [PMID: 11959071]
8 Product Information. Accolate (zafirlukast). Zeneca Pharmaceuticals, Wilmington, DE.
9 Product Information. Idhifa (enasidenib). Celgene Corporation, Summit, NJ.
10 Product Information. Mavyret (glecaprevir-pibrentasvir). Abbott Pharmaceutical, Abbott Park, IL.
11 Product Information. Braftovi (encorafenib). Array BioPharma Inc., Boulder, CO.
12 Product Information. Rozlytrek (entrectinib). Genentech, South San Francisco, CA.
13 He K, Woolf TF, Hollenberg PF "Mechanism-based inactivation of cytochrome P-450-3A4 by mifepristone (RU486)." J Pharmacol Exp Ther 288 (1999): 791-7. [PMID: 9918590]
14 Product Information. Mifeprex (mifepristone) Danco Laboratories, New York, NY.
15 Product Information. OxyContin (oxycodone). Purdue Frederick Company, Norwalk, CT.
16 Hooks MA "Tacrolimus, a new immunosuppressant--a review of the literature." Ann Pharmacother 28 (1994): 501-11. [PMID: 7518710]
17 Product Information. Prograf (tacrolimus). Fujisawa, Deerfield, IL.