IP Library Granted Patent US 8,216,999
Granted Patent B2
US 8,216,999 · App. 12/325,965 · Granted Jul 10, 2012

HCV NS3 protease inhibitors

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Quick Facts
Patent No.
US 8,216,999
App. No.
12/325,965
Granted
Jul 10, 2012
Kind
B2
Abstract

The present invention relates to macrocyclic compounds of formula (I) that are useful as inhibitors of the hepatitis C virus (HCV) NS3 protease, their synthesis, and their use for treating or preventing HCV infections.

Claims (61)

1. A compound of formula (I):

or a pharmaceutically acceptable salt thereof, wherein:

p and q are both 1;

R 1 is CONR 10 SO 2 R 6 ;

R 2 is C 1 -C 6 alkyl or C 2 -C 6 alkenyl, wherein said alkyl or alkenyl is optionally substituted with 1 to 3 halo;

R 3 is C 5 -C 6 cycloalkyl or C 1 -C 8 alkyl optionally substituted with 1 to 3 halo substitutents;

Het is a 5- or 6-membered saturated cyclic ring having 1 or 2 heteroatoms selected from N, O and S, wherein said ring is optionally substituted with 1 to 3 substituents selected from halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, halo(C 1 -C 6 alkoxy), NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , C(O)R 10 , and CON(R 10 ) 2 ;

R 4 is H, C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 )alkyl, or aryl(C 1 -C 8 )alkyl; wherein aryl is phenyl or naphthyl and said alkyl, cycloalkyl, or aryl is optionally substituted with 1 to 3 substituents selected from the group consisting of halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, halo(C 1 -C 6 alkoxy), NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , C(O)R 10 , and CON(R 10 ) 2 ;

R 5 is H, F or Cl;

R 6 is C 3 -C 6 cycloalkyl;

Y is C(═O);

Z is O, CH 2 , NH or N(CH 3 );

M is C 1 -C 8 alkylene or C 2 -C 8 alkenylene, wherein said alkylene or alkenylene is optionally substituted with 1 or 2 substituents selected from the group consisting of C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 alkyl) or aryl(C 1 -C 8 alkyl), and 2 adjacent substituents of M, if present, are optionally taken together to form a 3- to 6-membered cyclic ring containing 0-2 heteroatoms selected from N, O, and S; and

each R 7 is independently H, C 1 -C 6 alkyl, C 3 -C 6 cycloalkyl, C 3 -C 6 cycloalkyl(C 1 -C 5 )alkyl, aryl, aryl(C 1 -C 4 )alkyl, heteroaryl, heteroaryl(C 1 -C 4 alkyl), heterocyclyl, or heterocyclyl(C 1 -C 8 alkyl), wherein said alkyl, cycloalkyl, aryl, heteroaryl, or heterocyclyl is optionally substituted with 1 to 2 W substituents; and wherein each aryl is independently phenyl or naphthyl, each heteroaryl is independently a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen, and each heterocyclyl is independently a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen;

each W is independently halo, OR 10 , C 1 -C 6 alkyl, CN, CF 3 , NO 2 , SR 10 , CO 2 R 10 , CON(R 10 ) 2 , C(O)R 10 , N(R 10 )C(O)R 10 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkoxy, C 1 -C 6 haloalkyl, N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), halo(C 1 -C 6 alkoxy), NR 10 SO 2 R 10 , SO 2 N(R 10 ) 2 , NHCOOR 10 , NHCONHR 10 , aryl, heteroaryl or heterocyclyl; wherein aryl is phenyl or naphthyl, heteroaryl is a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen, and heterocyclyl is a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen;

R 8 is C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 alkyl), aryl, aryl(C 1 -C 4 alkyl), heteroaryl, heterocyclyl, heteroaryl(C 1 -C 4 alkyl), or heterocyclyl(C 1 -C 8 alkyl), wherein said alkyl, cycloalkyl, aryl, heteroaryl or heterocyclyl is optionally substituted with 1 to 4 substituents selected from the group consisting of aryl, C 3 -C 8 cycloalkyl, heteroaryl, heterocyclyl, C 1 -C 6 alkyl, halo(C 1 -C 6 alkoxy), halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C(O)R 10 , C 1 -C 6 haloalkyl, NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , and)C(O)N(R 10 ) 2 ; wherein each aryl is independently phenyl or naphthyl; each heteroaryl is independently a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and each heterocyclyl is independently a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and wherein 2 adjacent substituents of said cycloalkyl, cycloalkoxy, aryl, heteroaryl or heterocyclyl, if present, are optionally taken together to form a 3- to 6-membered cyclic ring containing 0-3 heteroatoms selected from N, O and S;

R 9 is C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 alkyl), C 1 -C 8 alkoxy, C 3 -C 8 cycloalkoxy, aryl, aryl(C 1 -C 4 alkyl), heteroaryl, heterocyclyl, heteroaryl(C 1 -C 4 alkyl), or heterocyclyl(C 1 -C 8 alkyl), wherein said alkyl, cycloalkyl, alkoxy, cycloalkoxy, aryl, heteroaryl or heterocyclyl is optionally substituted with 1 to 4 substituents selected from the group consisting of aryl, C 3 -C 8 cycloalkyl, heteroaryl, heterocyclyl, C 1 -C 6 alkyl, halo(C 1 -C 6 alkoxy), halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C(O)R 10 , C 1 -C 6 haloalkyl, NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , and C(O)N(R 10 ) 2 ; wherein each aryl is independently phenyl or naphthyl; each heteroaryl is independently a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and each heterocyclyl is independently a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and wherein 2 adjacent substituents of said cycloalkyl, cycloalkoxy, aryl, heteroaryl or heterocyclyl, if present, are optionally taken together to form a 3- to 6-membered cyclic ring containing 0-3 heteroatoms selected from N, O and S;

or R 8 and R 9 are optionally taken together, with the nitrogen atom to which they are attached, to form a 4- to 8-membered monocyclic ring containing 0-2 additional heteroatoms selected from N, O and S; and

R 10 is H or C 1 -C 6 alkyl.

2. A compound of formula (I):

or a pharmaceutically acceptable salt or hydrate thereof, wherein:

p and q are both 1;

R 1 is CO 2 R 10 , CONR 10 SO 2 R 6 , CONR 10 SO 2 NR 8 R 9 , or tetrazolyl;

R 2 is C 1 -C 6 alkyl, C 2 -C 6 alkenyl or C 3 -C 8 cycloalkyl, wherein said alkyl, alkenyl or cycloalkyl is optionally substituted with 1 to 3 halo;

R 3 is C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 )alkyl, aryl(C 1 -C 8 )alkyl, or Het, wherein aryl is phenyl or naphthyl and said alkyl, cycloalkyl, or aryl is optionally substituted with 1 to 3 substituents selected from the group consisting of halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, halo(C 1 -C 6 alkoxy), NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , C(O)R 10 , and CON(R 10 ) 2 ;

Het is a 5- or 6-membered saturated cyclic ring having 1 or 2 heteroatoms selected from N, O and S, wherein said ring is optionally substituted with 1 to 3 substituents selected from halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, halo(C 1 -C 6 alkoxy), NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , C(O)R 10 , and CON(R 10 ) 2 ;

R 4 is H, C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 )alkyl, or aryl(C 1 -C 8 )alkyl; wherein aryl is phenyl or naphthyl and said alkyl, cycloalkyl, or aryl is optionally substituted with 1 to 3 substituents selected from the group consisting of halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, halo(C 1 -C 6 alkoxy), NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , C(O)R 10 , and CON(R 10 ) 2 ;

R 5 is H, halo, OR 10 , C 1 -C 6 alkyl, CN, CF 3 , SR 10 , SO 2 (C 1 -C 6 alkyl), C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkoxy, C 1 -C 6 haloalkyl, N(R 7 ) 2 , aryl, heteroaryl or heterocyclyl; wherein aryl is phenyl or naphthyl, heteroaryl is a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen, and heterocyclyl is a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and wherein said aryl, heteroaryl, heterocyclyl, cycloalkyl, cycloalkoxy, or alkyl is optionally substituted with 1 to 4 substituents selected from the group consisting of halo, OR 10 , SR 10 , N(R 7 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C 1 -C 6 haloalkyl, halo(C 1 -C 6 alkoxy), C 3 -C 6 cycloalkyl, C 3 -C 6 cycloalkoxy, NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , S(O)(C 1 -C 6 alkyl), NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , C(O)R 10 , and CON(R 10 ) 2 ; wherein 2 adjacent substituents of said cycloalkyl, cycloalkoxy, aryl, heteroaryl or heterocyclyl, if present, are optionally taken together to form a 3- to 6-membered cyclic ring containing 0-3 heteroatoms selected from N, O and S;

R 6 is C 1 -C 6 alkyl, C 3 -C 6 cycloalkyl, C 3 -C 6 cycloalkyl(C 1 -C 5 )alkyl, aryl, aryl(C 1 -C 4 )alkyl, heteroaryl, heteroaryl(C 1 -C 4 alkyl), heterocyclyl, or heterocyclyl(C 1 -C 8 alkyl), wherein said alkyl, cycloalkyl, aryl, heteroaryl, or heterocyclyl is optionally substituted with 1 to 2 W substituents; and wherein each aryl is independently phenyl or naphthyl, each heteroaryl is independently a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen, and each heterocyclyl is independently a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen;

Y is C(═O), SO 2 , or C(═N—CN);

Z is C(R 10 ) 2 , O, or N(R 4 );

M is C 1 -C 12 alkylene or C 2 -C 12 alkenylene, wherein said alkylene or alkenylene is substituted with 2 substituents selected from the group consisting of C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 alkyl), and aryl(C 1 -C 8 alkyl); and the 2 adjacent substituents of M are optionally taken together to form a 3- to 6-membered cyclic ring containing 0-3 heteroatoms selected from N, O and S;

each R 7 is independently H, C 1 -C 6 alkyl, C 3 -C 6 cycloalkyl, C 3 -C 6 cycloalkyl(C 1 -O 5 )alkyl, aryl, aryl(C 1 -C 4 )alkyl, heteroaryl, heteroaryl(C 1 -C 4 alkyl), heterocyclyl, or heterocyclyl(C 1 -C 8 alkyl), wherein said alkyl, cycloalkyl, aryl, heteroaryl, or heterocyclyl is optionally substituted with 1 to 2 W substituents; and wherein each aryl is independently phenyl or naphthyl, each heteroaryl is independently a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen, and each heterocyclyl is independently a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen;

each W is independently halo, OR 10 , C 1 -C 6 alkyl, CN, CF 3 , NO 2 , SR 10 , CO 2 R 10 , CON(R 10 ) 2 , C(O)R 10 , N(R 10 )C(O)R 10 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkoxy, C 1 -C 6 haloalkyl, N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), halo(C 1 -C 6 alkoxy), NR 10 SO 2 R 10 , SO 2 N(R 10 ) 2 , NHCOOR 10 , NHCONHR 10 , aryl, heteroaryl or heterocyclyl; wherein aryl is phenyl or naphthyl, heteroaryl is a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen, and heterocyclyl is a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen;

R 8 is C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 alkyl), aryl, aryl(C 1 -C 4 alkyl), heteroaryl, heterocyclyl, heteroaryl(C 1 -C 4 alkyl), or heterocyclyl(C 1 -C 8 alkyl), wherein said alkyl, cycloalkyl, aryl, heteroaryl or heterocyclyl is optionally substituted with 1 to 4 substituents selected from the group consisting of aryl, C 3 -C 8 cycloalkyl, heteroaryl, heterocyclyl, C 1 -C 6 alkyl, halo(C 1 -C 6 alkoxy), halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C(O)R 10 , C 1 -C 6 haloalkyl, NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , and C(O)N(R 10 ) 2 ; wherein each aryl is independently phenyl or naphthyl; each heteroaryl is independently a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen;

and each heterocyclyl is independently a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and wherein 2 adjacent substituents of said cycloalkyl, cycloalkoxy, aryl, heteroaryl or heterocyclyl, if present, are optionally taken together to form a 3- to 6-membered cyclic ring containing 0-3 heteroatoms selected from N, O and S;

R 9 is C 1 -C 8 alkyl, C 3 -C 8 cycloalkyl, C 3 -C 8 cycloalkyl(C 1 -C 8 alkyl), C 1 -C 8 alkoxy, C 3 -C 8 cycloalkoxy, aryl, aryl(C 1 -C 4 alkyl), heteroaryl, heterocyclyl, heteroaryl(C 1 -C 4 alkyl), or heterocyclyl(C 1 -C 8 alkyl), wherein said alkyl, cycloalkyl, alkoxy, cycloalkoxy, aryl, heteroaryl or heterocyclyl is optionally substituted with 1 to 4 substituents selected from the group consisting of aryl, C 3 -C 8 cycloalkyl, heteroaryl, heterocyclyl, C 1 -C 6 alkyl, halo(C 1 -C 6 alkoxy), halo, OR 10 , SR 10 , N(R 10 ) 2 , N(C 1 -C 6 alkyl)O(C 1 -C 6 alkyl), C 1 -C 6 alkyl, C(O)R 10 , C 1 -C 6 haloalkyl, NO 2 , CN, CF 3 , SO 2 (C 1 -C 6 alkyl), S(O)(C 1 -C 6 alkyl), NR 10 SO 2 R 6 , SO 2 N(R 6 ) 2 , NHCOOR 6 , NHCOR 6 , NHCONHR 6 , CO 2 R 10 , and C(O)N(R 10 ) 2 ; wherein each aryl is independently phenyl or naphthyl; each heteroaryl is independently a 5- or 6-membered aromatic ring having 1, 2 or 3 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and each heterocyclyl is independently a 5- to 7-membered saturated or unsaturated non-aromatic ring having 1, 2, 3 or 4 heteroatoms selected from N, O and S, attached through a ring carbon or nitrogen; and wherein 2 adjacent substituents of said cycloalkyl, cycloalkoxy, aryl, heteroaryl or heterocyclyl, if present, are optionally taken together to form a 3- to 6-membered cyclic ring containing 0-3 heteroatoms selected from N, O and S;

or R 8 and R 9 are optionally taken together, with the nitrogen atom to which they are attached, to form a 4- to 8-membered monocyclic ring containing 0-2 additional heteroatoms selected from N, O and S; and

each R 10 is independently H or C 1 -C 6 alkyl.

3. The compound of claim 2 , wherein R 1 is CONHSO 2 R 6 .

4. The compound of claim 3 , wherein R 6 is C 3 -C 6 cycloalkyl.

5. The compound of claim 2 , wherein R 2 is C 2 -C 4 alkenyl.

6. The compound of claim 2 , wherein Y is C═O and Z is O.

7. The compound of claim 2 , wherein R 3 is C 1 -C 8 alkyl optionally substituted with 1 to 3 substituents selected from halo and OR 10 .

8. The compound of claim 7 , wherein R 3 is unsubstituted C 1 -C 8 alkyl.

9. The compound of claim 2 , wherein R 3 is C 3 -C 8 cycloalkyl optionally substituted with 1 to 3 substituents selected from halo and OR 10 .

10. The compound of claim 9 , wherein R 3 is unsubstituted C 3 -C 8 cycloalkyl.

11. The compound of claim 2 , wherein:

R 1 is CONHSO 2 R 6 ;

R 6 is C 3 -C 6 cycloalkyl;

R 2 is C 2 -C 4 alkenyl;

Y is C═O;

Z is O; and

R 3 is C 1 -C 8 alkyl or C 3 -C 8 cycloalkyl, where said R 3 is optionally substituted with 1 to 3 substituents selected from halo and OR 10 .

12. A pharmaceutical composition comprising an effective amount of a compound of any one of claim 1 or 2 , and a pharmaceutically acceptable carrier.

13. The pharmaceutical composition of claim 12 , further comprising a second therapeutic agent selected from the group consisting of a HCV antiviral agent, an immunomodulator, and an anti-infective agent.

14. The pharmaceutical composition of claim 13 , wherein the HCV antiviral agent is an antiviral selected from the group consisting of a HCV protease inhibitor and a HCV NS5B polymerase inhibitor.

15. A method of inhibiting HCV NS3 protease activity in a subject in need thereof, comprising administering a compound of any one of claim 1 or 2 .

16. A method of preventing or treating infection by HCV in a subject in need thereof, comprising administering a compound of any one of claim 1 or 2 .

17. The method of claim 16 , further comprising administering at least one second therapeutic agent selected from the group consisting of a HCV antiviral agent, an immunomodulator, and an anti-infective agent.

18. The method of claim 17 , wherein the HCV antiviral agent is an antiviral selected from the group consisting of a HCV protease inhibitor and a HCV NS5B polymerase inhibitor.

Assignments (4)
MERGER Recorded Aug 8, 2022
From: MERCK SHARP & DOHME CORP.
To: MERCK SHARP & DOHME LLC
Reel/Frame 061102/0145 →
CHANGE OF NAME Recorded Aug 29, 2012
From: SCHERING CORPORATION
To: MERCK SHARP & DOHME CORP.
Reel/Frame 028866/0511 →
MERGER Recorded Aug 27, 2012
From: MERCK SHARP & DOHME CORP.
To: SCHERING CORPORATION
Reel/Frame 028850/0515 →
CHANGE OF NAME Recorded Jan 26, 2010
From: MERCK & CO., INC.
To: MERCK SHARP & DOHME CORP.
Reel/Frame 023845/0940 →