A prodrug of the capsid assembly modulator improved druggability and lowing HBsAg and HBeAg for the treatment of chronic hepatitis B

Eur J Med Chem. 2023 Sep 5:257:115485. doi: 10.1016/j.ejmech.2023.115485. Epub 2023 May 13.

Abstract

CAMs were disclosed to alter cccDNA levels with sustained hepatitis B surface antigen (HBsAg) loss or seroconversion in preclinical investigation. Here, we report the discovery of a prodrug Yhhu6669 as CAMs based on the intestinal peptide transporter. This compound exhibited the promising anti-HBV activity with sustained suppression of HBV DNA, as well as HBsAg and HBeAg in the AAV HBV mouse model by oral treatment for 7 weeks and maintained for a further 8 weeks following drug withdraw. Our results show an alternative possibility for a functional cure by specific CAMs and provide the basis for the further mechanism study.

Keywords: Capsid assembly modulators; HBV; Hepatitis B surface antigen; Prodrug.

MeSH terms

  • Animals
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use
  • Capsid
  • Capsid Proteins
  • DNA, Viral
  • Hepatitis B Surface Antigens / therapeutic use
  • Hepatitis B e Antigens
  • Hepatitis B virus / genetics
  • Hepatitis B, Chronic* / drug therapy
  • Mice
  • Prodrugs* / pharmacology
  • Prodrugs* / therapeutic use

Substances

  • Hepatitis B Surface Antigens
  • Hepatitis B e Antigens
  • Prodrugs
  • Antiviral Agents
  • Capsid Proteins
  • DNA, Viral