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Elbasvir/Grazoprevir

University of Florence · FDA-approved active Small molecule ✓ Verified May 2026

Elbasvir/Grazoprevir is a Direct-acting antiviral (DAA) combination; NS5A inhibitor + NS3/4A protease inhibitor Small molecule drug developed by University of Florence. It is currently FDA-approved for Chronic hepatitis C virus (HCV) infection, genotypes 1, 4, 5, and 6. Also known as: MK-8742/MK-5172, Zepatier (BR); Elbasvir-Grazoprevir (SY); Grazoprevir/Elbasvir (SY); Grazoprevir-Elbasvir (SY); MK-8742/ MK-5172 (CN), Zepatier, Zepatier, serial number 86336186.

Elbasvir/Grazoprevir is a fixed-dose combination of a hepatitis C virus (HCV) NS5A inhibitor and NS3/4A protease inhibitor that blocks viral replication.

Elbasvir/Grazoprevir, a small molecule, is a fixed-dose combination of Elbasvir 50 mg and Grazoprevir 100 mg, available as oral tablets. It is indicated for the treatment of Chronic Hepatitis C, among other conditions, as per ClinicalTrials.gov.

At a glance

Generic nameElbasvir/Grazoprevir
Also known asMK-8742/MK-5172, Zepatier (BR); Elbasvir-Grazoprevir (SY); Grazoprevir/Elbasvir (SY); Grazoprevir-Elbasvir (SY); MK-8742/ MK-5172 (CN), Zepatier, Zepatier, serial number 86336186
SponsorUniversity of Florence
Drug classDirect-acting antiviral (DAA) combination; NS5A inhibitor + NS3/4A protease inhibitor
TargetHCV NS5A protein and HCV NS3/4A serine protease
ModalitySmall molecule
Therapeutic areaVirology/Hepatology
PhaseFDA-approved

Mechanism of action

Elbasvir inhibits the HCV NS5A protein, which is essential for viral RNA replication and virion assembly. Grazoprevir inhibits the HCV NS3/4A serine protease, which is required for processing of the HCV polyprotein. Together, these two direct-acting antivirals (DAAs) suppress HCV replication through complementary mechanisms.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about Elbasvir/Grazoprevir

What is Elbasvir/Grazoprevir?

Elbasvir/Grazoprevir is a Direct-acting antiviral (DAA) combination; NS5A inhibitor + NS3/4A protease inhibitor drug developed by University of Florence, indicated for Chronic hepatitis C virus (HCV) infection, genotypes 1, 4, 5, and 6.

How does Elbasvir/Grazoprevir work?

Elbasvir/Grazoprevir is a fixed-dose combination of a hepatitis C virus (HCV) NS5A inhibitor and NS3/4A protease inhibitor that blocks viral replication.

What is Elbasvir/Grazoprevir used for?

Elbasvir/Grazoprevir is indicated for Chronic hepatitis C virus (HCV) infection, genotypes 1, 4, 5, and 6.

Who makes Elbasvir/Grazoprevir?

Elbasvir/Grazoprevir is developed and marketed by University of Florence (see full University of Florence pipeline at /company/university-of-florence).

Is Elbasvir/Grazoprevir also known as anything else?

Elbasvir/Grazoprevir is also known as MK-8742/MK-5172, Zepatier (BR); Elbasvir-Grazoprevir (SY); Grazoprevir/Elbasvir (SY); Grazoprevir-Elbasvir (SY); MK-8742/ MK-5172 (CN), Zepatier, Zepatier, serial number 86336186.

What drug class is Elbasvir/Grazoprevir in?

Elbasvir/Grazoprevir belongs to the Direct-acting antiviral (DAA) combination; NS5A inhibitor + NS3/4A protease inhibitor class. See all Direct-acting antiviral (DAA) combination; NS5A inhibitor + NS3/4A protease inhibitor drugs at /class/direct-acting-antiviral-daa-combination-ns5a-inhibitor-ns3-4a-protease-inhibitor.

What development phase is Elbasvir/Grazoprevir in?

Elbasvir/Grazoprevir is FDA-approved (marketed).

What are the side effects of Elbasvir/Grazoprevir?

Common side effects of Elbasvir/Grazoprevir include Headache, Fatigue, Nausea, Diarrhea, Elevated transaminases.

What does Elbasvir/Grazoprevir target?

Elbasvir/Grazoprevir targets HCV NS5A protein and HCV NS3/4A serine protease and is a Direct-acting antiviral (DAA) combination; NS5A inhibitor + NS3/4A protease inhibitor.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing