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Obstacles and innovations of macrocyclic drug development

Drug Target Review

Phase III trials for MK-0616 commenced in the second half of 2023. Phase 2b randomized trial of the oral PCSK9 inhibitor MK-0616. Cyclic Peptide Design, Chapter 2: Strategies to Enhance Metabolic Stabilities. These drugs, including grazoprevir and vaniprevir, were the result of macrocyclisation of acyclic precursors.