Identification

Summary

Bocepreviris a hepatitis C virus NS3/4A protease inhibitor used in combination with other medications to treat chronic hepatitis C genotype 1 infection. Boceprevir is not indicated as monotherapy.

总的来说ic Name
Boceprevir
药物Bank Accession Number
DB08873
Background

Boceprevir is a direct acting antiviral medication used as part of combination therapy to treat chronic Hepatitis C, an infectious liver disease caused by infection with Hepatitis C Virus (HCV). HCV is a single-stranded RNA virus that is categorized into nine distinct genotypes, with genotype 1 being the most common in the United States, and affecting 72% of all chronic HCV patients7. Treatment options for chronic Hepatitis C have advanced significantly since 2011, with the development of Direct Acting Antivirals (DAAs) such as Boceprevir. Boceprevir is an inhibitor of NS3/4A, a serine protease enzyme, encoded by HCV genotypes 1 and 4Synthesis. These enzymes are essential for viral replication and serve to cleave the virally encoded polyprotein into mature proteins like NS4A, NS4B, NS5A and NS5BLabel. The barrier for develoment of resistance to NS3/4A inhibitors is lower than that of NS5B inhibitors, another class of DAAs5. Subtitutions at amino acid positions 155, 156, or 168 are known to confer resistance. The substitutions of the enzyme's catalytic triad consisting of H58, D82, and S139 are also likely to alter the affinity of the drug for NS3/4A or the activity of the enzyme itself. Despite this disadvantage Boceprevir is still effective against HCV when paired withRibavirin,Peginterferon alfa-2a, andPeginterferon alfa-2b.

In a joint recommendation published in 2016, the American Association for the Study of Liver Diseases (AASLD) and the Infectious Diseases Society of America (IDSA) do not reccomend Boceprevir in combination withRibavirin,Peginterferon alfa-2a, andPeginterferon alfa-2bas first line therapy for Hepatitis C5. Boceprevir,Ribavirin,Peginterferon alfa-2a, andPeginterferon alfa-2bare used with the intent to cure, or achieve a sustained virologic response (SVR), after 48 weeks of daily therapy. SVR and eradication of HCV infection is associated with significant long-term health benefits including reduced liver-related damage, improved quality of life, reduced incidence of Hepatocellular Carcinoma, and reduced all-cause mortality6.

Boceprevir is available as a fixed dose product (tradename Victrelis) used for the treatment of chronic Hepatitis C. Approved in May 2011 by the FDA, Victrelis is indicated for the treatment of HCV genotype 1 in combination withRibavirin,Peginterferon alfa-2a, andPeginterferon alfa-2bLabel. Victrelis is no longer widely used as interferon-free therapies have been developed.

Type
Small Molecule
Groups
Approved, Withdrawn
Structure
Weight
Average: 519.6767
Monoisotopic: 519.342069575
Chemical Formula
C27H45N5O5
Synonyms
  • Boceprevir
External IDs
  • EBP 520
  • EBP-520
  • SCH 503034
  • SCH-503034

Pharmacology

Indication

Boceprevir, when used in combination withRibavirin,Peginterferon alfa-2a, andPeginterferon alfa-2bis indicated for use in the treatment of chronic HCV genotype 1 infection in adultsLabel.

Reduce drug development failure rates
Build, train, & validate machine-learning models
with evidence-based and structured datasets.
See how
Build, train, & validate predictive machine-learning models with structured datasets.
See how
Associated Conditions
禁忌症和黑箱警告
Avoid life-threatening adverse drug events
Improve clinical decision support with information oncontraindications & blackbox warnings, population restrictions, harmful risks, & more.
Learn more
Avoid life-threatening adverse drug events & improve clinical decision support.
Learn more
Pharmacodynamics

Boceprevir is classified as a direct-acting antiviral (DAA) and prevents viral replication in HCV genotype 1Label.

Mechanism of action

Boceprevir is a NS3/4a protease inhibitor used to inhibit viral HCV replicationLabel. NS3/4a protease is an integral part of viral replication and mediates the cleavage the virally encoded polyprotein to mature proteins (NS4A, NS4B, NS5A and NS5B)Label. Boceprevir covalently but reversibly binds the serine (S139) resiude in the active site via a (α)-ketoamide functional group. This inhibits the proteolytic acitvity of the HCV 1a and 1b encoded enzyme.

Target Actions Organism
ANS3/4A protein
inhibitor
Hepatitis C Virus
Absorption

Boceprevir reaches peak plasma concentration 2 hours after administrationLabel. Absolute bioavailability has not been determined. When taken with food exposure increases up to 65%. In capsule, Boceprevir consists of two diaseromers in a 1:1 ratio. In plasma this ratio changes to 2:1 favoring the active diastereomer.

Volume of distribution

The mean apparent volume of distribution for Bocepravir is 772 litres at steady stateLabel.

Protein binding

Bocepravir is approximately 75% bound to human plasma proteins following a single doseLabel.

Metabolism

Bocepravir is primarily metabolized via the aldo-ketoreductase-mediated pathway producing a diastereomeric mix of metabolites at a 4 fold greater exposure than the parent compoundLabel. Boceprevir also undergoes oxidative metabolism via CYP3A4/5, although to a lesser extent.

Route of elimination

Boceprevir is mainly eliminated in the feces (79%) with a small amount eliminated in the urine (9%)Label. Approximately 8% and 3% is excreted as the parent compound in the feces and urine respectively.

Half-life

Boceprevir has a mean half-life of elimination of 3.4 hoursLabel.

Clearance

Boceprevir has a mean total body clearance of 161 liters per hourLabel.

Adverse Effects
Improve decision support & research outcomes
With structured adverse effects data, including:blackbox warnings, adverse reactions, warning & precautions, & incidence rates.
Learn more
Improve decision support & research outcomes with our structured adverse effects data.
Learn more
Toxicity

The most commonly reported adverse reactions in adult subjects were fatigue, anemia, nausea, headache, and dysgeusia when Boceprevir was used in combination withRibavirinandPeginterferon alfa-2a/Peginterferon alfa-2bLabel.

Pathways
Not Available
Pharmacogenomic Effects/ADRsBrowse all" title="" id="snp-actions-info" class="drug-info-popup" href="javascript:void(0);">
Not Available

Interactions

药物InteractionsLearn More" title="" id="structured-interactions-info" class="drug-info-popup" href="javascript:void(0);">
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
药物 Interaction
1,2-Benzodiazepine The metabolism of 1,2-Benzodiazepine can be decreased when combined with Boceprevir.
Abametapir The serum concentration of Boceprevir can be increased when it is combined with Abametapir.
Abatacept The metabolism of Boceprevir can be increased when combined with Abatacept.
Abemaciclib The metabolism of Abemaciclib can be decreased when combined with Boceprevir.
Abiraterone The metabolism of Abiraterone can be decreased when combined with Boceprevir.
Acalabrutinib The metabolism of Acalabrutinib can be decreased when combined with Boceprevir.
Acenocoumarol The metabolism of Acenocoumarol can be decreased when combined with Boceprevir.
Acetaminophen The metabolism of Acetaminophen can be decreased when combined with Boceprevir.
Adalimumab The metabolism of Boceprevir can be increased when combined with Adalimumab.
Adenovirus type 7 vaccine live The therapeutic efficacy of Adenovirus type 7 vaccine live can be decreased when used in combination with Boceprevir.
Identify potential medication risks
Easily compare up to 40 drugs with our drug interaction checker.
Get severity rating, description, and management advice.
Learn more
Food Interactions
  • Take with or without food. Food decreases drug exposure, but not to a clinically significant extent.

Products

药物product information from 10+ global regions
Our datasets provide approved product information including:
dosage, form, labeller, route of administration, and marketing period.
Access now
Access drug product information from over 10 global regions.
Access now
Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image
Victrelis Capsule 200 mg Oral Merck Ltd. 2011-08-02 2017-01-10 Canada flag
Victrelis Capsule 200 mg Oral Merck Sharp Dohme Ltd 2016-09-08 2018-07-31 EU flag
Victrelis Capsule 200 mg/1 Oral Merck Sharp & Dohme Limited 2011-05-13 2015-12-31 US flag
Victrelis Capsule 200 mg Oral Merck Sharp Dohme Ltd 2016-09-08 2018-07-31 EU flag
Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image
Victrelis Triple Boceprevir(200 mg / cap)+Peginterferon alfa-2b(150 mcg / 0.5 mL)+Ribavirin(200 mg / cap) Capsule; Powder, for solution Oral; Subcutaneous Merck Ltd. 2011-08-16 2016-09-02 Canada flag
Victrelis Triple Boceprevir(200 mg / cap)+Peginterferon alfa-2b(100 mcg / 0.5 mL)+Ribavirin(200 mg / cap) Capsule; Powder, for solution Oral; Subcutaneous Merck Ltd. 2011-08-16 2017-01-10 Canada flag
Victrelis Triple Boceprevir(200 mg / cap)+Peginterferon alfa-2b(120 mcg / 0.5 mL)+Ribavirin(200 mg / cap) Capsule; Powder, for solution Oral; Subcutaneous Merck Ltd. 2011-08-16 2016-09-02 Canada flag
Victrelis Triple Boceprevir(200 mg / cap)+Peginterferon alfa-2b(80 mcg / 0.5 mL)+Ribavirin(200 mg / cap) Capsule; Powder, for solution Oral; Subcutaneous Merck Ltd. 2011-08-16 2017-01-10 Canada flag

Categories

ATC Codes
J05AP03 — Boceprevir
药物Categories
Chemical TaxonomyProvided byClassyfire
Description
This compound belongs to the class of organic compounds known as hybrid peptides. These are compounds containing at least two different types of amino acids (alpha, beta, gamma, delta) linked to each other through a peptide bond.
Kingdom
Organic compounds
Super Class
Organic acids and derivatives
Class
Peptidomimetics
Sub Class
Hybrid peptides
Direct Parent
Hybrid peptides
Alternative Parents
Dipeptides/Valine and derivatives/N-carbamoyl-alpha amino acids and derivatives/Alpha amino acid amides/Piperidinecarboxamides/N-acylpiperidines/Pyrrolidinecarboxamides/N-acylpyrrolidines/Fatty amides/Tertiary carboxylic acid amides
show 9 more
Substituents
2-piperidinecarboxamide/Aliphatic heteropolycyclic compound/Alpha-amino acid amide/Alpha-amino acid or derivatives/Alpha-dipeptide/Azacycle/Carbonic acid derivative/Carbonyl group/Carboxamide group/Carboxylic acid derivative
show 25 more
Molecular Framework
Aliphatic heteropolycyclic compounds
External Descriptors
ureas, tripeptide (CHEBI:68621)
Affected organisms
  • Hepatitis C Virus

Chemical Identifiers

UNII
89BT58KELH
CAS number
394730-60-0
InChI Key
LHHCSNFAOIFYRV-DOVBMPENSA-N
InChI
InChI=1S/C27H45N5O5/c1-25(2,3)20(30-24(37)31-26(4,5)6)23(36)32-13-15-17(27(15,7)8)18(32)22(35)29-16(19(33)21(28)34)12-14-10-9-11-14/h14-18,20H,9-13H2,1-8H3,(H2,28,34)(H,29,35)(H2,30,31,37)/t15-,16?,17-,18-,20+/m0/s1
IUPAC Name
3-{[(1R,2S,5S)-3-[(2S)-2-[(tert-butylcarbamoyl)amino]-3,3-dimethylbutanoyl]-6,6-dimethyl-3-azabicyclo[3.1.0]hexan-2-yl]formamido}-4-cyclobutyl-2-oxobutanamide
SMILES
[H][C@]12CN([C@H](C(=O)NC(CC3CCC3)C(=O)C(N)=O)[C@@]1([H])C2(C)C)C(=O)[C@@H](NC(=O)NC(C)(C)C)C(C)(C)C

References

Synthesis Reference

李道,James Lalonde,杰克梁,本杰明Mijts,Roger Sheldon, George S.K. Wong, Aleksey Zaks, "Substantially Stereomerically Pure Fused Bicyclic Proline Compounds and Processes for Preparing Boceprevir." U.S. Patent US20120289709, issued November 15, 2012.

US20120289709
总的来说al References
  1. Kiser JJ, Flexner C: Direct-acting antiviral agents for hepatitis C virus infection. Annu Rev Pharmacol Toxicol. 2013;53:427-49. doi: 10.1146/annurev-pharmtox-011112-140254. Epub 2012 Nov 5. [Article]
  2. Treitel M, Marbury T, Preston RA, Triantafyllou I, Feely W, O'Mara E, Kasserra C, Gupta S, Hughes EA: Single-dose pharmacokinetics of boceprevir in subjects with impaired hepatic or renal function. Clin Pharmacokinet. 2012 Sep 1;51(9):619-28. doi: 10.2165/11633440-000000000-00000. [Article]
  3. Wilby KJ, Partovi N, Ford JA, Greanya E, Yoshida EM: Review of boceprevir and telaprevir for the treatment of chronic hepatitis C. Can J Gastroenterol. 2012 Apr;26(4):205-10. [Article]
  4. Malcolm BA, Liu R, Lahser F, Agrawal S, Belanger B, Butkiewicz N, Chase R, Gheyas F, Hart A, Hesk D, Ingravallo P, Jiang C, Kong R, Lu J, Pichardo J, Prongay A, Skelton A, Tong X, Venkatraman S, Xia E, Girijavallabhan V, Njoroge FG: SCH 503034, a mechanism-based inhibitor of hepatitis C virus NS3 protease, suppresses polyprotein maturation and enhances the antiviral activity of alpha interferon in replicon cells. Antimicrob Agents Chemother. 2006 Mar;50(3):1013-20. [Article]
  5. Bagaglio S, Uberti-Foppa C, Morsica G: Resistance Mechanisms in Hepatitis C Virus: implications for Direct-Acting Antiviral Use. Drugs. 2017 May 12. doi: 10.1007/s40265-017-0753-x. [Article]
  6. Myers RP, Shah H, Burak KW, Cooper C, Feld JJ: An update on the management of chronic hepatitis C: 2015 Consensus guidelines from the Canadian Association for the Study of the Liver. Can J Gastroenterol Hepatol. 2015 Jan-Feb;29(1):19-34. Epub 2015 Jan 13. [Article]
  7. American Association for the Study of Liver Diseases; Infectious Diseases Society of America. HCV guidance. http://hcvguidelines.org. Accessed June 12, 2017. [Link]
KEGG Drug
D08876
PubChem Compound
10324367
PubChem Substance
175427127
ChemSpider
8499830
BindingDB
12311
RxNav
1102129
ChEBI
68621
ChEMBL
CHEMBL218394
PharmGKB
PA165948902
PDBe Ligand
HU5
RxList
RxList Drug Page
药物s.com
药物s.com Drug Page
Wikipedia
Boceprevir
FDA label
Download (403 KB)

Clinical Trials

Clinical TrialsLearn More" title="" id="clinical-trials-info" class="drug-info-popup" href="javascript:void(0);">
Phase Status Purpose Conditions Count
4 Completed Treatment Chronic Hepatitis C Virus (HCV) Infection 1
4 Completed Treatment Chronic Hepatitis C Virus (HCV) Infection/Human Immunodeficiency Virus (HIV) Infections 1
4 Completed Treatment Hepatitis C Virus (HCV) Infection 1
4 Terminated Treatment Hepatitis/Human Immunodeficiency Virus Infection(HIV)/Acquired Immunodeficiency Syndrome (AIDS) 1
4 Unknown Status Treatment Chronic Hepatitis C Virus (HCV) Infection/End Stage Renal Disease (ESRD) 1
4 Withdrawn Treatment Hepatitis C Virus (HCV) Infection 1
3 Completed Treatment Chronic Hepatitis C Genotype 1 1
3 Completed Treatment Chronic Hepatitis C Virus (HCV) Infection 9
3 Completed Treatment Co-Infection/Hepatitis C Virus (HCV) Infection/Human Immunodeficiency Virus (HIV) Infections 1
3 Completed Treatment Hepatitis C Virus (HCV) Infection 1

Pharmacoeconomics

Manufacturers
Not Available
Packagers
Not Available
Dosage Forms
Form Route Strength
Capsule Oral
Capsule Oral 200 mg/1
Capsule Oral 200 mg
Capsule, coated Oral 200 mg
Capsule; powder, for solution Oral; Subcutaneous
Prices
Not Available
Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region
US7772178 No 2010-08-10 2027-11-11 US flag
US8119602 No 2012-02-21 2027-03-17 US flag
USRE43298 No 2012-04-03 2022-02-22 US flag

Properties

State
Solid
Experimental Properties
Not Available
Predicted Properties
Property Value Source
Water Solubility 0.0234 mg/mL ALOGPS
logP 1.93 ALOGPS
logP 1.78 ChemAxon
logS -4.4 ALOGPS
pKa (Strongest Acidic) 12.44 ChemAxon
pKa (Strongest Basic) -0.91 ChemAxon
Physiological Charge 0 ChemAxon
Hydrogen Acceptor Count 5 ChemAxon
Hydrogen Donor Count 4 ChemAxon
Polar Surface Area 150.7 Å2 ChemAxon
Rotatable Bond Count 10 ChemAxon
Refractivity 138.2 m3·mol-1 ChemAxon
Polarizability 56.79 Å3 ChemAxon
Number of Rings 3 ChemAxon
Bioavailability 1 ChemAxon
Rule of Five No ChemAxon
Ghose Filter No ChemAxon
Veber's Rule No ChemAxon
MDDR-like Rule Yes ChemAxon
Predicted ADMET Features
Property Value Probability
Human Intestinal Absorption + 0.6781
Blood Brain Barrier - 0.8805
Caco-2 permeable - 0.6532
P-glycoprotein substrate Substrate 0.8394
P-glycoprotein inhibitor I Inhibitor 0.671
P-glycoprotein inhibitor II Inhibitor 0.6377
Renal organic cation transporter Non-inhibitor 0.8188
CYP450 2C9 substrate Non-substrate 0.7965
CYP450 2D6 substrate Non-substrate 0.7996
CYP450 3A4 substrate Substrate 0.621
CYP450 1A2 substrate Non-inhibitor 0.7987
CYP450 2C9 inhibitor Non-inhibitor 0.7265
CYP450 2D6 inhibitor Non-inhibitor 0.87
CYP450 2C19 inhibitor Non-inhibitor 0.6908
CYP450 3A4 inhibitor Non-inhibitor 0.9659
CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.8434
Ames test Non AMES toxic 0.662
Carcinogenicity Non-carcinogens 0.8555
Biodegradation Ready biodegradable 0.5913
Rat acute toxicity 2.6263 LD50, mol/kg Not applicable
hERG inhibition (predictor I) Weak inhibitor 0.9828
hERG inhibition (predictor II) Non-inhibitor 0.7092
ADMET data is predicted usingadmetSAR, a free tool for evaluating chemical ADMET properties. (23092397)

Spectra

Mass Spec (NIST)
Not Available
Spectra
Spectrum Spectrum Type Splash Key
Predicted MS/MS Spectrum - 10V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 20V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 40V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 10V, Negative (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 20V, Negative (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 40V, Negative (Annotated) Predicted LC-MS/MS Not Available

Targets

Build, predict & validate machine-learning models
Use our structured and evidence-based datasets tounlock new
insights and accelerate drug research.
Learn more
Use our structured and evidence-based datasets to unlock new insights and accelerate drug research.
Learn more
Kind
Protein
Organism
Hepatitis C Virus
Pharmacological action
Yes
Actions
Inhibitor
总的来说al Function
Serine-type peptidase activity
Specific Function
Not Available
Gene Name
NS3/4A
Uniprot ID
B0B3C9
Uniprot Name
Genome polyprotein
分子量
72789.28 Da
References
  1. Ali A, Aydin C, Gildemeister R, Romano KP, Cao H, Ozen A, Soumana D, Newton A, Petropoulos CJ, Huang W, Schiffer CA: Evaluating the role of macrocycles in the susceptibility of hepatitis C virus NS3/4A protease inhibitors to drug resistance. ACS Chem Biol. 2013 Jul 19;8(7):1469-78. doi: 10.1021/cb400100g. Epub 2013 May 1. [Article]

Enzymes

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Substrate
Inhibitor
总的来说al Function
Vitamin d3 25-hydroxylase activity
Specific Function
Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It performs a variety of oxidation react...
Gene Name
CYP3A4
Uniprot ID
P08684
Uniprot Name
Cytochrome P450 3A4
分子量
57342.67 Da
References
  1. Kiser JJ, Flexner C: Direct-acting antiviral agents for hepatitis C virus infection. Annu Rev Pharmacol Toxicol. 2013;53:427-49. doi: 10.1146/annurev-pharmtox-011112-140254. Epub 2012 Nov 5. [Article]
  2. Wilby KJ, Greanya ED, Ford JA, Yoshida EM, Partovi N: A review of drug interactions with boceprevir and telaprevir: implications for HIV and transplant patients. Ann Hepatol. 2012 Mar-Apr;11(2):179-85. [Article]
  3. Hulskotte EG, Feng HP, Xuan F, Gupta S, van Zutven MG, O'Mara E, Wagner JA, Butterton JR: Pharmacokinetic evaluation of the interaction between hepatitis C virus protease inhibitor boceprevir and 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors atorvastatin and pravastatin. Antimicrob Agents Chemother. 2013 Jun;57(6):2582-8. doi: 10.1128/AAC.02347-12. Epub 2013 Mar 25. [Article]
  4. FDA Approved Drug Products: VICTRELIS (boceprevir) Capsules [Link]
  5. FDA Drug Development and Drug Interactions: Table of Substrates, Inhibitors and Inducers [Link]
  6. Boceprevir FDA label [File]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Substrate
Inhibitor
总的来说al Function
Oxygen binding
Specific Function
Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It oxidizes a variety of structurally un...
Gene Name
CYP3A5
Uniprot ID
P20815
Uniprot Name
Cytochrome P450 3A5
分子量
57108.065 Da
References
  1. Kiser JJ, Flexner C: Direct-acting antiviral agents for hepatitis C virus infection. Annu Rev Pharmacol Toxicol. 2013;53:427-49. doi: 10.1146/annurev-pharmtox-011112-140254. Epub 2012 Nov 5. [Article]
  2. Hulskotte E,古普塔年代,宣F,范Zutven M O ' maraE, Feng HP, Wagner J, Butterton J: Pharmacokinetic interaction between the hepatitis C virus protease inhibitor boceprevir and cyclosporine and tacrolimus in healthy volunteers. Hepatology. 2012 Nov;56(5):1622-30. doi: 10.1002/hep.25831. Epub 2012 Oct 14. [Article]

Transporters

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
Curator comments
Based on the findings of in vitro studies, boceprevir has the potential to inhibit P-gp; however, it had limited p-glycoprotein inhibitory potential at clinically relevant concentrations in a drug interaction study.
总的来说al Function
Xenobiotic-transporting atpase activity
Specific Function
Energy-dependent efflux pump responsible for decreased drug accumulation in multidrug-resistant cells.
Gene Name
ABCB1
Uniprot ID
P08183
Uniprot Name
Multidrug resistance protein 1
分子量
141477.255 Da
References
  1. Kiser JJ, Flexner C: Direct-acting antiviral agents for hepatitis C virus infection. Annu Rev Pharmacol Toxicol. 2013;53:427-49. doi: 10.1146/annurev-pharmtox-011112-140254. Epub 2012 Nov 5. [Article]

药物created at May 12, 2013 04:45 / Updated at February 21, 2021 18:52