A variety of 2,6-modified purine 2â˛-C-methylribonucleosides and their phosphoramidate prodrugs were synthesized and evaluated for inhibition of HCV RNA replication in Huh-7 cells and for cytotoxicity in various cell lines. Cellular pharmacology and HCV polymerase incorporation studies on the most potent and selective compound are reported.KEYWORDS: HCV, antiviral, phosphoramidate prodrug, purine, nucleoside H epatitis C virus (HCV) is a global health problem affecting an estimated 170 million individuals worldwide, and it is a leading cause of liver cirrhosis and hepatocellular carcinoma. 1,2 Several curative options are now available for HCV infections, but they all require at least two direct acting antiviral agents to result in cure rates of 90 to 100%. Nucleoside inhibitors of HCV NS5B polymerase are favored since they generally have a high genetic barrier to drug resistance and are pangenotypic activity. 3 Sofosbuvir (PSI/GS-7977) 1, 4 a 2â˛-deoxy-2â˛-Îą-fluoro-2â˛-β-C-methyl nucleoside monophosphate prodrug, was approved by the FDA in December 2013 as a safe and effective anti-HCV agent (Figure 1). 5 IDX-184 2 and BMS-986094 (INX-189) 3, two related nucleoside prodrugs, precursors of the same active 2â˛-β-C-methyl guanosine triphosphate, also showed high potency in vitro and promising results in early clinical studies, but their development was terminated after low effectiveness in humans for IDX-184, and severe cardiac effects observed during a phase 2b study with BMS-986094. Based on the potential of these 2â˛-C-methyl nucleosides, we present, herein, the synthesis of new 2,6-modified purine 2â˛-C-methyl ribonucleosides that may offer potential alternatives to BMS-986094 and IDX-184 or maybe used in combination with Sofosbuvir.In the design of 6-position modifications, we strived to maintain groups that retained hydrogen bond accepting characteristics as is present in the 6-position of natural guanosine. The key to the synthesis of 2-amino, 6-modified 2â˛-C-methyl nucleosides was intermediate 5 that was prepared by known methods. 6 Targeted 6-N 3 and 6-NH-O-substituted purines 10â12 were easily prepared from debenzoylated nucleoside 6 by reaction with NaN 3 , methoxyamine, and hydroxylamine (Scheme 1). Interestingly, attempts to prepare the 6-ONH 2 compound 9 from N-Boc-hydroxylamino and N-(benzyloxycarbonyl)hydroxylamino derivatives 7 and 8 were unsuccessful as all attempts to deprotect intermediates 7 and 8, using acidity (compound 7) or transition metal catalyzed hydrogenation (compound 8), lead exclusively to the formation of 2â˛-C-methyl guanosine.