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DOI: 10.1055/a-2735-5050
An Improved Synthesis Route of Molnupiravir and its Key Impurities
Authors
Funding This work was supported in part by Shanghai Oriental Elite Program (Grant No. 2024023) from Shanghai Science and Technology Commission, the National Key Laboratory of Lead Druggability Research Program (Grant No. NKLYT2023012), Platform-oriented Exploratory Program (Grant No. 2023TS006), Champion-Bid R&D Program (Grant No. ZH24009) from China State Institute of Pharmaceutical Industry Co., Ltd., which are gratefully acknowledged.

Abstract
This paper aims to improve the synthetic process of molnupiravir based on previously reported synthetic routes. The route begins with uracil (ML-2), which is protected with an isopropyl group to yield ML-3 (Step 1), followed by an esterification and a triazolation reaction (Steps 2 and 3) to produce ML-5, which, via a hydroxylation reaction and deprotection (Steps 4 and 5), gives the target product ML-1. Nuclear magnetic resonance (1H NMR) and mass spectra were used for chemical structure identification. There are mainly the following improvements, including: (1) replacing the separate addition of acetone and concentrated H2SO4 with 2,2-dimethoxypropane and catalytic p-toluenesulfonic acid monohydrate in Step 1, simplifying the workup operation and reducing the dosage of reaction solvent. (2) Optimize the synthesis conditions of ML-5, reduce the formation of impurities, and improve the purity of the crude product from 43.12 to 85.21%. (3) Three impurities were isolated, two of which are new compounds. This article lays a foundation to obtain molnupiravir with controllable quality and a stable process for the treatment of coronavirus disease 2019.
Supporting Information
1H NMR and MS spectra of compounds mentioned in the article, as well as X-ray of ML-5 and ML-5-Z3 ([Supplementary Figs. S1]–[S16], available in online version), can be found in the “Supporting Information” section of this article's webpage.
Publication History
Received: 11 September 2025
Accepted: 30 October 2025
Article published online:
11 December 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Zhang L, Li B, Jia P. et al. An analysis of global research on SARS-CoV-2 [in Chinese]. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi 2020; 37 (02) 236-245
- 2 Liu LL, Huo JP, Zhao ZG. Introduction of an oral anti-coronavirus disease 2019 drug: molnupiravir. Chin J Clin Pharmacol 2022; 38 (20) 2492-2496
- 3 Costantini VP, Whitaker T, Barclay L. et al. Antiviral activity of nucleoside analogues against norovirus. Antivir Ther 2012; 17 (06) 981-991
- 4 Stuyver LJ, Whitaker T, McBrayer TR. et al. Ribonucleoside analogue that blocks replication of bovine viral diarrhea and hepatitis C viruses in culture. Antimicrob Agents Chemother 2003; 47 (01) 244-254
- 5 Ehteshami M, Tao S, Zandi K. et al. Characterization of β-d-N 4- hydroxycytidine as a novel inhibitor of chikungunya virus. Antimicrob Agents Chemother 2017; 61 (04) 2395-2416
- 6 Reynard O, Nguyen XN, Alazard-Dany N, Barateau V, Cimarelli A, Volchkov VE. Identification of a new ribonucleoside inhibitor of Ebola virus replication. Viruses 2015; 7 (12) 6233-6240
- 7 Urakova N, Kuznetsova V, Crossman DK. et al. β-D-N(4)-hydroxycytidine is a potent anti-alphavirus compound that induces high level of mutations in viral genome. J Virol 2018; 92 (03) 1965-2017
- 8 Yoon JJ, Toots M, Lee S. et al. Orally efficacious broad-spectrum ribonucleoside analog inhibitor of influenza and respiratory syncytial viruses. Antimicrob Agents Chemother 2018; 62 (08) 766-818
- 9 Kabinger F, Stiller C, Schmitzová J. et al. Mechanism of molnupiravir-induced SARS-CoV-2 mutagenesis. Nat Struct Mol Biol 2021; 28 (09) 740-746
- 10 Lee CC, Hsieh CC, Ko WC, HSIEH CC, KO WC. Molnupiravir: a novel oral anti-SARS-CoV-2 agent. Antibiotics (Basel) 2021; 10 (11) 1294
- 11 Duan CQ, Lin KL, Zhou WC. Review of synthetic routes of oral small molecule anti-COVID-19 drugs molnupiravir and paxlovid. Carol J Pharm 2021; 52 (12) 1549-1560
- 12 Medicines & Healthcare products Regulatory Agency (MHRA). First oral antiviral for COVID-19, Lagevrio (molnupiravir), approved by MHRA. Accessed November 4, 2021 at: https://www.gov.uk/search/news-and-communications
- 13 The National Medical Products Administration (NMPA). News. Importation of MSD's Molnupiravir Capsules approved with condition. (2022–12–30) [2025–08–31]. Accessed December 30, 2022 at: https://www.nmpa.go-v.cn/yaowen/ypjgyw/ypyw/20221230152354151.html
- 14 Painter GR. N 4-Hydroxycytidine and derivatives and anti-viral uses related thereto. CN Patent 111372592A. July 3, 2020
- 15 Desi RSR, Peketi SR, Guttikonda VGR. et al. Improved process for Molnu-piravir. WO Patent 2022/200847A1. July 23, 2021
- 16 Fier PS, Xu Y, Poirier M. et al. Development of a robust manufacturing route for molnupiravir, an antiviral for the treatment of COVID-19. Org Process Res Dev 2021; 25 (12) 2806-2815
- 17 Zhang XW, Jiang GL, Meng DS. et al. Determination of 4-dimethylaminopyridine and its N-oxide in tofogliflozin by LC-MS [in Chinese]. Zhongguo Yiyao Gongye Zazhi 2024; 55 (09) 1250-1254
- 18 Jiang GL, Zhang XW, Meng DS. et al. Synthesis of the related substances of lifitegrast [in Chinese]. Zhongguo Yiyao Gongye Zazhi 2023; 54 (10) 1442-1449
