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西苏那韦(RV521)的发现:一种呼吸道合胞病毒融合抑制剂。

Discovery of Sisunatovir (RV521), an Inhibitor of Respiratory Syncytial Virus Fusion.

机构信息

Reviral Ltd., Stevenage Bioscience Catalyst, Gunnels Wood Road, Stevenage, Hertfordshire SG1 2FX, U.K.

Sussex Drug Discovery Centre, University of Sussex, Brighton, England BN1 9QJ, U.K.

出版信息

J Med Chem. 2021 Apr 8;64(7):3658-3676. doi: 10.1021/acs.jmedchem.0c01882. Epub 2021 Mar 17.

DOI:10.1021/acs.jmedchem.0c01882
PMID:33729773
Abstract

RV521 is an orally bioavailable inhibitor of respiratory syncytial virus (RSV) fusion that was identified after a lead optimization process based upon hits that originated from a physical property directed hit profiling exercise at Reviral. This exercise encompassed collaborations with a number of contract organizations with collaborative medicinal chemistry and virology during the optimization phase in addition to those utilized as the compound proceeded through preclinical and clinical evaluation. RV521 exhibited a mean IC of 1.2 nM against a panel of RSV A and B laboratory strains and clinical isolates with antiviral efficacy in the Balb/C mouse model of RSV infection. Oral bioavailability in preclinical species ranged from 42 to >100% with evidence of highly efficient penetration into lung tissue. In healthy adult human volunteers experimentally infected with RSV, a potent antiviral effect was observed with a significant reduction in viral load and symptoms compared to placebo.

摘要

RV521 是一种口服生物可利用的呼吸道合胞病毒 (RSV) 融合抑制剂,它是在 Reviral 基于物理性质导向的命中分析实验的先导化合物优化过程中发现的。在优化阶段,除了在临床前和临床评估阶段使用的合作机构外,该实验还与许多合同机构合作进行了协同药物化学和病毒学研究。RV521 对一组 RSV A 和 B 实验室株和临床分离株的平均 IC 为 1.2 nM,在 RSV 感染的 Balb/C 小鼠模型中具有抗病毒疗效。在临床前物种中,口服生物利用度范围从 42%到 >100%,并且有证据表明其能够高效渗透到肺部组织中。在 RSV 实验感染的健康成年人类志愿者中,与安慰剂相比,RV521 观察到了显著的抗病毒作用,病毒载量和症状均显著降低。

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