We describe a novel translation inhibitor that has anti-dengue virus (DENV) activity in vitro and in vivo. The inhibitor was identified through a high-throughput screening using a DENV infection assay. The compound contains a benzomorphan core structure. Mode-of-action analysis indicated that the compound inhibits protein translation in a viral RNA sequence-independent manner. Analysis of the stereochemistry demonstrated that only one enantiomer of the racemic compound inhibits viral RNA translation. Medicinal chemistry was performed to eliminate a metabolically labile glucuronidation site of the compound to improve its in vivo stability. Pharmacokinetic analysis showed that upon a single subcutaneous dosing of 25 mg/kg of body weight in mice, plasma levels of the compound reached a C max (maximum plasma drug concentration) above the protein-binding-adjusted 90% effective concentration (EC 90 ) value of 0.96 M. In agreement with the in vivo pharmacokinetic results, treatment of DENV-infected mice with 25 mg/kg of compound once per day reduced peak viremia by about 40-fold. However, mice treated with 75 mg/kg of compound per day exhibited adverse effects. Collectively, our results demonstrate that the benzomorphan compounds inhibit DENV through suppression of RNA translation. The therapeutic window of the current compounds needs to be improved for further development.Dengue virus (DENV), a member of the Flavivirus genus from the Flaviviridae family, causes approximately 50 million to 100 million human infections annually (12). Besides DENV, many other flaviviruses are important human pathogens, including West Nile virus (WNV), yellow fever virus (YFV), Japanese encephalitis virus (JEV), and tick-borne encephalitis virus (TBEV). There is no clinically approved antiviral treatment for any flavivirus infection. The current treatment for flavivirus infection is only supportive. Human vaccines for flaviviruses are available only for YFV, JEV, and TBEV (12). Development of a dengue vaccine is challenging because a successful vaccine requires a balanced immune response to all four serotypes of DENV; an unbalanced vaccine could lead to enhanced virus replication mediated by serotype-cross-reactive antibodies (21). Therefore, antiviral therapy is urgently needed for treatment of flavivirus infections.The flaviviral genome is a plus-sense RNA about 11 kb in length. The genomic RNA is composed of a 5Ј untranslated region (UTR), a single open reading frame, and a 3Ј UTR. The single open reading frame encodes a long polyprotein that is cleaved by a combination of viral and host proteases into 10 viral proteins, three structural proteins (capsid [C], premembrane [prM], and envelope [E]) and seven nonstructural proteins (NS1, NS2A, NS2B, NS3, NS4A, NS4B, and NS5). The structural proteins form virus particles. The nonstructural proteins, together with host factors, form a replication complex to replicate viral RNA (17). Only two of the flavivirus proteins have enzymatic activities. NS3 functions as a viral serine protease, with ...