2019
DOI: 10.1021/acs.jmedchem.9b00654
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Discovery of Ziresovir as a Potent, Selective, and Orally Bioavailable Respiratory Syncytial Virus Fusion Protein Inhibitor

Abstract: Ziresovir (RO-0529, AK0529) is reported here for the first time as a promising respiratory syncytial virus (RSV) fusion (F) protein inhibitor that currently is in phase 2 clinical trials. This article describes the process of RO-0529 as a potent, selective, and orally bioavailable RSV F protein inhibitor and highlights the in vitro and in vivo anti-RSV activities and pharmacokinetics in animal species. RO-0529 demonstrates single-digit nM EC50 potency against laboratory strains, as well as clinical isolates of… Show more

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Cited by 59 publications
(49 citation statements)
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“…1-3). Consistent with this, in a recent study, these residues of RSV F protein have also been documented to interact with Ziresovir, which has been reported as a promising RSV F protein inhibitor and currently in phase II clinical trials [20].…”
Section: Resultssupporting
confidence: 63%
“…1-3). Consistent with this, in a recent study, these residues of RSV F protein have also been documented to interact with Ziresovir, which has been reported as a promising RSV F protein inhibitor and currently in phase II clinical trials [20].…”
Section: Resultssupporting
confidence: 63%
“… 68 Last year, Ark Biosciences reported the successful completion of a phase II clinical trial of ziresovir (DB15145, −8.4 kcal/mol) in infants with respiratory syncytial virus (RSV) infection. 69 …”
Section: Resultsmentioning
confidence: 99%
“…GS-5806 (presatovir), a drug blocking RSV fusion protein [165], has undergone several trials, studying its effects on both general population (NCT02135614) and HSCT recipients with RSV URTI (NCT02254408) and LRTI (NCT02254421); results have not yet been published. AK0529 (ziresovir) [166], an orally bioavailable RSV fusion protein inhibitor, is currently undergoing a phase 2 study on adults with RSV infection in China (NCT03699202), while a multicentric study on a pediatric population has been completed, with results upcoming (NCT02654171). ALX-0171, a trimeric nanobody that binds to the antigenic site II of the RSV F protein with high affinity, has proven superior in vitro neutralization to that of palivizumab.…”
Section: Management Of Crv Infectionsmentioning
confidence: 99%