2021
DOI: 10.3390/molecules26092607
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Evaluation of Small Molecule Combinations against Respiratory Syncytial Virus In Vitro

Abstract: Respiratory syncytial virus (RSV) is a major pathogen that causes severe lower respiratory tract infection in infants, the elderly and the immunocompromised worldwide. At present no approved specific drugs or vaccines are available to treat this pathogen. Recently, several promising candidates targeting RSV entry and multiplication steps are under investigation. However, it is possible to lead to drug resistance under the long-term treatment. Therapeutic combinations constitute an alternative to prevent resist… Show more

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Cited by 10 publications
(5 citation statements)
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“…Although susceptible rodents succumb rapidly to RVFV infection, future studies should explore the antiviral potency of small molecule fusion inhibitors in vivo. Alternatively, the concurrent use of a fusion inhibitor and a viral polymerase inhibitor could potentially result in additive or synergistic antiviral effects, as previously described [ 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…Although susceptible rodents succumb rapidly to RVFV infection, future studies should explore the antiviral potency of small molecule fusion inhibitors in vivo. Alternatively, the concurrent use of a fusion inhibitor and a viral polymerase inhibitor could potentially result in additive or synergistic antiviral effects, as previously described [ 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…In this context, working with small molecules appears to be more promising. For example, the compound BMC-433771, developed by Bristol Myers Squibb selectively inhibits the F protein and has demonstrated activity in animal models [ 9 ], albeit in a prophylactic treatment regimen. Its derivative, Rilematovir (JNJ-53718678), is currently undergoing clinical trials [ 10 ].…”
Section: Discussionmentioning
confidence: 99%
“…Ziresovir is an RSV fusion inhibitor that reduces cytopathic effects in HEp-2 cell cultures [ 66 ] infected with both RSV A and B strains [ 67 ]. In a phase II study, AK0529 was well tolerated in hospitalized RSV-infected infant patients, and treatment with AK0529 2 mg/kg bid reduced viral load [ 68 ].…”
Section: Management and Preventionmentioning
confidence: 99%