State of the Art in Respiratory Syncytial Virus Drug Discovery and Development

Respiratory syncytial virus (RSV) is a globally prevalent viral infection with limited treatment options which hospitalizes millions each year. Treatment options have been limited to palivizumab, a monoclonal antibody, approved for prophylaxis in high-risk infants and ribavirin with very limited eff...

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Published in:Journal of medicinal chemistry Vol. 62; no. 7; pp. 3206 - 3227
Main Authors: Cockerill, G. Stuart, Good, James A. D, Mathews, Neil
Format: Journal Article
Language:English
Published: United States American Chemical Society 11-04-2019
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Abstract Respiratory syncytial virus (RSV) is a globally prevalent viral infection with limited treatment options which hospitalizes millions each year. Treatment options have been limited to palivizumab, a monoclonal antibody, approved for prophylaxis in high-risk infants and ribavirin with very limited efficacy and significant safety concerns. This Perspective surveys the range of direct acting antiviral agents (DAAs) that target key steps in the viral life cycle. A number of approaches to DAAs have produced landmark clinical studies over the past few years, notably in fusion and nucleoside inhibitors, and an update of the clinical status of these compounds is provided. Non-nucleoside inhibitors of replication are reviewed in addition to inhibitors of other mechanisms, notably the RSV N and G proteins. This article will provide an informative perspective of the current status of drug discovery targeted at providing an effective therapy for RSV infection.
AbstractList Respiratory syncytial virus (RSV) is a globally prevalent viral infection with limited treatment options which hospitalizes millions each year. Treatment options have been limited to palivizumab, a monoclonal antibody, approved for prophylaxis in high-risk infants and ribavirin with very limited efficacy and significant safety concerns. This Perspective surveys the range of direct acting antiviral agents (DAAs) that target key steps in the viral life cycle. A number of approaches to DAAs have produced landmark clinical studies over the past few years, notably in fusion and nucleoside inhibitors, and an update of the clinical status of these compounds is provided. Non-nucleoside inhibitors of replication are reviewed in addition to inhibitors of other mechanisms, notably the RSV N and G proteins. This article will provide an informative perspective of the current status of drug discovery targeted at providing an effective therapy for RSV infection.
Author Cockerill, G. Stuart
Good, James A. D
Mathews, Neil
AuthorAffiliation ReViral Ltd
Stevenage Bioscience Catalyst
AuthorAffiliation_xml – name: ReViral Ltd
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  surname: Good
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  givenname: Neil
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  fullname: Mathews, Neil
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30411898$$D View this record in MEDLINE/PubMed
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Snippet Respiratory syncytial virus (RSV) is a globally prevalent viral infection with limited treatment options which hospitalizes millions each year. Treatment...
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SubjectTerms Animals
Antiviral Agents - chemistry
Antiviral Agents - pharmacology
Antiviral Agents - therapeutic use
Drug Discovery
Humans
Nucleocapsid Proteins - chemistry
Nucleocapsid Proteins - metabolism
Palivizumab - immunology
Palivizumab - therapeutic use
Respiratory Syncytial Virus Infections - drug therapy
Respiratory Syncytial Virus Infections - virology
Respiratory Syncytial Virus, Human - drug effects
Respiratory Syncytial Virus, Human - immunology
Respiratory Syncytial Virus, Human - metabolism
Small Molecule Libraries - chemistry
Small Molecule Libraries - metabolism
Small Molecule Libraries - therapeutic use
Viral Fusion Proteins - chemistry
Viral Fusion Proteins - metabolism
Title State of the Art in Respiratory Syncytial Virus Drug Discovery and Development
URI http://dx.doi.org/10.1021/acs.jmedchem.8b01361
https://www.ncbi.nlm.nih.gov/pubmed/30411898
https://search.proquest.com/docview/2132227980
Volume 62
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