Anti-HBV activity of the HBV capsid assembly modulator JNJ-56136379 across full-length genotype A-H clinical isolates and core site-directed mutants in vitro

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OBJECTIVES: To characterize antiviral activity of the capsid assembly modulator (CAM-N) JNJ-56136379 against HBV genotypes and variants carrying amino acid substitutions in the core protein.

METHODS: Anti-HBV activity of JNJ-56136379 was investigated against a diverse panel of 53 HBV clinical isolates (genotypes A-H). The impact of core amino acid substitutions using site-directed mutants (SDMs) was assessed in a transient replication assay.

RESULTS: JNJ-56136379 median 50% effective concentration (EC50) values across all genotypes were 10-33 nM versus 17 nM (genotype D reference). JNJ-56136379 remained active against isolates carrying nucleos(t)ide analogue resistance mutations (median EC50 2-25 nM) or basal core promoter (BCP) ± precore (PC) mutations (median EC50 13-20 nM) or PC mutations (median EC50 11 nM), representing activity against isolates from HBeAg-positive and -negative hepatitis B patients. Core amino acid substitutions in the CAM-binding pocket, when tested as SDMs at positions 23, 25, 30, 33, 37, 106, 110, 118, 124, 127 and 128, reduced JNJ-56136379 anti-HBV activity; EC50 fold increases ranged from 3.0 (S106T) to 85 (T33N). All substitutions were rare in a public database of >7600 HBV core sequences (frequencies 0.01%-0.3%). Nucleos(t)ide analogues retained full activity against these core SDMs.

CONCLUSIONS: JNJ-56136379, a potent HBV CAM-N, currently in Phase 2 clinical development, was generally fully active against an extensive panel of genotype A-H clinical isolates, regardless of the presence of nucleos(t)ide analogue resistance or BCP/PC mutations. JNJ-56136379 activity was reduced by some core amino acid substitutions in the CAM-binding pocket.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:75

Enthalten in:

The Journal of antimicrobial chemotherapy - 75(2020), 9 vom: 01. Sept., Seite 2526-2534

Sprache:

Englisch

Beteiligte Personen:

Verbinnen, Thierry [VerfasserIn]
Tan, Ying [VerfasserIn]
Wang, Gengyan [VerfasserIn]
Dehertogh, Pascale [VerfasserIn]
Vergauwen, Karen [VerfasserIn]
Neefs, Jean-Marc [VerfasserIn]
Jacoby, Edgar [VerfasserIn]
Lenz, Oliver [VerfasserIn]
Berke, Jan Martin [VerfasserIn]

Links:

Volltext

Themen:

Antiviral Agents
Capsid Proteins
DNA, Viral
Hepatitis B e Antigens
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 24.06.2021

Date Revised 24.06.2021

published: Print

Citation Status MEDLINE

doi:

10.1093/jac/dkaa179

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM310005434