Lack of antiviral activity of darunavir against SARS-CoV-2

Copyright © 2020. Published by Elsevier Ltd..

OBJECTIVES: Given the high need and the absence of specific antivirals for treatment of COVID-19 (the disease caused by severe acute respiratory syndrome-associated coronavirus-2 [SARS-CoV-2]), human immunodeficiency virus (HIV) protease inhibitors are being considered as therapeutic alternatives.

METHODS: Prezcobix/Rezolsta is a fixed-dose combination of 800 mg of the HIV protease inhibitor darunavir (DRV) and 150 mg cobicistat, a CYP3A4 inhibitor, which is indicated in combination with other antiretroviral agents for the treatment of HIV infection. There are currently no definitive data on the safety and efficacy of DRV/cobicistat for the treatment of COVID-19. The in vitro antiviral activity of darunavir against a clinical isolate from a patient infected with SARS-CoV-2 was assessed.

RESULTS: DRV showed no antiviral activity against SARS-CoV-2 at clinically relevant concentrations (EC50 > 100 μM). Remdesivir, used as a positive control, demonstrated potent antiviral activity (EC50 = 0.38 μM).

CONCLUSIONS: Overall, the data do not support the use of DRV for the treatment of COVID-19.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:97

Enthalten in:

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 97(2020) vom: 01. Aug., Seite 7-10

Sprache:

Englisch

Beteiligte Personen:

De Meyer, Sandra [VerfasserIn]
Bojkova, Denisa [VerfasserIn]
Cinatl, Jindrich [VerfasserIn]
Van Damme, Ellen [VerfasserIn]
Buyck, Christophe [VerfasserIn]
Van Loock, Marnix [VerfasserIn]
Woodfall, Brian [VerfasserIn]
Ciesek, Sandra [VerfasserIn]

Links:

Volltext

Themen:

Antiviral Agents
COVID-19
Darunavir
In vitro
Journal Article
SARS-CoV-2
YO603Y8113

Anmerkungen:

Date Completed 03.08.2020

Date Revised 10.01.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2020.05.085

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM310602726