An overview of the preclinical discovery and development of remdesivir for the treatment of coronavirus disease 2019 (COVID-19)

INTRODUCTION: Remdesivir (RDV) is an inhibitor of the viral RNA-dependent RNA polymerases that are active in some RNA viruses, including the Ebola virus and zoonotic coronaviruses. When severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) was identified as the etiologic agent of the coronavirus disease 2019 (COVID-19), several investigations have assessed the potential activity of RDV in inhibiting viral replication, giving rise to hope for an effective treatment.

AREAS COVERED: In this review, the authors describe the main investigations leading to the discovery of RDV and its subsequent development as an antiviral agent, focusing on the main clinical trials investigating its efficacy in terms of symptom resolution and mortality reduction.

EXPERT OPINION: RDV is the most widely investigated antiviral drug for the treatment of COVID-19. This attention on RDV activity against SARS-CoV-2 is justified by promising in vitro studies, which demonstrated that RDV was able to suppress viral replication without significant toxicity. Such activity was confirmed by an investigation in an animal model and by the results of preliminary clinical investigations. Nevertheless, the efficacy of RDV in reducing mortality has not been clearly demonstrated.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Expert opinion on drug discovery - 17(2022), 1 vom: 02. Jan., Seite 9-18

Sprache:

Englisch

Beteiligte Personen:

Pagliano, Pasquale [VerfasserIn]
Sellitto, Carmine [VerfasserIn]
Scarpati, Giuliana [VerfasserIn]
Ascione, Tiziana [VerfasserIn]
Conti, Valeria [VerfasserIn]
Franci, Gianluigi [VerfasserIn]
Piazza, Ornella [VerfasserIn]
Filippelli, Amelia [VerfasserIn]

Links:

Volltext

Themen:

3QKI37EEHE
415SHH325A
Adenosine Monophosphate
Alanine
Antiviral Agents
COVID-19
Coronavirus
Dexamethasone
Journal Article
OF5P57N2ZX
RNA polymerase
Remdesivir
Review

Anmerkungen:

Date Completed 17.01.2022

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/17460441.2021.1970743

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM329560131