EDP-938, a Novel Nucleoprotein Inhibitor of Respiratory Syncytial Virus, Demonstrates Potent Antiviral Activities in Vitro and in a Non-human Primate Model
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EDP-938 is a novel non-fusion replication inhibitor of respiratory syncytial virus (RSV). It is highly active against all RSV-A and B laboratory strains and clinical isolates tested in vitro in various cell lines and assays, with half-maximal effective concentrations (EC50s) of 21, 23 and 64 nM against Long (A), M37 (A) and VR-955 (B) strains, respectively, in the primary human bronchial epithelial cells (HBECs). EDP-938 inhibits RSV at a post-entry replication step of the viral life cycle as confirmed by time-of-addition study, and the activity appears to be mediated by viral nucleoprotein (N). In vitro resistance studies suggest that EDP-938 presents a higher barrier to resistance compared to viral fusion or non-nucleoside L polymerase inhibitors with no cross-resistance observed. Combinations of EDP-938 with other classes of RSV inhibitors lead to synergistic antiviral activity in vitro. Finally, EDP-938 has also been shown to be efficacious in vivo in a non-human primate model of RSV infection.
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Levene R, DeVincenzo J, Conery A, Ahmed A, Ahmad A, Or Y J Infect Dis. 2024; 231(2):e290-e298.
PMID: 39441691 PMC: 11841640. DOI: 10.1093/infdis/jiae471.
Prevention and Potential Treatment Strategies for Respiratory Syncytial Virus.
Sun B, Zhang P, Wang Z, Yao X, He M, Bai R Molecules. 2024; 29(3).
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Lipp M, Empey K Curr Opin Pediatr. 2024; 36(2):182-189.
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Whitehead J, Decool H, Leyrat C, Carrique L, Fix J, Eleouet J Nat Commun. 2023; 14(1):7627.
PMID: 37993464 PMC: 10665349. DOI: 10.1038/s41467-023-43434-5.