» Articles » PMID: 33720995

EDP-938, a Novel Nucleoprotein Inhibitor of Respiratory Syncytial Virus, Demonstrates Potent Antiviral Activities in Vitro and in a Non-human Primate Model

Overview
Journal PLoS Pathog
Specialty Microbiology
Date 2021 Mar 15
PMID 33720995
Citations 12
Authors
Affiliations
Soon will be listed here.
Abstract

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.

Citing Articles

Landscape of respiratory syncytial virus.

Duan Y, Liu Z, Zang N, Cong B, Shi Y, Xu L Chin Med J (Engl). 2024; 137(24):2953-2978.

PMID: 39501814 PMC: 11706595. DOI: 10.1097/CM9.0000000000003354.


EDP-938 Has a High Barrier to Resistance in Healthy Adults Experimentally Infected with Respiratory Syncytial Virus.

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).

PMID: 38338343 PMC: 10856762. DOI: 10.3390/molecules29030598.


Recent advances in the prevention of respiratory syncytial virus in pediatrics.

Lipp M, Empey K Curr Opin Pediatr. 2024; 36(2):182-189.

PMID: 38299987 PMC: 11189640. DOI: 10.1097/MOP.0000000000001336.


Structure of the N-RNA/P interface indicates mode of L/P recruitment to the nucleocapsid of human metapneumovirus.

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.


References
1.
DeVincenzo J, Tait D, Efthimiou J, Mori J, Kim Y, Thomas E . A Randomized, Placebo-Controlled, Respiratory Syncytial Virus Human Challenge Study of the Antiviral Efficacy, Safety, and Pharmacokinetics of RV521, an Inhibitor of the RSV-F Protein. Antimicrob Agents Chemother. 2019; 64(2). PMC: 6985722. DOI: 10.1128/AAC.01884-19. View

2.
Chemaly R, Dadwal S, Bergeron A, Ljungman P, Kim Y, Cheng G . A Phase 2, Randomized, Double-blind, Placebo-Controlled Trial of Presatovir for the Treatment of Respiratory Syncytial Virus Upper Respiratory Tract Infection in Hematopoietic-Cell Transplant Recipients. Clin Infect Dis. 2019; 71(11):2777-2786. PMC: 7108134. DOI: 10.1093/cid/ciz1166. View

3.
Stray K, Perron M, Porter D, Anderson F, Lewis S, Perry J . Drug Resistance Assessment Following Administration of Respiratory Syncytial Virus (RSV) Fusion Inhibitor Presatovir to Participants Experimentally Infected With RSV. J Infect Dis. 2020; 222(9):1468-1477. DOI: 10.1093/infdis/jiaa028. View

4.
Porter D, Guo Y, Perry J, Gossage D, Watkins T, Chien J . Assessment of Drug Resistance during Phase 2b Clinical Trials of Presatovir in Adults Naturally Infected with Respiratory Syncytial Virus. Antimicrob Agents Chemother. 2020; 64(9). PMC: 7449164. DOI: 10.1128/AAC.02312-19. View

5.
Shi T, McAllister D, OBrien K, Simoes E, Madhi S, Gessner B . Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in young children in 2015: a systematic review and modelling study. Lancet. 2017; 390(10098):946-958. PMC: 5592248. DOI: 10.1016/S0140-6736(17)30938-8. View