Remdesivir: Review of Pharmacology, Pre‐clinical Data, and Emerging Clinical Experience for COVID‐19

The global pandemic of novel coronavirus disease 2019 (COVID‐19) caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has created an urgent need for effective antivirals. Remdesivir (formerly GS‐5734) is a nucleoside analogue pro‐drug currently being evaluated in COVID‐19 clinical...

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Veröffentlicht in:Pharmacotherapy 2020-07, Vol.40 (7), p.659-671
Hauptverfasser: Jorgensen, Sarah C.J., Kebriaei, Razieh, Dresser, Linda D.
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container_title Pharmacotherapy
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creator Jorgensen, Sarah C.J.
Kebriaei, Razieh
Dresser, Linda D.
description The global pandemic of novel coronavirus disease 2019 (COVID‐19) caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has created an urgent need for effective antivirals. Remdesivir (formerly GS‐5734) is a nucleoside analogue pro‐drug currently being evaluated in COVID‐19 clinical trials. Its unique structural features allow high concentrations of the active triphosphate metabolite to be delivered intracellularly and it evades proofreading to successfully inhibit viral RNA synthesis. In pre‐clinical models, remdesivir has demonstrated potent antiviral activity against diverse human and zoonotic β‐coronaviruses, including SARS‐CoV‐2. In this article, we critically review available data on remdesivir with an emphasis on biochemistry, pharmacology, pharmacokinetics, and in vitro activity against coronaviruses as well as clinical experience and current progress in COVID‐19 clinical trials.
doi_str_mv 10.1002/phar.2429
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source Wiley Online Library Journals Frontfile Complete
subjects Antiviral activity
Antiviral agents
Antiviral drugs
Clinical trials
Coronaviridae
coronavirus
Coronaviruses
COVID-19
GS‐5734
Metabolites
Nucleoside analogs
Pandemics
Pharmacokinetics
Proofreading
Remdesivir
Review Of Therapeutics
Reviews of Therapeutics
SARS‐CoV‐2
severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Transcription
Zoonoses
title Remdesivir: Review of Pharmacology, Pre‐clinical Data, and Emerging Clinical Experience for COVID‐19
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