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ABSTRACT: 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.
SUBMITTER: De Meyer S
PROVIDER: S-EPMC7258847 | biostudies-literature | 2020 Aug
REPOSITORIES: biostudies-literature
De Meyer Sandra S Bojkova Denisa D Cinatl Jindrich J Van Damme Ellen E Buyck Christophe C Van Loock Marnix M Woodfall Brian B Ciesek Sandra S
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases 20200529
<h4>Objectives</h4>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.<h4>Methods</h4>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 ...[more]