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Inhibition of cap-dependent endonuclease in influenza virus with ADC189:a pre-clinical analysis and phase Ⅰ trial
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作者 Jing Wei Yaping Deng +4 位作者 Xiaoyun Zhu Xin Xiao Yang Yang Chunlei Tang Jian Chen 《Frontiers of Medicine》 2025年第2期347-358,共12页
ADC189 is a novel drug of cap-dependent endonuclease inhibitor.In our study,its antiviral efficacy was evaluated in vitro and in vivo,and compared with baloxavir marboxil and oseltamivir.A first-in-human phase I study... ADC189 is a novel drug of cap-dependent endonuclease inhibitor.In our study,its antiviral efficacy was evaluated in vitro and in vivo,and compared with baloxavir marboxil and oseltamivir.A first-in-human phase I study in healthy volunteers included single ascending dose(SAD)and food effect(FE)parts.In the preclinical study,ADC189 showed potent antiviral activity against various types of influenza viruses,including H1N1,H3N2,influenza B virus,and highly pathogenic avian influenza,comparable to baloxavir marboxil.Additionally,ADC189 exhibited much better antiviral efficacy than oseltamivir in H1N1 infected mice.In the phase I study,ADC189 was rapidly metabolized to ADC189-I07,and its exposure increased proportionally with the dose.The terminal elimination half-life(T1/2)ranged from 76.69 to 98.28 hours.Of note,food had no effect on the concentration,clearance,and exposure of ADC189.It was well tolerated,with few treatment-emergent adverse events(TEAEs)reported and no serious adverse events(SAEs).ADC189 demonstrated excellent antiviral efficacy both in vitro and in vivo.It was safe,well-tolerated,and had favorable pharmacokinetic characteristics in healthy volunteers,supporting its potential for single oral dosing in clinical practice. 展开更多
关键词 adc189 cap-dependent endonuclease inhibitor influenza virus efficacy phaseⅠtrial
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