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Synthesis and evaluation of a new phosphorylated ribavirin prodrug

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  • Synthesis and evaluation of a new phosphorylated ribavirin prodrug

    Antiviral Res. 2013 Apr 24. pii: S0166-3542(13)00100-9. doi: 10.1016/j.antiviral.2013.04.014. [Epub ahead of print]
    Synthesis and evaluation of a new phosphorylated ribavirin prodrug.
    Dong SD, Lin CC, Schroeder M.
    Source

    Epiphany Biosciences, Inc., San Francisco, CA 94111,. Electronic address: steved@epiphanybio.com.
    Abstract

    Ribavirin is an important broad-spectrum antiviral drug. However, its utilization can be limited by its potential to cause hemolytic anemia as well as its variability in dosing levels and efficacy outcomes. To overcome these issues, we report on a new alkoxyalkylphosphodiester prodrug of ribavirin (2) that is designed to release the active ribavirin-monophosphate species selectively in nucleated cells while limiting its exposure in anucleated red blood cells (RBCs). Prodrug 2 displays improved in vitro antiviral activity against the hepatitis C virus replicon and influenza virus. Unlike ribavirin, prodrug 2 does not significantly decrease ATP levels in RBCs. Prodrug 2 demonstrates decreased uptake in RBCs but increased uptake in HepG2 hepatocytes when compared to ribavirin. In vivo, prodrug 2 is orally bioavailable and well-tolerated in rats in which it is processed to ribavirin and accumulates in the liver. These results indicate that prodrug 2 has the potential for safer, lower, less frequent, and less variable administration than ribavirin.

    Copyright ? 2013. Published by Elsevier B.V.

    PMID:
    23624267
    [PubMed - as supplied by publisher]

    Ribavirin is an important broad-spectrum antiviral drug. However, its utilization can be limited by its potential to cause hemolytic anemia as well as its variability in dosing levels and efficacy outcomes. To overcome these issues, we report on a new alkoxyalkylphosphodiester prodrug of ribavirin ( …
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