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  • Lack of antiviral activity ...
    De Meyer, Sandra; Bojkova, Denisa; Cinatl, Jindrich; Van Damme, Ellen; Buyck, Christophe; Van Loock, Marnix; Woodfall, Brian; Ciesek, Sandra

    International journal of infectious diseases, 08/2020, Letnik: 97
    Journal Article

    •Darunavir showed no in vitro antiviral activity against SARS-CoV-2 (EC50 > 100 μM).•Remdesivir demonstrated potent antiviral activity, confirming validity of the assay.•Overall, the data do not support use of darunavir for treatment of COVID-19. 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. 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. 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). Overall, the data do not support the use of DRV for the treatment of COVID-19.