1. Remdesivir and Obeldesivir Retain Potent Antiviral Activity Against SARS-CoV-2 Omicron Variants.
- Author
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Rodriguez L, Zamora JLR, Han D, Moshiri J, Peinovich N, Martinez C, Ho PY, Li J, Aeschbacher T, Martin R, Pekosz A, Bilello JP, Perry JK, and Hedskog C
- Subjects
- Humans, COVID-19 Drug Treatment, Chlorocebus aethiops, Animals, Phenylalanine analogs & derivatives, Phenylalanine pharmacology, Vero Cells, COVID-19 virology, Virus Replication drug effects, Coronavirus RNA-Dependent RNA Polymerase, Adenosine analogs & derivatives, Antiviral Agents pharmacology, Antiviral Agents chemistry, SARS-CoV-2 drug effects, SARS-CoV-2 genetics, Alanine analogs & derivatives, Alanine pharmacology, Adenosine Monophosphate analogs & derivatives, Adenosine Monophosphate pharmacology
- Abstract
As new SARS-CoV-2 variants continue to emerge, it is important to evaluate the potency of antiviral drugs to support their continued use. Remdesivir (RDV; VEKLURY
® ) an approved antiviral treatment for COVID-19, and obeldesivir (ODV) are inhibitors of the SARS-CoV-2 RNA-dependent RNA polymerase Nsp12. Here we show these two compounds retain antiviral activity against the Omicron variants BA.2.86, BF.7, BQ.1, CH.1.1, EG.1.2, EG.5.1, EG.5.1.4, FL.22, HK.3, HV.1, JN.1, JN.1.7, JN.1.18, KP.2, KP.3, LB.1, XBB.1.5, XBB.1.5.72, XBB.1.16, XBB.2.3.2, XBC.1.6, and XBF when compared with reference strains. Genomic analysis identified 29 Nsp12 polymorphisms in these and previous Omicron variants. Phenotypic analysis of these polymorphisms confirmed no impact on the antiviral activity of RDV or ODV and suggests Omicron variants containing these Nsp12 polymorphisms remain susceptible to both compounds. These data support the continued use of RDV in the context of circulating SARS-CoV-2 variants and the development of ODV as an antiviral therapeutic.- Published
- 2025
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