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Baloxavir marboxil: a potent cap-dependent endonuclease inhibitor of influenza viruses

tetano

Editor, Senior Moderator
Rev Esp Quimioter. 2019 Jan 23. pii: reina23jan2019. [Epub ahead of print]
[h=1][Baloxavir marboxil: a potent cap-dependent endonuclease inhibitor of influenza viruses].[/h] [Article in Spanish]
Reina J[SUP]1[/SUP], Reina N.
[h=3]Author information[/h]

[h=3]Abstract[/h] Baloxavir marboxil (5-hydroxy-4-pyridone-3-carboxyl acid) is a new antiviral drug with special efficacy on influenza viruses that acts by inhibiting the cap-dependent endonuclease required for its replication. It is the first representative of the so-called inhibitors of influenza-like PB2. It has shown efficacy against influenza viruses A and B and most strains of animal origin (avian flu). Clinical trials conducted in healthy patients between 12 and 64 years without pathologies and not hospitalized (mild flu) have shown a reduction in the duration of symptoms similar to that obtained by oseltamivir. However, baloxavir is a much more potent inhibitor of viral replication than this drug. It has been shown as a safe and well tolerated drug. A single dose of 40-80 mg is administered the first 48 hours after onset of symptoms. In these trials, strains with moderate sensitivity (PA / I38T mutants) were detected in 2.2% of influenza A (H1N1) pdm09 and in 9.7% of influenza A (H3N2). Although these data could be a good drug to treat mild or moderate influenza, requiring trials in severe influenza and patients with chronic diseases to establish their true clinical utility.
?The Author 2019. Published by Sociedad Espa?ola de Quimioterapia. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)(https://creativecommons.org/licenses/by-nc/4.0/).


PMID: 30676002



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