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Laninamivir and its prodrug, CS-8958: long-acting neuraminidase inhibitors for the treatment of influenza

tetano

Editor, Senior Moderator
Antivir Chem Chemother. 2010;21(2):71-84.
Laninamivir and its prodrug, CS-8958: long-acting neuraminidase inhibitors for the treatment of influenza.

Yamashita M.

Biological Research Laboratories, Daiichi Sankyo Co., Ltd, Tokyo, Japan. yamashita.makoto.yr@daiichisankyo.co.jp.
Abstract

Oseltamivir and zanamivir are currently licensed worldwide for influenza treatment and chemoprophylaxis. Both drugs require twice-daily administration for 5 days for treatment. A new influenza drug, laninamivir (code name R-125489), and its prodrug form, CS-8958 (laninamivir octanoate or laninamivir prodrug), which are long-acting neuraminidase inhibitors, are introduced in this review. Laninamivir potently inhibited the neuraminidase activities of various influenza A and B viruses, including subtypes N1-N9, pandemic (2009) H1N1 virus, highly pathogenic avian influenza (HPAI) H5N1 viruses and oseltamivir-resistant viruses. Because of the long retention of laninamivir in mouse lungs after an intranasal administration of CS-8958, therapeutic administration of a single dose of CS-8958 showed superior efficacy to repeated administrations of zanamivir or oseltamivir in animal infection models for influenza A and B viruses. These include pandemic (2009) H1N1 virus and HPAI H5N1 virus. Prophylactic single administration of CS-8958, as early as 7 days prior to infection, also showed superior efficacy. Finally, the potential of a single inhalation of CS-8958 for influenza patients was demonstrated by clinical studies, and CS-8958 has been approved and is commercially available as Inavir(?) (Daiichi Sankyo Co., Ltd, Tokyo) in Japan.

PMID: 21107016 [PubMed - in process]


http://www.ncbi.nlm.nih.gov/pubmed/21107016
 
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