Balapiravir

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Balapiravir
INN
Drug class
Routes of administration
Pregnancy category
Bioavailability
Metabolism
Elimination half-life
Excretion
Legal status
CAS Number 690270-29-2
PubChem 11691726
DrugBank
ChemSpider 9866453
KEGG D09582


Balapiravir (R-1626, Ro4588161) is an experimental antiviral drug which acts as a polymerase inhibitor. There were efforts to develop it as a potential treatment for hepatitis C, and it was subsequently also studied in Dengue fever, but was not found to be useful. Lower doses failed to produce measurable reductions in viral load, while higher doses produced serious side effects such as lymphopenia which precluded further development of the drug.[1] Subsequent research found that excess cytokine production triggered by Dengue virus infection prevented the conversion of the balapiravir prodrug to its active form, thereby blocking the activity of the drug.[2]

References[edit | edit source]

  1. , A randomized, double-blind placebo controlled trial of balapiravir, a polymerase inhibitor, in adult dengue patients., J Infect Dis, 2013, Vol. 207(Issue: 9), pp. 1442–50, DOI: 10.1093/infdis/jis470, PMID: 22807519, PMC: 3610419,
  2. , Activation of Peripheral Blood Mononuclear Cells by Dengue Virus Infection Depotentiates Balapiravir, J. Virol., 2014, Vol. 88(Issue: 3), pp. 1740–1747, DOI: 10.1128/JVI.02841-13, PMID: 24257621, PMC: 3911617,


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