Respiratory syncytial virus (RSV) is responsible for acute lower respiratory tract infections in infants, the elderly and the immunocompromised. Currently, there are no antiviral drugs with a direct action on RSV. In this study, researchers reviewed 12,000 molecules from the ReFRAME drug reallocation library. They identified 21 candidates, including inhibitors of RSV F and N proteins, five HSP90 inhibitors and four IMPDH inhibitors. They selected one candidate, the farnesyltransferase inhibitor lonafarnib, which is also being tested in Phase 3 clinical trials for the treatment of hepatitis D. They then studied its mode of action against RSV.
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