1. Academic Validation
  2. A Second-Generation Oral SARS-CoV-2 Main Protease Inhibitor Clinical Candidate for the Treatment of COVID-19

A Second-Generation Oral SARS-CoV-2 Main Protease Inhibitor Clinical Candidate for the Treatment of COVID-19

  • J Med Chem. 2024 Apr 30. doi: 10.1021/acs.jmedchem.3c02469.
Charlotte M N Allerton 1 Joel T Arcari 2 Lisa M Aschenbrenner 2 Melissa Avery 2 Bruce M Bechle 2 Mohammad Amin Behzadi 3 Britton Boras 4 Leanne M Buzon 2 Rhonda D Cardin 3 Natasha R Catlin 2 Anthony A Carlo 2 Karen J Coffman 2 Alyssa Dantonio 2 Li Di 2 Heather Eng 2 Kathleen A Farley 2 Rose Ann Ferre 4 Steven S Gernhardt 2 Scott A Gibson 5 Samantha E Greasley 4 Siennah R Greenfield 1 Brett L Hurst 5 Amit S Kalgutkar 1 Emi Kimoto 2 Lorraine F Lanyon 2 Gabrielle H Lovett 1 Yajing Lian 2 Wei Liu 4 Luis A Martínez Alsina 2 Stephen Noell 2 R Scott Obach 2 Dafydd R Owen 1 Nandini C Patel 1 Devendra K Rai 2 Matthew R Reese 2 Hussin A Rothan 3 Sylvie Sakata 4 Matthew F Sammons 1 Jean G Sathish 3 Raman Sharma 2 Claire M Steppan 2 Jamison B Tuttle 1 Patrick R Verhoest 1 Liuqing Wei 2 Qingyi Yang 1 Irina Yurgelonis 3 Yuao Zhu 3
Affiliations

Affiliations

  • 1 Pfizer Research & Development, Cambridge, Massachusetts 02139, United States.
  • 2 Pfizer Research & Development, Groton, Connecticut 06340, United States.
  • 3 Pfizer Research & Development, Pearl River, New York 10965, United States.
  • 4 Pfizer Research & Development, La Jolla, California 92121, United States.
  • 5 Institute for Antiviral Research, Department of Animal, Dairy, and Veterinary Sciences, Utah State University, Logan, Utah 84322, United States.
Abstract

Despite the record-breaking discovery, development and approval of vaccines and Antiviral therapeutics such as Paxlovid, coronavirus disease 2019 (COVID-19) remained the fourth leading cause of death in the world and third highest in the United States in 2022. Here, we report the discovery and characterization of PF-07817883, a second-generation, orally bioavailable, SARS-CoV-2 main Protease inhibitor with improved metabolic stability versus nirmatrelvir, the Antiviral component of the ritonavir-boosted therapy Paxlovid. We demonstrate the in vitro pan-human coronavirus Antiviral activity and off-target selectivity profile of PF-07817883. PF-07817883 also demonstrated oral efficacy in a mouse-adapted SARS-CoV-2 model at plasma concentrations equivalent to nirmatrelvir. The preclinical in vivo pharmacokinetics and metabolism studies in human matrices are suggestive of improved oral pharmacokinetics for PF-07817883 in humans, relative to nirmatrelvir. In vitro inhibition/induction studies against major human drug metabolizing Enzymes/transporters suggest a low potential for perpetrator drug-drug interactions upon single-agent use of PF-07817883.

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