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Antimicrobial Agents and Chemotherapy, September 1999, p. 2109-2115, Vol. 43, No. 9
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Activity of Pleconaril against
Enteroviruses
Daniel C.
Pevear,*
Tina M.
Tull,
Martin E.
Seipel, and
James M.
Groarke
ViroPharma Incorporated, Exton, Pennsylvania
Received 3 March 1999/Returned for modification 17 May
1999/Accepted 14 June 1999
The activity of pleconaril in cell culture against prototypic
enterovirus strains and 215 clinical isolates of the most commonly isolated enterovirus serotypes was examined. The latter viruses were
isolated by the Centers for Disease Control and Prevention during the
1970s and 1980s from clinically ill subjects. Pleconaril at a
concentration of
0.03 µM inhibited the replication of 50% of all
clinical isolates tested. Ninety percent of the isolates were inhibited
at a drug concentration of
0.18 µM. The most sensitive serotype,
echovirus serotype 11, was also the most prevalent enterovirus in the
United States from 1970 to 1983. Pleconaril was further tested for oral
activity in three animal models of lethal enterovirus infection:
coxsackievirus serotype A9 infection in suckling mice, coxsackievirus
serotype A21 strain Kenny infection in weanling mice, and
coxsackievirus serotype B3 strain M infection in adult mice. Treatment
with pleconaril increased the survival rate in all three models for
both prophylactic and therapeutic dosing regimens. Moreover, pleconaril
dramatically reduced virus levels in target tissues of coxsackievirus
serotype B3 strain M-infected animals. Pleconaril represents a
promising new drug candidate for potential use in the treatment of
human enteroviral infections.
*
Corresponding author. Mailing address: ViroPharma
Incorporated, 405 Eagleview Blvd., Exton, PA 19341. Phone: (610)
458-7300, ext. 110. Fax: (610) 458-7380. E-mail:
dpevear{at}viropharma.com.
Antimicrobial Agents and Chemotherapy, September 1999, p. 2109-2115, Vol. 43, No. 9
0066-4804/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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