Table 6.
Preventative and therapeutic approaches targeting rhinovirus infections
| Therapeutic agent | Action | Effect | Evaluation | Ref |
|---|---|---|---|---|
| IFN-α | Elicit cellular antiviral effects | Decreased shedding if administered within 24hr | Toxicity | (Rotbart, 2002, Couch, 1984, Atmar, 2005, Hayden and Gwaltney, 1984, Hayden et al., 1983) |
| Pirodavir (R77975) | Capsid binder | Intranasal formulation useful against both antiviral groups; 3–6 doses per day | Variable efficacy, irritation and mucosal bleeding | (Hayden et al., 1992, Rotbart, 2002) |
| WIN 54954 | Capsid binder | Broadly active in mice | Reduced efficacy in humans | (Rotbart, 2002, Patick, 2006) |
| Pleconaril | Capsid binder | Resolved symptoms 1–2 days earlier than placebo. Some strains are resistant. | FDA issued ‘not approvable’ letter because of side effects | (Rotbart, 2002) |
| BTA798 | Capsid binder | Potent binding in animal models. | Good bioavailability and safety profile in animals. Phase I trial complete. | (Ryan et al., 2005) |
| Rupintrivir (formerly AG-7088) | 3C protease inhibitor | Insignificant impact | Discontinued | (Patick et al., 2005, Rotbart, 2002, Wang and Chen, 2007, Binford et al., 2007) |
| Enviroxime | 3A | Potent anti-replicative activity in vitro | Side-effects in vivo | (Couch, 1984) |
| Tremacamra | soluble ICAM-1 molecule | Could reduce experimental cold symptoms and the quantity of virus shed if administration occurs before or after inoculation but prior to the development of symptoms | (Turner et al., 2007) |
FDA United States’ Food and Drug Administration.