Table 1. Current antiviral drugs and novel antivirals in clinical trials.
Name | Trademark | Status | Mechanism of inhibition | Comments |
---|---|---|---|---|
Amantadine | Symmetrel | FDA approved (1966) | Steric inhibition of M2 ion conductance | Not recommended due to high prevalence of resistant variants |
Rimantadine | Flumadine | FDA approved (1994) | Steric inhibition of M2 ion conductance | Not recommended due to high prevalence of resistant variants |
Oseltamivir | Tamiflu | FDA approved (1999) | Binding to enzymatic active site of NA | Approved for patients ≥2 wk and older, orally |
Zanamivir | Relenza | FDA approved (1999) | Binding to enzymatic active site of NA | Approved for patients ≥5 y and older, per inhalation |
Peramivir | Rapivab, Rapiacta | FDA approved (2014) | Binding to enzymatic active site of NA | Approved for patients ≥18 y and older, intravenously |
Laninamivir | Inavir | Approved (Japan, 2010) | Binding to enzymatic active site of NA | Approved for treatment (2010) and prevention (2013), per inhalation |
AVI-7100 | Phase I | Interference with expression of viral M gene segment | ||
DAS181-F03 | Phase I | Cleavage of sialic acids from host cell surface | ||
Flufirvitide | Phase I | Peptide inhibitor binding thus blocking viral HA | ||
Favipiravir | Phase III | Nucleoside inhibitor targeting PB1 | ||
Nitazoxanide | Phase III | Blockade of HA maturation |
Abbreviations: FDA, Food and Drug Administration; HA, hemagglutinin; NA, neuraminidase.
Information used from: www.cdc.gov; www.fda.gov; www.clinicaltrials.gov (September 2015).