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Review
. 2021 Nov:195:105180.
doi: 10.1016/j.antiviral.2021.105180. Epub 2021 Sep 20.

An update on the progress of galidesivir (BCX4430), a broad-spectrum antiviral

Affiliations
Review

An update on the progress of galidesivir (BCX4430), a broad-spectrum antiviral

Justin G Julander et al. Antiviral Res. 2021 Nov.

Abstract

Galidesivir (BCX4430) is an adenosine nucleoside analog that is broadly active in cell culture against several RNA viruses of various families. This activity has also been shown in animal models of viral disease associated with Ebola, Marburg, yellow fever, Zika, and Rift Valley fever viruses. In many cases, the compound is more efficacious in animal models than cell culture activity would predict. Based on favorable data from in vivo animal studies, galidesivir has recently undergone evaluation in several phase I clinical trials, including against severe acute respiratory syndrome coronavirus 2, and as a medical countermeasure for the treatment of Marburg virus disease.

Keywords: Antiviral; Marburg virus; Nucleoside analog; RNA viruses; Yellow fever.

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Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Amanda Mathis, PhD, Y. S. Babu, PhD, Ray Taylor, MBA, and Dennis M. Walling, MD, MMCI, FIDSA are employed by and own stock in BioCryst. James F. Demarest, PhD, is a contract consultant for BioCryst. Justin G. Julander, PhD, and Brian B. Gowen, PhD, have no disclosures.

Figures

Fig. 1
Fig. 1
Structure of galidesivir, an adenosine nucleoside analog (upper panel), and its active triphosphate form (lower panel).

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