A novel series of
cyclopentane derivatives have been found to exhibit potent and selective inhibitory effects on influenza virus
neuraminidase. These compounds, designated
RWJ-270201, BCX-1827, BCX-1898, and BCX-1923, were tested in parallel with
zanamivir and
oseltamivir carboxylate against a spectrum of
influenza A (H1N1, H3N2, and H5N1) and influenza B viruses in MDCK cells. Inhibition of viral cytopathic effect ascertained visually and by
neutral red dye uptake was used, with 50% effective (virus-inhibitory) concentrations (EC(50)) determined. Against the H1N1 viruses A/Bayern/07/95, A/Beijing/262/95, A/PR/8/34, and A/Texas/36/91, EC(50)s (determined by
neutral red assay) of the novel compounds were < or =1.5 microM. Twelve strains of H3N2 and two strains of avian H5N1 viruses were inhibited at <0.3 microM.
Influenza B/Beijing/184/93 and B/Harbin/07/94 viruses were inhibited at <0.2 microM, with three other B virus strains inhibited at 0.8 to 8 microM. The novel inhibitors were comparable in potency to (or slightly more potent than)
zanamivir and
oseltamivir carboxylate. No cytotoxicity was seen with the compounds at concentrations of < or =1 mM in cell proliferation assays. The
antiviral activity of
RWJ-270201, chosen for clinical development, was studied in greater detail. Its potency and that of
oseltamivir carboxylate decreased with increasing multiplicity of
virus infection. Time-of-addition studies indicated that treatment with either compound needed to begin 0 to 12 h after virus exposure for optimal activity. Exposure of cells to
RWJ-270201 caused most of the virus to remain cell associated, with extracellular virus decreasing in a concentration-dependent manner. This is consistent with its effect as a
neuraminidase inhibitor.
RWJ-270201 shows promise in the treatment of
human influenza virus infections.