New and emerging influenza virus strains, such as the pandemic
influenza A (H1N1) virus require constant vigilance for
antiviral drug sensitivity and resistance. Efficacy of intramuscularly (IM) administered
neuraminidase (NA) inhibitor,
peramivir, was evaluated in mice infected with recently isolated pandemic A/California/04/2009 (H1N1, swine origin, mouse adapted) influenza virus. A single IM injection of
peramivir (four dose groups), given 1h prior to inoculation, significantly reduced
weight loss (p < 0.001) and mortality (p < 0.05) in mice infected with LD90 dose of pandemic A/California/04/2009 (H1N1) influenza virus compared to vehicle group. There was 20% survival in the vehicle-treated group, whereas in the
peramivir-treated groups, survival increased in a dose-dependent manner with 60, 60, 90 and 100% survivors for the 1, 3, 10, and 30 mg/kg doses, respectively.
Weight loss on day 4 in the vehicle-treated group was 3.4 gm, and in the
peramivir-treated groups was 2.1, 1.5, 1.8 and 1.8 g for the 1, 3, 10 and 30 mg/kg dose groups, respectively. In the treatment model,
peramivir given 24h after
infection as a single IM injection at 50mg/kg dose, showed significant protection against lethality and
weight loss. There was 13% survival in the vehicle-treated group while in the
peramivir-treated group at 24, 48, and 72 h post
infection, survival was 100, 40, and 50%, respectively. Survival in the
oseltamivir groups (10 mg/kg/d twice a day, orally for 5 days) was 90, 30 and 20% at 24, 48 and 72 h, respectively. These data demonstrate efficacy of parenterally administered
peramivir against the recently isolated pandemic influenza virus in murine
infection models.