Two
neuraminidase (NA) inhibitors,
zanamivir (
Relenza) and
oseltamivir phosphate (
Tamiflu), have been licensed for the treatment of and prophylaxis against
influenza. In this paper, the new potent NA inhibitor
R-125489 is reported for the first time.
R-125489 inhibited the NA activities of various type A and B influenza viruses, including subtypes N1 to N9 and
oseltamivir-resistant viruses. The survival effect of
R-125489 was shown to be similar to that of
zanamivir when administered intranasally in a mouse influenza virus A/Puerto Rico/8/34
infection model. Moreover, we found that the esterified form of
R-125489 showed improved efficacy compared to
R-125489 and
zanamivir, depending on the acyl chain length, and that 3-(O)-octanoyl
R-125489 (CS-8958) was the best compound in terms of its life-prolonging effect (P < 0.0001, compared to
zanamivir) in the same
infection model. A prolonged survival effect was observed after a single administration of
CS-8958, even if it was given 7 days before
infection. It is suggested that intranasally administered
CS-8958 works as a long-acting NA inhibitor and shows in vivo efficacy as a result of a single
intranasal administration.