1. Academic Validation
  2. Design and Development of a Novel Oral 4'-Fluorouridine Double Prodrug VV261 against SFTSV

Design and Development of a Novel Oral 4'-Fluorouridine Double Prodrug VV261 against SFTSV

  • J Med Chem. 2025 May 8;68(9):9811-9826. doi: 10.1021/acs.jmedchem.5c00626.
Yong Cheng 1 2 3 Wei Zheng 4 Xinru Dong 5 3 Tengxiao Sun 1 2 3 Mengwei Xu 5 Li Xiang 1 2 3 Jian Li 1 2 3 Huilong Wang 2 3 Xiaoqin Jian 5 3 Jingjin Yu 4 Pengcheng Li 4 Tianwen Hu 4 Guanghui Tian 4 Xiangrui Jiang 2 3 Leike Zhang 5 3 6 Haji A Aisa 1 3 7 Yuanchao Xie 2 Gengfu Xiao 5 3 Jingshan Shen 2 3
Affiliations

Affiliations

  • 1 State Key Laboratory Basis of Xinjiang Indigenous Medicinal Plants Resource Utilization, Xinjiang Technical Institute of Physics and Chemistry, Chinese Academy of Sciences; Urumqi 830011, P. R. China.
  • 2 State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences; Shanghai 201203, P. R. China.
  • 3 University of Chinese Academy of Sciences, Beijing 100049, P. R. China.
  • 4 Vigonvita Shanghai Co., Ltd., Shanghai 201210, P. R. China.
  • 5 State Key Laboratory of Virology and Biosafety, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan 430071, P. R. China.
  • 6 Hubei Jiangxia Laboratory, Wuhan 430200, P. R. China.
  • 7 School of Pharmacy, Xinjiang Medical University, Urumqi 830054, P. R. China.
Abstract

4'-Fluorouridine (4'-FU), despite demonstrating potent anti-SFTSV efficacy in vitro and in vivo, faces hindrances in its further development as a promising drug due to its weak chemical stability. Here, we report the discovery and development of VV261, a novel 4'-FU double prodrug with three isobutyryl groups on the ribose moiety and a nicotinoyloxymethyl group linked to the imide-nitrogen on the base moiety, exhibiting notable chemical stability and favorable pharmacokinetic properties. In SFTSV-infected mice, VV261 at 5 mg/kg/d for 7 days demonstrated complete protection against lethal SFTSV Infection, prevented weight loss, and even a 2 day treatment significantly reduced both viral RNA copies and infectious virus titers in multiple organs, and notably alleviated splenic tissue lesions. After further preclinical evaluations, VV261, identified as a promising candidate drug for the treatment of SFTS, has entered Phase I clinical trials in China, the first such candidate to reach this stage for SFTS.

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