6%). On the contrary, single
dosing of IHVR-19029 via IP and IM routes resulted in rapid DZNeP mouse (Tmax 10 min) and nearly complete or complete absorption (71% and 133%) ( Table 4). In a standard single oral dose MTD study in rats, all animals treated with IHVR11029 and IHVR17028 at all doses survived, with gain of body weight and normal behavior. However, at 200 mg/kg, 50% of the rats dosed with IHVR11029, and 100% of the rats dosed with IHVR17028 had diarrhea. Another adverse event observed was sign of GI stress, such as anogenital staining or soft stool, at lower doses for both compounds (50 and 100 mg/kg). A single dose MTD determination study of IHVR19029 was conducted in Balb/c mice following IP or IM administration. No mortality or clinical signs were observed in dose up to 200 mg/kg. No significant weight loss and GI alterations (including anogenital staining, soft stool, or diarrhea) were observed. It is well known that GI stress, as result of off-target inhibition of GI lumen resident α-glucosidases following oral administration, is one of the major side effects of α-glucosidase inhibitors, including imino sugars (Reuser and Wisselaar, 1994). In principle, this side effect can be overcome by parenteral administration or development of prodrugs. Considering
IM and IP route of administration demonstrated optimal absorption rates, we initially chose IP administration route for proof-of-principle in vivo efficacy stduies. Evaluations BGB324 purchase of in vivo antiviral activity were conducted in a mouse model of MARV lethal infection. Treatment with IHVR11029 at 32 mg/kg,
initiated 1 day prior to virus challenging resulted in 50% survival ( Fig. 4A). Significant protection (by logrank analysis) of MARV induced death were observed for 50 mg/kg of IHVR17028 when the treatment was initiated 1 day prior to virus challenging ( Fig. 4B) or 75 mg/kg of 19029 starting at 4 h post challenging ( Fig. 4C). In a murine protection-of-death model of EBOV infection, significant survival (by logrank analysis) were observed for 25 mg/kg of IHVR11029 or IHVR17028 (Fig. 5A and B), as well as 75 mg/kg Suplatast tosilate of IHVR19029 (Fig. 5C), when the treatment was initiated 4 h post virus challenging. A 4 h post challenging schedule was chosen to represent our initial effort to evaluate the efficacy of compounds in post exposure treatment. These studies thus provided the preliminary evidence that all the three lead imino sugars are active against lethal infections of EBOV and MARV in mice. However, more detailed PK profiling, toxicity assessment, and in vivo efficacy studies are necessary to further optimize the dose, dosing frequency, route of administration for each of these three compounds. Considering the many potential obstacles during the future development, having multiple candidates, with diversified structure, should provide greater assurance of the likelihood of success.