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Repurposing of Rutan showed effective treatment for COVID-19 disease

Shavkat SalikhovIbrokhim Y. AbdurakhmonovCenter of Genomics and Bioinformatics, Academy of Sciences of Uzbekistan, Tashkent, UzbekistanYuliya I. OshchepkovaJamolitdin F. ZiyavitdinovNodir Sh. BerdievHaji Akber AisaXinjiang Technical Institute of Physics and Chemistry, Chinese Academy of Sciences, Ürümqi, ChinaJingshan ShenState Key Laboratory of Drug Research, CAS Key Laboratory of Receptor Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, ChinaYechun XuState Key Laboratory of Drug Research, CAS Key Laboratory of Receptor Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, ChinaH. Eric XuState Key Laboratory of Drug Research, CAS Key Laboratory of Receptor Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, ChinaXiangrui JiangState Key Laboratory of Drug Research, CAS Key Laboratory of Receptor Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, ChinaLeike ZhangWuhan Institute of Virology, Chinese Academy of Sciences, Wuhan, ChinaН. Л. ВыповаDilshod Sh. AllaberganovNigora A. TagayalievaErkin MusabaevScientific-Research Institute of Virology of the Ministry of the Health of Uzbekistan, Tashkent, UzbekistanGulnara A. IbadovaCentre for the Development of Professional Qualification of Medical Workers, Tashkent, UzbekistanIlxom B. RajabovCentre for the Development of Professional Qualification of Medical Workers, Tashkent, UzbekistanLyubov M. LoktevaScientific-Research Institute of Virology of the Ministry of the Health of Uzbekistan, Tashkent, Uzbekistan
Frontiers in Medicinejournal2023en
ABI

Аннотация

), we developed the Rutan 25 mg oral drug tablets with antiviral activity against influenza A and B viruses, adenoviruses, paramyxoviruses, herpes virus, and cytomegalovirus. Here, our re-purposing study demonstrated that Rutan at 25, 50, and 100 mg/kg provided a very effective and safe treatment for COVID-19 infection, simultaneously inhibiting two vital enzyme systems of the SARS-CoV-2 virus: 3C-like proteinase (3CLpro) and RNA-dependent RNA polymerase (RdRp). There was no drug accumulation in experimental animals' organs and tissues. A clinical study demonstrated a statistically significant decrease in the C-reactive protein and a reduction of the viremia period. In patients receiving Rutan 25 mg (children) and 100 mg (adults), the frequency of post-COVID-19 manifestations was significantly less than in the control groups not treated with Rutan tablets. Rutan, having antiviral activity, can provide safe treatment and prevention of COVID-19 in adults and children. Clinical Trial Registration: ClinicalTrials.gov, ID NCT05862883.

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