Remdesivir-ivermectin combination displays synergistic interaction with improved in vitro activity against SARS-CoV-2



Jeffreys, Laura N, Pennington, Shaun H, Duggan, Jack, Caygill, Claire H, Lopeman, Rose C, Breen, Alastair F, Jinks, Jessica B, Ardrey, Alison, Donnellan, Samantha, Patterson, Edward I
et al (show 7 more authors) (2022) Remdesivir-ivermectin combination displays synergistic interaction with improved in vitro activity against SARS-CoV-2. INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 59 (3). 106542-.

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Abstract

A key element for the prevention and management of coronavirus disease 2019 is the development of effective therapeutics. Drug combination strategies offer several advantages over monotherapies. They have the potential to achieve greater efficacy, to increase the therapeutic index of drugs and to reduce the emergence of drug resistance. We assessed the in vitro synergistic interaction between remdesivir and ivermectin, both approved by the US Food and Drug Administration, and demonstrated enhanced antiviral activity against severe acute respiratory syndrome coronavirus-2. Whilst the in vitro synergistic activity reported here does not support the clinical application of this combination treatment strategy due to insufficient exposure of ivermectin in vivo, the data do warrant further investigation. Efforts to define the mechanisms underpinning the observed synergistic action could lead to the development of novel treatment strategies.

Item Type: Article
Uncontrolled Keywords: Combination therapy, COVID-19, CPE, Cytopathic activity, SARS-CoV-2, Synergy
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User: Symplectic Admin
Date Deposited: 07 Jun 2022 09:01
Last Modified: 18 Jan 2023 21:00
DOI: 10.1016/j.ijantimicag.2022.106542
Open Access URL: https://doi.org/10.1016/j.ijantimicag.2022.106542
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3155984