Remdesivir (RDV) is the first nucleoside analog drug approved by the FDA for COVID-19 therapy through intravenous administration, having positive clinical feedback for reduced recovery time but a nonsignificant trend toward lowering mortality. 4 – 6 Molnupiravir (EIDD-2801) is an oral prodrug of β-d-N4-hydroxycytidine (NHC) that can inhibit SARS-CoV-2 replication via nucleoside analog incorporation into viral RNA, inducing lethal accumulation of mutations in the viral genome.
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A viral RNA-dependent RNA polymerase inhibitor VV116 broadly inhibits human coronaviruses and has synergistic potency with 3CLpro inhibitor nirmatrelvir.
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