TY - JOUR A1 - De Meyer, Sandra A1 - Bojkova, Denisa A1 - Cinatl, Jindrich A1 - Damme, Ellen van A1 - Buyck, Christophe A1 - Loock, Marnix van A1 - Woodfall, Brian A1 - Ciesek, Sandra T1 - Lack of antiviral activity of darunavir against SARS-CoV-2 T2 - International Journal of Infectious Diseases N2 - Objectives: Given the high need and the absence of specific antivirals for treatment of COVID-19 (the disease caused by severe acute respiratory syndrome-associated coronavirus-2 [SARS-CoV-2]), human immunodeficiency virus (HIV) protease inhibitors are being considered as therapeutic alternatives. Methods: Prezcobix/Rezolsta is a fixed-dose combination of 800 mg of the HIV protease inhibitor darunavir (DRV) and 150 mg cobicistat, a CYP3A4 inhibitor, which is indicated in combination with other antiretroviral agents for the treatment of HIV infection. There are currently no definitive data on the safety and efficacy of DRV/cobicistat for the treatment of COVID-19. The in vitro antiviral activity of darunavir against a clinical isolate from a patient infected with SARS-CoV-2 was assessed. Results: DRV showed no antiviral activity against SARS-CoV-2 at clinically relevant concentrations (EC50 > 100 μM). Remdesivir, used as a positive control, demonstrated potent antiviral activity (EC50 = 0.38 μM). Conclusions: Overall, the data do not support the use of DRV for the treatment of COVID-19. KW - Darunavir KW - SARS-CoV-2 KW - COVID-19 KW - In vitro Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/54960 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-549606 SN - 1878-3511 N1 - © 2020 Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). VL - 97 SP - 7 EP - 10 PB - Elsevier CY - Amsterdam [u.a.] ER -