How Remdesivir, New Hope for COVID-19 Patients, Was Resurrected

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How Remdesivir, New Hope for COVID-19 Patients, Was Resurrected
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Remdesivir, an antiviral drug designed to treat both hepatitis and a common respiratory virus, seemed fated to join thousands of other failed medications after proving useless against those diseases. The drug was consigned to the pharmaceutical scrap heap, all but forgotten by the scientists who once

But Friday, the Food and Drug Administration issued an emergency approval for remdesivir as a treatment for patients severely ill with COVID-19, the disease caused by the coronavirus.

Neither he nor the scores of other scientists interested in coronaviruses foresaw that a new one would unleash a plague that has killed nearly a quarter-million people worldwide. The FDA rushed to approve remdesivir under emergency use provisions after a federal trial demonstrated modest improvements in severely ill patients.

“It’s a great first step,” said Dr. Robert Finberg, chairman of the department of medicine at the University of Massachusetts Medical School. In 2007, Denison discovered that coronaviruses have a powerful “proofreading” system. If an error occurs in copying RNA as the coronavirus replicates, it corrects the error. In lab experiments, coronaviruses that mutated were weaker, outcompeted by those without mutations.

Denison discovered remdesivir was just what they were seeking: a drug that slipped past the virus’s powerful system to protect RNA, their genetic material. Remdesivir made growing chains of the viral RNA terminate prematurely, killing the virus. As SARS-CoV-2, the virus that causes COVID-19, began to grow into a pandemic, many scientists realized that remdesivir might be the best solution at hand. It had already undergone animal testing and safety testing in humans.

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