Article
作者: Stoops, Bart ; Jacoby, Edgar ; De Bruyn, Suzanne ; Jacobs, Tom ; Kesteleyn, Bart ; Nájera, Isabel ; Lammens, Lieve ; Van Den Berg, Joke ; De Zwart, Loeckie ; Shaffer, Paul ; Martinez Lamenca, Carolina ; Herschke, Florence ; Matcha, Kiran ; Darville, Nicolas ; Roymans, Dirk ; Hache, Geerwin ; Ysebaert, Nina ; Milligan, Cynthia ; Lecomte, Morgan ; Coesemans, Erwin ; Pieters, Serge ; Jonckers, Tim H. M. ; Demin, Samuel ; Rigaux, Peter ; Hu, Lili ; Van Rompaey, Dries ; Abeywickrema, Pravien
Respiratory syncytial virus (RSV) is a major cause of hospitalization in infants, the elderly, and immune-compromised patients. While a half-life extended monoclonal antibody and 2 vaccines have recently been approved for infants and the elderly, respectively, options to prevent disease in immune-compromised patients are still needed. Here, we describe spiro-azetidine oxindoles as small molecule RSV entry inhibitors displaying favorable potency, developability attributes, and long-acting PK when injected as an aqueous suspension, suggesting their potential to prevent complications following RSV infection over a period of 3 to 6 months with 1 or 2 long-acting intramuscular (IM) or subcutaneous (SC) injections in these immune-compromised patients.