SCH 47802 and its derivatives are potent inhibitors of enteroviruses i
n vitro. The IC50 for SCH 47802 ranges from 0.03 to 10 mu g/ml when te
sted against a spectrum of enteroviruses in plaque reduction assays. T
he compounds have in vitro therapeutic indices of at least 81 based on
viral cytopathic effect (CPE) assays. The in vitro activity of SCH 47
802 translates into in vivo activity in the murine model of poliovirus
encephalitis. In an oral dosing regimen, SCH 47802 protects mice from
mortality at 60 mg/kg per day. Consistent with the in vivo efficacy,
pharmacokinetic analyses after oral dosing with SCH 47802 demonstrate
serum levels of the compound above the in vitro IC50 for poliovirus fo
r at least 4 h. SCH 47802 and its active analogs stabilize poliovirus
to thermal inactivation indicating that the compounds bind to the viru
s capsid. Mechanistic studies with poliovirus indicate that SCH 47802
acts early in viral infection. This series of molecules represents pot
ential candidates for the treatment of human enterovirus infections.