A novel series of cyclopentane derivatives have been found to exhibit poten
t and selective inhibitory effects on influenza virus neuraminidase, These
compounds, designated RWJ-270201, BCX-1827, BCX-1898, and BCX-1923, were te
sted in parallel with zanamivir and oseltamivir carboxylate against a spect
rum of influenza A (H1N1, H3N2, and H5N1) and influenza B viruses in MDCK c
ells, inhibition of viral cytopathic effect ascertained visually and by neu
tral red dye uptake was used, with 50% effective (virus-inhibitory) concent
rations (EC50) determined. Against the H1N1 viruses A/Bayern/07/95, A/Beiji
ng/262/95, A/PR/8/34, and A/Texas/36/91, EC(50)s (determined by neutral red
assay) of the novel compounds were less than or equal to 1.5 muM. Twelve s
trains of H3N2 and two strains of avian H5N1 viruses were inhibited at < 0.
3 <mu>M Influenza B/Beijing/184/93 and B/Harbin/07/94 viruses were inhibite
d at < 0.2 <mu>M, with three other B virus strains inhibited at 0.8 to 8 mu
M, The novel inhibitors were comparable in potency to (or slightly more pot
ent than) zanamivir and oseltamivir carboxylate. No cytotoxicity was seen w
ith the compounds at concentrations of less than or equal to 1 mM in cell p
roliferation assays. The antiviral activity of RWJ-270201, chosen for clini
cal development, was studied in greater detail. Its potency and that of ose
ltamivir carboxylate decreased with increasing multiplicity of virus infect
ion. Time-of-addition studies indicated that treatment with either compound
needed to begin 0 to 12 h after virus exposure for optimal activity. Expos
ure of cells to RWJ-270201 caused most of the virus to remain cell associat
ed, with extracellular virus decreasing in a concentration-dependent manner
. This is consistent with its effect as a neuraminidase inhibitor. RWJ-2702
01 shows promise in the treatment of human influenza virus infections.