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Once-Weekly Mosnodenvir as Dengue Prophylaxis in a Human Infection Model

Year: 2026
Type: article
Abstract: To the Editor:Dengue, a significant global health threat, currently lacks effective antiviral treatments. 1 Mosnodenvir is an antiviral against dengue virus (DENV) infection which has reached phase 2 clinical development in a prophylactic setting. 2 Initial results from this randomized, double-blind, placebo-controlled Phase 2a trial (Cohort 1[C1]) have been published 1 and were expanded with additional daily (QD) and weekly (Q7D) dose regimens in Cohort 2 (C2).Loading doses (LD) started on Day (D) -2 twice daily (BID) for 2 days, followed by maintenance doses (MD) as QD or Q7D for 21 days (QD, 800 mg/250 mg, Q7D high-dose 450 mg/1200 mg and low-dose 250 mg/500 mg).The under-attenuated virus rDEN3Δ30 was subcutaneously injected on D1 with safety, pharmacokinetics, virology and serology parameters evaluated up to D120 (Figure 1A).The protocol and Supplementary Appendix are available with the full text of this letter at NEJM.org.
Language: English
Field: Medicine
Open Access status: bronze
OpenAlex ID: W7221798569
FWCI:
Cites: 1
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Related to: 10