新藥Paxlovid(= nirmatrelvir+ ritonavir)降低住院9成,降低死亡100%。是protease inhibitor。原理與目前C型肝炎口服抗病毒藥物(DAA)很像。HCV RNA 病毒,非結構性蛋白質 NS2、NS3、NS4A、NS4B、NS5A 與 NS5B 會與病毒 RNA 形成複合體,開始病毒複製,所以抗病毒藥物就是作用在這幾個蛋白酶的抑制劑。 新冠肺炎病毒S protein變種太多了,一直針對S portein發展疫苗或是藥物,永遠追不上病毒的速度。如果目前的protease inhibitor可以抑制病毒複製的蛋白酶,就會變成世界救星。
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originally written by Lopez
根據CNBC 4/24報導 輝瑞執行長公開宣布:refer [1]
(1)新口服藥進入第一期試驗,如果臨床實驗通過,最快也要年底才能上市。
(2)新口服藥在病發時服用,可以減輕發展成重病的機率,並不能治癒新冠肺炎。

References

[1] https://www.cnbc.com/2021/04/27/pfizer-at-home-covid-pill-could-be-available-by-year-end-ceo-albert-bourla-says.html

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