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AL-794 is an orally active isobutyrate prodrug of ALS-033719, which selectively binds to the endonuclease domain of influenza virus polymerase acidic protein and potently inhibits the endonuclease activity. It has an inhibitory effect on 29 influenza virus A and B strains, with 90% effective concentrations (EC90) ranging from 2.3 to 267 nM. In clinical trials, AL-794 demonstrated significant dose-dependent antiviral activity, with greater decreases in viral load, symptoms, and mucus weight at the 150-mg dose compared to the 50-mg dose.
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