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Benfo-oxythiamine (B-OT) is an orally bioavailable, lipophilic S-benzoyl-O-monophosphate prodrug of the thiamine antagonist oxythiamine. Developed by Benfovir AG, it is designed to inhibit transketolase, a key enzyme in the pentose phosphate pathway (PPP). By inhibiting transketolase, B-OT disrupts the production of ribose-5-phosphate, which is essential for the synthesis of DNA and RNA. This mechanism aims to suppress the rapid proliferation of cancer cells and the replication of viruses, including SARS-CoV-2. The drug has completed a Phase 1 clinical trial (the BOOST study) in healthy volunteers, which demonstrated a favorable safety and pharmacokinetic profile. Benfovir AG is developing the compound for COVID-19 and other viral infections, while partnering with Oxy5 OncoMedical AG for oncology applications.
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