Drug intelligence / Profile preview

lopinavir + ritonavir + remdesivir

Development stage
Preclinical
Lead developer
Gilead Sciences
Modality
Small Molecules
Administration
Oral, Intravenous
01

Overview

This is a combination of three antiviral drugs: lopinavir, ritonavir, and remdesivir. Lopinavir and ritonavir are both HIV protease inhibitors; they act by inhibiting viral proteases essential for the maturation of infectious viral particles. Ritonavir also inhibits cytochrome P450 3A4, boosting the plasma levels of lopinavir. Remdesivir is a nucleotide analog prodrug that inhibits viral RNA-dependent RNA polymerase, blocking viral RNA synthesis through delayed chain termination after incorporation into nascent viral RNA. This triple combination has been investigated for enhanced antiviral efficacy against SARS-CoV-2 in COVID-19 due to their complementary mechanisms—protease inhibition and polymerase inhibition[1][4][8].

Brand names
Kaletra
Other names
lopinavir/ritonavir/remdesivirremdesivir/lopinavir/ritonavir
02

Targets

RdRp (Coronavirus RNA-dependent RNA polymerase)CYP3A4 (Cytochrome P450 3A4)PLpro (Papain-like protease)PR (Progesterone receptor)

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