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Secutrelvir (S-892257) is an investigational, orally bioavailable small molecule antiviral developed by Shionogi for the treatment of COVID-19. It functions as a 3C-like (3CL) protease inhibitor, specifically targeting the SARS-CoV-2 main protease (Mpro), which is essential for the processing of viral polyproteins and subsequent viral replication. As a second-generation 3CL protease inhibitor following Shionogi's ensitrelvir, secutrelvir is designed to offer an improved clinical profile, potentially including enhanced potency or pharmacokinetic properties. It is currently being evaluated in Phase 3 clinical trials in Japan for adolescents and adults with symptomatic, confirmed SARS-CoV-2 infection, with a focus on early intervention within 48 hours of symptom onset.
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