In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale Approach

Paxlovid is a promising, orally bioavailable novel drug for SARS-CoV-2 with excellent safety profiles. Our main goal here is to explore the pharmacometric features of this new antiviral. To provide a detailed assessment of Paxlovid, we propose a hybrid multiscale mathematical approach. We demonstrat...

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Main Authors: Ferenc A. Bartha, Nóra Juhász, Sadegh Marzban, Renji Han, Gergely Röst
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/14/5/1103
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author Ferenc A. Bartha
Nóra Juhász
Sadegh Marzban
Renji Han
Gergely Röst
author_facet Ferenc A. Bartha
Nóra Juhász
Sadegh Marzban
Renji Han
Gergely Röst
author_sort Ferenc A. Bartha
collection DOAJ
description Paxlovid is a promising, orally bioavailable novel drug for SARS-CoV-2 with excellent safety profiles. Our main goal here is to explore the pharmacometric features of this new antiviral. To provide a detailed assessment of Paxlovid, we propose a hybrid multiscale mathematical approach. We demonstrate that the results of the present in silico evaluation match the clinical expectations remarkably well: on the one hand, our computations successfully replicate the outcome of an actual in vitro experiment; on the other hand, we verify both the sufficiency and the necessity of Paxlovid’s two main components (nirmatrelvir and ritonavir) for a simplified in vivo case. Moreover, in the simulated context of our computational framework, we visualize the importance of early interventions and identify the time window where a unit-length delay causes the highest level of tissue damage. Finally, the results’ sensitivity to the diffusion coefficient of the virus is explored in detail.
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spelling doaj.art-3899255902ad48269146aa0e042ef9b22023-11-23T13:33:21ZengMDPI AGViruses1999-49152022-05-01145110310.3390/v14051103In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale ApproachFerenc A. Bartha0Nóra Juhász1Sadegh Marzban2Renji Han3Gergely Röst4Bolyai Institute, University of Szeged, H-6720 Szeged, HungaryBolyai Institute, University of Szeged, H-6720 Szeged, HungaryBolyai Institute, University of Szeged, H-6720 Szeged, HungarySchool of Sciences, Zhejiang University of Science and Technology, Hangzhou 310023, ChinaBolyai Institute, University of Szeged, H-6720 Szeged, HungaryPaxlovid is a promising, orally bioavailable novel drug for SARS-CoV-2 with excellent safety profiles. Our main goal here is to explore the pharmacometric features of this new antiviral. To provide a detailed assessment of Paxlovid, we propose a hybrid multiscale mathematical approach. We demonstrate that the results of the present in silico evaluation match the clinical expectations remarkably well: on the one hand, our computations successfully replicate the outcome of an actual in vitro experiment; on the other hand, we verify both the sufficiency and the necessity of Paxlovid’s two main components (nirmatrelvir and ritonavir) for a simplified in vivo case. Moreover, in the simulated context of our computational framework, we visualize the importance of early interventions and identify the time window where a unit-length delay causes the highest level of tissue damage. Finally, the results’ sensitivity to the diffusion coefficient of the virus is explored in detail.https://www.mdpi.com/1999-4915/14/5/1103multiscale mathematical modelingspatio-temporal dynamicsagent-based modelSARS-CoV-2Paxlovidvirus diffusion
spellingShingle Ferenc A. Bartha
Nóra Juhász
Sadegh Marzban
Renji Han
Gergely Röst
In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale Approach
Viruses
multiscale mathematical modeling
spatio-temporal dynamics
agent-based model
SARS-CoV-2
Paxlovid
virus diffusion
title In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale Approach
title_full In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale Approach
title_fullStr In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale Approach
title_full_unstemmed In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale Approach
title_short In Silico Evaluation of Paxlovid’s Pharmacometrics for SARS-CoV-2: A Multiscale Approach
title_sort in silico evaluation of paxlovid s pharmacometrics for sars cov 2 a multiscale approach
topic multiscale mathematical modeling
spatio-temporal dynamics
agent-based model
SARS-CoV-2
Paxlovid
virus diffusion
url https://www.mdpi.com/1999-4915/14/5/1103
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