Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial

Molnupiravir is an antiviral that forces lethal error catastrophe in SARS-CoV-2 RNAs. Here, the authors confirm the mechanism of action of molnupiravir in humans using samples obtained from the UK’s AGILE phase IIa clinical trial investigating the antiviral efficacy of the drug against SARS-CoV-2. N...

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Main Authors: I’ah Donovan-Banfield, Rebekah Penrice-Randal, Hannah Goldswain, Aleksandra M. Rzeszutek, Jack Pilgrim, Katie Bullock, Geoffrey Saunders, Josh Northey, Xiaofeng Dong, Yan Ryan, Helen Reynolds, Michelle Tetlow, Lauren E. Walker, Richard FitzGerald, Colin Hale, Rebecca Lyon, Christie Woods, Shazaad Ahmad, Dennis Hadjiyiannakis, Jimstan Periselneris, Emma Knox, Calley Middleton, Lara Lavelle-Langham, Victoria Shaw, William Greenhalf, Thomas Edwards, David G. Lalloo, Christopher J. Edwards, Alistair C. Darby, Miles W. Carroll, Gareth Griffiths, Saye H. Khoo, Julian A. Hiscox, Thomas Fletcher
Format: Article
Language:English
Published: Nature Portfolio 2022-11-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-022-34839-9
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author I’ah Donovan-Banfield
Rebekah Penrice-Randal
Hannah Goldswain
Aleksandra M. Rzeszutek
Jack Pilgrim
Katie Bullock
Geoffrey Saunders
Josh Northey
Xiaofeng Dong
Yan Ryan
Helen Reynolds
Michelle Tetlow
Lauren E. Walker
Richard FitzGerald
Colin Hale
Rebecca Lyon
Christie Woods
Shazaad Ahmad
Dennis Hadjiyiannakis
Jimstan Periselneris
Emma Knox
Calley Middleton
Lara Lavelle-Langham
Victoria Shaw
William Greenhalf
Thomas Edwards
David G. Lalloo
Christopher J. Edwards
Alistair C. Darby
Miles W. Carroll
Gareth Griffiths
Saye H. Khoo
Julian A. Hiscox
Thomas Fletcher
author_facet I’ah Donovan-Banfield
Rebekah Penrice-Randal
Hannah Goldswain
Aleksandra M. Rzeszutek
Jack Pilgrim
Katie Bullock
Geoffrey Saunders
Josh Northey
Xiaofeng Dong
Yan Ryan
Helen Reynolds
Michelle Tetlow
Lauren E. Walker
Richard FitzGerald
Colin Hale
Rebecca Lyon
Christie Woods
Shazaad Ahmad
Dennis Hadjiyiannakis
Jimstan Periselneris
Emma Knox
Calley Middleton
Lara Lavelle-Langham
Victoria Shaw
William Greenhalf
Thomas Edwards
David G. Lalloo
Christopher J. Edwards
Alistair C. Darby
Miles W. Carroll
Gareth Griffiths
Saye H. Khoo
Julian A. Hiscox
Thomas Fletcher
author_sort I’ah Donovan-Banfield
collection DOAJ
description Molnupiravir is an antiviral that forces lethal error catastrophe in SARS-CoV-2 RNAs. Here, the authors confirm the mechanism of action of molnupiravir in humans using samples obtained from the UK’s AGILE phase IIa clinical trial investigating the antiviral efficacy of the drug against SARS-CoV-2. No treatment-associated SARS-CoV-2 mutations were identified.
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spelling doaj.art-ce55d33708154cc1b4167b313d9226612022-12-22T04:20:22ZengNature PortfolioNature Communications2041-17232022-11-011311910.1038/s41467-022-34839-9Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trialI’ah Donovan-Banfield0Rebekah Penrice-Randal1Hannah Goldswain2Aleksandra M. Rzeszutek3Jack Pilgrim4Katie Bullock5Geoffrey Saunders6Josh Northey7Xiaofeng Dong8Yan Ryan9Helen Reynolds10Michelle Tetlow11Lauren E. Walker12Richard FitzGerald13Colin Hale14Rebecca Lyon15Christie Woods16Shazaad Ahmad17Dennis Hadjiyiannakis18Jimstan Periselneris19Emma Knox20Calley Middleton21Lara Lavelle-Langham22Victoria Shaw23William Greenhalf24Thomas Edwards25David G. Lalloo26Christopher J. Edwards27Alistair C. Darby28Miles W. Carroll29Gareth Griffiths30Saye H. Khoo31Julian A. Hiscox32Thomas Fletcher33Department of Infection Biology and Microbiomes, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolDepartment of Infection Biology and Microbiomes, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolDepartment of Infection Biology and Microbiomes, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolDepartment of Evolution, Ecology and Behaviour, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolDepartment of Evolution, Ecology and Behaviour, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolGCPLab Facility, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolSouthampton Clinical Trials Unit, University of SouthamptonSouthampton Clinical Trials Unit, University of SouthamptonDepartment of Infection Biology and Microbiomes, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolDepartment of Infection Biology and Microbiomes, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolNIHR Royal Liverpool and Broadgreen Clinical Research Facility, Liverpool University Hospitals NHS Foundation TrustNIHR Royal Liverpool and Broadgreen Clinical Research Facility, Liverpool University Hospitals NHS Foundation TrustNIHR Royal Liverpool and Broadgreen Clinical Research Facility, Liverpool University Hospitals NHS Foundation TrustNIHR Manchester Clinical Research Facility, Manchester University NHS Foundation TrustNIHR Lancashire Clinical Research Facility, Lancashire Teaching Hospitals NHS Foundation TrustNIHR Kings Clinical Research Facility, King’s College Hospital NHS Foundation TrustSouthampton Clinical Trials Unit, University of SouthamptonSouthampton Clinical Trials Unit, University of SouthamptonGCPLab Facility, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolGCPLab Facility, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolGCPLab Facility, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolCentre for Drugs and Diagnostics, Liverpool School of Tropical MedicineLiverpool School of Tropical MedicineHuman Development and Health School, University of SouthamptonDepartment of Infection Biology and Microbiomes, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolNIHR Health Protection Research Unit in Emerging and Zoonotic InfectionsSouthampton Clinical Trials Unit, University of SouthamptonDepartment of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of LiverpoolDepartment of Infection Biology and Microbiomes, Institute of Infection, Veterinary and Ecological Sciences, University of LiverpoolNIHR Health Protection Research Unit in Emerging and Zoonotic InfectionsMolnupiravir is an antiviral that forces lethal error catastrophe in SARS-CoV-2 RNAs. Here, the authors confirm the mechanism of action of molnupiravir in humans using samples obtained from the UK’s AGILE phase IIa clinical trial investigating the antiviral efficacy of the drug against SARS-CoV-2. No treatment-associated SARS-CoV-2 mutations were identified.https://doi.org/10.1038/s41467-022-34839-9
spellingShingle I’ah Donovan-Banfield
Rebekah Penrice-Randal
Hannah Goldswain
Aleksandra M. Rzeszutek
Jack Pilgrim
Katie Bullock
Geoffrey Saunders
Josh Northey
Xiaofeng Dong
Yan Ryan
Helen Reynolds
Michelle Tetlow
Lauren E. Walker
Richard FitzGerald
Colin Hale
Rebecca Lyon
Christie Woods
Shazaad Ahmad
Dennis Hadjiyiannakis
Jimstan Periselneris
Emma Knox
Calley Middleton
Lara Lavelle-Langham
Victoria Shaw
William Greenhalf
Thomas Edwards
David G. Lalloo
Christopher J. Edwards
Alistair C. Darby
Miles W. Carroll
Gareth Griffiths
Saye H. Khoo
Julian A. Hiscox
Thomas Fletcher
Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial
Nature Communications
title Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial
title_full Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial
title_fullStr Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial
title_full_unstemmed Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial
title_short Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial
title_sort characterisation of sars cov 2 genomic variation in response to molnupiravir treatment in the agile phase iia clinical trial
url https://doi.org/10.1038/s41467-022-34839-9
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