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Comment by est31

> This is a completely novel molecule that appears effective as an antiviral. This would a huge achievement for the field of drug design, and will hopefully lead to all kinds of great medicine.

According to the Pfizer press release [0] Paxlovid uses Ritonavir [1], which is a known HIV antiviral, originally patented in 1989.

At the start of the covid pandemic, chinese scientists even tried Kaletra, a generic that combines Ritonavir with another HIV antiviral, and found it to not improve outcomes [2], but this might have been due to them not giving the drug early enough in the infection, but only to hospitalized patients, while Pfizer gave it to non-hospitalized patients with a risk of later hospitalization.

[0]: https://investors.pfizer.com/investor-news/press-release-det...

[1]: https://en.wikipedia.org/wiki/Ritonavir

[2]: https://doi.org/10.1056/NEJMoa2001282

parent est31 5 years ago

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