Table 3

Drugs and drug combinations with activity against influenza virus in clinical development or evaluation

DrugDrug targetManufacturer/sponsorRoute of administrationClinical development stageEmergency use mechanism available
Peramivir Viral neuraminidase Biocryst Pharmaceuticals IV, IM Phase 3 EUA 
Zanamivir Viral neuraminidase GlaxoSmithKline IV Phase 2 Emergency use program 
Oseltamivir Viral neuraminidase Roche Pharmaceuticals IV Phase 1 No 
T-705 (Favipiravir) Viral polymerase Toyama Chemical Oral Phase 2 (US), phase 3 (Japan) No 
CS-8958 (R-118958) Viral neuraminidase Daiichi Sankyo Co, Ltd Inhaled Phase 3 No 
DAS181 Sialic acid receptor of the respiratory epithelial cells Nexbio Inc Inhaled Phase 2 No 
Nitazoxanide Viral hemaglutinin Romark Laboratories Oral In vitro; no animal or human data Licensed for treatment of cryptosporidiosis (no indication for influenza treatment) 
Neuraminidase inhibitor + amantidine + ribavirin In vitro synergistic combination targeting viral neuraminidase, M2 and depletion of intracellular phosphate of influenza Adamas Pharmaceuticals Oral Phases 2-3 Licensed drugs (no indication for combination) 
Oseltamivir + zanamivir Viral neuraminidase GlaxoSmithKline Roche Pharmaceuticals Oral and inhaled Phases 3-4 Licensed drugs (no indication for combination) 
DrugDrug targetManufacturer/sponsorRoute of administrationClinical development stageEmergency use mechanism available
Peramivir Viral neuraminidase Biocryst Pharmaceuticals IV, IM Phase 3 EUA 
Zanamivir Viral neuraminidase GlaxoSmithKline IV Phase 2 Emergency use program 
Oseltamivir Viral neuraminidase Roche Pharmaceuticals IV Phase 1 No 
T-705 (Favipiravir) Viral polymerase Toyama Chemical Oral Phase 2 (US), phase 3 (Japan) No 
CS-8958 (R-118958) Viral neuraminidase Daiichi Sankyo Co, Ltd Inhaled Phase 3 No 
DAS181 Sialic acid receptor of the respiratory epithelial cells Nexbio Inc Inhaled Phase 2 No 
Nitazoxanide Viral hemaglutinin Romark Laboratories Oral In vitro; no animal or human data Licensed for treatment of cryptosporidiosis (no indication for influenza treatment) 
Neuraminidase inhibitor + amantidine + ribavirin In vitro synergistic combination targeting viral neuraminidase, M2 and depletion of intracellular phosphate of influenza Adamas Pharmaceuticals Oral Phases 2-3 Licensed drugs (no indication for combination) 
Oseltamivir + zanamivir Viral neuraminidase GlaxoSmithKline Roche Pharmaceuticals Oral and inhaled Phases 3-4 Licensed drugs (no indication for combination) 

EUA indicates emergency use authorization granted by US Food and Drug Administration; and IM, intramuscular.

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