Abstract
The ongoing monkeypox virus (MPXV) outbreak is the largest ever recorded outside of Africa. Genomic analysis revealed a divergent phylogenetic lineage within clade 3, and atypical clinical presentations have been noted. We report the sequencing and isolation of the virus from the first clinical case diagnosed in France in May 2022. We tested the in vitro effect of tecovirimat (ST-246), a FDA approved drug, against this novel strain, showing efficacy at the nanomolar range. In comparison, cidofovir showed activity at micromolar concentrations. These results and the safety profile of tecovirimat strongly support its use in clinical care of severe forms for the 2022 MPXV outbreak.
Competing Interest Statement
F.G. and E.M. are employed by NeoVirTech SAS. F.G. is shareholder of NeoVirTech SAS. Tecovirimat is manufactured by SIGA Technologies. D.E.H. and D.W.G. are employees of SIGA technologies and hold shares of SIGA stock.
Footnotes
↵* Shared senior co-authorship
Edited competing interests statement