PT - JOURNAL ARTICLE AU - Rana Abdelnabi AU - Caroline S. Foo AU - Suzanne J. F. Kaptein AU - Xin Zhang AU - Lana Langendries AU - Laura Vangeel AU - Valentijn Vergote AU - Elisabeth Heylen AU - Kai Dallmeier AU - Arnab Chatterjee AU - Steven De Jonghe AU - Birgit Weynand AU - Johan Neyts TI - Molnupiravir (EIDD-2801) inhibits SARS-CoV2 replication in Syrian hamsters model AID - 10.1101/2020.12.10.419242 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.12.10.419242 4099 - http://biorxiv.org/content/early/2020/12/10/2020.12.10.419242.short 4100 - http://biorxiv.org/content/early/2020/12/10/2020.12.10.419242.full AB - Since its emergence in Wuhan, China in December 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread worldwide resulting in a global pandemic with >1.5 million deaths until now. In the search for small molecule inhibitors of SARS-CoV-2, drug repurposing is being extensively explored. Molnupiravir (EIDD-2801) is an orally bioavailable nucleoside analog that possesses a relatively broad-spectrum antiviral activity including against coronaviruses. We here studied the effect of EIDD-2801 in a well-established Syrian hamster SARS-CoV2 infection model. Treatment of SARS-CoV-2-infected hamsters with 200 mg/kg BID of EIDD-2801 for four consecutive days, starting from the day of infection, significantly reduced infectious virus titers and viral RNA loads in the lungs and markedly improved lung histopathology. When onset of treatment was delayed until 1 or 2 days after infection, a very modest antiviral effect was observed. The potential of EIDD-2801 for the treatment and or prevention of SARS-CoV2 deserves further attention.Competing Interest StatementThe authors have declared no competing interest.