Digital image of a coronavirus particle
Digital image of a coronavirus particle

Can we ever truly solve (long) covid?

The coronavirus pandemic fortunately seems a distant memory. Although the virus is still circulating, sufficient herd immunity has been established, meaning public health is no longer under significant pressure. Nevertheless, you can still catch the virus, and many people experience prolonged symptoms after infection, known as long covid. Is it possible to develop a cure for this?

Well, perhaps, seems to be the answer. Researchers at Radboud University have been working since the beginning of the pandemic in 2020 on a potential antiviral drug against coronavirus. Unlike a vaccine, which is a preventive measure that teaches your body's immune system to fend off the virus, this drug targets a different phase of the illness: the spread of the virus within your body and the resulting symptoms. It treats the infection once it has entered your body.

How does it work?

"We focus on the 'proteases' of the virus particle. These are special enzymes the virus needs to cut its own protein structures and spread. If we can inhibit this, the virus can no longer perform any activity in your cells," says Prof. Floris Rutjes, director of the Institute for Molecules and Materials (IMM) at Radboud University. Rutjes, along with colleague Miriam Porzberg from the Synthetic Organic Chemistry group, is developing the drug. Recently, the researchers filed a patent for a special substance that can inhibit the proteases.

Competitor to Pfizer?

It might seem like a David vs. Goliath story, as pharmaceutical conglomerate Pfizer has brought a similar drug to market: Paxlovid. Rutjes explains, "Our substance is similar, but where Pfizer's drug only tackles the proteases of the virus particle, our substance affects two processes: the proteases of the virus and the cell the virus attempts to enter." Two birds with one stone; it reduces the chance of the virus entering the cell and of the virus cutting and spreading its proteins. The researchers hope this dual action will ultimately reduce the number of active virus particles in the body significantly.

Solution for long covid?

Can the drug also help long covid patients? Researchers are cautiously optimistic. Rutjes states, "Of course, much remains unclear about what long covid is and its causes. But we now know that long covid patients retain the covid infection particles in their bodies much longer than others, leading to prolonged inflammation in the body and brain. This drug could be a possible solution."

Prof. Floris Rutjes in lab
Foto: Linda Verweij

When will the drug be available in pharmacies?

Unfortunately, it will take some time. "Count on at least six more years," says Rutjes. "Unless another pandemic arises, speeding up the process," he adds with a wry smile. There are many hurdles to overcome, Rutjes outlines: "Antiviral drugs are sometimes quickly broken down by the body, so fast that the drug hardly has time to work. To slow this breakdown process, we can add a second substance to the drug. But that could negatively affect effectiveness, so you need to find the right balance. We are also looking at administration forms; ideally, you want a drug that can be taken as a pill, which is by far the easiest and most accessible method. But how does that affect distribution in the body and thus effectiveness?"

"It really is a week-by-week process; what works, what doesn't? A lot of puzzling, trying different combinations, and quickly adapting when we gain new insights," Rutjes explains.

Golden combination

The basis for the drug was an antiviral compound that IMM spin-off Protinhi Therapeutics already had on the shelf against the dengue and Zika viruses. Together with researchers from Radboud University and another spin-off, Artemis Bioservices, they received funding from ZonMw. In the coming period, they will search for that golden combination: the most effective substance, with the fewest side effects, scalable production potential, and the ideal administration form. In a year and a half, it will be determined if the next step towards clinical trials is feasible. 

BetaBoost

In BetaBoost, you'll receive a monthly glimpse into ongoing research from the Faculty of Science and its societal impact. Do you have a question about a current topic that you would like a scientific perspective on? Let us know via communications-science [at] ru.nl (communications-science[at]ru[dot]nl).

Contact information

Theme
Molecules and materials, Health & Healthcare