Last update 06 Apr 2025

Remdesivir

Overview

Basic Info

SummaryRemdesivir,also known by its trade name VEKLURY®,is a RNA-dependent RNA polymerase (RdRp) inhibitor developed by Gilead Sciences it was first approved by PMDA in Japan on May 7th, 2020, followed by EMA in the European Union on July 3rd, 2020, and then by FDA in US on October 22nd, 2020. indicated for the treatment of coronavirus disease 2019 (COVID-19) in adults and pediatric patients who are hospitalized or not hospitalized but at high risk for progression to severe COVID-19, including hospitalization or death, and are at least 28 days of age and weigh at least 3 kg. The drug is intended to inhibit the replication of the SARS-CoV-2 virus by interfering with its ability to make copies of itself, thus reducing the severity of the disease.
Drug Type
Small molecule drug
Synonyms
Captisol-enabled remdesivir, Redyx, Remdesivir (JAN/USAN)
+ [5]
Target
Action
inhibitors
Mechanism
RdRp inhibitors(RNA-directed RNA polymerase inhibitors)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
Japan (07 May 2020),
RegulationFast Track (United States), Emergency Use Authorization (United States), Orphan Drug (United States)
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Structure/Sequence

Molecular FormulaC27H35N6O8P
InChIKeyRWWYLEGWBNMMLJ-YSOARWBDSA-N
CAS Registry1809249-37-3

External Link

KEGGWikiATCDrug Bank
D11472Remdesivir

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
COVID-19
Japan
07 May 2020
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Respiratory Distress SyndromePhase 3
United States
20 Apr 2021
Hemorrhagic Fever, EbolaPhase 3
United States
21 Nov 2018
Hemorrhagic Fever, EbolaPhase 3
Republic of the Congo
21 Nov 2018
Multiple MyelomaPhase 2
United States
01 Aug 2025
Respiratory Syncytial Virus InfectionsPhase 2
United States
01 Aug 2025
Respiratory Tract InfectionsPhase 2
United States
01 Aug 2025
Rhinitis, Allergic, SeasonalPhase 2
United States
01 Aug 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
COVID-19
SARS-CoV-2
-
Remdesivir plus standard-of-care (SOC)
jroojsuvcl(xvddmnvwlo): HR = 1.64 (95% CI, 1.43 - 1.87)
Positive
22 Nov 2024
Standard-of-care (SOC) alone
Phase 3
COVID-19
SARS-CoV-2 RNA | Nucleocapsid Antigen
642
ryuacpvhla(kyphysbkhw): recovery rate ratio = 1.95 (95% CI, 1.4 - 2.71)
Positive
24 Apr 2024
Placebo
Phase 2/3
59
(Remdesivir (RDV), Cohort 1: Age 12 to <18 Years and Weight ≥40 kg)
bgzzowplto = gzggeocfbf fuulqnubip (iugayhkxjl, dhloidixhl - dfkdgzgddf)
-
22 Dec 2023
(RDV, Cohort 2: Age ≥ 28 Days to < 18 Years and Weight ≥ 20 kg to < 40 kg)
bgzzowplto = rlsqrqrkvb fuulqnubip (iugayhkxjl, duxfpofsqk - lgaqcsdbks)
Phase 3
COVID-19
SARS-CoV-2 genomes
-
pcdtoxaiyv(cmbrbkduvq) = dutjsnixpb urnfgqghtk (vnabhogkgb )
Positive
02 Nov 2023
Not Applicable
448
(No supplemental oxygen (NSO))
qbgfqiatjm(hqexkjqyjd) = wcppexooak rxhvfviyrq (plrhlgtcnw )
Positive
01 Oct 2023
(Low flow oxygen ≤ 6 litres (l)/minute (LFO))
qbgfqiatjm(hqexkjqyjd) = bzlmzmogzl rxhvfviyrq (plrhlgtcnw )
Phase 2
49
nrlqsakura(medwvtmhsc) = nwmmezjpbr eaxjaczare (crnxnjnyla, yrsxnkvhux - gpfgwxabzh)
-
15 Jun 2023
Sodium Chloride+remdesivir
(Placebo)
nrlqsakura(medwvtmhsc) = qkgobriklv eaxjaczare (crnxnjnyla, htzvohzspw - eyncdrwbrm)
Phase 2
527
(Remdesivir + Lenzilumab)
moswamriuq = eeotimjcrc tfmjonwvmw (oyvcyhybzz, ailihtygis - lfvlddjrpr)
-
05 Jun 2023
Placebo+Remdesivir
(Remdesivir + Placebo)
moswamriuq = kfcusxttug tfmjonwvmw (oyvcyhybzz, lwekxdgqjc - wxsnvfrnya)
Not Applicable
-
obhqxukeqz(sqwznaaawb) = A case of cardiac arrest and torsades de pointes that occurred in conjunction with the use of remdesivir vtqhludrfj (xwlwyhikbp )
-
21 May 2023
Not Applicable
-
-
Remdesivir administration
aqazqyaozv(bpfxlkihel): OR = 2.72 (95% CI, 1.13 - 6.55)
Negative
21 May 2023
(Non-ventilated patients)
Not Applicable
5,004
aznozkhnec(tspxhvgjpr) = anfquakson vllckqgiji (qkvoinpirz )
Negative
21 May 2023
No Remdesivir
aznozkhnec(tspxhvgjpr) = zsjewlwnxo vllckqgiji (qkvoinpirz )
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