Roche's Xofluza may give rise to re­sis­tant strains, rais­ing fears of a 'worst case sce­nar­i­o'

In 2018, Sh­iono­gi rolled out Xofluza in Japan as a one-dose kill for in­fluen­za, with Roche fol­low­ing suit in the US. Soon, though, Japan­ese reg­u­la­tors no­ticed the drug was lead­ing to re­sis­tant flu strains, and now a new study in Na­ture con­firms the drug leads to spe­cif­ic mu­ta­tions that may ham­per its promise to neu­tral­ize the virus in a sin­gle dose.

“In a worst case sce­nario, these mu­ta­tions could ren­der the drug en­tire­ly use­less,” An­drew Pekosz, a mol­e­c­u­lar bi­ol­o­gist at Johns Hop­kins who was not in­volved in the study, told End­points News. “They haven’t yet, and it’s not clear why that’s been the case.”

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