During the first 18 months, NAVIPP has made substantial progress across all work packages.
• Compound library and screening: A diverse library of over 300 000 molecules was built, surpassing the original target of 125 000. High-throughput screening campaigns were completed against four viral families (Filoviridae, Flaviviridae, Paramyxoviridae, Coronaviridae), yielding more than 160 promising hits. Early validation confirmed activity of 17 compounds against Ebola virus in BSL-4 laboratories.
• Ex vivo and in vitro validation: Human precision-cut lung slices (hPCLuS) were established and cryopreservation protocols optimised, enabling transfer to high-containment partners. Antiviral assays were validated for multiple priority viruses, and first hits are being confirmed.
• Preclinical evaluation: Preparatory work was completed for pharmacokinetics, safety studies and in vivo efficacy assays. Although experimental testing will take place in later phases, timelines remain on track.
• Mechanistic studies: Cell painting and proteomic platforms have been prepared to unravel how candidate antivirals act at the molecular level.
• Vectorisation and product profiles: Nanofitin®-based technologies were advanced to extend drug half-life and enable novel conjugation strategies. The consortium also supported WHO in developing Target Product Profiles for dengue and Nipah virus therapeutics.
• Clinical readiness: A major milestone was the design of the ADAPT platform trial for dengue. A retrospective analysis of over 2,300 dengue patients clarified links between viral load and severity, informing trial methodology. Protocols and approvals were secured in Vietnam (with Malaysia pending), logistics and risk monitoring plans finalised, and candidate therapeutics prioritised. Recruitment is expected to start in late 2025.
• Project management and communication: Governance structures were established, all due deliverables (Project Management Handbook, Data Management Plan, Dissemination & Communication strategy) were completed, and the project’s website launched.