2' and 3'-Prodrugs of 1', 2', 3' or 4'-branched .beta.-D or .beta.-L
nucleosides, or their pharmaceutically acceptable salts and derivatives
are described, which are useful in the prevention and treatment of
Flaviviridae infections and other related conditions. These modified
nucleosides provide superior results against flaviviruses and
pestiviruses, including hepatitis C virus and viruses generally that
replicate through an RNA dependent RNA reverse transcriptase. Compounds,
compositions, methods and uses are provided for the treatment of
Flaviviridae infection, including HCV infection, that include the
administration of an effective amount of the prodrugs of the present
invention, or their pharmaceutically acceptable salts or derivatives.
These drugs may optionally be administered in combination or alteration
with further anti-viral agents to prevent or treat Flaviviridae
infections and other related conditions.