- 関
- fomivirsen
WordNet
- a silvery soft waxy metallic element of the alkali metal group; occurs abundantly in natural compounds (especially in salt water); burns with a yellow flame and reacts violently in water; occurs in sea water and in the mineral halite (rock salt) (同)Na, atomic number 11
PrepTutorEJDIC
- ソジウム,ナトリウム(金属元素;化学記号はNa)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/10/28 23:05:24」(JST)
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Fomivirsen
|
Clinical data |
AHFS/Drugs.com |
Micromedex Detailed Consumer Information |
Pregnancy
category |
|
Routes of
administration |
Intravitreal injection |
Identifiers |
CAS Registry Number |
160369-77-7 Y |
ATC code |
S01AD08 |
KEGG |
D02736 Y |
ChEMBL |
CHEMBL1201688 N |
Chemical data |
Formula |
C204H263N63O114P20S20 |
Molecular mass |
6682.4 g/mol |
N (what is this?) (verify) |
Fomivirsen (brand name Vitravene) is an antiviral drug. It is used in the treatment of cytomegalovirus retinitis (CMV) in immunocompromised patients, including those with AIDS. It was licenced by the FDA for CMV in Aug 1998.
It is a synthetic 21 member oligonucleotide with phosphorothioate linkages (which are resistant to degradation by nucleases) and has the sequence:
- 5'-GCG TTT GCT CTT CTT CTT GCG-3'
Contents
- 1 Mechanism
- 2 Administration
- 3 See also
- 4 References
- 5 Further reading
- 6 External links
Mechanism
It is an oligonucleotide[1] that blocks translation of viral mRNA by binding to the complementary sequence of the mRNA transcribed from the template segment of a key CMV gene. It was the first antisense antiviral approved by the FDA.[2]
Administration
It is available as an intraocular injection in a concentration of 6.6 mg/mL.[3]
See also
References
- ^ Mulamba GB, Hu A, Azad RF, Anderson KP, Coen DM (April 1998). "Human Cytomegalovirus Mutant with Sequence-Dependent Resistance to the Phosphorothioate Oligonucleotide Fomivirsen (ISIS 2922)". Antimicrob. Agents Chemother. 42 (4): 971–3. PMC 105584. PMID 9559825.
- ^ Roush W (May 1997). "Antisense aims for a renaissance". Science 276 (5316): 1192–3. doi:10.1126/science.276.5316.1192. PMID 9182327.
- ^ Katzung, Bertram G. (2006). Basic and Clinical Pharmacology (10th ed.). New York: McGraw-Hill Medical Publishing Division. p. 817. ISBN 0-07-145153-6.
Further reading
- Grillone, LR; Lanz, R (2001). "Fomivirsen". Drugs Today (Barc) 37 (4): 245–255. PMID 12768225.
- Geary R, Henry S, Grillone L (2002). "Fomivirsen: clinical pharmacology and potential drug interactions". Clin Pharmacokinet 41 (4): 255–60. doi:10.2165/00003088-200241040-00002. PMID 11978144.
- Vitravene Study, Group (2002). "Randomized dose-comparison studies of intravitreous fomivirsen for treatment of cytomegalovirus retinitis that has reactivated or is persistently active despite other therapies in patients with AIDS". Am J Ophthalmol 133 (4): 475–83. doi:10.1016/S0002-9394(02)01326-0. PMID 11931781.
- Roehr B (1998). "Fomivirsen approved for CMV retinitis". J Int Assoc Physicians AIDS Care 4 (10): 14–6. PMID 11365956.
External links
- MedlinePlus DrugInfo uspdi-203675
- DDB 31313
- "Vitravene (Fomivirsen) Drug Information: Uses, Side Effects, Drug Interactions and Warning". RxList. 2004-12-08. Retrieved 2009-05-20.
DNA virus antivirals (primarily J05, also S01AD and D06BB)
|
|
Baltimore I |
Herpesvirus |
DNA-synthesis
inhibitor |
TK activated |
Purine analogue |
- guanine (Aciclovir#/Valaciclovir
- Ganciclovir/Valganciclovir
- Penciclovir/Famciclovir)
|
|
Pyrimidine analogue |
- uridine (Idoxuridine
- Trifluridine (+tipiracil)
- Edoxudine)
|
|
|
Not TK activated |
|
|
|
Other |
- Docosanol
- early protein (Fomivirsen)
- Tromantadine
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|
|
HPV/MC |
- Imiquimod/Resiquimod
- Podophyllotoxin
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|
Vaccinia |
|
|
Poxviridae |
|
|
|
Hepatitis B (VII) |
- Nucleoside analogues/NARTIs: Entecavir
- Lamivudine
- Telbivudine
- Clevudine
- Nucleotide analogues/NtRTIs: Adefovir
- Tenofovir
|
|
Multiple/general |
Nucleic acid inhibitors |
|
|
Interferon |
- Interferon alfa 2b
- Peginterferon alfa-2a
|
|
Multiple/unknown |
- Ribavirin#/Taribavirin†
- Moroxydine
|
|
|
- #WHO-EM
- ‡Withdrawn from market
- Clinical trials:
- †Phase III
- §Never to phase III
Index of viral disease
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|
Description |
|
|
Disease |
- Systemic
- Cutaneous
- Zoster
- Human papillomavirus
- Zoonotic
- Symptoms and signs
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|
Treatment |
|
|
|
UpToDate Contents
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English Journal
- Intravitreal clearance and volume of distribution of compounds in rabbits: In silico prediction and pharmacokinetic simulations for drug development.
- Del Amo EM1, Vellonen KS2, Kidron H3, Urtti A4.
- European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft für Pharmazeutische Verfahrenstechnik e.V.Eur J Pharm Biopharm.2015 Sep;95(Pt B):215-26. doi: 10.1016/j.ejpb.2015.01.003. Epub 2015 Jan 17.
- The aims of this research were to (1) create a curated universal database of intravitreal volumes of distribution (Vss, ivt) and clearances (CLivt) of small molecular weight compounds and macromolecules and (2) to develop quantitative structure property relationship (QSPR) and pharmacokinetic models
- PMID 25603198
- Therapeutic antisense oligonucleotides against cancer: hurdling to the clinic.
- Moreno PM1, Pêgo AP2.
- Frontiers in chemistry.Front Chem.2014 Oct 14;2:87. doi: 10.3389/fchem.2014.00087. eCollection 2014.
- Under clinical development since the early 90's and with two successfully approved drugs (Fomivirsen and Mipomersen), oligonucleotide-based therapeutics has not yet delivered a clinical drug to the market in the cancer field. Whilst many pre-clinical data has been generated, a lack of understanding
- PMID 25353019
- Relieving bottlenecks in RNA drug discovery for retinal diseases.
- Sullivan JM1, Yau EH, Taggart RT, Butler MC, Kolniak TA.
- Advances in experimental medicine and biology.Adv Exp Med Biol.2012;723:145-53. doi: 10.1007/978-1-4614-0631-0_20.
- PMID 22183327
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- fomivirsen、fomivirsen sodium
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- 英
- fomivirsen sodium
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