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Related Experiment Videos

Fomivirsen.

C M Perry1, J A Balfour

  • 1Adis International Limited, Mairangi Bay, Auckland, New Zealand. demail@adis.co.nz

Drugs
|April 8, 1999
PubMed
Summary
This summary is machine-generated.

Fomivirsen, an antisense oligonucleotide, effectively treats cytomegalovirus retinitis by inhibiting viral replication. Clinical trials show it significantly delays disease progression in patients with AIDS, with manageable side effects.

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Area of Science:

  • Ophthalmology
  • Virology
  • Pharmacology

Background:

  • Cytomegalovirus (CMV) retinitis is a serious complication, particularly in immunocompromised individuals.
  • Antisense oligonucleotides offer a targeted approach to antiviral therapy.
  • Fomivirsen (ISIS 2922) is an investigational drug targeting CMV replication.

Purpose of the Study:

  • To evaluate the efficacy and safety of fomivirsen for treating CMV retinitis.
  • To determine the pharmacokinetic profile of fomivirsen in retinal tissue.
  • To assess the impact of fomivirsen on the progression of CMV retinitis in patients with AIDS.

Main Methods:

  • Pharmacokinetic studies in monkeys following intravitreal injection.
  • Clinical trials involving patients with CMV retinitis, including those with AIDS.

Related Experiment Videos

  • Assessment of disease progression and adverse events in treated patients.
  • Main Results:

    • Fomivirsen demonstrated a mean maximum retinal concentration at 2 days post-injection in monkeys.
    • The elimination half-life in monkey retina was 78 hours.
    • Fomivirsen significantly delayed CMV retinitis progression in patients with AIDS, with median times to progression of 71 days (early treatment) and 90 days (advanced disease).
    • Common adverse events included increased intraocular pressure and inflammation, generally reversible.

    Conclusions:

    • Fomivirsen is a promising therapeutic agent for CMV retinitis.
    • Intravitreal fomivirsen effectively inhibits CMV replication and delays disease progression.
    • The drug is generally well-tolerated, with manageable ocular side effects.