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JAC Advance Access originally published online on April 14, 2003
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Journal of Antimicrobial Chemotherapy (2003) 51, 1079-1083
© 2003 The British Society for Antimicrobial Chemotherapy


Leading Article

New inhibitors of human cytomegalovirus (HCMV) on the horizon

Erik De Clercq*

Rega Institute for Medical Research, Katholieke Universiteit Leuven, Minderbroedersstraat 10, B-3000 Leuven, Belgium

Keywords: human cytomegalovirus, antivirals

The first 150 words of the full text of this article appear below.

There are at present five compounds that have been officially licensed for the treatment of human cytomegalovirus (HCMV) infections: ganciclovir [GCV, 9-(1,3-dihydroxy- 2-propoxymethyl)guanine, Cymevene, Cytovene] (1; Figure 1), which is administered intravenously at 10 mg/kg per day (2 x 5 mg/kg, every 12 h) for induction therapy and intravenously at 5 mg/kg once daily or orally at 3000 mg/day (3 x 4 x 250 mg capsules) for maintenance therapy (the latter also for prevention); ganciclovir can also be implanted intravitreally (Vitrasert); foscarnet [trisodium phosphonoformate, phosphonoformic acid (PFA), Foscavir] (2), which is administered intravenously at 180 mg/kg per day (3 x 60 mg/kg, every 8 h) for induction therapy and at 120 mg/kg per day (3 x 40 mg/kg, every 8 h) for maintenance therapy; cidofovir [CDV, (S)-1-(3-hydroxy-2-phosphonylmethoxypropyl)cytosine, Vistide] (3), which is administered intravenously at 5 mg/kg per week during the first . . . [Full Text of this Article]


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