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JAC Advance Access originally published online on May 26, 2005
Journal of Antimicrobial Chemotherapy 2005 56(1):10-19; doi:10.1093/jac/dki168
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org

Review

Stampidine: a selective oculo-genital microbicide

Osmond J. D'Cruz1,2,* and Fatih M. Uckun1

1 Parker Hughes Institute, 2657 Patton Road, St Paul, MN 55113, USA; 2 Paradigm Pharmaceuticals, LLC, St Paul, MN, USA


* Corresponding author. Tel: +1-651-628-9988; Fax: +1-651-628-9891; E-mail: odcruz{at}ih.org

Adenoviruses (ADVs) are causative agents of severe and extremely contagious ocular and genital infections associated with conjunctivitis, genital ulcers and urethritis. Yet, no functional antiviral compounds are currently available against adenoviral infections. We discovered halogen-substituted phenyl phosphoramidate derivatives of stavudine (STV/d4T) as a new class of dual-function anti-human immunodeficiency virus (HIV) agents with potent and selective anti-ADV activity. The lead compound, stampidine [5'-(4-bromophenyl methoxyalaninylphosphate)-2',3'-didehydro-3'-deoxythymidine], was the most potent non-toxic dual-function antiviral agent. Stampidine displayed remarkable in vitro and in vivo anti-HIV activity against drug-sensitive and drug-resistant HIV strains. Stampidine was non-cytotoxic and nonirritating to mucosal epithelial cells. Several preclinical studies conducted thus far, suggest that stampidine has clinical potential as a dual-function topical agent for the prevention and/or effective treatment of oculo-genital ADV/HIV infections.

Keywords: adenovirus , conjunctivitis , contact lens , HIV/AIDS , eye infections , stavudine , d4T


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