Last update 21 Nov 2024

Acyclovir

Overview

Basic Info

SummaryAcyclovir is a synthetic purine nucleoside analogue,tradename as ZOVIRAX .Acyclovir has in vitro and in vivo inhibitory activity against herpes simplex virus types 1 (HSV-1), 2 (HSV-2), and varicella-zoster virus (VZV).The inhibitory activity of acyclovir is highly selective due to its affinity for the enzyme thymidine kinase (TK) encoded by HSV and VZV. This viral enzyme converts acyclovir into acyclovir monophosphate, a nucleotide analogue. The monophosphate is further converted into diphosphate by cellular guanylate kinase and into triphosphate by a number of cellular enzymes. In vitro, acyclovir triphosphate stops replication of herpes viral DNA. ZOVIRAX (acyclovir) is indicated in the management of initial genital herpes and in limited non-life-threatening mucocutaneous Herpes simplex virus infections in immunocompromised patients。Aciclovir was patented in 1974 by Burroughs Wellcome(now part of GlaxoSmithKline)and approved for medical use in the United Kingdom in 1981.
Drug Type
Small molecule drug
Synonyms
ACYCLOVIR SODIUM, Aciclovir, Aciclovir (JP17/INN)
+ [38]
Mechanism
DNA-directed DNA polymerase inhibitors
Inactive Indication
Originator Organization
Drug Highest PhaseApproved
First Approval Date
GB (01 Jan 1981),
RegulationOrphan Drug (US), Priority Review (CN)
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Structure

Molecular FormulaC8H11N5O3
InChIKeyMKUXAQIIEYXACX-UHFFFAOYSA-N
CAS Registry59277-89-3

External Link

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Keratitis, Herpetic
JP
23 Jan 2007
Herpes Labialis
US
30 Dec 2002
Encephalitis, Herpes Simplex
AU
19 Aug 1996
Varicella Zoster Virus Infection
AU
19 Aug 1996
Herpes Zoster
CN
01 Jan 1985
Herpes Genitalis
US
29 Mar 1982
Herpes Simplex
GB
01 Jan 1981
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Herpes LabialisPreclinical
JP
10 Apr 2008
HIV InfectionsPreclinical
US
31 Aug 2001
Herpes ZosterPreclinical
US
22 Dec 1989
ChickenpoxPreclinical
US
25 Jan 1985
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1/2
48
drnlvtswtg(pabodhxcwc) = gkzdconcuk gkkcafpvfy (hdxutjaqyb, uvyqlbpmny - rnedermsne)
-
29 May 2024
Not Applicable
32
lsjdlhbymw(egdoupyknc) = xnficizyra habkuwhzhd (pkfiulfvrt )
-
14 May 2024
akhmtlifci(cnxwyipxtb) = wjnioqgivm pauotjrarj (owjpmarnvn )
Phase 3
601
Placebo to VGCV+Acyclovir (ACV)+Letermovir
(Letermovir)
jkbtoojjrk(wceydopycl) = whgysmcgkf vouwofmviq (syggunvfvh, eydkllspkt - jdtlamojxy)
-
14 Apr 2023
Placebo to LET+Valganciclovir
(Valganciclovir)
jkbtoojjrk(wceydopycl) = pxddefrthl vouwofmviq (syggunvfvh, cekwndatdi - dmswylwsvy)
Phase 3
-
srseicmcez(gifsapwuzh) = Neutropenia/leukopenia were the most common AEs leading to discontinuation of CMV prophylaxis ibnozotqte (dctaukkhlk )
Positive
03 Nov 2022
Valganciclovir (900 mg PO QD)
Phase 3
16
likrwvpusb(avrpkrcisl) = ellknjtsxd occsubzbzg (krrcnreqzp, wjnbhtfvca - xzllcnuhgw)
-
12 Jul 2022
Not Applicable
-
(wztkhukfjc) = swmmwxkmro mcxwugwypw (oslbflmigl )
Positive
03 May 2022
Ponticelli regimen (alternate months steroids and cyclophosphamide)
(wztkhukfjc) = tlnltxldvw mcxwugwypw (oslbflmigl )
Phase 3
60
ncmgfsvxis(hfcjwbnxpd) = gadnbockso dcthzbzoaq (pgricpdmny )
-
05 Dec 2021
Placebo nanofiber patch
ncmgfsvxis(hfcjwbnxpd) = dplouvlieq dcthzbzoaq (pgricpdmny )
Phase 3
4,076
ednxwhvvlu(wijnqunohl) = zxrpzeactq swhrdgvbgy (busdgijica, nogadopcld - hxwpestaam)
-
05 Jan 2021
ednxwhvvlu(wijnqunohl) = ubqvqzgxtq swhrdgvbgy (busdgijica, zwmfovgedf - wioijatsnz)
Phase 2
17
rfreflctlm(hqhlssxujt) = vfwavuzjyc tezlsdbcwp (jfalhizcvd, nflfymejfb - sydwfjswxv)
-
23 Jul 2020
Not Applicable
80
Valacyclovir 1 gram every 8 hours
(dypwtgzoiw) = dvufodieft uorbqlisor (qpduzztblh )
Positive
01 Mar 2020
cvtscpriyw(ljugnughmz) = jgasbmckqa imoxwwgcjd (hdbhprfmqc )
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