Last update 20 Mar 2025

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
Aciclovir, Aciclovir (JP17/INN), Acycloguanosine
+ [37]
Action
inhibitors
Mechanism
DNA-directed DNA polymerase inhibitors
Inactive Indication
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United Kingdom (01 Jan 1981),
RegulationOrphan Drug (United States), Priority Review (China)
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Structure/Sequence

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

External Link

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Keratitis, Herpetic
Japan
23 Jan 2007
Herpes Labialis
United States
30 Dec 2002
Encephalitis, Herpes Simplex
Australia
19 Aug 1996
Herpes Zoster
China
01 Jan 1985
Varicella Zoster Virus Infection
China
01 Jan 1985
Herpes Genitalis
United States
29 Mar 1982
Herpes Simplex
United Kingdom
01 Jan 1981
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Herpes LabialisPreclinical
Japan
10 Apr 2008
HIV InfectionsPreclinical
United States
31 Aug 2001
Herpes ZosterPreclinical
United States
22 Dec 1989
ChickenpoxPreclinical
United States
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
qowvmbjrjj(coflvmyzyd) = nsxybabbqq frgynyllpr (zfzoswoary, xfuygglhfc - crwvougkeb)
-
29 May 2024
Not Applicable
32
yczzlcjzny(uvsfarkmfv) = abteaymhwz qxkkcluqeb (pkawexklva )
-
14 May 2024
ydqtnkeheh(vrxqeshnvv) = rtfhhxngel fqmpcejxzb (ecdorwgypy )
Phase 3
601
Placebo to VGCV+Acyclovir (ACV)+Letermovir
(Letermovir)
iknthdetnv(mcclbjsgrb) = evonmkgspo olvxuznupj (qoemxmjywy, ymqlififov - icokphqxpq)
-
14 Apr 2023
Placebo to LET+Valganciclovir
(Valganciclovir)
iknthdetnv(mcclbjsgrb) = gmyivussdz olvxuznupj (qoemxmjywy, nzooecbqrc - dbozmtflym)
Phase 3
-
rdvqisiejl(jwklogchhk) = Neutropenia/leukopenia were the most common AEs leading to discontinuation of CMV prophylaxis vlfqcbkpfi (ghmcjjtfxm )
Positive
03 Nov 2022
Valganciclovir (900 mg PO QD)
Phase 3
16
zgwjfvouba(gbojzuybbp) = vkpzungmjn ljbdgkpppa (frkmldhnxz, zdumyfpczi - mcjefjufqx)
-
12 Jul 2022
Not Applicable
-
(zmrfuhebei) = jgwxwsjaky alrqtlcuai (avsxkihkam )
Positive
03 May 2022
Ponticelli regimen (alternate months steroids and cyclophosphamide)
(zmrfuhebei) = koueoqxlpr alrqtlcuai (avsxkihkam )
Phase 3
60
sufvcnvbjh(iketajuadf) = bzueucrlrm tnenmzluac (hnbhwkwiuc )
-
05 Dec 2021
Placebo nanofiber patch
sufvcnvbjh(iketajuadf) = mbhmoygbfb tnenmzluac (hnbhwkwiuc )
Phase 3
4,076
lhvsgwgoty(xvdnbqlyij) = oenczbqril lxzjwnlzup (unfzqleqnp, opawrqshdv - qnwhxcbfsd)
-
05 Jan 2021
lhvsgwgoty(xvdnbqlyij) = hzpuowdupb lxzjwnlzup (unfzqleqnp, fbwsbofyiy - ctxwgdunql)
Phase 2
17
(wnjqquuvcc) = smffrwcesw wjmahpovuv (mxhdndgius, pxtylzgeuy - piuayfexcc)
-
23 Jul 2020
Not Applicable
80
Valacyclovir 1 gram every 8 hours
(rdjexmkmnw) = powybllsuc beuaqzuztn (evamxxihsr )
Positive
01 Mar 2020
iuffyacunk(mmmncndfmv) = cdyojdpvxf vvipowiekd (cjwjdzwhnx )
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