Moving Past Ganciclovir and Foscarnet: Advances in CMV Therapy.


Journal

Current hematologic malignancy reports
ISSN: 1558-822X
Titre abrégé: Curr Hematol Malig Rep
Pays: United States
ID NLM: 101262565

Informations de publication

Date de publication:
04 2020
Historique:
pubmed: 26 1 2020
medline: 22 12 2020
entrez: 26 1 2020
Statut: ppublish

Résumé

CMV DNA polymerase inhibitors such as ganciclovir and foscarnet have dramatically reduced the burden of CMV infection in the HCT recipient. However, their use is often limited by toxicities and resistance. Agents with novel mechanisms and favorable toxicity profiles are critically needed. We review recent developments in CMV antivirals and immune-based approaches to mitigating CMV infection. Letermovir, an inhibitor of the CMV terminase complex, was approved in 2017 for primary CMV prophylaxis in adult seropositive allogeneic HCT recipients. Maribavir, an inhibitor of the CMV UL97 kinase, is currently in two phase 3 treatment studies. Adoptive immunotherapy using third-party T cells has proven safe and effective in preliminary studies. Vaccine development continues, with several promising candidates currently under study. No longer limited to DNA polymerase inhibitors, the prevention and treatment of CMV infections in the HCT recipient is a rapidly evolving field which should translate into improvements in CMV-related outcomes.

Identifiants

pubmed: 31981100
doi: 10.1007/s11899-020-00557-6
pii: 10.1007/s11899-020-00557-6
pmc: PMC7223398
doi:

Substances chimiques

Antiviral Agents 0
Cytomegalovirus Vaccines 0
Immunosuppressive Agents 0
Foscarnet 364P9RVW4X
Ganciclovir P9G3CKZ4P5

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

90-102

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Auteurs

Morgan Hakki (M)

Division of Infectious Diseases, Department of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Mail code L457, Portland, OR, 97239, USA. hakki@ohsu.edu.

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