Table 2. Summary of the Novel Drugs for the Treatment of CMV Retinitis.
New Anti-CMV Drugs | Mechanism of Action | Advantages |
---|---|---|
Maribavir | Interferes with viral nucleocapsid egress from infected cell nucleus |
Different mechanism of action reduces the cross resistance associated with earlier drugs |
BAY 38-4766 | Inhibits DNA maturation | Decreases mutation in UL89 and UL56 genes responsible for development of drug resistance |
Cidofovir esters | Inhibits viral DNA synthesis | Significant improvement in oral bioavailability (88-97%) without any renal toxicity |
Benzimidazole ribosides | Block the cleavage/packaging of viral genomes | Novel mechanism of action confers efficacy to drug resistant strains |
Cyclopropavir and methyle-necyclopropane
analogs |
Inhibits viral DNA synthesis and the normal activity of the UL97 kinase |
Retains its activity against most GCV-resistant and clinical isolates |
AIC246 | Inhibits the cleavage/packaging of viral DNA | Excellent antiviral activity against clinical isolates of CMV |