2'-fluoro-5-iodoarabinosylcytosine, a new potent antiviral agent: Efficacy in immunosuppressed individuals with herpes zoster Journal Article


Authors: Leyland-Jones, B.; Donnelly, H.; Groshen, S.; Myskowski, P.; Donner, A. L.; Fanucchi, M.; Fox, J.; and the Memorial Sloan-Kettering Antiviral Working Group
Contributors: Lopez, C.; Young, C. W.; Philips, F. S.; Brown, A. E.; Gold, J.; Armstrong, D.; Watanabe, K. A.; Safai, B.; Burchenal, J. H.; Price, R.; Clarkson, B. D.
Article Title: 2'-fluoro-5-iodoarabinosylcytosine, a new potent antiviral agent: Efficacy in immunosuppressed individuals with herpes zoster
Abstract: 2'-Fluoro-5-iodoarabinosylcytosine (FIAC) has potent antiviral activity in vivo against herpes simplex virus types 1 and 2 and cytomegalovirus. For examination of the clinical efficacy of FIAC, a randomized, double-blind study of FIAC versus adenine arabinoside (ara-A) was conducted in 34 immunosuppressed individuals with varicella-zoster virus infections. The median time to the appearance of the last new lesion was shorter in patients who received FIAC relative to those who received ara-A (two versus five days, respectively; P <.001) FIAC also reduced pain and accelerated initial crusting within 72 hr in a significantly greater proportion of patients when compared with ara-A (P =.004 and P =.0009, respectively). FIAC caused few toxic reactions (mild nausea and transient elevation in activity of serum aspartate aminotransferase). Thus FIAC is therapeutically superior to ara-A for the treatment of varicella-zoster virus infections in immunosuppressed subjects. © 1986 Oxford University Press.
Keywords: adolescent; adult; child; clinical article; aged; middle aged; drug efficacy; cytarabine; methodology; neoplasms; nausea; vomiting; herpes zoster; lymphatic system; immune tolerance; chemistry; antivirus agent; virus infection; drug therapy; immunosuppressive treatment; double-blind method; therapy; cytomegalovirus; clinical trials; vidarabine; antiviral agents; random allocation; varicella zoster virus; reticuloendothelial system; new drug; fiacitabine; humans; human; male; female; priority journal
Journal Title: Journal of Infectious Diseases
Volume: 154
Issue: 3
ISSN: 0022-1899
Publisher: Oxford University Press  
Date Published: 1986-09-01
Start Page: 430
End Page: 436
Language: English
DOI: 10.1093/infdis/154.3.430
PUBMED: 3525694
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 18 August 2021 -- Source: Scopus
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MSK Authors
  1. Patricia Myskowski
    216 Myskowski
  2. Bayard Clarkson
    220 Clarkson
  3. Arthur E Brown
    76 Brown
  4. Donald Armstrong
    240 Armstrong
  5. Charles W Young
    82 Young
  6. Kyoichi A Watanabe
    125 Watanabe
  7. Jonathan W. M. Gold
    73 Gold
  8. Richard W. Price
    58 Price
  9. Bijan Safai
    52 Safai
  10. Jack J. Fox
    27 Fox
  11. Susan Groshen
    28 Groshen