ganciclovir
Trade name: cytovene
Approved
Jun 23, 1989
There is no information in the literature about pharmacological and biological application of definite isomer: R of valganciclovir. However, is known, that valganciclovir, existing, as a mixture of R and S diasteriomers, is the active ingredient in Valcyte, which is used as an antiviral medication given to patients who have a high chance of developing cytomegalovirus (CMV) disease after receiving a heart, kidney, or kidney-pancreas transplant. It was proposed, that stable aqueous solutions of valganciclovir can be prepared in aqueous solutions at acidic pHs but these solutions will exist as a mixture of isomers: R and S — NCATS
Clinical trial activity
101 trials · 89 clinical orgs · 23 marketing orgs
Earliest trial started Mar 1, 1990 (NCT00000136)
Timeline
1980s
- Oct 31, 1985
Orphan Drug Designation
- Jun 23, 1989
Roche — Earliest FDA Approval
- Jun 23, 1989
Roche — NDA Organization
- Jun 23, 1989
CheplaPharm — Marketing Organization
- Jun 23, 1989
CheplaPharm — NDA Secondary Org
1990s
- Jan 1, 1990
Earliest Phase 3 Sponsor(trial)
- Jan 1, 1992
Earliest Phase 1 Sponsor(trial)
- Mar 4, 1996
Bausch & Lomb — NDA Secondary Org
- Jan 1, 1999
Earliest Phase 2 Sponsor(trial)
2000s
- Jul 16, 2003
West-Ward Pharmaceutical — Marketing Organization
- Jul 16, 2003
Hikma — Marketing Organization
2010s
- Jun 21, 2010
Fresenius — Marketing Organization
- Sep 18, 2013
Sankyo — Marketing Organization
- Sep 18, 2013
Lutipold — Marketing Organization
- Sep 18, 2013
Daiichi Sankyo — Marketing Organization
- Dec 6, 2016
Par Pharmaceuticals — Marketing Organization
- Dec 6, 2016
Bristol-Myers Squibb — Marketing Organization
- Dec 6, 2016
Endo Pharmaceuticals — Marketing Organization
- Dec 6, 2016
PH HEALTH — Marketing Organization
- Feb 17, 2017
Exela Pharma Sciences, LLC. — NDA Secondary Org
- Feb 17, 2017
Exela Pharma Sciences, LLC. — Marketing Organization
- Nov 17, 2017
Mylan — Marketing Organization
- Nov 17, 2017
STERISCIENCE — Marketing Organization
- Nov 17, 2017
ONESOURCE SPECIALTY — Marketing Organization
- Dec 8, 2017
Pharmasciences — Marketing Organization
- Dec 8, 2017
Ferring — Marketing Organization
- Nov 8, 2018
Hainan Poly Pharm — Marketing Organization
- Nov 8, 2018
SLATE RUN PHARMA — Marketing Organization
- Jun 20, 2019
Custopharm Inc — Marketing Organization
Indications
Approved for
Studied for
- Acne Vulgaris · Phase 2
- Acquired Immunodeficiency Syndrome · Phase 3
- Acute Kidney Injury · Phase 4
- Acute Lung Injury · Phase 2
- Adenovirus Infections, Human · Phase 3
- Anus Neoplasms · Phase 1
- Brain Diseases · Phase 1
- Brain Neoplasms · Phase 1
- Breast Neoplasms · Phase 1
- Burkitt Lymphoma · Phase 2
- Carcinoma, Hepatocellular · Phase 2
- Colitis · Phase 1
- Conjunctivitis · Phase 4
- Critical Illness · Phase 2
- Cytomegalovirus Infections · Phase 4
- Cytomegalovirus Retinitis · Phase 4
- Diabetes Mellitus, Type 1 · Phase 2
- DNA Virus Infections · Phase 4
- Dry Eye Syndromes · Phase 2
- Fallopian Tube Neoplasms · Phase 2
- Ganciclovir · Early Phase 1
- Gastrointestinal Diseases · Phase 2
- Graft vs Host Disease · Phase 2
- Hamartoma · Phase 2
- Hematologic Diseases · Phase 4
- Hematopoietic Stem Cell Transplantation · Phase 3
- Herpesviridae Infections · Phase 4
- HIV Infections · Phase 4
- Infections · Phase 4
- Intestinal Neoplasms · Phase 1
- Keratoconjunctivitis Sicca · Phase 2
- Kidney Diseases · Phase 1/Phase 2
- Kidney Transplantation · Phase 1/Phase 2
- Leukemia · Phase 2
- Liver Neoplasms · Phase 2
- Liver Transplantation · Phase 1
- Lung Diseases · Phase 3
- Lung Transplantation · Phase 4
- Lupus Nephritis · Phase 2
- Lymphoid Tissue · Phase 2
- Lymphoma · Phase 2
- Lymphoproliferative Disorders · Phase 1
- Melanoma · Phase 1
- Mesothelioma, Malignant · Phase 1
- Multiple Myeloma · Phase 2
- Multiple Organ Failure · Phase 4
- Myelodysplastic-Myeloproliferative Diseases · Phase 2
- Myelodysplastic Syndromes · Phase 2
- Myeloproliferative Disorders · Phase 2
- Neoplasm Metastasis · Phase 1
- Neuroblastoma · Phase 1
- Organ Transplantation · Phase 4
- Ovarian Neoplasms · Phase 2
- Penile Neoplasms · Phase 1
- Pneumonia, Viral · Phase 4
- Precancerous Conditions · Phase 1
- Radiculopathy · Phase 1
- Respiratory Distress Syndrome · Phase 2
- Respiratory Insufficiency · Phase 2
- Sarcoma · Phase 1
- Squamous Cell Carcinoma of Head and Neck · Phase 1
- Transplantation · Phase 3
- Uterine Cervical Neoplasms · Phase 1
- Uveitis · Phase 2/Phase 3
- Varicella Zoster Virus Infection · Phase 2
- Virus Shedding · Phase 4
- Vulvar Neoplasms · Phase 1
Mechanism of action
- Human herpesvirus 1 DNA polymeraseINHIBITOR
Human herpesvirus 1 DNA polymerase inhibitor
Approval history
- approvedPriority reviewJun 23, 1989
Chemistry & pharmacology
SMILES
Nc1nc2c(ncn2COC(CO)CO)c(=O)[nH]1- Mol. weight
- 255.23 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral, Topical
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
Yes
Sources
- ChEMBLCHEMBL182 ↗
- WikipediaGanciclovir ↗
- NCATSP9G3CKZ4P5 ↗
- ChEMBLCHEMBL2106509 ↗
- ChEMBLCHEMBL1200850 ↗
- ChEMBLCHEMBL1160385 ↗
Also known as
- 2-(6-amino-purin-9-ylmethoxy)-propane-1,3-diol
- 2-(6-amino-purin-9-ylmethoxy)-propane-1,3-diol
- 2-amino-9-((1,3-dihydroxypropan-2-yloxy)methyl)-1h-purin-6(9h)-one
- 2-amino-9-((1,3-dihydroxypropan-2-yloxy)methyl)-1h-purin-6(9h)-one
- 2-amino-9-((1,3-dihydroxypropan-2-yloxy)methyl)-3h-purin-6(9h)-one
- 2-amino-9-((1,3-dihydroxypropan-2-yloxy)methyl)-3h-purin-6(9h)-one
- 2-amino-9-((1,3-dihydroxypropan-2-yloxy)methyl)-9h-purin-6-ol
- 2-amino-9-((1,3-dihydroxypropan-2-yloxy)methyl)-9h-purin-6-ol
- 2-amino-9-(2-hydroxy-1-hydroxymethyl-ethoxymethyl)-1,9-dihydro-purin-6-one
- 2-amino-9-(2-hydroxy-1-hydroxymethyl-ethoxymethyl)-1,9-dihydro-purin-6-one
- 2-amino-9-(2-hydroxy-1-hydroxymethylethoxymethyl)-6,9-dihydro-1h-6-purinone
- 2-amino-9-(2-hydroxy-1-hydroxymethylethoxymethyl)-6,9-dihydro-1h-6-purinone
- 9-[(1,3-dihydroxy-2-propoxy)methyl]guanine
- 9-[(1,3-dihydroxy-2-propoxy)methyl]guanine
- 9-((2-hydroxy-1-(hydroxymethyl)ethoxy)methyl)guanine
- 9-((2-hydroxy-1-(hydroxymethyl)ethoxy)methyl)guanine
- bw-759u
- bw-759u
- cymevene
- cymevene
- cytovene
- cytovene
- cytovene
- denosine
- ga2
- ga2
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir
- ganciclovir sodium
- ganciclovir sodium
- ganciclovir sodium
- ganciclovir sodium
- ganciclovir sodium
- ganciclovirum
- ganciclovirum
- gancyclovir
- gancyclovir
- gancyclovir
- gancyclovir
- gv550
- hydroxyacyclovir
- natclovir
- rs-21592
- rs-21592
- rs-21592 sodium
- rs-21592 sodium
- virgan
- virgan
- vitrasert
- vitrasert
- zirgan
- zirgan
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07235683 | Phase 4 | Nov 30, 2025 | University of Toronto |
| NCT06971913 | Phase 2 | May 20, 2025 | Peking University |
| NCT06853184 | Phase 2 | May 1, 2025 | Amivas |
| NCT06574789 | Phase 2 | Oct 29, 2024 | Murdoch University |
| NCT06757907 | N/A | Oct 1, 2024 | Al Azhar University |
| NCT06436534 | N/A | May 24, 2024 | Huazhong University of Science and Technology |
| NCT06341686 | Phase 3 | May 5, 2024 | Hospital do Rim e Hipertensão |
| NCT05911503 | Early Phase 1 (Phase 1) | Jul 1, 2023 | Tianjin Medical University |
| NCT05578820 | Phase 1 | Jan 1, 2022 | — |
| NCT04706507 | Phase 3 | Jun 29, 2021 | National Heart, Lung, and Blood Institute (NHLBI), University of Washington |
| NCT04884217 | Phase 2 | May 20, 2021 | GliaCure, Inc., Pharmadax Inc |
| NCT04225780 | Phase 1/Phase 2 (Phase 2) | Feb 1, 2020 | Peking University |
| NCT03990051 | Phase 2 | Jun 17, 2019 | GliaCure, Inc., Harvard University |
| NCT03699254 | Phase 3 | Apr 30, 2019 | Hospital Universitario Reina Sofía, Universidad Carlos III Madrid, Universidad de Cordoba |
| NCT03586284 | Phase 2/Phase 3 (Phase 3) | Oct 31, 2018 | Chulalongkorn University, Hwang Pacific Foundation, KhonKaen University, National Taiwan University, University of California, San Francisco |
| NCT03217474 | N/A | Jul 20, 2017 | Sun Yat-Sen University |
| NCT02931539 | Phase 3 | Dec 1, 2016 | Shire |
| NCT03004261 | Phase 4 | Nov 1, 2016 | Jiao Tong University, Shanghai iCELL Biotechnology Co., Ltd, Shanghai, China |
| NCT02943057 | Phase 4 | Aug 1, 2016 | Singapore Eye Research Institute, Singapore National Eye Centre |
| NCT02382588 | Phase 2 | Jan 1, 2015 | Bausch & Lomb, Northwestern University |
Organizations
Research & Development (89)
Marketing (27)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Bausch & Lomb | For profit | NDA2 | Mar 4, 1996 |
| Bristol-Myers Squibb | For profit | MKTG | Dec 6, 2016 |
| CheplaPharm | For profit | MKTG | Jun 23, 1989 |
| CheplaPharm | For profit | NDA2 | Jun 23, 1989 |
| Custopharm Inc | For profit | MKTG | Jun 20, 2019 |
| Daiichi Sankyo | For profit | MKTG | Sep 18, 2013 |
| Endo Pharmaceuticals | For profit | MKTG | Dec 6, 2016 |
| Exela Pharma Sciences, LLC. | For profit | NDA2 | Feb 17, 2017 |
| Exela Pharma Sciences, LLC. | For profit | MKTG | Feb 17, 2017 |
| Ferring | For profit | MKTG | Dec 8, 2017 |
| Fresenius | For profit | MKTG | Jun 21, 2010 |
| Hainan Poly Pharm | For profit | MKTG | Nov 8, 2018 |
| Hikma | For profit | SYN | Jul 16, 2003 |
| Hikma | For profit | MKTG | Jul 16, 2003 |
| Lutipold | For profit | MKTG | Sep 18, 2013 |
| Mylan | For profit | MKTG | Nov 17, 2017 |
| ONESOURCE SPECIALTY | For profit | MKTG | Nov 17, 2017 |
| PH HEALTH | For profit | MKTG | Dec 6, 2016 |
| Par Pharmaceuticals | For profit | MKTG | Dec 6, 2016 |
| Pharmasciences | For profit | MKTG | Dec 8, 2017 |
| Ranbaxy | For profit | MKTG | — |
| Roche | For profit | NDA | Jun 23, 1989 |
| SLATE RUN PHARMA | For profit | MKTG | Nov 8, 2018 |
| STERISCIENCE | For profit | MKTG | Nov 17, 2017 |
| STERISCIENCE | For profit | SYN | Nov 17, 2017 |
| Sankyo | For profit | MKTG | Sep 18, 2013 |
| West-Ward Pharmaceutical | For profit | MKTG | Jul 16, 2003 |