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FV-100 - Herpes Zoster
Herpes zoster,also known as shingles, results from the reactivation of the same virus that causes chickenpox (varicella zoster virus). There are over 2.5 million cases of shingles worldwide each year, about half of which occur in the U.S. Shingles causes a painful vesicular rash, or lesions, that generally take two to four weeks to heal. Further, approximately 90% of all shingles patients will experience shingles associated pain, and approximately 20% will develop painful, and often debilitating, post-herpetic neuralgia (PHN), which is shingles-associated pain that lasts 90 days or more. Both the incidence of shingles and PHN increases with age, with approximately 50% of all shingles cases occur in persons over 60 years of age.

FV-100 is a bicyclic nucleoside analogue we are developing for the treatment of herpes zoster (shingles) and the reduction of shingles-associated accute pain and PHN. In pre-clinical studies, FV-100 has proven to be the fastest acting and most potent antiviral available against herpes zoster.

We have completed several Phase I clinical trials of FV-100. These trials include single and multiple ascending dose studies aged 18-55, and a separate study conducted in studies 65 years of age or older. The studies showed FV-100 to be well tolerated at all dose levels and the pharmacokinetic data support evaluation of once-a-day dosing. We are currently conducting a Phase II trial of FV-100 in 350 shingles patients 50 years and older with active herpes zoster. For more information about this trial, please go to www.ClinicalTrials.gov.

FV-100 Publications
bullet FV-100: the most potent and selective anti-varicella zoster virus agent reported to date
Antiviral Chemistry & Chemotherapy (2009) 20
Marco Migliore
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bullet FV100 as a new approach for the possible treatment of varicella-zoster virus infection
Journal of Antimicrobial Chemotherapy (2009) 64, 671–673, Advance Access publication August 13, 2009
McGuigan C, Balzarini J.
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bullet A Study of the Safety and Pharmacokinetics of Single and Multiple Doses of FV-100 in Subjects 65 Years and Over
22nd Annual International Conference on Antiviral Research (ICAR), Miami Beach, FL; May 3 - 7, 2009
Dr. Mark Matson et al.
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bullet A Study of the Safety and Pharmacokinetics of Multiple Ascending Doses of FV-100 in Healthy Subjects
22nd Annual International Conference on Antiviral Research (ICAR), Miami Beach, FL; May 3 - 7, 2009
Dr. Mark Matson et al.
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bullet Aryl Furano Pyrimidines: The Most Potent and Selective Anti-VZV Agents Reported to Date
Antiviral Research, 2006 Sep;71(2-3): 149-153.
McGuigan C, Balzarini J.
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bullet Susceptibilities of Several Clinical Varicella-Zoster Virus (VZV) Isolates and Drug-Resistant VZV Strains to Bicyclic Furano Pyrimidine Nucleosides
Andrei G, Sienaert, McGuigan C2 De Clercq E, Balzarini J, Snoeck R.
Antimicrobial Agents and Chemotherapy, 2005 Mar.; 49 (3): 1081-1086.
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bullet Bicyclic Pyrimidine Nucleoside Analogues (BCNAs) as Highly Selective and Potent Inhibitors of Varicella-Zoster Virus Replication
Journal of Antimicrobial Chemotherapy, 2002 Jul;50(1): 5-9.
Balzarini J, McGuigan C.
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bullet Lack of Susceptibility of Bicyclic Nucleoside Analogs, Highly Potent Inhibitors of Varicella-Zoster Virus, to the Catabolic Action of Thymidine Phosphorylase and Dihydropyrimidine Dehydrogenase
Molecular Pharmacology, 2002 May;61(5): 1140-1145.
Balzarini J, Sienaert R, Liekens S, Van Kuilenburg A, Carangio A, Esnouf R, De Clercq E, McGuigan C.
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bullet Specific Recognition of the Bicyclic Pyrimidine Nucleoside Analogs, a New Class of Highly Potent and Selective Inhibitors of Varicella-Zoster Virus (VZV), by the VZV-Encoded Thymidine Kinase
Molecular Pharmacology, 2002 Feb;61(2):249-254.
Sienaert R, Naesens L, Brancale A, De Clercq E, McGuigan C, Balzarini J.
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bullet In Vitro Delivery of Novel, Highly Potent Anti-Varicella Zoster Virus Nucleoside Analogues to their Target Site in the Skin
Pharmaceutical Research, 2004 June;21(6): 914-919.
Jarvis C, McGuigan C, Heard C.
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bullet Metabolism and Mode of Inhibition of Varicella-Zoster Virus by L-β-5-Bromovinyl-(2-hydroxymethyl)-(1,3-dioxolanyl)uracil Is Dependent on Viral Thymidine Kinase
Molecular Pharmacology, 2000 Nov;58(5): 1109-1114.
Li L, Dutschman G, Gullen E, Tsujii E, Grill S, Choi Y, Chu C, Cheng Y.
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