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fomivirsen

Antisense oligonucleotide · Antiviral (Anti-CMV)

Antisense oligonucleotideAntiviral (Anti-CMV)
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

Fomivirsen is a 21-base phosphorothioate oligonucleotide that provides antisense therapy. It is complementary to the mRNA sequence for the major immediate-early transcriptional region of CMV and inhibits CMV replication through sequence-specific and nonspecific mechanisms, including inhibition of virus binding to cells.

Indications

CMV retinitis (for patients intolerant of or unresponsive to other therapies, and in HIV-infected patients with refractory, sight-threatening CMV retinitis)CMV retinitis (injected into vitreous humor)

Pharmacokinetics

Half-life
~55 h (vitreous)

Side effects

Common
iritis (up to one-quarter of patients)vitritiscataractsincreases in intraocular pressure (15% to 20%)ocular complications

Related guidelines

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Sources: KD Tripathi 7e, Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team