Page last updated: 2024-10-27

foscarnet and Opportunistic Infections

foscarnet has been researched along with Opportunistic Infections in 33 studies

Foscarnet: An antiviral agent used in the treatment of cytomegalovirus retinitis. Foscarnet also shows activity against human herpesviruses and HIV.
phosphonoformic acid : Phosphoric acid in which one of the hydroxy groups is replaced by a carboxylic acid group. It is used as the trisodium salt as an antiviral agent in the treatment of cytomegalovirus retinitis (CMV retinitis, an inflamation of the retina that can lead to blindness) and as an alternative to ganciclovir for AIDS patients who require concurrent antiretroviral therapy but are unable to tolerate ganciclovir due to haematological toxicity.

Opportunistic Infections: An infection caused by an organism which becomes pathogenic under certain conditions, e.g., during immunosuppression.

Research Excerpts

ExcerptRelevanceReference
"To evaluate foscarnet sodium in treating cytomegalovirus retinitis in patients with AIDS."9.07A randomized, controlled trial of foscarnet in the treatment of cytomegalovirus retinitis in patients with AIDS. ( Baird, BF; Davey, RT; Davis, M; De Smet, MD; Falloon, J; Kovacs, JA; Palestine, AG; Polis, MA; Zunich, KM; Zurlo, JJ, 1991)
"Cytomegalovirus (CMV) disease is a major cause of morbidity and mortality after lung transplantation despite ganciclovir prophylaxis."7.74A single-center experience with ganciclovir-resistant cytomegalovirus in lung transplant recipients: treatment and outcome. ( Hanson, KE; Palmer, SM; Reddy, AJ; Zaas, AK, 2007)
" Antiviral susceptibility testing of blood cytomegaloviral isolates was done when patients failed to respond to intravenous ganciclovir treatment for symptomatic cytomegalovirus infection."7.70Emergence of ganciclovir-resistant cytomegalovirus disease among recipients of solid-organ transplants. ( Boeckh, M; Corey, L; Davis, CL; Koelle, DM; Limaye, AP, 2000)
" One patient with AIDS suffered from a perineal lesion due to infection with herpes simplex virus type 2 (HSV-2) and did not respond to acyclovir and was intolerant of foscarnet."7.69Successful treatment of progressive mucocutaneous infection due to acyclovir- and foscarnet-resistant herpes simplex virus with (S)-1-(3-hydroxy-2-phosphonylmethoxypropyl)cytosine (HPMPC). ( Andrei, G; Balzarini, J; Clumeck, N; De Clercq, E; Gérard, M; Hedderman, A; Sadzot-Delvaux, C; Silverman, A; Snoeck, R; Tricot, G, 1994)
"Foscarnet (trisodium phosphonoformate), an investigational pyrophosphate analog increasingly used to treat refractory cytomegalovirus retinitis and mucocutaneous herpes simplex virus infections in immunocompromised patients, has been reported to cause abnormalities in serum calcium and phosphate, including cases of fatal hypocalcemia."7.68Foscarnet-induced hypocalcemia and effects of foscarnet on calcium metabolism. ( Aweeka, FT; Causey, DM; Gambertoglio, JG; Jacobson, MA; Portale, AA, 1991)
"Foscarnet has a low solubility and a high degree of ionization at physiologic pH, requiring it to be administered in higher doses and larger volumes."6.38Approaches to the treatment of cytomegalovirus retinitis: ganciclovir and foscarnet. ( Jacobson, MA; O'Donnell, JJ, 1991)
"To evaluate foscarnet sodium in treating cytomegalovirus retinitis in patients with AIDS."5.07A randomized, controlled trial of foscarnet in the treatment of cytomegalovirus retinitis in patients with AIDS. ( Baird, BF; Davey, RT; Davis, M; De Smet, MD; Falloon, J; Kovacs, JA; Palestine, AG; Polis, MA; Zunich, KM; Zurlo, JJ, 1991)
"Cytomegalovirus (CMV) disease is a major cause of morbidity and mortality after lung transplantation despite ganciclovir prophylaxis."3.74A single-center experience with ganciclovir-resistant cytomegalovirus in lung transplant recipients: treatment and outcome. ( Hanson, KE; Palmer, SM; Reddy, AJ; Zaas, AK, 2007)
" Antiviral susceptibility testing of blood cytomegaloviral isolates was done when patients failed to respond to intravenous ganciclovir treatment for symptomatic cytomegalovirus infection."3.70Emergence of ganciclovir-resistant cytomegalovirus disease among recipients of solid-organ transplants. ( Boeckh, M; Corey, L; Davis, CL; Koelle, DM; Limaye, AP, 2000)
" The first developed three episodes of cytomegaloviremia requiring anti-viral therapy; the third episode accompanied by cytomegalovirus hepatitis which required prolonged therapy with foscarnet."3.69Unusual infections following allogeneic bone marrow transplantation for chronic lymphocytic leukemia. ( Brincat, S; Catovsky, D; Iveson, T; Jameson, B; Mehta, J; Paul, B; Powles, R; Singhal, S; Treleaven, J; Zomas, A, 1994)
" One patient with AIDS suffered from a perineal lesion due to infection with herpes simplex virus type 2 (HSV-2) and did not respond to acyclovir and was intolerant of foscarnet."3.69Successful treatment of progressive mucocutaneous infection due to acyclovir- and foscarnet-resistant herpes simplex virus with (S)-1-(3-hydroxy-2-phosphonylmethoxypropyl)cytosine (HPMPC). ( Andrei, G; Balzarini, J; Clumeck, N; De Clercq, E; Gérard, M; Hedderman, A; Sadzot-Delvaux, C; Silverman, A; Snoeck, R; Tricot, G, 1994)
"Foscarnet (trisodium phosphonoformate), an investigational pyrophosphate analog increasingly used to treat refractory cytomegalovirus retinitis and mucocutaneous herpes simplex virus infections in immunocompromised patients, has been reported to cause abnormalities in serum calcium and phosphate, including cases of fatal hypocalcemia."3.68Foscarnet-induced hypocalcemia and effects of foscarnet on calcium metabolism. ( Aweeka, FT; Causey, DM; Gambertoglio, JG; Jacobson, MA; Portale, AA, 1991)
"In an AIDS patient who had repeated successful treatment with acyclovir in his history, erosive herpes perianalis with herpes proctitis appeared, which persisted over several weeks."3.68[Chronic erosive, therapy-resistant perianal herpes (type II) with herpes proctitis in AIDS]. ( Bratzke, B; Ehlers, G; Orfanos, CE; Stavermann, T, 1991)
"Foscarnet has a low solubility and a high degree of ionization at physiologic pH, requiring it to be administered in higher doses and larger volumes."2.38Approaches to the treatment of cytomegalovirus retinitis: ganciclovir and foscarnet. ( Jacobson, MA; O'Donnell, JJ, 1991)
" An important direction for future clinical research is the development of more effective and less toxic therapy, as well as orally bioavailable drugs for maintenance therapy."2.37Serious cytomegalovirus disease in the acquired immunodeficiency syndrome (AIDS). Clinical findings, diagnosis, and treatment. ( Jacobson, MA; Mills, J, 1988)
"Cytomegalovirus retinitis is probably the result of hematogenous spread of the virus to the retina after systemic reactivation of a latent cytomegalovirus infection."2.37The diagnosis of cytomegalovirus retinitis. ( Bloom, JN; Palestine, AG, 1988)
"Neutropenia was the most frequent and serious side-effect of ganciclovir, 76% patients having neutrophil counts less than 1."1.28Cytomegalovirus infection in AIDS. Patterns of disease, response to therapy and trends in survival. ( Anderson, S; Beck, EJ; Coker, R; Coleman, D; Harris, JR; Main, J; Migdal, C; Peters, BS; Pinching, AJ, 1991)
" Therefore we began treatment with trisodium phosphonoformate (Foscavir) at a dosage of 60 mg/kg body weight per day (3 weeks), continuing with maintenance therapy at 90 mg/kg body weight per day (7 days a week)."1.28[Therapeutic alternative or 2d choice drug. Trisodium phosphonoformate in cytomegalovirus retinitis]. ( Gümbel, H; Helm, EB; Ohrloff, C; Schalnus, R, 1991)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-19903 (9.09)18.7374
1990's23 (69.70)18.2507
2000's6 (18.18)29.6817
2010's0 (0.00)24.3611
2020's1 (3.03)2.80

Authors

AuthorsStudies
Hakki, M1
Rothova, A1
de Weerdt, O1
Tanaka-Taya, K1
Reddy, AJ1
Zaas, AK1
Hanson, KE1
Palmer, SM1
Angarone, M1
Ison, MG1
Holida, MD1
Trigg, ME1
Rumelhart, SL1
Lee, NF1
Kook, H1
Peters, C1
Zomas, A1
Mehta, J1
Powles, R1
Treleaven, J1
Iveson, T1
Singhal, S1
Jameson, B1
Paul, B1
Brincat, S1
Catovsky, D1
Snoeck, R1
Andrei, G1
Gérard, M1
Silverman, A1
Hedderman, A1
Balzarini, J1
Sadzot-Delvaux, C1
Tricot, G1
Clumeck, N1
De Clercq, E1
Bendel, AE1
Gross, TG1
Woods, WG1
Edelman, CK1
Balfour, HH1
Ljungman, P1
Beasley, KL1
Cooley, GE1
Kao, GF1
Lowitt, MH1
Burnett, JW1
Aurelian, L1
Limaye, AP1
Corey, L1
Koelle, DM1
Davis, CL1
Boeckh, M1
Wilkin, A1
Feinberg, J1
Nicoli, F1
Dhiver, C1
Chave, B1
Poizot-Martin, I1
Gastaut, JA1
Gastaut, JL1
Jacobson, MA5
Reusser, P1
Lauchart, W1
Molina, JM1
David, F1
Scieux, C1
Schnell, L1
Gerrier, F1
Kateb, M1
Morinet, F1
Modai, J1
Longuet, P1
Leport, C1
Palestine, AG2
Polis, MA1
De Smet, MD1
Baird, BF1
Falloon, J1
Kovacs, JA1
Davey, RT1
Zurlo, JJ1
Zunich, KM1
Davis, M1
Peters, BS1
Beck, EJ1
Anderson, S1
Coleman, D1
Coker, R1
Main, J1
Migdal, C1
Harris, JR1
Pinching, AJ1
Lowenstein, W1
Fadlallah, JP1
Roudière, L1
Deneux, C1
Haas, C1
Durand, H1
Harb, GE1
Bacchetti, P1
Gümbel, H1
Ohrloff, C1
Schalnus, R1
Helm, EB1
Söderlund, C1
Bratt, G1
Grützmeier, S1
Rieger, A1
Sandström, E1
Sjunnesson, M1
Gambertoglio, JG1
Aweeka, FT1
Causey, DM1
Portale, AA1
Bratzke, B1
Orfanos, CE1
Stavermann, T1
Ehlers, G1
O'Donnell, JJ1
Henderly, DE1
Jampol, LM1
Mills, J1
Bloom, JN1
Richman, DD1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Foscarnet-Ganciclovir CMV Retinitis Trial[NCT00000136]Phase 3234 participants (Actual)Interventional1990-03-31Completed
Studies of the Ocular Complications of AIDS (SOCA) CMV Retinitis Trial: Foscarnet-Ganciclovir Component[NCT00000665]240 participants InterventionalCompleted
A Phase II Dose-Ranging, Open-Labelled Trial of Foscarnet Salvage Therapy for AIDS Patients With Sight-Threatening CMV Retinitis Who Cannot Be Treated With Ganciclovir Due To Myelosuppression or Treatment Failure[NCT00000691]Phase 2156 participants InterventionalCompleted
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mortality

(NCT00000136)
Timeframe: All patients enrolled will be followed until a common study closing date, which was chosen to provide a minimum of 1 year of follow-up for all patients enrolled in the trial.

Interventionparticipants (Number)
Foscarnet107
Ganciclovir127

Reviews

14 reviews available for foscarnet and Opportunistic Infections

ArticleYear
Moving Past Ganciclovir and Foscarnet: Advances in CMV Therapy.
    Current hematologic malignancy reports, 2020, Volume: 15, Issue:2

    Topics: Animals; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Cytomegalovirus Vaccines; Dr

2020
[Human cytomegalovirus infection].
    Nihon rinsho. Japanese journal of clinical medicine, 2005, Volume: 63 Suppl 4

    Topics: Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Foscarnet; gamma-Globulins; Ganciclov

2005
Prevention and early treatment of opportunistic viral infections in patients with leukemia and allogeneic stem cell transplantation recipients.
    Journal of the National Comprehensive Cancer Network : JNCCN, 2008, Volume: 6, Issue:2

    Topics: Antiviral Agents; Benzimidazoles; Cytomegalovirus Infections; Foscarnet; Ganciclovir; Herpes Zoster;

2008
Cytomegalovirus pneumonia: presentation, diagnosis, and treatment.
    Seminars in respiratory infections, 1995, Volume: 10, Issue:4

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Bone Marrow Transplantation; Cytomegalovirus I

1995
Prophylaxis against fungal infections and cytomegalovirus disease after bone marrow transplantation.
    Oncology (Williston Park, N.Y.), 2000, Volume: 14, Issue:12

    Topics: Antifungal Agents; Antiviral Agents; Bone Marrow Transplantation; Cytomegalovirus Infections; Foscar

2000
Foscarnet therapy for AIDS-related opportunistic herpesvirus infections.
    AIDS clinical review, 1992

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Drug Resistance, Microbial; Drug Therapy, Comb

1992
[Clinical aspects and therapy of infection with cytomegalovirus].
    Der Internist, 1992, Volume: 33, Issue:9

    Topics: AIDS-Related Opportunistic Infections; Antiviral Agents; Cytomegalovirus Infections; Foscarnet; Ganc

1992
[Incidence, prevention and therapy of cytomegalovirus and pneumocystis carinii pneumonia after liver transplantation].
    Medizinische Klinik (Munich, Germany : 1983), 1992, Volume: 87 Suppl 1

    Topics: Acyclovir; Combined Modality Therapy; Cytomegalovirus Infections; Foscarnet; Ganciclovir; Humans; Im

1992
[Prophylactic treatments of opportunistic infections in acquired immunodeficiency syndrome].
    Annales de medecine interne, 1992, Volume: 143, Issue:1

    Topics: Acquired Immunodeficiency Syndrome; Drug Therapy, Combination; Foscarnet; Ganciclovir; Humans; Male;

1992
Approaches to the treatment of cytomegalovirus retinitis: ganciclovir and foscarnet.
    Journal of acquired immune deficiency syndromes, 1991, Volume: 4 Suppl 1

    Topics: Antiviral Agents; Cytomegalovirus Infections; Drug Therapy, Combination; Eye Infections, Viral; Fosc

1991
Diagnosis and treatment of cytomegalovirus retinitis.
    Journal of acquired immune deficiency syndromes, 1991, Volume: 4 Suppl 1

    Topics: Antiviral Agents; Cytomegalovirus Infections; Diagnosis, Differential; Eye Infections, Viral; Foscar

1991
Serious cytomegalovirus disease in the acquired immunodeficiency syndrome (AIDS). Clinical findings, diagnosis, and treatment.
    Annals of internal medicine, 1988, Volume: 108, Issue:4

    Topics: Acquired Immunodeficiency Syndrome; Acyclovir; Antiviral Agents; Cytomegalovirus Infections; Foscarn

1988
The diagnosis of cytomegalovirus retinitis.
    Annals of internal medicine, 1988, Dec-15, Volume: 109, Issue:12

    Topics: Acquired Immunodeficiency Syndrome; Acyclovir; Antiviral Agents; Cytomegalovirus Infections; Diagnos

1988
The treatment of HIV infection.
    AIDS (London, England), 1988, Volume: 2 Suppl 1

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Clinical Trials as Topic; Dideoxynucleosides;

1988

Trials

3 trials available for foscarnet and Opportunistic Infections

ArticleYear
Studies of ocular complications of AIDS Foscarnet-Ganciclovir Cytomegalovirus Retinitis Trial: 1. Rationale, design, and methods. AIDS Clinical Trials Group (ACTG).
    Controlled clinical trials, 1992, Volume: 13, Issue:1

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Clinical Trials as Topic; Cytomegalovirus Infe

1992
Studies of ocular complications of AIDS Foscarnet-Ganciclovir Cytomegalovirus Retinitis Trial: 1. Rationale, design, and methods. AIDS Clinical Trials Group (ACTG).
    Controlled clinical trials, 1992, Volume: 13, Issue:1

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Clinical Trials as Topic; Cytomegalovirus Infe

1992
Studies of ocular complications of AIDS Foscarnet-Ganciclovir Cytomegalovirus Retinitis Trial: 1. Rationale, design, and methods. AIDS Clinical Trials Group (ACTG).
    Controlled clinical trials, 1992, Volume: 13, Issue:1

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Clinical Trials as Topic; Cytomegalovirus Infe

1992
Studies of ocular complications of AIDS Foscarnet-Ganciclovir Cytomegalovirus Retinitis Trial: 1. Rationale, design, and methods. AIDS Clinical Trials Group (ACTG).
    Controlled clinical trials, 1992, Volume: 13, Issue:1

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Clinical Trials as Topic; Cytomegalovirus Infe

1992
A randomized, controlled trial of foscarnet in the treatment of cytomegalovirus retinitis in patients with AIDS.
    Annals of internal medicine, 1991, Nov-01, Volume: 115, Issue:9

    Topics: Acquired Immunodeficiency Syndrome; Adult; Antiviral Agents; Cytomegalovirus Infections; Eye Infecti

1991
The treatment of HIV infection.
    AIDS (London, England), 1988, Volume: 2 Suppl 1

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Clinical Trials as Topic; Dideoxynucleosides;

1988

Other Studies

17 other studies available for foscarnet and Opportunistic Infections

ArticleYear
Cytomegalovirus retinitis.
    Ophthalmology, 2009, Volume: 116, Issue:4

    Topics: Alemtuzumab; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Antibodies, Neoplasm; Antibo

2009
A single-center experience with ganciclovir-resistant cytomegalovirus in lung transplant recipients: treatment and outcome.
    The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2007, Volume: 26, Issue:12

    Topics: Adult; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Drug Resistance, Viral; Drug T

2007
Cytomegalovirus encephalitis resistant to anti-cytomegalovirus therapy.
    AIDS (London, England), 1995, Volume: 9, Issue:5

    Topics: Bone Marrow Transplantation; Child, Preschool; Cytomegalovirus Infections; Cytomegalovirus Retinitis

1995
Unusual infections following allogeneic bone marrow transplantation for chronic lymphocytic leukemia.
    Bone marrow transplantation, 1994, Volume: 14, Issue:5

    Topics: Adult; Anti-Bacterial Agents; Bone Marrow Transplantation; Cytomegalovirus Infections; Drug Therapy,

1994
Successful treatment of progressive mucocutaneous infection due to acyclovir- and foscarnet-resistant herpes simplex virus with (S)-1-(3-hydroxy-2-phosphonylmethoxypropyl)cytosine (HPMPC).
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 1994, Volume: 18, Issue:4

    Topics: Acyclovir; Administration, Topical; Adult; AIDS-Related Opportunistic Infections; Antiviral Agents;

1994
Failure of foscarnet in disseminated herpes zoster.
    Lancet (London, England), 1993, May-22, Volume: 341, Issue:8856

    Topics: Adolescent; Bone Marrow Transplantation; Female; Foscarnet; Herpes Zoster; Humans; Opportunistic Inf

1993
Herpes simplex vegetans: atypical genital herpes infection in a patient with common variable immunodeficiency.
    Journal of the American Academy of Dermatology, 1997, Volume: 37, Issue:5 Pt 2

    Topics: Acyclovir; Adult; Biopsy; Common Variable Immunodeficiency; Drug Resistance, Microbial; Female; Feta

1997
Emergence of ganciclovir-resistant cytomegalovirus disease among recipients of solid-organ transplants.
    Lancet (London, England), 2000, Aug-19, Volume: 356, Issue:9230

    Topics: Adult; Aged; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Drug Resistance, Microbi

2000
[Regressive diffuse leukoencephalitis under foscarnet in an AIDS infected patient].
    Presse medicale (Paris, France : 1983), 1992, Mar-07, Volume: 21, Issue:9

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Cytomegalovirus Infections; Encephalitis; Fosc

1992
[Type 1 herpesvirus cutaneo-mucous infection resistant to aciclovir in a HIV infected patient. Clinical and virological study].
    Annales de medecine interne, 1992, Volume: 143, Issue:3

    Topics: Acyclovir; Adult; Antiviral Agents; Drug Resistance, Microbial; Foscarnet; Herpes Simplex; HIV Infec

1992
Cytomegalovirus infection in AIDS. Patterns of disease, response to therapy and trends in survival.
    The Journal of infection, 1991, Volume: 23, Issue:2

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Colitis; Cytomegalovirus Infections; Female; F

1991
[Prevention of genital erosions during treatments with foscarnet of cytomegalovirus infections in AIDS].
    Presse medicale (Paris, France : 1983), 1991, Nov-23, Volume: 20, Issue:39

    Topics: Acquired Immunodeficiency Syndrome; Adult; Antiviral Agents; Cytomegalovirus Infections; Foscarnet;

1991
Survival of patients with AIDS and cytomegalovirus disease treated with ganciclovir or foscarnet.
    AIDS (London, England), 1991, Volume: 5, Issue:8

    Topics: Acquired Immunodeficiency Syndrome; Adult; Antiviral Agents; Cytomegalovirus Infections; Female; Fos

1991
[Therapeutic alternative or 2d choice drug. Trisodium phosphonoformate in cytomegalovirus retinitis].
    Fortschritte der Ophthalmologie : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 1991, Volume: 88, Issue:6

    Topics: Acquired Immunodeficiency Syndrome; Antiviral Agents; Chorioretinitis; Cytomegalovirus Infections; D

1991
[Cytomegalovirus ileocolitis in patients with HIV infection is a treatable cause of severe abdominal problems].
    Lakartidningen, 1991, Dec-04, Volume: 88, Issue:49

    Topics: Acquired Immunodeficiency Syndrome; Adult; Antiviral Agents; Cecum; Crohn Disease; Cytomegalovirus I

1991
Foscarnet-induced hypocalcemia and effects of foscarnet on calcium metabolism.
    The Journal of clinical endocrinology and metabolism, 1991, Volume: 72, Issue:5

    Topics: Antiviral Agents; Calcium; Dose-Response Relationship, Drug; Foscarnet; Herpes Simplex; Humans; Hypo

1991
[Chronic erosive, therapy-resistant perianal herpes (type II) with herpes proctitis in AIDS].
    Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete, 1991, Volume: 42, Issue:2

    Topics: Acquired Immunodeficiency Syndrome; Acyclovir; Adult; Antiviral Agents; Dose-Response Relationship,

1991