Page last updated: 2024-10-30

leflunomide and Cytomegalovirus

leflunomide has been researched along with Cytomegalovirus in 22 studies

Leflunomide: An isoxazole derivative that inhibits dihydroorotate dehydrogenase, the fourth enzyme in the pyrimidine biosynthetic pathway. It is used an immunosuppressive agent in the treatment of RHEUMATOID ARTHRITIS and PSORIATIC ARTHRITIS.
leflunomide : A monocarboxylic acid amide obtained by formal condensation of the carboxy group of 5-methyl-1,2-oxazole-4-carboxylic acid with the anilino group of 4-(trifluoromethyl)aniline. The prodrug of teriflunomide.

Cytomegalovirus: A genus of the family HERPESVIRIDAE, subfamily BETAHERPESVIRINAE, infecting the salivary glands, liver, spleen, lungs, eyes, and other organs, in which they produce characteristically enlarged cells with intranuclear inclusions. Infection with Cytomegalovirus is also seen as an opportunistic infection in AIDS.

Research Excerpts

ExcerptRelevanceReference
"Data concerning the use of leflunomide-a drug approved for rheumatoid arthritis with in vitro anticytomegalovirus (CMV) activity-in lung transplant (LT) recipients are scarce."8.98Experience with leflunomide as treatment and as secondary prophylaxis for cytomegalovirus infection in lung transplant recipients: A case series and review of the literature. ( Aguado, JM; Alonso-Moralejo, R; Brañas, P; de Pablo-Gafas, A; Fernández-Ruiz, M; Folgueira, MD; Lopez-Medrano, F; Pérez-González, V; San-Juan, R; Silva, JT, 2018)
" We describe a case of a cytomegalovirus (CMV)-seronegative kidney transplant recipient from a CMV-seropositive donor, whose course was complicated during valganciclovir prophylaxis by CMV disease, ultimately progressing to ganciclovir, foscarnet, and cidofovir resistance."7.85Ganciclovir Dosing Strategies and Development of Cytomegalovirus Resistance in a Kidney Transplant Recipient: A Case Report. ( Agrawal, N; Beltran, D; Echenique, IA; Najafian, N; Ramirez-Ruiz, L, 2017)
"To describe leflunomide use in the treatment of drug resistant cytomegalovirus retinitis."7.85Utility of Leflunomide in the Treatment of Drug Resistant Cytomegalovirus Retinitis. ( Goldstein, DA; Jumroendararasame, C; Minkus, CL; Pursell, K; Rifkin, LM, 2017)
"Leflunomide, a disease-modifying antirheumatic drug (DMARD), has shown effectiveness in many autoimmune disorders and can suppress cytomegalovirus (CMV) disease in humans."7.81Can leflunomide play a role in cytomegalovirus disease prophylaxis besides its antirheumatic effects? ( Hsieh, SC; Lu, CH; Tsai, JH; Wu, MZ; Yu, CL, 2015)
"The immunomodulatory drug leflunomide (LEF) is frequently used for treating human cytomegalovirus (HCMV), but its antiviral mechanism is still unclear."7.79Leflunomide inhibits the apoptosis of human embryonic lung fibroblasts infected by human cytomegalovirus. ( Hua-Song, Z; Qi, R; Xiao-Feng, Z, 2013)
"Leflunomide has been shown to have immunosuppressive activity in experimental allograft models together with antiviral activity inhibiting CMV both in vitro and in vivo."6.77Leflunomide for cytomegalovirus: bench to bedside. ( Chacko, B; John, GT, 2012)
"Leflunomide has been used to treat resistant CMV infections, however, data on efficacy, safety, and guidance for therapeutic drug level monitoring are lacking."5.43Adjuvant and salvage therapy with leflunomide for recalcitrant cytomegalovirus infections in hematopoietic cell transplantation recipients: A case series. ( Ariza-Heredia, E; Chemaly, RF; Doan, V; El Chaer, F; Jan, A; Mori, N; Oliver, N; Shah, D; Tayar, J; Tverdek, F; Wang, E, 2016)
"Leflunomide was selected as a last resort to avoid the nephrotoxicity of cidofovir."5.34Leflunomide failure to control recurrent cytomegalovirus infection in the setting of renal failure after allogeneic stem cell transplantation. ( Abdelhalim, A; Almyroudis, NG; Battiwalla, M; Becker, J; Elefante, A; McCarthy, A; McCarthy, PL; Paplham, P; Segal, BH; Smith, P, 2007)
"Leflunomide is a novel drug with both immunosuppressive and anti-CMV properties."5.33Treatment of multidrug-resistant cytomegalovirus retinitis with systemically administered leflunomide. ( Chan, LK; Levi, ME; Mandava, N; Olson, JL; Weinberg, A, 2006)
"Data concerning the use of leflunomide-a drug approved for rheumatoid arthritis with in vitro anticytomegalovirus (CMV) activity-in lung transplant (LT) recipients are scarce."4.98Experience with leflunomide as treatment and as secondary prophylaxis for cytomegalovirus infection in lung transplant recipients: A case series and review of the literature. ( Aguado, JM; Alonso-Moralejo, R; Brañas, P; de Pablo-Gafas, A; Fernández-Ruiz, M; Folgueira, MD; Lopez-Medrano, F; Pérez-González, V; San-Juan, R; Silva, JT, 2018)
" We describe a case of a cytomegalovirus (CMV)-seronegative kidney transplant recipient from a CMV-seropositive donor, whose course was complicated during valganciclovir prophylaxis by CMV disease, ultimately progressing to ganciclovir, foscarnet, and cidofovir resistance."3.85Ganciclovir Dosing Strategies and Development of Cytomegalovirus Resistance in a Kidney Transplant Recipient: A Case Report. ( Agrawal, N; Beltran, D; Echenique, IA; Najafian, N; Ramirez-Ruiz, L, 2017)
"To describe leflunomide use in the treatment of drug resistant cytomegalovirus retinitis."3.85Utility of Leflunomide in the Treatment of Drug Resistant Cytomegalovirus Retinitis. ( Goldstein, DA; Jumroendararasame, C; Minkus, CL; Pursell, K; Rifkin, LM, 2017)
"Leflunomide, a disease-modifying antirheumatic drug (DMARD), has shown effectiveness in many autoimmune disorders and can suppress cytomegalovirus (CMV) disease in humans."3.81Can leflunomide play a role in cytomegalovirus disease prophylaxis besides its antirheumatic effects? ( Hsieh, SC; Lu, CH; Tsai, JH; Wu, MZ; Yu, CL, 2015)
"The immunomodulatory drug leflunomide (LEF) is frequently used for treating human cytomegalovirus (HCMV), but its antiviral mechanism is still unclear."3.79Leflunomide inhibits the apoptosis of human embryonic lung fibroblasts infected by human cytomegalovirus. ( Hua-Song, Z; Qi, R; Xiao-Feng, Z, 2013)
"We previously reported that the immunosuppressive malononitrileamides leflunomide and FK778 exert antiviral activity against cytomegalovirus (CMV)."3.73Concurrent antiviral and immunosuppressive activities of leflunomide in vivo. ( Chong, AS; Knight, DA; Meister, GT; Shen, J; Waldman, WJ; Williams, JW; Zeng, H, 2006)
"Leflunomide has been shown to have immunosuppressive activity in experimental allograft models together with antiviral activity inhibiting CMV both in vitro and in vivo."2.77Leflunomide for cytomegalovirus: bench to bedside. ( Chacko, B; John, GT, 2012)
"Leflunomide has been used to treat resistant CMV infections, however, data on efficacy, safety, and guidance for therapeutic drug level monitoring are lacking."1.43Adjuvant and salvage therapy with leflunomide for recalcitrant cytomegalovirus infections in hematopoietic cell transplantation recipients: A case series. ( Ariza-Heredia, E; Chemaly, RF; Doan, V; El Chaer, F; Jan, A; Mori, N; Oliver, N; Shah, D; Tayar, J; Tverdek, F; Wang, E, 2016)
"Leflunomide was selected as a last resort to avoid the nephrotoxicity of cidofovir."1.34Leflunomide failure to control recurrent cytomegalovirus infection in the setting of renal failure after allogeneic stem cell transplantation. ( Abdelhalim, A; Almyroudis, NG; Battiwalla, M; Becker, J; Elefante, A; McCarthy, A; McCarthy, PL; Paplham, P; Segal, BH; Smith, P, 2007)
"Leflunomide is a novel drug with both immunosuppressive and anti-CMV properties."1.33Treatment of multidrug-resistant cytomegalovirus retinitis with systemically administered leflunomide. ( Chan, LK; Levi, ME; Mandava, N; Olson, JL; Weinberg, A, 2006)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (9.09)18.2507
2000's5 (22.73)29.6817
2010's14 (63.64)24.3611
2020's1 (4.55)2.80

Authors

AuthorsStudies
Santhanakrishnan, K1
Yonan, N1
Iyer, K1
Callan, P1
Al-Aloul, M1
Venkateswaran, R1
Echenique, IA1
Beltran, D1
Ramirez-Ruiz, L1
Najafian, N1
Agrawal, N1
Silva, JT1
Pérez-González, V1
Lopez-Medrano, F1
Alonso-Moralejo, R1
Fernández-Ruiz, M1
San-Juan, R1
Brañas, P1
Folgueira, MD1
Aguado, JM1
de Pablo-Gafas, A1
Dunn, JH1
Weinberg, A2
Chan, LK2
Mandava, N2
Levi, ME2
Olson, JL2
Verkaik, NJ1
Hoek, RA1
van Bergeijk, H1
van Hal, PT1
Schipper, ME1
Pas, SD1
Beersma, MF1
Boucher, CA1
Jedema, I1
Falkenburg, F1
Hoogsteden, HC1
van den Blink, B1
Murk, JL1
Lu, CH1
Tsai, JH1
Wu, MZ1
Yu, CL1
Hsieh, SC1
Boeckh, M1
Murphy, WJ1
Peggs, KS1
Rifkin, LM1
Minkus, CL1
Pursell, K1
Jumroendararasame, C1
Goldstein, DA1
Gómez Valbuena, I1
Alioto, D1
Serrano Garrote, O1
Ferrari Piquero, JM1
El Chaer, F1
Mori, N1
Shah, D1
Oliver, N1
Wang, E1
Jan, A1
Doan, V1
Tverdek, F1
Tayar, J1
Ariza-Heredia, E1
Chemaly, RF1
Bright, PD1
Gompels, M1
Donati, M1
Johnston, S1
Orden, AO1
Chuluyan, JC1
Colombini, AC1
Barbera, RF1
Chacko, B1
John, GT1
Goldsmith, PM1
Husain, MM1
Carmichael, A1
Zhang, H1
Middleton, SJ1
Qi, R1
Hua-Song, Z1
Xiao-Feng, Z1
Evers, DL1
Wang, X1
Huong, SM1
Andreoni, KA1
Huang, ES1
Chong, AS3
Zeng, H1
Knight, DA3
Shen, J2
Meister, GT1
Williams, JW3
Waldman, WJ3
Battiwalla, M1
Paplham, P1
Almyroudis, NG1
McCarthy, A1
Abdelhalim, A1
Elefante, A1
Smith, P1
Becker, J1
McCarthy, PL1
Segal, BH1
Mossad, SB1
Avery, RK1
Lurain, NS2
Miller, DM2
Sedmak, DD2
Blinder, L1

Reviews

5 reviews available for leflunomide and Cytomegalovirus

ArticleYear
Management of ganciclovir resistance cytomegalovirus infection with CMV hyperimmune globulin and leflunomide in seven cardiothoracic transplant recipients and literature review.
    Transplant infectious disease : an official journal of the Transplantation Society, 2022, Volume: 24, Issue:1

    Topics: Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Drug Resistance, Viral; Ganciclovir;

2022
Experience with leflunomide as treatment and as secondary prophylaxis for cytomegalovirus infection in lung transplant recipients: A case series and review of the literature.
    Clinical transplantation, 2018, Volume: 32, Issue:2

    Topics: Adult; Aged; Cytomegalovirus; Cytomegalovirus Infections; Female; Follow-Up Studies; Humans; Immunos

2018
Leflunomide as part of the treatment for multidrug-resistant cytomegalovirus disease after lung transplantation: case report and review of the literature.
    Transplant infectious disease : an official journal of the Transplantation Society, 2013, Volume: 15, Issue:6

    Topics: Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Drug Resistance, Viral; Drug Therapy,

2013
Recent advances in cytomegalovirus: an update on pharmacologic and cellular therapies.
    Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2015, Volume: 21, Issue:1

    Topics: Acetates; Adoptive Transfer; Animals; Antiviral Agents; Benzimidazoles; Cell- and Tissue-Based Thera

2015
Successful oral treatment of Ganciclovir resistant cytomegalovirus with Maribavir in the context of primary immunodeficiency: First case report and review.
    Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2017, Volume: 87

    Topics: Administration, Oral; Antiviral Agents; Benzimidazoles; Blood; Cytomegalovirus; Cytomegalovirus Infe

2017

Trials

1 trial available for leflunomide and Cytomegalovirus

ArticleYear
Leflunomide for cytomegalovirus: bench to bedside.
    Transplant infectious disease : an official journal of the Transplantation Society, 2012, Volume: 14, Issue:2

    Topics: Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Humans; Isoxazoles; Leflunomide; Tran

2012

Other Studies

16 other studies available for leflunomide and Cytomegalovirus

ArticleYear
Ganciclovir Dosing Strategies and Development of Cytomegalovirus Resistance in a Kidney Transplant Recipient: A Case Report.
    Transplantation proceedings, 2017, Volume: 49, Issue:7

    Topics: Aged; Antiviral Agents; Cidofovir; Cytomegalovirus; Cytomegalovirus Infections; Cytosine; Dose-Respo

2017
Long-term suppression of multidrug-resistant cytomegalovirus retinitis with systemically administered leflunomide.
    JAMA ophthalmology, 2013, Volume: 131, Issue:7

    Topics: Administration, Oral; Adult; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Retinitis; Drug Resi

2013
Can leflunomide play a role in cytomegalovirus disease prophylaxis besides its antirheumatic effects?
    Antiviral therapy, 2015, Volume: 20, Issue:1

    Topics: Adult; Aged; Antirheumatic Agents; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Dr

2015
Utility of Leflunomide in the Treatment of Drug Resistant Cytomegalovirus Retinitis.
    Ocular immunology and inflammation, 2017, Volume: 25, Issue:1

    Topics: Administration, Oral; Aged; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Retinitis; Drug Resis

2017
[Use of leflunomide in a cytomegalovirus infection resistant: a report of a case].
    Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria, 2016, Jan-01, Volume: 40, Issue:1

    Topics: Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Drug Resistance, Viral; Female; Human

2016
Adjuvant and salvage therapy with leflunomide for recalcitrant cytomegalovirus infections in hematopoietic cell transplantation recipients: A case series.
    Antiviral research, 2016, Volume: 135

    Topics: Aged; Antiviral Agents; Chemotherapy, Adjuvant; Cytomegalovirus; Cytomegalovirus Infections; Drug Mo

2016
Leflunomide use in a cytomegalovirus infection of a patient with dermatomyositis.
    Rheumatology international, 2012, Volume: 32, Issue:1

    Topics: Antirheumatic Agents; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Dermatomyositis

2012
Case report: Multidrug-resistant cytomegalovirus in a modified multivisceral transplant recipient.
    Transplantation, 2012, Apr-15, Volume: 93, Issue:7

    Topics: Adult; Antiviral Agents; Cidofovir; Cytomegalovirus; Cytomegalovirus Infections; Cytosine; Drug Resi

2012
Leflunomide inhibits the apoptosis of human embryonic lung fibroblasts infected by human cytomegalovirus.
    European journal of medical research, 2013, Feb-01, Volume: 18

    Topics: Apoptosis; Cell Proliferation; Cell Shape; Cytomegalovirus; Cytomegalovirus Infections; Embryo, Mamm

2013
Inhibition of human cytomegalovirus signaling and replication by the immunosuppressant FK778.
    Antiviral research, 2005, Volume: 65, Issue:1

    Topics: Alkynes; Antiviral Agents; Cell Line; Cytomegalovirus; Humans; Immunosuppressive Agents; Isoxazoles;

2005
Concurrent antiviral and immunosuppressive activities of leflunomide in vivo.
    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2006, Volume: 6, Issue:1

    Topics: Animals; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Graft Rejection; Heart; Hear

2006
Treatment of multidrug-resistant cytomegalovirus retinitis with systemically administered leflunomide.
    Transplant infectious disease : an official journal of the Transplantation Society, 2006, Volume: 8, Issue:1

    Topics: Adult; Antiviral Agents; Cytomegalovirus; Cytomegalovirus Retinitis; Drug Resistance, Multiple, Vira

2006
Leflunomide failure to control recurrent cytomegalovirus infection in the setting of renal failure after allogeneic stem cell transplantation.
    Transplant infectious disease : an official journal of the Transplantation Society, 2007, Volume: 9, Issue:1

    Topics: Antiviral Agents; Cidofovir; Cytomegalovirus; Cytomegalovirus Infections; Cytosine; Drug Therapy, Co

2007
Second look at leflunomide "failure" to control cytomegalovirus infection in the setting of renal failure.
    Transplant infectious disease : an official journal of the Transplantation Society, 2007, Volume: 9, Issue:3

    Topics: Antiviral Agents; Cytomegalovirus; Cytomegalovirus Infections; Humans; Isoxazoles; Leflunomide; Rena

2007
Novel mechanism of inhibition of cytomegalovirus by the experimental immunosuppressive agent leflunomide.
    Transplantation, 1999, Sep-27, Volume: 68, Issue:6

    Topics: Antiviral Agents; Blotting, Northern; Cytomegalovirus; Cytomegalovirus Infections; DNA-Directed DNA

1999
Inhibition of cytomegalovirus in vitro and in vivo by the experimental immunosuppressive agent leflunomide.
    Intervirology, 1999, Volume: 42, Issue:5-6

    Topics: Animals; Antiviral Agents; Cells, Cultured; Cytomegalovirus; Cytomegalovirus Infections; DNA, Viral;

1999