Antiviral and HIV Drug and Vaccine Development - Annual Review

Published in the Antiviral Agents Bulletin, January 1996.

This large, multi-section article comprehensively reviews important developments and trends reported in 1995.


Introduction

This article summarizes and reviews some of the more significant and interesting antiviral therapeutics-related news and developments reported in 1995 issues (Volume 8) of the Antiviral Agents Bulletin. Various indexes (Organization, Agent, Virus/Disease and Keyword) of 1995 news articles are also included in this issue. Indexes of 1995 U.S. patents will be presented in an upcoming issue of the Bulletin.

In 1995, the Bulletin presented over 300 news articles and over 380 pages of news, patents, literature abstracts and other information concerning antiviral drug and vaccine development. HIV-infection remains the predominant target for antiviral therapeutics development activities, receiving the largest portion of both industry and government resources devoted to antiviral therapeutics-related research and development. Development of antiviral drugs and vaccines for other viral diseases, such as cytomegalovirus (CMV), hepatitis and herpes simplex viruses is picking up and new therapeutics for CMV and herpes were approved in 1995.

Although it is difficult to quantify decreases in private sector therapeutics research and development, a general decrease in anti-HIV drug and vaccine research and development is starting to become evident as large and small companies consolidate, disappear, leave or deemphasize this field. Companies still active in anti-HIV therapeutics R&D appear to be putting less resources into this area. However, to their credit, many of these and other companies are undertaking long-term projects involving gene therapy and novel technologies that may provide effective means for treatment and prevention of viral diseases. The federal government's AIDS therapeutics-related efforts are either being scaled back or are shifting emphasis to more fundamental research rather than drug and vaccine development and assisting industry. Yet, the opportunities and need for antiviral drugs and vaccines remain high. Even partially effective therapeutics are needed and will find substantial markets. To its credit, the FDA has made considerable progress in accelerating drug approvals, particularly drugs for AIDS-related and life-threatening diseases.

Despite new drug approvals, HIV-infection remains a terminal disease with a long-term course that is largely unaffected by available therapeutics. With our increasing knowledge about HIV and the pathogenesis of HIV-infection comes the realization that HIV is a formidable foe and very adaptable. The available anti-HIV drugs, including the newer HIV protease inhibitors, do not yet appear to offer much hope to fully halt HIV-infection progression or add many years to patient survival. The prospects for availability of prophylactic HIV vaccines are dim as progress and vaccine clinical trials move at a glacial pace, and there remains no concensus on methods for validating these vaccines. Many believe that the current candidates for large-scale HIV vaccine trials do not offer much likelihood of high levels of protective efficacy and large-scale trials continue to be delayed.

Saquinavir was the first HIV protease inhibitor to receive approval and other protease inhibitors with potentially higher efficacy are not far behind. 3TC in combination with AZT was approved as a first-line treatment for HIV-infection, and other nucleoside analogs and combinations were shown to have improved efficacy relative to AZT monotherapy. However, it remains to be proven whether HIV protease inhibitors in combination with nucleoside analogs or combinations of nucleosides can demonstrate significant clinical efficacy or whether significant problems with drug resistance will arise. With the approval of oral and implant formulations of ganciclovir for treatment of cytogmegalovirus retinitis, more choices became available for AIDS patients facing blindness. Other approvals included the first hepatitis A virus vaccine; a varicella-zoster virus (chickenpox) vaccine; and two drugs for treatment of genital herpes, increasing the choice of available drugs from one to three.

Encouraging Developments

Product approvals and filings included:

Encouraging clinical trial reports included:
New and ongoing clinical trials included:
Encouraging research and preclinical results included:

Discouraging Developments

Approvals denied, trials or development suspended, etc.:
Discouraging clinical trial reports included:
Other discouraging news and trends included:

Corporate and Federal Activities

Corporate linkages and collaborations included:

Corporate acquisitions and mergers included:
Federal Activities (other than product approvals):

Patents and Technology Transfer

Patent/product licensing activity included:

Patent disputes, new and continuing, included:
Patent disputes resolved included:


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