Lack of emergence of cytomegalovirus UL97 mutations conferring ganciclovir(GCV) resistance following preemptive GCV therapy in allogeneic stem cell transplant recipients
C. Gilbert et al., Lack of emergence of cytomegalovirus UL97 mutations conferring ganciclovir(GCV) resistance following preemptive GCV therapy in allogeneic stem cell transplant recipients, ANTIM AG CH, 45(12), 2001, pp. 3669-3671
Fifty allogeneic stem cell transplant recipients were enrolled in a prospec
tive cytomegalovirus pp65 antigenemia-guided preemptive therapy trial. Amon
g these, 10 of 34 patients who received ganciclovir exhibited sustained and
/or recurrent antigenemia despite treatment. Thirteen leukocyte preparation
s from these 10 subjects were screened for the presence of the most frequen
t cytomegalovirus UL97 mutations conferring ganciclovir resistance. None of
these mutations were detected after mean and median ganciclovir exposures
of 31.6 and 28.0 days, respectively.