Document 2283 DOCN M94A2283 TI GEM 91: therapeutic agent for AIDS based on antisense oligonucleotide approach. DT 9412 AU Agrawal S; Tang JY; Lisziewicz J; Gallo RC; Hybridon, Inc., Worcester, MA. SO Int Conf AIDS. 1994 Aug 7-12;10(1):34 (abstract no. 109A). Unique Identifier : AIDSLINE ICA10/94370292 AB Gene expression modulator 91 (GEM 91) is an oligonucleotide phosphorothioate (25-mer) designed to bind to the initiation site of gag gene. This site is found to be very conserved among various patient HIV-1 isolates and is critical for packaging of the virus. GEM 91 is rapidly taken up by various lymphocytes and is stable under physiological conditions. GEM 91 has been studied for its anti-HIV activity using laboratory as well as various primary isolates of HIV-1 using MOLT-3, CEM, H9, PBMCs and macrophages. GEM 91 inhibited the virus replication in a sequence specific and dose dependent manner. GEM 91 is also found to be effective against AZT resistant primary HIV-1 isolates. Pharmacokinetic studies in mice, rats and monkeys have been performed and showed that GEM 91, if administered intravenously, is bioavailable in most of the organs, and half life of plasma clearance is in the range of 30-50 hours. In an acute toxicity study, GEM 91 has been administered to mice and rats at a dose of 500 mg/kg (intravenously) and up to a dose of 20 mg/kg (slow infusion), and found to be well tolerated. Presently, GEM 91 is in Phase I clinical trials at Agence Nationale de Recherches sur le SIDA (ANRS) in Paris. GEM 91 is also a clinical candidate at the AIDS Clinical Trial Group (ACTG) of NIAID, USA. DE Acquired Immunodeficiency Syndrome/*DRUG THERAPY Animal Antiviral Agents/*THERAPEUTIC USE Dose-Response Relationship, Drug Half-Life Haplorhini Mice Oligonucleotides, Antisense/ADMINISTRATION & DOSAGE/ PHARMACOKINETICS/*THERAPEUTIC USE Rats Thionucleotides/ADMINISTRATION & DOSAGE/PHARMACOKINETICS/ *THERAPEUTIC USE Virus Replication/DRUG EFFECTS CLINICAL TRIAL CLINICAL TRIAL, PHASE I MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).