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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2024-102-2-101-108</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-757</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Эффективность препарата марибавир по данным клинических исследований</article-title><trans-title-group xml:lang="en"><trans-title>Efficacy of the drug maribavir according to clinical studies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-4524-3142</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Драчук</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Drachuk</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елизавета Сергеевна Драчук, ординатор</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Elizaveta S. Drachuk, resident</p><p>Rostov-On-Don</p></bio><email xlink:type="simple">vkomissiya@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5952-4787</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Губанова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gubanova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анастасия Андреевна Губанова, студентка 6-го курса</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Anastasiya A. Gubanova, six year student</p><p>Rostov-On-Don</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9903-0431</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хаидбаев</surname><given-names>И.</given-names></name><name name-style="western" xml:lang="en"><surname>Haidbayev</surname><given-names>I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ислам Хаидбаев, ординатор</p><p>Йошкар-Ола</p></bio><bio xml:lang="en"><p>Islam Haidbayev, resident</p><p>Yoshkar-Ola</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4070-0813</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бурмистрова</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Burmistrova</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Валерия Николаевна Бурмистрова, аспирант</p><p>Москва</p></bio><bio xml:lang="en"><p>Valeriya N. Burmistrova, graduate student</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9352-1176</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Андреянова</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Andreyanova</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ксения Андреевна Андреянова, студентка 6-го курса</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Kseniya A. Andreyanova, six year student</p><p>Rostov-On-Don</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8069-2737</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хертек</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Hertek</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юнас Аржанович Хертек, ординатор</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Yunas A. Hertek, resident</p><p>Saint Petersburg</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1754-0762</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тучина</surname><given-names>В. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Tuchina</surname><given-names>V. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Валерия Евгеньевна Тучина, ординатор</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Valeriya E. Tuchina, resident</p><p>Saint Petersburg</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1980-9005</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузьмина</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuzmina</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>София Вячеславовна Кузьмина, студентка 6-го курса</p><p>Йошкар-Ола</p></bio><bio xml:lang="en"><p>Sofia V. Kuzmina, six year student</p><p>Yoshkar-Ola</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7325-0471</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куликова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kulikova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Олеся Валерьевна Куликова, студентка 6-го курса</p><p>Йошкар-Ола</p></bio><bio xml:lang="en"><p>Olesya V. Kulikova, six year student</p><p>Yoshkar-Ola</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2122-986X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бородина</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Borodina</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Александра Романовна Бородина, студентка 6-го курса</p><p>Москва</p></bio><bio xml:lang="en"><p>Alexandra R. Borodina, six year student</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3661-2418</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петраков</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrakov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андрей Александрович Петраков, студент 6-го курса</p><p>Москва</p></bio><bio xml:lang="en"><p>Andrey A. Petrakov, six year student</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-6634-8964</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ом</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Om</surname><given-names>S. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>София Максимовна Ом, студентка 6-го курса</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Sofia M. Om, six year student</p><p>Saint Petersburg</p></bio><email xlink:type="simple">omsofia99@mail.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-4187-0503</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бабюк</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Babyuk</surname><given-names>V, V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Валерия Владимировна Бабюк, студентка 6-го курса</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Valeriya V. Babyuk, six year student</p><p>Rostov-On-Don</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov State Medical University of the Ministry of Healthcare of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Марийский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Mari State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. И.П. Павлова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>5ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western State Medical University named after I.I. Mechnikоv of the Ministry of Healthcare of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>07</day><month>05</month><year>2024</year></pub-date><volume>102</volume><issue>2</issue><fpage>101</fpage><lpage>108</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Драчук Е.С., Губанова А.А., Хаидбаев И., Бурмистрова В.Н., Андреянова К.А., Хертек Ю.А., Тучина В.Е., Кузьмина С.В., Куликова О.В., Бородина А.Р., Петраков А.А., Ом С.М., Бабюк В.В., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Драчук Е.С., Губанова А.А., Хаидбаев И., Бурмистрова В.Н., Андреянова К.А., Хертек Ю.А., Тучина В.Е., Кузьмина С.В., Куликова О.В., Бородина А.Р., Петраков А.А., Ом С.М., Бабюк В.В.</copyright-holder><copyright-holder xml:lang="en">Drachuk E.S., Gubanova A.A., Haidbayev I., Burmistrova V.N., Andreyanova K.A., Hertek Y.A., Tuchina V.E., Kuzmina S.V., Kulikova O.V., Borodina A.R., Petrakov A.A., Om S.M., Babyuk V.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.clinmedjournal.com/jour/article/view/757">https://www.clinmedjournal.com/jour/article/view/757</self-uri><abstract><p>   Современная медицина испытывает высокую потребность в новых препаратах для профилактики и лечения цитомегаловирусной (ЦМВ) инфекции. В данном обзоре рассматривается марибавир — пероральный противовирусный препарат с селективной мультимодальной анти-ЦМВ -активностью для лечения взрослых и детей с посттрансплантационной ЦМВ-инфекцией, резистентной к традиционной анти-ЦМВ-терапии. Несмотря на множество клинических испытаний препарата марибавир, результаты его эффективности неоднозначны. Наряду с успешными исследованиями, результаты которых говорят о высокой эффективности обозреваемого препарата, имеются данные о статистически безуспешных исследованиях.</p><p>   Целью настоящего обзора является рассмотрение механизма действия препарата марибавир на цитомегаловирусную инфекцию, механизмов вирусной чувствительности и кросс-резистентности, а также обобщение результатов клинических исследованиях препарата.</p></abstract><trans-abstract xml:lang="en"><p>   Modern medicine has a high demand for new drugs for the prevention and treatment of cytomegalovirus (CMV) infection. This review discusses maribavir — an oral antiviral drug with selective multimodal anti-CMV activity for the treatment of adults and children with post-transplant CMV infection resistant to traditional anti-CMV therapy. Despite numerous clinical trials of maribavir, the results of its effi cacy are ambiguous. Alongside successful studies indicating high effi cacy of the drug under review, there are data from statistically unsuccessful studies.</p><p>   The aim of this review is to examine the mechanism of its action on cytomegalovirus infection, viral sensitivity and cross-resistance mechanisms, as well as to summarize the results of clinical trials of the drug.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>марибавир</kwd><kwd>цитомегаловирус</kwd><kwd>противовирусная терапия</kwd><kwd>клинические исследования</kwd><kwd>протеинкиназа UL97</kwd></kwd-group><kwd-group xml:lang="en"><kwd>maribavir</kwd><kwd>cytomegalovirus</kwd><kwd>antiviral therapy</kwd><kwd>clinical trials</kwd><kwd>protein kinase UL97</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование не имело спонсорской поддержки</funding-statement><funding-statement xml:lang="en">The study had no sponsorship</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Haidar G., Boeckh M., Singh N. 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