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Fiacitabine is a synthetic nucleoside analogue structurally related to cytarabine and gemcitabine. It was developed as an antiviral agent with activity against herpesviruses and other DNA viruses. Fiacitabine acts by inhibiting viral DNA polymerase after being phosphorylated intracellularly to its active triphosphate form, thereby interfering with viral DNA synthesis. Despite promising preclinical results, clinical development was discontinued due to toxicity concerns (notably nephrotoxicity) and lack of sufficient efficacy in human trials.
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