Successful application of PMEG and PMEG-derivatives analogs may depend on the development analogs with reduced toxicity and enhanced pharmacokinetic properties to tissues. There are no clinical trials using PMEG listed at clinicaltrials.gov. This suggests that the pharmacokinetic properties of PMEG were too toxic to process forward with. There are several different PMEG-derivatives analogs currently being investigated. GS-9191 and GS-9219 prodrugs are just two of the next generation PMEG compounds being evaluated for antiviral and anticancer activities.[6] Both GS-9191 and GS-9219 have made it into clinical trials, but require additional study.[citation needed]
^De Clercq E, Holý A (Nov 2005). "Acyclic nucleoside phosphonates: a key class of antiviral drugs". Nat Rev Drug Discov. 4 (11): 928–40. doi:10.1038/nrd1877. PMID16264436. S2CID31548676.
^Kramata P, Votruba I, Otová B, Holý A (Jun 1996). "Different inhibitory potencies of acyclic phosphonomethoxyalkyl nucleotide analogs toward DNA polymerases alpha, delta and epsilon". Mol Pharmacol. 49 (6): 1005–11. PMID8649338.
^Rose WC, Crosswell AR, Bronson JJ, Martin JC (Mar 1990). "In vivo antitumor activity of 9-[(2-phosphonylmethoxy)ethyl]-guanine and related phosphonate nucleotide analogues". J Natl Cancer Inst. 82 (6): 510–2. doi:10.1093/jnci/82.6.510. PMID2313724.
^Kim, H. T.; Kim, D. K.; Kim, Y. W.; Kim, K. H.; Sugiyama, Y.; Kikuchi, M. (1995-11-01). "Antiviral activity of 9-[[(ethoxyhydroxyphosphinyl)-methoxy]methoxy] guanine against cytomegalovirus and herpes simplex virus". Antiviral Research. 28 (3): 243–251. doi:10.1016/0166-3542(95)00051-m. ISSN0166-3542. PMID8629816.
^De Clercq, Erik (2013). "Dancing with chemical formulae of antivirals: A personal account". Biochemical Pharmacology. 86 (6): 711–25. doi:10.1016/j.bcp.2013.07.012. PMID23876344.