Using a plaque reduction assay, we determined the 50% effective doses of six antiviral compounds against low-and high-passage viruses of the KMcC and Oka strains of varicella-zoster virus vaccine. The potency, as indicated by the ranges of 50% effective doses (micrograms per milliliter) of the antiviral compounds, in decreasing order was as follows: (E)-5-(2-bromovinyl)-2'-deoxyuridine, 0.0007 to 0.0035; 1-(2'-flouro-2-deoxy-p-D-arabinofuranosyl)-5-iodocytosine, 0.0063 to 0.0091; aphidicolin, 0.092 to 0.180; acyclovir, 0.79 to 1.81; vidarabine, 0.62 to 2.10; and phosphonoformic acid, 8.18 to 16.4. Susceptibility to the various antiviral compounds was independent of passage level or strain. These data, along with the available in vivo data, indicate that varicella-zoster virus vaccine infections requiring antiviral therapy most probably would be treated as effectively as would natural varicella infections.The success of Japanese investigators in immunizing large numbers of normal and immunosuppressed children and adults with a live attenuated varicella-zoster (V-Z) virus vaccine over the past decade (31, 32) has led to vaccine field trials in this country (1,2,7,18,24). Two vaccine strains have been used: the KMcC strain, passed 10 to 60 times in WI-38 cells (1,24), and the Japanese or Oka strain, passed 11 times in human embryo fibroblasts, 12 times in guinea pig embryo cells, and an additional 1 to 21 times in human diploid cells (2,7,18,31,32). To date the vaccines have been shown to be safe, immunogenic, and effective. However, with the immunization of increasing numbers of leukemics, severe infections due to vaccine may necessitate treatment with an antiviral drug, as discussed at a recent workshop on V-Z virus vaccine held at the National Institutes of Health in September 1983. The current experience in treating wildtype V-Z virus infections with arabinosyladenine (9-4-Darabinofuranosyladenine, vidarabine, or Ara-A) (35, 36), acyclovir {9-[(2-hydroxyethoxy)methyl]guanine, acycloguanosine, or ACV} (26,29), and E-5-(2-bromovinyl)-2'-deoxyuridine (bromovinyldeoxyuridine, or BVDU) (14), as well as the available data on the in vitro susceptibility of the Oka vaccine strain (15,22,30), suggests that these three compounds would be therapeutically effective. Favorable results with ACV were discussed at the National Institutes of Health workshop. There are, however, no published data on the in vitro susceptibility of the KMcC strain of vaccine virus.We determined the 50 and 90% effective doses (ED5os and ED90s, respectively) of six antiviral drugs against low-and high-passage KMcC strain viruses with a plaquie reduction assay (16,27). Aphidicolin, a tetracyclic diterpene-tetraol produced by Cephalosporium aphidicola (10, 25), was included in this group. This compound is a specific a-polymerase inhibitor and is effective in vitro against herpes simplex virus (3, 10, 25) and cytomegalovirus (E. Gonczol, personal communication). The activity of aphidicolin againt V-Z virus is, to the best of our knowledge, untested....