Galactomannan Is a Biomarker of Fosmanogepix (APX001) Efficacy in Treating Experimental Invasive Pulmonary Aspergillosis
Author(s) -
Teclegiorgis Gebremariam,
Sondus Alkhazraji,
Yiyou Gu,
Shakti Singh,
Abdullah Alqarihi,
Karen Joy Shaw,
Ashraf S. Ibrahim
Publication year - 2019
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01966-19
Subject(s) - galactomannan , posaconazole , aspergillosis , pulmonary aspergillosis , biomarker , lung , placebo , medicine , pharmacology , microbiology and biotechnology , immunology , voriconazole , biology , pathology , antifungal , biochemistry , alternative medicine
Galactomannan (GM) detection in biological samples has been shown to predict therapeutic response by azoles and polyenes. In a murine invasive pulmonary aspergillosis model, fosmanogepix or posaconazole treatment resulted in an ∼6- to 7-log reduction in conidial equivalents (CE)/g lung tissue after 96 h versus placebo. Changes in GM levels in BAL fluid and serum mirrored reductions in lung CE, with significant decreases seen after 96 h or 72 h for fosmanogepix or posaconazole, respectively ( P < 0.02).
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