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Extended-Interval Dosing of Rezafungin against Azole-Resistant Aspergillus fumigatus
Author(s) -
Nathan P. Wiederhold,
Laura K. Najvar,
Rosie Jaramillo,
Marcos Olivo,
Brian L. Wickes,
Gabriel Catano,
Thomas F. Patterson
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.01165-19
Subject(s) - posaconazole , aspergillus fumigatus , aspergillosis , echinocandin , azole , dosing , anidulafungin , medicine , aspergillus , pharmacology , biology , itraconazole , microbiology and biotechnology , voriconazole , antifungal , caspofungin , fluconazole , immunology
We evaluated extended-interval dosing of the investigational echinocandin rezafungin (1, 4, and 16 mg/kg on days 1, 4, and 7 postinoculation) for the treatment of disseminated invasive aspergillosis caused by azole-resistant Aspergillus fumigatus Survival was significantly improved in mice treated with each dose of rezafungin and supratherapeutic posaconazole (20 mg/kg twice daily). Kidney fungal burden, as measured by quantitative real-time PCR, was also significantly reduced in mice treated with rezafungin although variability was observed.

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