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Related Experiment Videos

Amphotericin B colloidal dispersion.

R Patel1

  • 1Division of Infectious Diseases and Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. patel.robin@mayo.edu

Expert Opinion on Pharmacotherapy
|March 16, 2001
PubMed
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Amphotericin B colloidal dispersion (ABCD) offers an effective alternative to conventional amphotericin B deoxycholate for treating invasive fungal infections, with reduced nephrotoxicity but more infusion-related adverse events.

Area of Science:

  • Mycology
  • Pharmacology
  • Infectious Diseases

Background:

  • Amphotericin B colloidal dispersion (ABCD) is a lipid-based formulation of amphotericin B.
  • It exhibits reduced nephrotoxicity compared to amphotericin B deoxycholate.
  • Infusion-related adverse events are more common with ABCD than with liposomal amphotericin B.

Purpose of the Study:

  • To evaluate the efficacy and safety of ABCD as an alternative antifungal therapy.
  • To compare ABCD with other lipid formulations of amphotericin B.
  • To discuss the role of ABCD in treating invasive fungal infections in immunocompromised patients.

Main Methods:

  • Review of randomized, double-blind studies.
  • Analysis of non-comparative, open-label clinical trials.

Related Experiment Videos

  • Comparison with existing amphotericin B formulations.
  • Main Results:

    • ABCD is effective for empirical treatment of fever and neutropenia.
    • It shows activity against invasive Candida and Aspergillus infections.
    • Approved for invasive aspergillosis when amphotericin B deoxycholate is not suitable.

    Conclusions:

    • ABCD is a viable alternative to amphotericin B deoxycholate, especially in patients with renal impairment or intolerance.
    • Higher incidence of infusion-related events necessitates careful monitoring.
    • High cost is a consideration for all lipid formulations of amphotericin B.