[Experience with voriconazole in invasive aspergillosis]
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Updated: Aug 13, 2026

Detection of Invasive Pulmonary Aspergillosis in Haematological Malignancy Patients by using Lateral-flow Technology
Published on: March 22, 2012
1Medizinische Klinik III, Hämatologie, Onkologie und Transfusionsmedizin, Charité, Universitätsmedizin Berlin, Campus Benjamin Franklin, Freie Universität, Hindenburgdamm 30, D-12200 Berlin, Germany. ethiel@zedat.fu-berlin.de
Abstract:
Invasive aspergillosis causes a markable part of infection-associated morbidity and mortality in immunocompromised patients. For none of hitherto available antimycotic agents a significant superiority could be demonstrated which all are characterised by unsatisfactory response rates. The newly developed and approved voriconazole is characterized by broad antifungal activity against numerous yeasts and filamentous fungi, including Aspergillus species. Voriconazole is available for intravenous administration and shows excellent bioavailability with oral application. The profile of toxicity is typical for azoles with the particularity of causing obviously substance-specific transient, benign visual disturbances. In clinical studies could be shown that voriconazole is significantly superior to the previous antimycotic standard, amphotericin B, with regard to therapy response and survival. In patients with invasive aspergillosis the therapy response with voriconazole is about 45% even in otherwise therapy-resistant cases.
Insights
Voriconazole offers improved treatment for invasive aspergillosis, a serious fungal infection in immunocompromised patients. Clinical studies show it is superior to amphotericin B, improving patient survival rates.
Area of Science:
- Mycology
- Infectious Diseases
- Pharmacology
Context:
- Invasive aspergillosis significantly contributes to morbidity and mortality in immunocompromised individuals.
- Existing antifungal treatments demonstrate limited efficacy and unsatisfactory response rates.
- There is a critical need for novel, effective antifungal therapies.
Purpose:
- To evaluate the efficacy and safety of voriconazole for treating invasive aspergillosis.
- To compare voriconazole's therapeutic response and survival rates against the established standard, amphotericin B.
Summary:
- Voriconazole exhibits broad-spectrum antifungal activity, including against Aspergillus species.
- It offers both intravenous and oral administration with excellent bioavailability.
- Clinical trials demonstrate voriconazole's significant superiority over amphotericin B in therapy response and survival.
- Achieved a notable 45% therapy response rate in invasive aspergillosis patients, including refractory cases.
Impact:
- Voriconazole represents a significant advancement in managing invasive aspergillosis.
- Improved treatment outcomes and survival rates for a vulnerable patient population.
- Establishes a new standard of care for invasive aspergillosis treatment.
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