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Preclinical data and mode of action of amorolfine
1Pharma Division, F. Hoffmann-La Roche, Basel, Switzerland.
Abstract:
Amorolfine is an antifungal showing activity against fungi pathogenic to plants, animals and humans. Amorolfine possesses a broad antifungal spectrum including dermatophytes, yeasts, dimorphic fungi and moulds and is not only fungistatic but fungicidal against most species. Amorolfine interferes with ergosterol biosynthesis at two steps: the delta 14 reduction and the delta 7-8 isomerisation. As a consequence of this inhibition the delta 14 sterol ignosterol is accumulated in the cell membrane and ergosterol is depleted. The cell wall thickness is significantly increased and chitin deposits are included inside and outside. In experimental models of systemic mycosis amorolfine shows no significant activity. This lack of systemic activity may be due to strong protein binding and/or rapid metabolism. In models of superficial fungal infection--trichophytosis and vaginal candidosis--amorolfine has a high activity. On a concentration basis amorolfine is more effective in trichophytosis than naftifine and all azoles tested. Amorolfine clears mycotic foci of trichophytosis in the guinea pig in 10 days, while none of the azoles is able to cure these animals. Tolciclate and terbinafine are the only other substances with a curative effect in these experiments. Amorolfine has a long retention time in the horny layer of the skin. In vaginal candidosis 0.1% amorolfine clears the vagina of viable candida cells in rats.
Insights
Amorolfine is a potent antifungal drug effective against a broad spectrum of fungi. It demonstrates high efficacy in treating superficial fungal infections like trichophytosis and vaginal candidosis.
Area of Science:
- Mycology
- Pharmacology
- Dermatology
Background:
- Amorolfine exhibits broad-spectrum antifungal activity against dermatophytes, yeasts, dimorphic fungi, and molds.
- It acts as both a fungistatic and fungicidal agent against most fungal species.
- The drug interferes with ergosterol biosynthesis, leading to altered fungal cell membranes.
Purpose of the Study:
- To evaluate the efficacy of amorolfine in treating superficial fungal infections.
- To compare amorolfine's activity against other antifungal agents.
- To investigate the mechanism of action and pharmacokinetic properties of amorolfine.
Main Methods:
- In vitro and in vivo experimental models of fungal infections (trichophytosis, vaginal candidosis).
- Assessment of antifungal spectrum, fungistatic/fungicidal activity, and mechanism of action (ergosterol biosynthesis inhibition).
- Comparative efficacy studies against naftifine, azoles, tolciclate, and terbinafine.
Main Results:
- Amorolfine demonstrated high activity in superficial fungal infection models, including trichophytosis and vaginal candidosis.
- It proved more effective than naftifine and azoles in trichophytosis models, clearing lesions in guinea pigs within 10 days.
- The drug showed significant retention in the skin's horny layer and cleared vaginal candidosis in rats.
Conclusions:
- Amorolfine is a highly effective topical antifungal agent for superficial mycoses.
- Its unique mechanism and pharmacokinetic profile contribute to its superior efficacy in certain infections.
- Amorolfine represents a valuable therapeutic option for conditions like trichophytosis and vaginal candidosis.
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