Related Experiment Video
Updated: Aug 16, 2026

Broth Microdilution In Vitro Screening: An Easy and Fast Method to Detect New Antifungal Compounds
Published on: February 14, 2018
Newer treatments for fungal infections
Katherine M Knapp1, Patricia M Flynn
1Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis,TN 38105, USA. katherine.knapp@stjude.org
Abstract:
Invasive fungal infections are a significant cause of morbidity and mortality among immunocompromised cancer patients, and until recently, treatment options have been limited. The poor outcomes of these infections, and the increased incidence of disease, particularly due to resistant and less common fungal isolates, necessitate the development of new agents. Antifungal drug development had been a slow process since the release of amphotericin B over 40 years ago. However, since 1995, six new systemic antifungals have been approved: three lipid formulations of amphotericin B, the initial second-generation triazole, and the first two approved agents in a new class of antifungals with a novel mechanism of action, the echinocandins. These newer agents, and several others currently in development, offer improved tolerability and safety profiles and extend the spectrum of coverage to resistant and less-common fungal infections. The authors describe each of these new compounds and discuss how they fit into the overall management of fungal infections in patients with cancer.
Insights
New antifungal drugs offer improved treatment for invasive fungal infections in cancer patients. These agents combat resistant fungal strains and provide better safety profiles, addressing a critical unmet need.
Area of Science:
- Medical Mycology
- Oncology
- Infectious Diseases
Background:
- Invasive fungal infections (IFIs) pose a significant threat to immunocompromised cancer patients, leading to high morbidity and mortality.
- Limited treatment options and the rise of resistant fungal isolates underscore the urgent need for novel antifungal agents.
- Antifungal drug development has historically been slow, with few new systemic agents approved over several decades.
Purpose of the Study:
- To review recent advancements in systemic antifungal therapies for cancer patients.
- To discuss the clinical utility and management strategies of newly approved and investigational antifungal agents.
- To highlight the improved efficacy and safety profiles of newer antifungal drugs.
Main Methods:
- Review of recently approved systemic antifungal agents since 1995.
- Description of three lipid formulations of amphotericin B.
- Introduction of second-generation triazoles and echinocandins with novel mechanisms of action.
Main Results:
- Six new systemic antifungal agents have been approved since 1995.
- Newer agents include lipid formulations of amphotericin B, second-generation triazoles, and echinocandins.
- These agents demonstrate improved tolerability, safety, and broader coverage against resistant and uncommon fungi.
Conclusions:
- Recent advancements have expanded the armamentarium against invasive fungal infections in cancer patients.
- Newer antifungal drugs offer better outcomes and management options for challenging fungal infections.
- Ongoing development promises further improvements in treating invasive fungal infections in this vulnerable population.
Related Concept Videos
Antifungal Agents
Cryptococcal Meningitis
Anthelminthic Agents
Fungal Phylum Microsporidia
Combined Effects of Drugs: Synergism
Such synergistic combinations...
Candidiasis
