Antifungal drug development: challenges, unmet clinical needs, and new approaches

Terry Roemer1, Damian J Krysan

  • 1Infectious Disease Research, Merck Research Laboratories, Kenilworth, New Jersey 07033.

Insights

Limited antifungal drugs treat invasive fungal infections, causing significant mortality. This review addresses unmet needs and challenges in developing new antifungal therapies.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Pharmacology

Background:

  • Invasive fungal infections pose a significant threat, leading to high morbidity and mortality rates, especially in immunocompromised patients.
  • Current therapeutic options for invasive fungal infections are severely limited compared to antibacterial treatments.
  • Only three drug classes are clinically available, with no new class developed in three decades.

Purpose of the Study:

  • To summarize the unmet clinical needs in current antifungal therapy.
  • To discuss the challenges associated with antifungal drug discovery and development.
  • To review recent advancements addressing these challenges.

Main Methods:

  • Literature review of current antifungal therapies.
  • Analysis of challenges in antifungal drug discovery pipelines.
  • Summary of recent developments in antifungal research.

Main Results:

  • Significant unmet needs exist in treating invasive fungal infections.
  • Antifungal drug discovery faces numerous hurdles, including toxicity and resistance.
  • Recent research shows promise in developing novel antifungal agents and strategies.

Conclusions:

  • There is an urgent need for novel antifungal drugs to combat rising resistance and limited treatment options.
  • Overcoming challenges in drug discovery is crucial for advancing antifungal therapy.
  • Continued research and development are essential to address the global burden of invasive fungal infections.

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