Emerging drugs and vaccines for candidemia
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Updated: Apr 22, 2026

A Soluble Tetrazolium-Based Reduction Assay to Evaluate the Effect of Antibodies on Candida tropicalis Biofilms
Published on: September 16, 2022
Brad Moriyama1, Lori A Gordon, Matthew McCarthy
1Pharmacy Department, NIH Clinical Center, Bethesda, MD, USA.
Abstract:
Candidemia and other forms of invasive candidiasis are important causes of morbidity and mortality. The evolving challenge of antimicrobial resistance among fungal pathogens continues to highlight the need for potent, new antifungal agents. MEDLINE, EMBASE, Scopus and Web of Science searches (up to January 2014) of the English-language literature were performed with the keywords 'Candida' or 'Candidemia' or 'Candidiasis' and terms describing investigational drugs with activity against Candida spp. Conference abstracts and the bibliographies of pertinent articles were also reviewed for relevant reports. ClinicalTrials.gov was searched for relevant clinical trials. Currently available antifungal agents for the treatment of candidemia are summarised. Investigational antifungal agents with potential activity against Candida bloodstream infections and other forms of invasive candidiasis and vaccines for prevention of Candida infections are also reviewed as are selected antifungal agents no longer in development. Antifungal agents currently in clinical trials include isavuconazole, albaconazole, SCY-078, VT-1161 and T-2307. Further data are needed to determine the role of these compounds in the treatment of candidemia and other forms of invasive candidiasis. The progressive reduction in antimicrobial drug development may result in a decline in antifungal drug discovery. Still, there remains a critical need for new antifungal agents to treat and prevent invasive candidiasis and other life-threatening mycoses.
Insights
New antifungal drugs are crucial for treating invasive candidiasis due to rising resistance. Several investigational agents show promise, but more data is needed to establish their role in combating Candida infections.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Pharmacology
Background:
- Invasive candidiasis, including candidemia, significantly contributes to patient morbidity and mortality.
- Increasing antifungal resistance in Candida species necessitates the development of novel therapeutic agents.
- The pipeline for new antifungal drug development faces challenges, underscoring the urgency for innovation.
Purpose of the Study:
- To review currently available and investigational antifungal agents for invasive candidiasis.
- To assess the potential of new compounds and vaccines in preventing and treating Candida infections.
- To identify antifungal agents currently in clinical trials for candidemia and invasive candidiasis.
Main Methods:
- Comprehensive literature searches of MEDLINE, EMBASE, Scopus, and Web of Science up to January 2014.
- Inclusion of conference abstracts and bibliographies of relevant articles.
- Searches of ClinicalTrials.gov for ongoing clinical trials related to Candida infections.
Main Results:
- Currently available antifungal treatments for candidemia were summarized.
- Investigational agents such as isavuconazole, albaconazole, SCY-078, VT-1161, and T-2307 are in clinical trials.
- Vaccines for Candida infection prevention were also reviewed.
Conclusions:
- Further clinical data is required to define the therapeutic roles of emerging antifungal agents.
- Despite challenges in drug development, there is a critical need for new antifungals to manage invasive candidiasis.
- Continued research and development are essential to address the threat of life-threatening fungal infections.
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