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Extended-Interval Dosing of Rezafungin against Azole-Resistant Aspergillus fumigatus
Nathan P Wiederhold1, Laura K Najvar2,3, Rosie Jaramillo2,3
1Department of Pathology and Laboratory Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA wiederholdn@uthscsa.edu.
Abstract:
We evaluated extended-interval dosing of the investigational echinocandin rezafungin (1, 4, and 16 mg/kg on days 1, 4, and 7 postinoculation) for the treatment of disseminated invasive aspergillosis caused by azole-resistant Aspergillus fumigatus Survival was significantly improved in mice treated with each dose of rezafungin and supratherapeutic posaconazole (20 mg/kg twice daily). Kidney fungal burden, as measured by quantitative real-time PCR, was also significantly reduced in mice treated with rezafungin although variability was observed.
Insights
Rezafungin, an investigational echinocandin, improved survival in mice with invasive aspergillosis caused by azole-resistant Aspergillus fumigatus. This new antifungal agent also reduced kidney fungal burden in the study.
Area of Science:
- Mycology
- Pharmacology
- Infectious Diseases
Background:
- Invasive aspergillosis presents a significant threat, particularly strains resistant to azole antifungals.
- Developing novel antifungal therapies is crucial for managing challenging infections.
Purpose of the Study:
- To assess the efficacy of extended-interval dosing of rezafungin against azole-resistant Aspergillus fumigatus.
- To evaluate rezafungin's impact on survival and fungal burden in a disseminated invasive aspergillosis mouse model.
Main Methods:
- Mice with invasive aspergillosis were treated with varying doses of rezafungin (1, 4, 16 mg/kg) on days 1, 4, and 7.
- Survival rates were compared between rezafungin-treated groups, a posaconazole control group, and an untreated group.
- Quantitative real-time PCR was used to measure kidney fungal burden.
Main Results:
- Rezafungin treatment significantly improved survival across all tested doses compared to controls.
- A notable reduction in kidney fungal burden was observed in mice treated with rezafungin.
- Posaconazole also demonstrated a survival benefit at supratherapeutic doses.
Conclusions:
- Extended-interval dosing of rezafungin shows promise as a treatment for invasive aspergillosis caused by azole-resistant Aspergillus fumigatus.
- Rezafungin effectively reduces fungal burden and improves survival, offering a potential new therapeutic option.
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