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Ibrexafungerp: A new triterpenoid antifungal
Allana J Sucher1, Annie Thai1, Charlene Tran1
1Regis University School of Pharmacy, Denver, CO, USA.
Ibrexafungerp offers a new oral treatment option for fungal infections like vulvovaginal candidiasis. This antifungal shows promise for various Candida and Aspergillus infections, including resistant strains.
Area of Science:
- Mycology
- Pharmacology
- Infectious Diseases
Background:
- Fungal infections pose a significant global health challenge, with limited treatment options for resistant strains.
- Vulvovaginal candidiasis (VVC) is a common infection, often treated with azoles like fluconazole.
- Emerging antifungal resistance necessitates the development of novel therapeutic agents.
Purpose of the Study:
- To review the pharmacology, microbiology, pharmacokinetics, pharmacodynamics, efficacy, safety, and role of ibrexafungerp in treating fungal infections.
- To evaluate ibrexafungerp as a potential alternative for vulvovaginal candidiasis and other invasive fungal infections.
Main Methods:
- Comprehensive review of existing literature on ibrexafungerp.
- Analysis of preclinical and clinical trial data for efficacy and safety.
- Pharmacological and microbiological profiling of the novel antifungal agent.
Main Results:
- Ibrexafungerp is the first triterpenoid antifungal, inhibiting 1,3-β-d-glucan synthesis with limited cross-resistance to echinocandins.
- Demonstrates fungicidal activity against Candida species, including fluconazole-resistant strains, and activity against Aspergillus species.
- Proven safe and effective for VVC in clinical trials; approved for specific populations, with ongoing trials for other indications.
Conclusions:
- Ibrexafungerp presents a valuable oral alternative to fluconazole for VVC in nonpregnant females.
- It holds potential for treating recurrent, complicated VVC, and certain invasive fungal infections.
- Further clinical trials are essential to establish its role in broader fungal infection management.
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