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Exploratory study on short-term administration of oral fosravuconazole for tinea pedis
Yuichiro Tsunemi1, Wataru Naka2
1Department of Dermatology, Saitama Medical University Hospital, Saitama, Japan.
Abstract:
We investigated the clinical efficacy of short-term, oral fosravuconazole (F-RVCZ) therapy for tinea pedis, commonly known as athlete's foot. F-RVCZ (equivalent to 100 mg ravuconazole) was administered orally once daily for 1 week for interdigital and vesicular tinea pedis and for 4 weeks for hyperkeratotic tinea pedis. Efficacy was evaluated based on mycological efficacy and clinical symptoms at Weeks 1, 4, and 8 for interdigital and vesicular tinea pedis and at Weeks 4, 8, and 12 for hyperkeratotic tinea pedis. Efficacy was confirmed at the end of treatment. Therapeutic efficacy increased over time from the end of treatment for both types of tinea pedis. All adverse drug reactions (ADRs) were within expectations and there were no cases of discontinuation due to ADRs or serious ADRs. Short-term oral F-RVCZ therapy is expected to be as effective or more effective than terbinafine and itraconazole, which have already been approved in Japan and may be a useful option for the treatment of tinea pedis.
Insights
Short-term oral fosravuconazole (F-RVCZ) effectively treats athlete's foot (tinea pedis). This antifungal medication demonstrated increasing efficacy over time with a favorable safety profile, offering a promising alternative to existing treatments.
Area of Science:
- Dermatology
- Mycology
- Pharmacology
Background:
- Tinea pedis, or athlete's foot, is a common fungal infection.
- Current treatments have limitations, necessitating novel therapeutic options.
Purpose of the Study:
- To evaluate the clinical efficacy and safety of short-term oral fosravuconazole (F-RVCZ) for treating tinea pedis.
- To compare F-RVCZ with existing antifungal therapies.
Main Methods:
- Oral F-RVCZ (100 mg ravuconazole equivalent) administered once daily for 1 week (interdigital/vesicular) or 4 weeks (hyperkeratotic).
- Efficacy assessed by mycological and clinical outcomes at multiple time points post-treatment.
- Adverse drug reactions (ADRs) were monitored.
Main Results:
- F-RVCZ demonstrated confirmed efficacy at the end of treatment for both tinea pedis types.
- Therapeutic effects showed a time-dependent increase post-treatment.
- All ADRs were expected, with no discontinuations due to serious adverse events.
Conclusions:
- Short-term oral F-RVCZ is an effective and safe treatment for tinea pedis.
- F-RVCZ may offer superior or comparable efficacy to terbinafine and itraconazole.
- This therapy presents a potentially valuable new option for managing athlete's foot.
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