An evaluation of Rezafungin: the latest treatment option for adults with candidemia and invasive candidiasis.

Expert Opin Pharmacother

Division of infectious Disease, Department of Medicine, WellStar MCG Health, Augusta University, Augusta, GA, USA.

Published: March 2024

AI Article Synopsis

  • Invasive fungal infections, especially candidemia and invasive candidiasis, pose significant health risks, and the rise of drug-resistant fungal species creates a pressing need for new antifungal treatments.
  • The review discusses in vitro studies on the pharmacokinetics and pharmacodynamics of new antifungal agents, highlighting key clinical studies on their safety and effectiveness.
  • Rezafungin shows strong efficacy compared to other treatments, has a favorable safety profile, and allows for once-weekly dosing, making it a promising option for managing challenging fungal infections in outpatient settings.

Article Abstract

Introduction: Invasive fungal infections, especially candidemia and invasive candidiasis, continue to cause substantial morbidity and mortality. In addition, the emergence of drug-resistant species, notably and , along with limitations in available treatments, highlights the urgent need for novel, effective antifungal agents.

Areas Covered: This review discusses the results of in vitro studies evaluating the spectrum and highlights the pharmacokinetic/pharmacodynamic properties. It also includes discussions on two key clinical studies that assess safety, tolerability, and efficacy.

Expert Opinion: Rezafungin has demonstrated comparable efficacy to other echinocandins in two clinical studies and exhibits in vitro activity against a broad range of species and spp. It has a favorable safety profile with minimal side effects, and no drug interactions or effects on QT intervals. In contrast to other echinocandins, it demonstrates dose-dependent killing, a prolonged half-life, and low clearance make it suitable for once-weekly dosing, which is supported by clinical trials confirming its efficacy. Rezafungin offers a promising option for the outpatient management of difficult to treat fungal infections. It has become a valuable addition to the antifungal arsenal, with the potential to reduce hospital length of stay and hospitalization costs and combat drug-resistant species.

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Source
http://dx.doi.org/10.1080/14656566.2024.2331775DOI Listing

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