- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap, Eraxis (anidulafungin) / RaQualia, Mycamine (micafungin) / Astellas
PK/PD data, Review, Journal: Echinocandins Pharmacokinetics: A Comprehensive Review of Micafungin, Caspofungin, Anidulafungin, and Rezafungin Population Pharmacokinetic Models and Dose Optimization in Special Populations. (Pubmed Central) - Dec 21, 2024 Numerous popPK models of echinocandins have been developed. However, an external validation of the suggested dosing regimens in conjunction with an analysis of population subgroups should be conducted before implementing a popPK model in clinical practice.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Journal: New Perspectives on Antimicrobial Agents: Rezafungin. (Pubmed Central) - Dec 12, 2024 Herein, we review the most recent published data pertaining to rezafungin including anti-fungal activity, pharmacokinetics, and clinical data relating to the treatment of invasive candidiasis. Given its prolonged half-life allowing for once-weekly dosing, rezafungin has the potential as an anti-fungal prophylactic agent in high-risk patients, and studies to examine this potential role are ongoing.
- |||||||||| Review, Journal: Proline Analogues in Drug Design: Current Trends and Future Prospects. (Pubmed Central) - Nov 28, 2024
Additionally, we discuss several intriguing cases where nonproline residues were replaced with proline analogues as a strategy to eliminate unwanted hydrogen bond donor sites. In conclusion, we present some suggestions for the future exploration of this promising class of molecular entities in drug discovery.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
PK/PD data, Review, Journal: Rezafungin acetate for the treatment of candidemia and invasive candidiasis: a pharmacokinetic evaluation. (Pubmed Central) - Nov 18, 2024 The differentiated PK characteristics of rezafungin which enables once weekly dosing could reduce catheter overuse and provide a rapid transition to outpatient treatment for Candida infections in which azoles cannot be used, due to resistance or drug-drug interactions. Besides weekly dosing, other potential pharmacokinetic/pharmacodynamic advantages of rezafungin are its good penetration into anatomically challenging sites and a potentially reduced probability of local resistance promotion, making it an attractive option also for deep-seated infections that could warrant dedicated clinical investigation.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap, Eraxis (anidulafungin) / RaQualia, Mycamine (micafungin) / Astellas
Preclinical, Journal: In Vivo Efficacy of Rezafungin, Anidulafungin, Caspofungin, and Micafungin against Four Candida auris Clades in a Neutropenic Mouse Bloodstream Infection Model. (Pubmed Central) - Sep 27, 2024 Despite FDA approval, further investigation is warranted for a comprehensive understanding of rezafungin's efficacy and safety. Regardless of the C. auris clade, rezafungin activity in vivo was comparable to or improved over that of the three previously approved echinocandins.
- |||||||||| Review, Journal: Usage of Antifungal Agents in Pediatric Patients Versus Adults: Knowledge and Gaps. (Pubmed Central) - Sep 26, 2024
Despite the promising potential of novel antifungal drugs, their performance in heavily immunosuppressed patients remains unstudied. Until then, dedicated antifungal stewardship programs for high-risk patients are essential to optimize therapeutic outcomes, improve patient care, and limit the emergence of resistance.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Journal: Regulatory Considerations in the Approval of Rezafungin (REZZAYO) for the Treatment of Candidemia and Invasive Candidiasis in Adults. (Pubmed Central) - Aug 15, 2024 P2, P3 Nonclinical studies of rezafungin in non-human primates identified a neurotoxicity safety signal; however, rezafungin's safety profile in the completed clinical studies was similar to other FDA-approved echinocandins. Here we describe the rationale for this approval and important considerations during the review process for a flexible development program intended to expedite the availability of antimicrobial therapies to treat serious infections in patients with limited treatment options.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Enrollment open, Trial initiation date: Rezafungin Pharmacokinetics in Patients on ECMO (clinicaltrials.gov) - Aug 1, 2024 P1, N=8, Recruiting, Here we describe the rationale for this approval and important considerations during the review process for a flexible development program intended to expedite the availability of antimicrobial therapies to treat serious infections in patients with limited treatment options. Not yet recruiting --> Recruiting | Initiation date: Apr 2024 --> Jul 2024
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Journal: Case Commentary: Extending our therapeutic range against multidrug-resistant Candida. (Pubmed Central) - Jul 22, 2024 While excellent clinical evidence supports the short-term safety of rezafungin, these cases demonstrate that rezafungin may additionally have a role in long-term suppressive therapy for antifungal-resistant Candida spp. infections.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Review, Journal: Twenty Years in EUCAST Anti-Fungal Susceptibility Testing: Progress & Remaining Challenges. (Pubmed Central) - Jul 11, 2024 Variability in rezafungin MIC testing due to laboratory conditions, which has been solved by the addition of Tween 20 to the growth medium in E.Def 7.4...In summary, EUCAST AFST continues to play a pivotal role in standardizing AFST and facilitating accurate interpretation of susceptibility data for clinical decision-making. Adoption of EUCAST breakpoints for commercial test methods, however, requires thorough validation to ensure concordance with EUCAST reference testing species-specific MIC distributions.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Journal: Rezafungin (Rezzayo) for invasive Candida infections. (Pubmed Central) - Jun 21, 2024 Trial completion date: Aug 2024 --> Dec 2025 | Trial primary completion date: Aug 2024 --> Dec 2025 No abstract available
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap, Brexafemme (ibrexafungerp) / SCYNEXIS, GSK, fosmanogepix (APX001) / Basilea
Preclinical, Review, Journal: A Mini-Review of In Vitro Data for Candida Species, Including C. auris, Isolated during Clinical Trials of Three New Antifungals: Fosmanogepix, Ibrexafungerp, and Rezafungin. (Pubmed Central) - May 24, 2024 In conclusion, this mini-review summarizes insights regarding clinical outcomes and the in vitro activity of three new antifungals against Candida spp. cultured from patients in clinical trials.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap, Brexafemme (ibrexafungerp) / SCYNEXIS, GSK, fosmanogepix (APX001) / Basilea
Review, Journal: Management of invasive candidiasis: A focus on rezafungin, ibrexafungerp, and fosmanogepix. (Pubmed Central) - May 9, 2024 Lastly, fosmanogepix, a mechanistically novel, investigational antifungal agent, may be a potential future option in the management of IC and candidemia. Future research is needed to evaluate the potential use of these agents among diverse patient populations.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
P3 data, Journal: Outcomes by Candida spp. in the ReSTORE Phase 3 trial of rezafungin versus caspofungin for candidemia and/or invasive candidiasis. (Pubmed Central) - May 2, 2024 Two patients had baseline isolates with non-susceptible MIC values (both in the rezafungin group: one non-susceptible to rezafungin and one to caspofungin, classified as intermediate); both were candidemia-only patients in whom rezafungin treatment was successful based on the day 30 all-cause mortality endpoint. This analysis of ReSTORE demonstrated the efficacy of rezafungin for candidemia and IC in patients infected with a variety of Candida species.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Enrollment open, Trial completion date, Monotherapy: Rezafungin for Treatment of Pneumocystis Pneumonia in HIV Adults (clinicaltrials.gov) - Mar 29, 2024 P2, N=50, Recruiting, 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 Candida species. Not yet recruiting --> Recruiting | Trial completion date: Sep 2024 --> Dec 2024
- |||||||||| Journal: Pipeline of Novel Antifungals for Invasive Fungal Disease in Transplant Recipients: A Pediatric Perspective. (Pubmed Central) - Feb 28, 2024
The overarching goal of this review is to discuss the mechanisms of action, spectrum of activity, stage of development, and pediatric-specific data for the following agents: encochleated amphotericin B deoxycholate, fosmanogepix, ibrexafungerp, isavuconazole, olorofim, opelconazole, oteseconazole, and rezafungin. Additionally, key drug attributes of these novel agents and their potential future therapeutic roles in pediatric transplant recipients are discussed.
- |||||||||| Review, Journal: 2023 FDA TIDES (Peptides and Oligonucleotides) Harvest. (Pubmed Central) - Feb 24, 2024
Furthermore, Rett syndrome has found its first-ever core symptoms treatment, which is also peptide-based. Here, we analyze the TIDES approved in 2023 on the basis of their chemical structure, medical target, mode of action, administration route, and common adverse effects.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
THE CASE OF SUCCESSFUL USE OF REZAFUNGIN IN A PEDIATRIC PATIENT WITH MIXED INFECTION CAUSED BY YEAST IN THE REPUBLIC OF BELARUS (Hall C1M2) - Feb 9, 2024 - Abstract #ESPID2024ESPID_129; The primary endpoint of FFS at the Day 90 time point aims to assess efficacy during the acute phase of allogeneic HSCT and to minimise the potential for bias due to patient drop-out in this setting. Candida tropicalis has been isolated for sterility in the blood test, Rhodotorula mucilaginosa is isolated during the seeding of pericardial fluid (MIC voriconazole, postconazole, isovuconazole and micafungin
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap, Olorofim (orotomide) / F2G, Noxafil (posaconazole) / Merck (MSD)
Review, Journal: High-Risk Neutropenic Fever and Invasive Fungal Diseases in Patients with Hematological Malignancies. (Pubmed Central) - Jan 23, 2024 The incidence rates (IRs) of b-IFDs (95% confidence interval (95% CI), per 100 person years follow-up (PYFU)) were 5.04 (0.47, 14.45) in induction (n = 2), 3.25 (0.0013, 12.76) in consolidation (n = 1) and 18.38 (3.46, 45.06) in salvage chemotherapy (n = 3). Finally, we highlight the current challenges in the field of b-IFDs; these include the improvement of diagnoses, the expanding treatment landscape of AML with molecular targeted drugs (and related drug-drug interactions with azoles), evolving transplantation techniques (and their related impacts on IFDs' risk stratification), and new antifungals and their features (rezafungin and olorofim).
- |||||||||| Review, Journal: Update on therapeutic approaches for invasive fungal infections in adults. (Pubmed Central) - Jan 22, 2024
We discuss management of complex infections with specific emerging fungi such as Scedosporium spp., Fusarium spp., Trichosporon asahii, and Candida auris. We briefly explore newer antifungal agents or formulations that are now being investigated to overcome therapeutic pitfalls, including but not limited to olorofim, rezafungin, fosmanogepix, and encochleated Amphotericin B. We discuss the role of surgical resection or debridement, duration of treatment, follow-up modalities, and need for secondary prophylaxis, all of which remain challenging, especially in patients chronically immunocompromised or awaiting more immunosuppressive therapies.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Enrollment open: Rezafungin Paediatric PK Study in Paediatric Subjects From Birth to <18 Years of Age (clinicaltrials.gov) - Dec 14, 2023 P1, N=32, Recruiting, We briefly explore newer antifungal agents or formulations that are now being investigated to overcome therapeutic pitfalls, including but not limited to olorofim, rezafungin, fosmanogepix, and encochleated Amphotericin B. We discuss the role of surgical resection or debridement, duration of treatment, follow-up modalities, and need for secondary prophylaxis, all of which remain challenging, especially in patients chronically immunocompromised or awaiting more immunosuppressive therapies. Not yet recruiting --> Recruiting
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap, Brexafemme (ibrexafungerp) / SCYNEXIS, GSK, fosmanogepix (APX001) / Pfizer
Review, Journal: Review of treatment options for a multi-drug resistant fungus: Candida auris. (Pubmed Central) - Dec 9, 2023 Among these antifungal agents, rezafungin was approved by the FDA for the treatment of candidemia and invasive candidiasis on March 22, 2023. Ibrexafungerp and fosmanogepix have entered phase III clinical trials.
- |||||||||| Review, Journal: Antifungal resistance, combinations and pipeline: oh my! (Pubmed Central) - Nov 29, 2023
Fosmanogepix, ibrexafungerp, olorofim and rezafungin may help fill some of these gaps in the antifungal armamentarium. This article is part of the Challenges and strategies in the management of invasive fungal infections Special Issue: https://www.drugsincontext.com/special_issues/challenges-and-strategies-in-the-management-of-invasive-fungal-infections.
- |||||||||| Rezzayo (rezafungin for injection) / Cidara Therap, Mundipharma, Melinta Therap
Journal: New antifungals development: rezafungin in candidiasis treatment. (Pubmed Central) - Nov 26, 2023 These findings are of clinical importance in fighting active and aggressive infections and reducing the morbidity and mortality caused by candidaemia and invasive candidiasis. No abstract available
- |||||||||| Review, Journal: Treatment of Invasive Aspergillosis: How It's Going, Where It's Heading. (Pubmed Central) - Oct 23, 2023
Current investigations show encouraging results, so far mostly in preclinical settings. In this review we discuss current treatment strategies, give an outlook on possible new pharmaceutical therapeutic options, and, lastly, provide an overview of the ongoing research in immunotherapy for IA.
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