Wiederhold Nathan P, Kovanda Laura, Najvar Laura K, Bocanegra Rosie, Olivo Marcos, Kirkpatrick William R, Patterson Thomas F
University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
Astellas Pharma Global Development, Inc., Northbrook, Illinois, USA.
Antimicrob Agents Chemother. 2016 Aug 22;60(9):5600-3. doi: 10.1128/AAC.00229-16. Print 2016 Sep.
We evaluated the efficacy of isavuconazole against cryptococcal meningitis. Treatment with either oral isavuconazole (120 mg/kg and 240 mg/kg twice a day [BID]) or fluconazole as the positive control significantly improved survival in mice infected intracranially with either Cryptococcus neoformans USC1597 or H99 and significantly reduced brain fungal burdens for both isolates. Concentrations of isavuconazole in plasma and brain tissue also demonstrated that the greatest improvements in survival and fungal burden were associated with elevated exposures.
我们评估了艾沙康唑对新型隐球菌性脑膜炎的疗效。口服艾沙康唑(120mg/kg和240mg/kg,每日两次[BID])或氟康唑作为阳性对照进行治疗,显著提高了颅内感染新型隐球菌USC1597或H99的小鼠的存活率,并显著降低了两种分离株的脑真菌负荷。血浆和脑组织中艾沙康唑的浓度也表明,存活率和真菌负荷的最大改善与暴露量升高有关。