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新抗真菌药物的需求有多迫切?

How urgent is the need for new antifungals?

机构信息

Department of Infectious Diseases, Royal Brisbane and Women's Hospital, Brisbane, Australia.

Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Royal Brisbane and Women's Hospital Campus, Brisbane, Australia.

出版信息

Expert Opin Pharmacother. 2021 Oct;22(14):1857-1870. doi: 10.1080/14656566.2021.1935868. Epub 2021 Jul 7.

Abstract

Invasive fungal infection carries a high morbidity, mortality and economic cost. In recent times, a rising incidence of fungal infection and antifungal resistance is occurring which has prompted the development of novel antifungal agents.In this perspective, the authors describe the current status of registered antifungals and their limitations in the treatment of invasive fungal infection. They also go on to describe the new antifungal agents that are in the clinical stage of development and how they might be best utilized in patient care in the future. The antifungal drug development pipeline has responded to a growing need for new agents to effectively treat fungal disease without concomitant toxicity or issues with drug tolerance. Olorofim (F901318), ibrexafungerp (SCY-078), fosmanogepix (APX001), rezafungin (CD101), oteseconazole (VT-1161), encochleated amphotericin B (MAT2203), nikkomycin Z (NikZ) and ATI-2307 are all in the clinical stage of development and offer great promise in offering clinicians better agents to treat these difficult infections.

摘要

侵袭性真菌感染具有较高的发病率、死亡率和经济成本。近年来,真菌感染的发病率和抗真菌药物耐药性不断上升,促使人们开发新型抗真菌药物。在这篇观点文章中,作者描述了已注册抗真菌药物的现状及其在侵袭性真菌感染治疗中的局限性。他们还进一步描述了处于临床开发阶段的新型抗真菌药物,以及未来如何在患者治疗中最佳应用这些药物。抗真菌药物的研发管线响应了有效治疗真菌感染的新药物的迫切需求,这些药物既无伴随毒性,也不存在药物耐受性问题。Olorofim(F901318)、Ibrexafungerp(SCY-078)、Fosmanogepix(APX001)、Resafungin(CD101)、Oteseconazole(VT-1161)、Encocleated Amphotericin B(MAT2203)、Nikkomycin Z(NikZ)和 ATI-2307 均处于临床开发阶段,为临床医生提供更好的药物来治疗这些棘手的感染提供了巨大的希望。

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