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Fosmanogepix: The Novel Anti-Fungal Agent's Comprehensive Review of in Vitro, in Vivo, and Current Insights From Advancing Clinical Trials.

作者信息

Almajid Ali, Bazroon Ali, Al-Awami Hashim M, Albarbari Hassan, Alqahtani Ibrahim, Almutairi Rehab, Alsuwayj Abbas, Alahmadi Faiza, Aljawad Jinan, Alnimer Razan, Asiri Nawal, Alajlani Shouq, Alshelali Reem, Aljishi Yamama

机构信息

Internal Medicine, King Fahad Specialist Hospital, Dammam, SAU.

College of Medicine, Arabian Gulf University, Manama, BHR.

出版信息

Cureus. 2024 Apr 28;16(4):e59210. doi: 10.7759/cureus.59210. eCollection 2024 Apr.


DOI:10.7759/cureus.59210
PMID:38807795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11131969/
Abstract

Fosmanogepix, a prodrug of Manogepix (MGX), is a groundbreaking antifungal agent with broad-spectrum activity against yeasts, including and , as well as molds. It exhibits effectiveness against drug-resistant strains, such as strains resistant to and strains resistant to azoles. Furthermore, fosmanogepix shows activity against pathogens that typically resist other classes of drugs, such as , , and , although its efficacy against Mucorales varies. In animal models, fosmanogepix has demonstrated notable effectiveness against disseminated infections caused by various species, , and . It has also shown efficacy in pulmonary infection models involving , , , , and . Clinical trials have revealed excellent oral bioavailability (>90%), enabling a seamless transition between intravenous and oral formulations without compromising blood concentrations. Fosmanogepix exhibits favorable profiles in terms of drug interactions, tolerability, and extensive distribution in various tissues, making it an appealing choice for treating invasive fungal infections. This comprehensive review aims to examine the outcomes of published data on fosmanogepix, encompassing in vitro, in vivo, and clinical investigations.

摘要

相似文献

[1]
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[5]
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[6]
activity of manogepix and comparators against infrequently encountered yeast and mold isolates from the SENTRY Surveillance Program (2017-2022).

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[7]
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[8]
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[9]
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引用本文的文献

[1]
In vitro effects of the new antifungal compound manogepix (APX001) against the three most clinically relevant species of Sporothrix.

Braz J Microbiol. 2025-7-15

[2]
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J Fungi (Basel). 2025-4-8

[3]
Primary antifungal prophylaxis in hematological malignancies. Updated clinical practice guidelines by the European Conference on Infections in Leukemia (ECIL).

Leukemia. 2025-4-9

[4]
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Paediatr Drugs. 2025-3-21

[5]
Clinical aspects and recent advances in fungal diseases impacting human health.

J Antimicrob Chemother. 2025-3-14

[6]
The evolution of antifungal therapy: Traditional agents, current challenges and future perspectives.

Curr Res Microb Sci. 2025-1-11

[7]
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J Fungi (Basel). 2024-12-15

本文引用的文献

[1]
The combination of manogepix and itraconazole is synergistic and inhibits the growth of Madurella mycetomatis in vitro but not in vivo.

Med Mycol. 2023-11-6

[2]
Phase 1b safety and pharmacokinetics of intravenous and oral fosmanogepix in patients with acute myeloid leukaemia and neutropenia.

J Antimicrob Chemother. 2023-11-6

[3]
Clinical safety and efficacy of novel antifungal, fosmanogepix, for the treatment of candidaemia: results from a Phase 2 trial.

J Antimicrob Chemother. 2023-10-3

[4]
Successful Use of Fosmanogepix for Treatment of Rare Highly Resistant Cutaneous Fusariosis in a Pediatric Patient With STAT3 Hyper-Immunoglobulin E Syndrome and End-Stage Kidney Disease.

Open Forum Infect Dis. 2023-5-23

[5]
Fosmanogepix Therapy of Disseminated Fusarium Infection.

Clin Infect Dis. 2023-9-18

[6]
Clinical Efficacy and Safety of a Novel Antifungal, Fosmanogepix, in Patients with Candidemia Caused by Candida auris Results from a Phase 2 Trial.

Antimicrob Agents Chemother. 2023-5-17

[7]
Activities of Manogepix and Comparators against 1,435 Recent Fungal Isolates Collected during an International Surveillance Program (2020).

Antimicrob Agents Chemother. 2022-11-15

[8]
Comparing the Characteristics of Mucormycosis Between Cases with and without COVID-19; a Cross-sectional Study.

Arch Acad Emerg Med. 2022-7-12

[9]
Antifungal Activity of Manogepix and Other Antifungal Agents against South African Isolates from Bloodstream Infections.

Microbiol Spectr. 2022-2-23

[10]
Successful Treatment of Disseminated Disease Due to Highly Resistant Aspergillus calidoustus with a Novel Antifungal Therapy.

Antimicrob Agents Chemother. 2022-3-15

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