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
Internal Medicine, King Fahad Specialist Hospital, Dammam, SAU.
College of Medicine, Arabian Gulf University, Manama, BHR.
Cureus. 2024 Apr 28;16(4):e59210. doi: 10.7759/cureus.59210. eCollection 2024 Apr.
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.
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