Akinosoglou Karolina, Papageorgiou Despoina, Gogos Charalambos, Dimopoulos George
Department of Internal Medicine and Infectious Diseases, University General Hospital of Patras, Rio, Greece.
Department of Medicine, University of Patras, Rio, Greece.
Expert Rev Anti Infect Ther. 2025 Feb-Apr;23(2-4):149-158. doi: 10.1080/14787210.2025.2461566. Epub 2025 Feb 4.
Fungal infections constitute a significant global health threat, with an estimated incidence of 6.5 million invasive fungal infections and 2.5 million associated deaths each year. New antifungal agents are being developed to address the challenges of fungal infections management, driven by the evolving fungal epidemiology, the emergence of antifungal resistance, and the limitations of existing treatments.
This review provides a thorough overview of the latest developments in novel antifungal agents, highlighting pivotal evidence obtained from clinical trials.
New antifungal agents hold promising future for difficult-to-treat fungal infections, providing for improved bioavailability, pharmacokinetic properties, adverse events and drug interactions, as well as, spectrum of activity. However, further data is needed before incorporating these agents in everyday clinical practice for the management of invasive fungal infections.
真菌感染对全球健康构成重大威胁,据估计,每年有650万例侵袭性真菌感染,其中250万人死亡。由于真菌流行病学的演变、抗真菌耐药性的出现以及现有治疗方法的局限性,新型抗真菌药物正在不断研发,以应对真菌感染治疗方面的挑战。
本综述全面概述了新型抗真菌药物的最新进展,重点介绍了从临床试验中获得的关键证据。
新型抗真菌药物在治疗难治性真菌感染方面前景广阔,具有更好的生物利用度、药代动力学特性、不良事件和药物相互作用,以及抗菌谱。然而,在将这些药物纳入侵袭性真菌感染的日常临床治疗之前,还需要更多数据。