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Antimicrobial Agents and Chemotherapy, March 2000, p. 614-618, Vol. 44, No. 3
Medicinal Biology Research
Laboratories1 and Research
Planning,2 Fujisawa Pharmaceutical Co., Ltd.,
Kashima, Yodogawa-ku, Osaka 532-8514, Kanagawa Prefectural
Nursing and Hygienic School Hospital, 1-6, Shiomidai, Isogo-ku,
Yokohama 235-0022,3 and Toho University
School of Medicine, Ohmori Nishi, Ohta-ku, Tokyo
143-8540,4 Japan
Received 3 May 1999/Returned for modification 26 July 1999/Accepted 10 December 1999
The efficacy of intravenous injection of FK463, a novel
water-soluble lipopeptide, was evaluated in mouse models of
disseminated candidiasis and aspergillosis and was compared with those
of fluconazole (FLCZ) and amphotericin B (AMPH-B). In the candidiasis
model, FK463 significantly prolonged the survival of intravenously
infected mice at doses of 0.125 mg/kg of body weight or higher. In
disseminated candidiasis caused by Candida species,
including FLCZ-resistant Candida albicans, FK463 exhibited
an efficacy 1.4 to 18 times inferior to that of AMPH-B, with 50%
effective doses (ED50s) ranging from 0.21 to 1.00 mg/kg and
0.06 to 0.26 mg/kg, respectively, and was much more active than FLCZ.
The protective effect of FK463 was not obviously influenced by the
fungal inoculum size, the starting time of the treatment, or the
immunosuppressed status of the host. The reduction in efficacy was less
than that observed with FLCZ or AMPH-B. The efficacy of FK463 was also
evaluated in the disseminated candidiasis target organ assay and was
compared with those of FLCZ and AMPH-B. Efficacies were evaluated on
the basis of a comparison between the mean log10 CFU in
kidneys in the groups treated with antifungal agents and that in
control group. A single dose of FK463 at 0.5 mg/kg or higher
significantly reduced the viable counts in kidneys compared with the
numbers of yeast cells before treatment, and its efficacy was
comparable to that of AMPH-B, while FLCZ at 4 mg/kg showed only a
suppressive effect on the growth of C. albicans in the
kidneys. In the disseminated aspergillosis model, FK463 given at doses
of 0.5 mg/kg or higher significantly prolonged the survival of mice
infected intravenously with Aspergillus fumigatus conidia.
The efficacy of FK463 was about 2 times inferior to that of AMPH-B,
with ED50s ranging from 0.25 to 0.50 mg/kg and 0.11 to 0.29 mg/kg, respectively. These results indicate that FK463 may be a potent
parenterally administered therapeutic agent for disseminated
candidiasis and aspergillosis.
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Efficacy of FK463, a New Lipopeptide Antifungal
Agent, in Mouse Models of Disseminated Candidiasis and
Aspergillosis
*
Corresponding author. Mailing address: Department of
Infectious Diseases, Medicinal Biology Research Laboratories, Fujisawa Pharmaceutical Co., Ltd., 1-6, 2-Chome, Kashima, Yodogawa-Ku, Osaka
532-8514, Japan. Phone: 81-6-6390-1158. Fax: 81-6-6304-5367. E-mail:
fumiaki_ikeda{at}po.fujisawa.co.jp.
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