Previous Article | Next Article 
Antimicrobial Agents and Chemotherapy, August 2000, p. 2017-2022, Vol. 44, No. 8
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
In Vitro and In Vivo Activities of SCH 56592 (Posaconazole), a New Triazole Antifungal Agent, against
Aspergillus and Candida
Anthony
Cacciapuoti,*
David
Loebenberg,
Erik
Corcoran,
Fred
Menzel Jr.,
Eugene L.
Moss Jr.,
Christine
Norris,
Monika
Michalski,
Kimberly
Raynor,
Judith
Halpern,
Cara
Mendrick,
Brian
Arnold,
Barry
Antonacci,
Raulo
Parmegiani,
Taisa
Yarosh-Tomaine,
George H.
Miller,
and
Roberta S.
Hare
Schering-Plough Research Institute,
Kenilworth, New Jersey 07033-1300
Received 18 January 2000/Returned for modification 16 February
2000/Accepted 28 April 2000
SCH 56592 (posaconazole), a new triazole antifungal agent, was
tested in vitro, and its activity was compared to that of itraconazole against 39 Aspergillus strains and to that of fluconazole
against 275 Candida and 9 Cryptococcus strains.
The SCH 56592 MICs for Aspergillus ranged from
0.002 to
0.5 µg/ml, and those of itraconazole ranged from
0.008 to 1 µg/ml. The SCH 56592 MICs for Candida and
Cryptococcus strains ranged from
0.004 to 16 µg/ml, and
those of fluconazole ranged from
0.062 to >64 µg/ml. SCH 56592 showed excellent activity against Aspergillus fumigatus and
Aspergillus flavus in a pulmonary mouse infection model.
When administered therapeutically, the 50% protective doses
(PD50s) of SCH 56592 ranged from 3.6 to 29.9 mg/kg of body
weight, while the PD50s of SCH 56592 administered
prophylactically ranged from 0.9 to 9.0 mg/kg; itraconazole
administered prophylactically was ineffective (PD50s, >75
mg/kg). SCH 56592 was also very efficacious against fluconazole-susceptible, -susceptible dose-dependent, or -resistant Candida albicans strains in immunocompetent or
immunocompromised mouse models of systemic infection. The
PD50s of SCH 56592 administered therapeutically ranged from
0.04 to 15.6 mg/kg, while the PD50s of SCH 56592 administered prophylactically ranged from 1.5 to 19.4 mg/kg. SCH 56592 has excellent potential for therapy against serious
Aspergillus or Candida infections.
*
Corresponding author. Mailing address: Schering-Plough
Research Institute, 2015 Galloping Hill Rd., Kenilworth, NJ 07033-1300. Phone: (908) 740-3139. Fax: (908) 740-3918. E-mail:
anthony.cacciapuoti{at}spcorp.com.

Present address: Research & Development, Microcide Pharmaceuticals
Inc., Mountain View, CA
94043.
Antimicrobial Agents and Chemotherapy, August 2000, p. 2017-2022, Vol. 44, No. 8
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
This article has been cited by other articles:
-
Spreghini, E., Maida, C. M., Tomassetti, S., Orlando, F., Giannini, D., Milici, M. E., Scalise, G., Barchiesi, F.
(2008). Posaconazole against Candida glabrata Isolates with Various Susceptibilities to Fluconazole. Antimicrob. Agents Chemother.
52: 1929-1933
[Abstract]
[Full Text]
-
Spreghini, E., Maida, C. M., Milici, M. E., Scalise, G., Barchiesi, F.
(2008). Posaconazole Activity against Candida glabrata after Exposure to Caspofungin or Amphotericin B. Antimicrob. Agents Chemother.
52: 513-517
[Abstract]
[Full Text]
-
Ullmann, A. J., Krammes, E., Sommer, S., Buschmann, I., Jahn-Muehl, B., Cacciapuoti, A., Schmitt, H.-J.
(2007). Efficacy of posaconazole and amphotericin B in experimental invasive pulmonary aspergillosis in dexamethasone immunosuppressed rats. J Antimicrob Chemother
60: 1080-1084
[Abstract]
[Full Text]
-
Perkhofer, S., Lugger, H., Dierich, M. P., Lass-Florl, C.
(2007). Posaconazole Enhances the Activity of Amphotericin B against Aspergillus Hyphae In Vitro. Antimicrob. Agents Chemother.
51: 791-793
[Abstract]
[Full Text]
-
Cacciapuoti, A., Halpern, J., Mendrick, C., Norris, C., Patel, R., Loebenberg, D.
(2006). Interaction between Posaconazole and Caspofungin in Concomitant Treatment of Mice with Systemic Aspergillus Infection.. Antimicrob. Agents Chemother.
50: 2587-2590
[Abstract]
[Full Text]
-
Sabatelli, F., Patel, R., Mann, P. A., Mendrick, C. A., Norris, C. C., Hare, R., Loebenberg, D., Black, T. A., McNicholas, P. M.
(2006). In Vitro Activities of Posaconazole, Fluconazole, Itraconazole, Voriconazole, and Amphotericin B against a Large Collection of Clinically Important Molds and Yeasts.. Antimicrob. Agents Chemother.
50: 2009-2015
[Abstract]
[Full Text]
-
Cuenca-Estrella, M., Gomez-Lopez, A., Mellado, E., Buitrago, M. J., Monzon, A., Rodriguez-Tudela, J. L.
(2006). Head-to-Head Comparison of the Activities of Currently Available Antifungal Agents against 3,378 Spanish Clinical Isolates of Yeasts and Filamentous Fungi. Antimicrob. Agents Chemother.
50: 917-921
[Abstract]
[Full Text]
-
Lopez-Oviedo, E., Aller, A. I., Martin, C., Castro, C., Ramirez, M., Peman, J. M., Canton, E., Almeida, C., Martin-Mazuelos, E.
(2006). Evaluation of Disk Diffusion Method for Determining Posaconazole Susceptibility of Filamentous Fungi: Comparison with CLSI Broth Microdilution Method. Antimicrob. Agents Chemother.
50: 1108-1111
[Abstract]
[Full Text]
-
Carrillo-Munoz, A.-J., Quindos, G., Ruesga, M., Alonso, R., del Valle, O., Hernandez-Molina, J. M., McNicholas, P., Loebenberg, D., Santos, P.
(2005). Antifungal activity of posaconazole compared with fluconazole and amphotericin B against yeasts from oropharyngeal candidiasis and other infections. J Antimicrob Chemother
55: 317-319
[Abstract]
[Full Text]
-
Cacciapuoti, A., Gurnani, M., Halpern, J., Norris, C., Patel, R., Loebenberg, D.
(2005). Interaction between Posaconazole and Amphotericin B in Concomitant Treatment against Candida albicans In Vivo. Antimicrob. Agents Chemother.
49: 638-642
[Abstract]
[Full Text]
-
Munayyer, H. K., Mann, P. A., Chau, A. S., Yarosh-Tomaine, T., Greene, J. R., Hare, R. S., Heimark, L., Palermo, R. E., Loebenberg, D., McNicholas, P. M.
(2004). Posaconazole Is a Potent Inhibitor of Sterol 14{alpha}-Demethylation in Yeasts and Molds. Antimicrob. Agents Chemother.
48: 3690-3696
[Abstract]
[Full Text]
-
Simitsopoulou, M., Gil-Lamaignere, C., Avramidis, N., Maloukou, A., Lekkas, S., Havlova, E., Kourounaki, L., Loebenberg, D., Roilides, E.
(2004). Antifungal Activities of Posaconazole and Granulocyte-Macrophage Colony-Stimulating Factor Ex Vivo and in Mice with Disseminated Infection Due to Scedosporium prolificans. Antimicrob. Agents Chemother.
48: 3801-3805
[Abstract]
[Full Text]
-
Imai, J. K., Singh, G., Clemons, K. V., Stevens, D. A.
(2004). Efficacy of Posaconazole in a Murine Model of Central Nervous System Aspergillosis. Antimicrob. Agents Chemother.
48: 4063-4066
[Abstract]
[Full Text]
-
Chau, A. S., Mendrick, C. A., Sabatelli, F. J., Loebenberg, D., McNicholas, P. M.
(2004). Application of Real-Time Quantitative PCR to Molecular Analysis of Candida albicans Strains Exhibiting Reduced Susceptibility to Azoles. Antimicrob. Agents Chemother.
48: 2124-2131
[Abstract]
[Full Text]
-
Andes, D., Marchillo, K., Conklin, R., Krishna, G., Ezzet, F., Cacciapuoti, A., Loebenberg, D.
(2004). Pharmacodynamics of a New Triazole, Posaconazole, in a Murine Model of Disseminated Candidiasis. Antimicrob. Agents Chemother.
48: 137-142
[Abstract]
[Full Text]
-
Li, X., Brown, N., Chau, A. S., Lopez-Ribot, J. L., Ruesga, M. T., Quindos, G., Mendrick, C. A., Hare, R. S., Loebenberg, D., DiDomenico, B., McNicholas, P. M.
(2004). Changes in susceptibility to posaconazole in clinical isolates of Candida albicans. J Antimicrob Chemother
53: 74-80
[Abstract]
[Full Text]
-
Dannaoui, E., Meis, J. F. G. M., Loebenberg, D., Verweij, P. E.
(2003). Activity of Posaconazole in Treatment of Experimental Disseminated Zygomycosis. Antimicrob. Agents Chemother.
47: 3647-3650
[Abstract]
[Full Text]
-
Courtney, R., Pai, S., Laughlin, M., Lim, J., Batra, V.
(2003). Pharmacokinetics, Safety, and Tolerability of Oral Posaconazole Administered in Single and Multiple Doses in Healthy Adults. Antimicrob. Agents Chemother.
47: 2788-2795
[Abstract]
[Full Text]
-
Philippe, B., Ibrahim-Granet, O., Prevost, M. C., Gougerot-Pocidalo, M. A., Sanchez Perez, M., Van der Meeren, A., Latge, J. P.
(2003). Killing of Aspergillus fumigatus by Alveolar Macrophages Is Mediated by Reactive Oxidant Intermediates. Infect. Immun.
71: 3034-3042
[Abstract]
[Full Text]
-
Mann, P. A., Parmegiani, R. M., Wei, S.-Q., Mendrick, C. A., Li, X., Loebenberg, D., DiDomenico, B., Hare, R. S., Walker, S. S., McNicholas, P. M.
(2003). Mutations in Aspergillus fumigatus Resulting in Reduced Susceptibility to Posaconazole Appear To Be Restricted to a Single Amino Acid in the Cytochrome P450 14{alpha}-Demethylase. Antimicrob. Agents Chemother.
47: 577-581
[Abstract]
[Full Text]
-
Sponsel, W E, Graybill, J R, Nevarez, H L, Dang, D
(2002). Ocular and systemic posaconazole(SCH-56592) treatment of invasive Fusarium solani keratitis and endophthalmitis. Br J Ophthalmol
86: 829-830
[Full Text]
-
Pfaller, M. A., Messer, S. A., Hollis, R. J., Jones, R. N., Diekema, D. J.
(2002). In Vitro Activities of Ravuconazole and Voriconazole Compared with Those of Four Approved Systemic Antifungal Agents against 6,970 Clinical Isolates of Candida spp.. Antimicrob. Agents Chemother.
46: 1723-1727
[Abstract]
[Full Text]
-
Pfaller, M. A., Messer, S. A., Hollis, R. J., Jones, R. N.
(2002). Antifungal Activities of Posaconazole, Ravuconazole, and Voriconazole Compared to Those of Itraconazole and Amphotericin B against 239 Clinical Isolates of Aspergillus spp. and Other Filamentous Fungi: Report from SENTRY Antimicrobial Surveillance Program, 2000. Antimicrob. Agents Chemother.
46: 1032-1037
[Abstract]
[Full Text]
-
Chakinala, M. M., Kollef, M. H., Trulock, E. P.
(2002). Critical Care Aspects of Lung Transplant Patients. J Intensive Care Med
17: 8-33
[Abstract]
-
Pfaller, M. A., Messer, S. A., Mills, K., Bolmstrom, A., Jones, R. N.
(2001). Evaluation of Etest Method for Determining Posaconazole MICs for 314 Clinical Isolates of Candida Species. J. Clin. Microbiol.
39: 3952-3954
[Abstract]
[Full Text]
-
Pfaller, M. A., Messer, S. A., Hollis, R. J., Jones, R. N.
(2001). In Vitro Activities of Posaconazole (Sch 56592) Compared with Those of Itraconazole and Fluconazole against 3,685 Clinical Isolates of Candida spp. and Cryptococcus neoformans. Antimicrob. Agents Chemother.
45: 2862-2864
[Abstract]
[Full Text]
-
Brieland, J., Essig, D., Jackson, C., Frank, D., Loebenberg, D., Menzel, F., Arnold, B., DiDomenico, B., Hare, R.
(2001). Comparison of Pathogenesis and Host Immune Responses to Candida glabrata and Candida albicans in Systemically Infected Immunocompetent Mice. Infect. Immun.
69: 5046-5055
[Abstract]
[Full Text]