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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,dagger 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,dagger 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.

dagger 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.



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