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Antimicrobial Agents and Chemotherapy, May 2001, p. 1493-1499, Vol. 45, No. 5
Central Research Laboratories, Kaken
Pharmaceutical Co., Ltd., 14 Minamikawara-cho, Shinomiya, Yamashina,
Kyoto, Kyoto 607-8042,1 and Research
Institute of Medical Mycology, Teikyo University, 359 Otsuka,
Hachioji, Tokyo 192-0395,2 Japan
Received 15 November 2000/Returned for modification 9 December
2000/Accepted 5 February 2001
The in vitro activity of KP-103, a novel triazole derivative,
against pathogenic fungi that cause dermatomycoses and its therapeutic efficacy against plantar tinea pedis and cutaneous candidiasis in
guinea pigs were investigated. MICs were determined by a broth microdilution method with morpholinepropanesulfonic acid-buffered RPMI
1640 medium for Candida species and with Sabouraud dextrose broth for dermatophytes and by an agar dilution method with medium C
for Malassezia furfur. KP-103 was the most active of all
the drugs tested against Candida albicans (geometric mean
[GM] MIC, 0.002 µg/ml), other Candida species including
Candida parapsilosis and Candida glabrata (GM
MICs, 0.0039 to 0.0442 µg/ml), and M. furfur (GM MIC,
0.025 µg/ml). KP-103 (1% solution) was highly effective as a
treatment for guinea pigs with cutaneous candidiasis and achieved
mycological eradication in 8 of the 10 infected animals, whereas none
of the imidazoles tested (1% solutions) was effective in even reducing
the levels of the infecting fungi. KP-103 was as active as clotrimazole
and neticonazole but was less active than lanoconazole and butenafine
against Trichophyton rubrum (MIC at which 80% of isolates
are inhibited [MIC80], 0.125 µg/ml) and Trichophyton mentagrophytes (MIC80, 0.25 µg/ml). However, KP-103 (1% solution) exerted therapeutic efficacy
superior to that of neticonazole and comparable to those of
lanoconazole and butenafine, yielding negative cultures for all samples
from guinea pigs with plantar tinea pedis tested. This suggests that
KP-103 has better pharmacokinetic properties in skin tissue than the
reference drugs. Because the in vitro activity of KP-103, unlike those
of the reference drugs, against T. mentagrophytes was not
affected by hair as a keratinic substance, its excellent therapeutic
efficacy seems to be attributable to good retention of its antifungal
activity in skin tissue, in addition to its potency.
0066-4804/01/$04.00+0 DOI: 10.1128/AAC.45.5.1493-1499.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
In Vitro Antifungal Activity of KP-103, a Novel
Triazole Derivative, and Its Therapeutic Efficacy against Experimental
Plantar Tinea Pedis and Cutaneous Candidiasis in Guinea Pigs
*
Corresponding author. Mailing address: Central Research
Laboratories, Kaken Pharmaceutical Co., Ltd., 14 Minamikawara-cho, Shinomiya, Yamashina, Kyoto, Kyoto 607-8042, Japan. Phone:
075-594-0787. Fax: 075-594-0790. E-mail:
tatsumi_yoshiyuki{at}kaken.co.jp.
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