Safety and tolerability of caspofungin acetate in the treatment of fungal infections
Abstract
Caspofungin acetate is the first member of the novel echinocandin class of antifungal drugs to be marketed in the United States. It has recently been approved for use in patients with invasive aspergillosis who are refractory to or intolerant of conventional therapy. Accordingly, its safety profile is particularly important to review. The safety and tolerability of caspofungin have been examined in 623 persons, including 295 patients who received >/= 50 mg/day for at least one week in clinical studies. In the 263 patients, given caspofungin in randomized double-blind active-control trials to date, there have been no serious clinical or laboratory drug-related adverse events; caspofungin was discontinued in only 2% of these patients because of drug-related adverse experiences. Caspofungin may have potentially important drug interactions with cyclosporine and tacrolimus.
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Caspofungin has been shown to be as effective as both amphotericin B deoxycholate and fluconazole when used as therapy for oropharyngeal and esophageal candidiasis.
“Caspofungin has been shown to be as effective as both amphotericin B deoxycholate and fluconazole when used as therapy for oropharyngeal and esophageal candidiasis [57][58][59][60].”
From Guidelines for Treatment of Candidiasis (2004) · cites this paper as [57]
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- Authors
- Sable, C. A., Nguyen, B. T., Chodakewitz, J. A., & DiNubile, M. J.
- Affiliations
- Merck & Co., Inc., Rahway, NJ, USA (United States) (US)
- Venue
- Transplant Infectious Disease
- Publisher
- Wiley
- Published
- 2002-03
- Volume
- 4
- Issue
- 1
- Pages
- 25-30
- ISSN
- 1398-2273 (ISSN-L)
- 1399-3062
- OpenAlex
- W2041457471
- Cited by
- 148
- References
- 5
- Citations by year
- 2025: 4 · 2024: 2 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 7 · 2013: 4 · 2012: 7
- FWCI
- 12.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Transplant Infectious Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Keywords
- caspofungin acetate, echinocandins, antifungal agents, invasive aspergillosis, drug safety, tolerability, adverse drug reactions, refractory fungal infection
- MeSH terms
- Caspofungin, Anti-Bacterial Agents, Antifungal Agents, Aspergillosis, Candidiasis, Double-Blind Method, Drug Tolerance, Fever, Headache, Humans, Mycoses, Peptides, Peptides, Cyclic, Phlebitis, Retrospective Studies, Randomized Controlled Trials as Topic, Immunocompromised Host, Drug Approval, Clinical Trials, Phase I as Topic, Clinical Trials, Phase II as Topic, Clinical Trials, Phase III as Topic, Echinocandins, Lipopeptides
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