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Cited by 596

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Combination Antifungal Therapy for Invasive Aspergillosis

Open access
Marr, K. A., Boeckh, M., Carter, R. A., Kim, H. W., Corey, L.·2004·Clinical Infectious Diseases

Abstract

BACKGROUND: Aspergillosis therapy with amphotericin, azoles, or echinocandins is associated with substantial mortality, ranging from 30% to 80%, depending on the stage of infection and the host's underlying disease. The results of in vitro studies and animal models suggest that combination therapy with azoles and echinocandins may have additive activity against Aspergillus species. METHODS: We evaluated the outcomes of patients with aspergillosis who experienced failure of initial therapy with amphotericin B formulations and received either voriconazole (n=31) or a combination of voriconazole and caspofungin (n=16) for salvage therapy. RESULTS: The combination of voriconazole and caspofungin was associated with improved 3-month survival rate, compared with voriconazole alone (hazard ratio [HR], 0.42; 95% confidence interval [CI], 0.17-1.1; P=.048). In multivariable models, salvage therapy with the combination of voriconazole and caspofungin was associated with reduced mortality, compared with therapy with voriconazole (HR, 0.28; 95% CI, 0.28-0.92; P=.011), independent of other prognostic variables (e.g., receipt of transplant and type of conditioning therapy). The probability of death due to aspergillosis was lowest in patients who received the combination regimen. CONCLUSIONS: Randomized trials are warranted to determine whether this combination should be used as primary therapy for aspergillosis.

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Metadata

Authors
Marr, K. A., Boeckh, M., Carter, R. A., Kim, H. W., & Corey, L.
Venue
Clinical Infectious Diseases
Published
2004-09-15
Volume
39
Issue
6
Pages
797-802
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2102584901
Cited by
596
References
4
FWCI
37.28
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Combination Antifungal Therapy for Invasive Aspergillosis. https://app.cochat.ai/papers/10.1086/423380
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Marr, K. A., Boeckh, M., Carter, R. A., Kim, H. W., & Corey, L. (2004). Combination Antifungal Therapy for Invasive Aspergillosis. Clinical Infectious Diseases. https://doi.org/10.1086/423380

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.