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Cited by 658

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Efficacy and Safety of Caspofungin for Treatment of Invasive Aspergillosis in Patients Refractory to or Intolerant of Conventional Antifungal Therapy

Open access
Maertens, Johann, Raad, Issam, Petrikkos, George, Boogaerts, Marc, Selleslag, Dominik, Petersen, Finn B., Sable, Carole A., Kartsonis, Nicholas A., Ngai, Angela, Taylor, Arlene, Patterson, Thomas F., Denning, David W., Walsh, Thomas J., Caspofungin Salvage Aspergillosis Study Group·2004·Clinical Infectious Diseases

Abstract

BACKGROUND: Invasive aspergillosis (IA) is an important cause of morbidity and mortality among immunocompromised patients. Echinocandins are novel antifungal molecules with in vitro and in vivo activity against Aspergillus species. METHODS: We investigated the efficacy and safety of caspofungin in the treatment of IA. Ninety patients with IA who were refractory to or intolerant of amphotericin B, lipid formulations of amphotericin B, or triazoles were enrolled to receive caspofungin. RESULTS: Efficacy was assessed for 83 patients who had infection consistent with definitions of IA and who received >or=1 dose of study drug. Common underlying conditions included hematologic malignancy (48% of patients), allogeneic blood and marrow transplantation (25% of patients), and solid-organ transplantation (11% of patients). Seventy-one patients (86%) were refractory to and 12 patients (14%) were intolerant of previous therapy. A favorable response to caspofungin therapy was observed in 37 (45%) of 83 patients, including 32 (50%) of 64 with pulmonary aspergillosis and 3 (23%) of 13 with disseminated aspergillosis. Two patients discontinued caspofungin therapy because of drug-related adverse events. Drug-related nephrotoxicity and hepatotoxicity occurred infrequently. CONCLUSION: Caspofungin demonstrated usefulness in the salvage treatment of IA.

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Metadata

Authors
Maertens, J., Raad, I., Petrikkos, G., Boogaerts, M., Selleslag, D., Petersen, F. B., Sable, C. A., Kartsonis, N. A., Ngai, A., Taylor, A., Patterson, T. F., Denning, D. W., Walsh, T. J., & Caspofungin Salvage Aspergillosis Study Group
Venue
Clinical Infectious Diseases
Published
2004-12
Volume
39
Issue
11
Pages
1563-1571
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2112230834
Cited by
658
References
6
FWCI
42.78
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Efficacy and Safety of Caspofungin for Treatment of Invasive Aspergillosis in Patients Refractory to or Intolerant of Conventional Antifungal Therapy. https://app.cochat.ai/papers/10.1086/423381
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Maertens, J., Raad, I., Petrikkos, G., Boogaerts, M., Selleslag, D., Petersen, F. B., Sable, C. A., Kartsonis, N. A., Ngai, A., Taylor, A., Patterson, T. F., Denning, D. W., Walsh, T. J., & Caspofungin Salvage Aspergillosis Study Group. (2004). Efficacy and Safety of Caspofungin for Treatment of Invasive Aspergillosis in Patients Refractory to or Intolerant of Conventional Antifungal Therapy. Clinical Infectious Diseases. https://doi.org/10.1086/423381

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

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.