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Cited by 629

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Amphotericin B Lipid Complex for Invasive Fungal Infections: Analysis of Safety and Efficacy in 556 Cases

Walsh, Thomas J., Hiemenz, John W., Seibel, Nita L., Perfect, John R., Horwith, Gary, Lee, Lily, Silber, Jeffrey L., DiNubile, Mark J., Reboli, Annette, Bow, Eric, Lister, John, Anaissie, Elias J.·1998·Clinical Infectious Diseases

Abstract

The safety and antifungal efficacy of amphotericin B lipid complex (ABLC) were evaluated in 556 cases of invasive fungal infection treated through an open-label, single-patient, emergency-use study of patients who were refractory to or intolerant of conventional antifungal therapy. All 556 treatment episodes were evaluable for safety. During the course of ABLC therapy, serum creatinine levels significantly decreased from baseline (P < .02). Among 162 patients with serum creatinine values > or = 2.5 mg/dL at the start of ABLC therapy (baseline), the mean serum creatinine value decreased significantly from the first week through the sixth week (P < or = .0003). Among the 291 mycologically confirmed cases evaluable for therapeutic response, there was a complete or partial response to ABLC in 167 (57%), including 42% (55) of 130 cases of aspergillosis, 67% (28) of 42 cases of disseminated candidiasis, 71% (17) of 24 cases of zygomycosis, and 82% (9) of 11 cases of fusariosis. Response rates varied according to the pattern of invasive fungal infection, underlying condition, and reason for enrollment (intolerance versus progressive infection). These findings support the use of ABLC in the treatment of invasive fungal infections in patients who are intolerant of or refractory to conventional antifungal therapy.

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Metadata

Authors
Walsh, T. J., Hiemenz, J. W., Seibel, N. L., Perfect, J. R., Horwith, G., Lee, L., Silber, J. L., DiNubile, M. J., Reboli, A., Bow, E., Lister, J., & Anaissie, E. J.
Venue
Clinical Infectious Diseases
Published
1998-06
Volume
26
Issue
6
Pages
1383-1396
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W2144030592
Cited by
629
References
1
FWCI
27.53
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Amphotericin B Lipid Complex for Invasive Fungal Infections: Analysis of Safety and Efficacy in 556 Cases. https://app.cochat.ai/papers/10.1086/516353
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Walsh, T. J., Hiemenz, J. W., Seibel, N. L., Perfect, J. R., Horwith, G., Lee, L., Silber, J. L., DiNubile, M. J., Reboli, A., Bow, E., Lister, J., & Anaissie, E. J. (1998). Amphotericin B Lipid Complex for Invasive Fungal Infections: Analysis of Safety and Efficacy in 556 Cases. Clinical Infectious Diseases. https://doi.org/10.1086/516353

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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.