New Antifungals for Vulvovaginal Candidiasis: What Is Their Role?
Abstract
New antifungals, ibrexafungerp and oteseconazole, are now available for treatment of vulvovaginal candidiasis. Both have novel antimicrobial and pharmacokinetic properties and advantages over fluconazole, although comparative trials have involved only placebo. In the absence of allergy, intolerance, and resistance, it is unclear whether these antifungals will replace fluconazole.
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Ibrexafungerp has lower potency against C. krusei than against other species.
“However, it was reported that the drug has lower potency against C. krusei than against other species [46].”
From Treatment of Vulvovaginal Candidiasis—An Overview of Guidelines and the Latest Treatment Methods (2023) · cites this paper as [46]
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Treatment of Vulvovaginal Candidiasis—An Overview of Guidelines and the Latest Treatment Methods
Satora, M., Grunwald, A., Zaremba, B., Frankowska, K., Żak, K., Tarkowski, R., & Kułak, K. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12165376 · Cited by 84 · see citing works
How do I manage refractory invasive pulmonary aspergillosis
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e Silva, D. M., de Souza Lacerda, L., de Souza Andrioli, A., Braz, W. R., Campos, L. M., de Paiva, M. R. B., Pittella, F., Fabri, R. L., & Tavares, G. D. (2025) · Fundamental & Clinical Pharmacology · doi:10.1111/fcp.70046 · Cited by 7 · see citing works
“Fluconazole, the most commonly used drug, has limitations such as contraindication during pregnancy, in vitro resistance in C. albicans , and potential to promote resistance in non-albicans species, leading to further complications [68].”
- Authors
- Sobel, J. D.
- Affiliations
- Wayne State University (US)
- Corresponding author
- Sobel, Jack D
- ORCID
- Sobel, Jack D
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2023-01-05
- Volume
- 76
- Issue
- 5
- Pages
- 783-785
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W4313702668
- Cited by
- 23
- References
- 33
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 8 · 2023: 7
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
- Keywords
- vaginal candidiasis, ibrexafungerp, oteseconazole, fluconazole, antifungal agents, pharmacokinetics, Candida albicans, treatment options
- MeSH terms
- Antifungal Agents, Candida albicans, Candidiasis, Vulvovaginal, Female, Humans, Microbial Sensitivity Tests, Fluconazole, Drug Resistance, Fungal
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