Cited by 34Antifungal resistance and susceptibilityFungal and yeast genetics researchFungal Infections and Studies

Micafungin: a therapeutic review

Higashiyama, Yasuhito, Kohno, Shigeru·2004·Expert Review of Anti-infective Therapy

Abstract

In recent decades, the incidence of aspergillosis, candidiasis and clinically important deep mycoses has been increasing, with advances in transplantation medicine and anticancer chemotherapy. Micafungin (FK463, Fujisawa Healthcare) has been developed as a novel type of antifungal agent, which inhibits 1,3-beta-D-glucan synthase in the fungal cell wall. Micafungin, one of the echinocandins, exhibits extremely high antifungal activity against Aspergillus spp. and Candida spp. in vitro. It is also characterized by a linear pharmacokinetic profile and a much lower prevalence of adverse reactions than amphotericin B. Micafungin is quite useful in the treatment of deep mycoses. In clinical studies in Japan, micafungin was found to be highly effective against aspergillosis (57.1% overall efficacy rate) and candidiasis (78.6%). Micafungin is expected to increase the efficacy rate of treatment in patients with severe aspergillosis or candidiasis when used in combination with amphotericin B or mold azoles.

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Crossref · 10.1586/14787210.2.3.345

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Authors
Higashiyama, Y., & Kohno, S.
Affiliations
Nagasaki University (JP)
Venue
Expert Review of Anti-infective Therapy
Published
2004-06
Volume
2
Issue
3
Pages
345-355
ISSN
  • 1478-7210 (ISSN-L)
  • 1744-8336
OpenAlex
W2105523705
Cited by
34
References
11
Citations by year
2023: 1 · 2022: 2 · 2020: 4 · 2017: 2 · 2016: 1 · 2013: 1 · 2012: 1
FWCI
4.23
Type
journal article
Language
en
Open access
closed
Locations
  • Expert Review of Anti-infective Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fungal and yeast genetics research
  • Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
Keywords
micafungin, echinocandins, aspergillosis, candidiasis, systemic fungal infection, antifungal agents, pharmacokinetics, adverse effects, amphotericin B, combination therapy, Aspergillus, Candida
MeSH terms
Micafungin, Animals, Antifungal Agents, Aspergillosis, Candidiasis, Oral, Child, Clinical Trials as Topic, Drug Interactions, Fungi, Humans, Lipoproteins, Mycoses, Peptides, Cyclic, HIV Infections, Echinocandins, Lipopeptides

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