Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C58H73N7O17 |
Molecular Weight | 1140.2369 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 15 / 15 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]12C[C@@H](O)CN1C(=O)[C@@]([H])(NC(=O)[C@H](C[C@@H](O)[C@@H](O)NC(=O)[C@]3([H])[C@@H](O)[C@@H](C)CN3C(=O)[C@@]([H])(NC(=O)[C@@]([H])(NC2=O)[C@H](O)[C@@H](O)C4=CC=C(O)C=C4)[C@@H](C)O)NC(=O)C5=CC=C(C=C5)C6=CC=C(C=C6)C7=CC=C(OCCCCC)C=C7)[C@@H](C)O
InChI
InChIKey=JHVAMHSQVVQIOT-MFAJLEFUSA-N
InChI=1S/C58H73N7O17/c1-5-6-7-24-82-40-22-18-35(19-23-40)33-10-8-32(9-11-33)34-12-14-37(15-13-34)51(74)59-41-26-43(70)54(77)63-56(79)47-48(71)29(2)27-65(47)58(81)45(31(4)67)61-55(78)46(50(73)49(72)36-16-20-38(68)21-17-36)62-53(76)42-25-39(69)28-64(42)57(80)44(30(3)66)60-52(41)75/h8-23,29-31,39,41-50,54,66-73,77H,5-7,24-28H2,1-4H3,(H,59,74)(H,60,75)(H,61,78)(H,62,76)(H,63,79)/t29-,30+,31+,39+,41-,42-,43+,44-,45-,46-,47-,48-,49-,50-,54+/m0/s1
Molecular Formula | C58H73N7O17 |
Molecular Weight | 1140.2369 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 15 / 15 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Anidulafungin (brand names Eraxis (in U.S. and Russia) and Ecalta (in Europe)) is a semi-synthetic echinocandin with antifungal activity and it is active in vitro against many Candida, as well as some Aspergillus. Like other echinocandins, anidulafungin is not active against Cryptococcus neoformans, Trichosporon, Fusarium, or zygomycetes. This drug is indicated for the treatment of candidemia and the following Candida infections: intra-abdominal abscess and peritonitis; and for the treatment of esophageal candidiasis. Anidulafungin inhibits glucan synthase, an enzyme present in fungal, but not mammalian cells. This results in inhibition of the formation of 1,3--D-glucan, an essential component of the fungal cell wall.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=20930076
Curator's Comment: The ability of the echinocandin, anidulafungin to penetrate the blood-CSF/blood-brain barrier is poor as a consequence of their high molecular mass (above 1,000 Da).
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2364673 Sources: https://www.ncbi.nlm.nih.gov/pubmed/18473501 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Curative | ERAXIS Approved UseERAXIS is indicated for use in adults for the treatment of the following fungal infections listed below. Specimens for fungal culture and other relevant laboratory studies (including histopathology) should be obtained prior to therapy to isolate and identify causative organism(s). Therapy may be instituted before the results of the cultures and other laboratory studies known. However, once these results become available, antifungal therapy should be adjusted accordingly. Anidulafungin is an echinocandin antifungal drug indicated in adults for the treatment of: Candidemia and other forms of Candida infections (intra-abdominal abscess and peritonitis) (1.1) Esophageal candidiasis (1.2) Limitations of use: has not been studied in endocarditis, osteomyelitis and meningitis due to Candida or in sufficient numbers of neutropenic patients (1.3) 1.1 Candidemia and Other Forms of Candida Infections (Intra-abdominal Abscess and Peritonitis) ERAXIS is indicated for the treatment of candidemia and the following Candida infections: intra-abdominal abscess and peritonitis [see Clinical Studies(14.1) and Clinical Pharmacology, Microbiology (12.4) Launch Date1.14013438E12 |
|||
Curative | ERAXIS Approved UseERAXIS is indicated for use in adults for the treatment of the following fungal infections listed below. Specimens for fungal culture and other relevant laboratory studies (including histopathology) should be obtained prior to therapy to isolate and identify causative organism(s). Therapy may be instituted before the results of the cultures and other laboratory studies known. However, once these results become available, antifungal therapy should be adjusted accordingly. Anidulafungin is an echinocandin antifungal drug indicated in adults for the treatment of: Candidemia and other forms of Candida infections (intra-abdominal abscess and peritonitis) (1.1) Esophageal candidiasis (1.2) Limitations of use: has not been studied in endocarditis, osteomyelitis and meningitis due to Candida or in sufficient numbers of neutropenic patients (1.3) 1.1 Candidemia and Other Forms of Candida Infections (Intra-abdominal Abscess and Peritonitis) ERAXIS is indicated for the treatment of candidemia and the following Candida infections: intra-abdominal abscess and peritonitis [see Clinical Studies(14.1) and Clinical Pharmacology, Microbiology (12.4) Launch Date1.14013438E12 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
7.2 mg/L |
200 mg 1 times / day steady-state, intravenous dose: 200 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
4.2 mg/L |
100 mg 1 times / day steady-state, intravenous dose: 100 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
110.3 mg × h/L |
200 mg 1 times / day steady-state, intravenous dose: 200 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
55.2 mg × h/L |
100 mg 1 times / day steady-state, intravenous dose: 100 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
26.5 h |
200 mg 1 times / day steady-state, intravenous dose: 200 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
26.5 h |
100 mg 1 times / day steady-state, intravenous dose: 100 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1% |
200 mg 1 times / day steady-state, intravenous dose: 200 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1% |
100 mg 1 times / day steady-state, intravenous dose: 100 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
ANIDULAFUNGIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.4 |
unhealthy, 16-89 n = 127 Health Status: unhealthy Condition: Candida infections|Candidemia Age Group: 16-89 Sex: M+F Population Size: 127 Sources: Page: p.4 |
Disc. AE: Multi-organ failure... AEs leading to discontinuation/dose reduction: Multi-organ failure Sources: Page: p.4 |
200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.4 |
unhealthy, 56.5 (± 18.5) n = 43 Health Status: unhealthy Condition: Candidemia Age Group: 56.5 (± 18.5) Sex: M+F Population Size: 43 Sources: Page: p.4 |
Disc. AE: Drug hypersensitivity, Skin rash... AEs leading to discontinuation/dose reduction: Drug hypersensitivity (2.3%) Sources: Page: p.4Skin rash (2.3%) |
400 mg single, intravenous Overdose Dose: 400 mg Route: intravenous Route: single Dose: 400 mg Sources: Page: p.9 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.9 |
|
200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Disc. AE: Abnormal liver function tests, Hepatitis... AEs leading to discontinuation/dose reduction: Abnormal liver function tests Sources: Page: p.1Hepatitis Hepatic failure Hypersensitivity Anaphylaxis Rash Urticaria Flushing Pruritus Bronchospasm Dyspnea Hypotension |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Multi-organ failure | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.4 |
unhealthy, 16-89 n = 127 Health Status: unhealthy Condition: Candida infections|Candidemia Age Group: 16-89 Sex: M+F Population Size: 127 Sources: Page: p.4 |
Drug hypersensitivity | 2.3% Disc. AE |
200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.4 |
unhealthy, 56.5 (± 18.5) n = 43 Health Status: unhealthy Condition: Candidemia Age Group: 56.5 (± 18.5) Sex: M+F Population Size: 43 Sources: Page: p.4 |
Skin rash | 2.3% Disc. AE |
200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.4 |
unhealthy, 56.5 (± 18.5) n = 43 Health Status: unhealthy Condition: Candidemia Age Group: 56.5 (± 18.5) Sex: M+F Population Size: 43 Sources: Page: p.4 |
Abnormal liver function tests | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Anaphylaxis | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Bronchospasm | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Dyspnea | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Flushing | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Hepatic failure | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Hepatitis | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Hypersensitivity | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Hypotension | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Pruritus | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Rash | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Urticaria | Disc. AE | 200 mg 1 times / day multiple, intravenous Recommended Dose: 200 mg, 1 times / day Route: intravenous Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Candida infections|Candidemia Sources: Page: p.1 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 54.0 |
inconclusive | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 54.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 54.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
no | no (co-administration study) Comment: rifampin did not significantly alter anidulafungin pharmacokinetics Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
no | no (co-administration study) Comment: rifampin did not significantly alter anidulafungin pharmacokinetics Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
no | no (co-administration study) Comment: voriconazole did not significantly alter anidulafungin pharmacokinetics Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
no | no (co-administration study) Comment: voriconazole did not significantly alter anidulafungin pharmacokinetics; rifampin did not significantly alter anidulafungin pharmacokinetics Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
no | no (co-administration study) Comment: rifampin did not significantly alter anidulafungin pharmacokinetics Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
no | no (co-administration study) Comment: cyclosporine did not significantly alter anidulafungin pharmacokinetics; voriconazole did not significantly alter anidulafungin pharmacokinetics; rifampin did not significantly alter anidulafungin pharmacokinetics Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44.0 |
||
strong [IC50 7 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 54.0 |
inconclusive | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44, 54 |
no | no (co-administration study) Comment: rifampin did not significantly alter anidulafungin pharmacokinetics Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/21948s000_Eraxis_BioPharrmR.pdf Page: 44, 54 |
PubMed
Title | Date | PubMed |
---|---|---|
Clinical microbiology and infectious diseases. Management of fungal infections. | 2001 Jul |
|
Anidulafungin: review of a new echinocandin antifungal agent. | 2004 Aug |
|
Gateways to clinical trials. | 2004 Dec |
|
Initial results from a longitudinal international surveillance programme for anidulafungin (2003). | 2004 Dec |
|
Management of invasive mycoses in hematology patients: current approaches. | 2004 Nov |
|
Echinocandins: ask not what they can do for esophageal candidiasis--ask what studies of esophageal candidiasis can do for them. | 2004 Sep 15 |
|
A randomized, double-blind trial of anidulafungin versus fluconazole for the treatment of esophageal candidiasis. | 2004 Sep 15 |
|
Compatibility of anidulafungin with other drugs during simulated Y-site administration. | 2005 Apr 15 |
|
Overview of transplant mycology. | 2005 Apr 15 |
|
Echinocandins: role in antifungal therapy, 2005. | 2005 Aug |
|
Safety and pharmacokinetics of coadministered voriconazole and anidulafungin. | 2005 Dec |
|
Assessment of the safety and pharmacokinetics of anidulafungin when administered with cyclosporine. | 2005 Feb |
|
Gateways to clinical trials. | 2005 Jul-Aug |
|
Anidulafungin: a new echinocandin with a novel profile. | 2005 Jun |
|
Antifungal agents in children. | 2005 Jun |
|
Gateways to clinical trials. | 2005 May |
|
New antifungal drugs and the pediatric cancer patient: current status of clinical development. | 2005 May-Jun |
|
Advances in antifungal therapy. | 2005 Oct |
|
Acquisitions not a cure for anti-infectives. | 2005 Sep |
|
Management of systemic fungal infections: alternatives to itraconazole. | 2005 Sep |
|
Echinocandin antifungals: review and update. | 2006 Apr |
|
In vitro interactions of anidulafungin with azole antifungals, amphotericin B and 5-fluorocytosine against Candida species. | 2006 Feb |
|
Gateways to clinical trials. | 2006 May |
|
New drugs: lubiprostone, ranolazine, and anidulafungin. | 2006 May-Jun |
|
The safety of anidulafungin. | 2006 Nov |
|
Gateways to clinical trials. | 2006 Sep |
|
Echinocandins in the management of invasive fungal infections, part 1. | 2006 Sep 15 |
|
Antifungal agents in neonates: issues and recommendations. | 2007 |
|
Role of micafungin in the antifungal armamentarium. | 2007 |
|
Fungal infections of the CNS: treatment strategies for the immunocompromised patient. | 2007 |
|
Anidulafungin does not require dosage adjustment in subjects with varying degrees of hepatic or renal impairment. | 2007 Apr |
|
One year prospective survey of Candida bloodstream infections in Scotland. | 2007 Aug |
|
[In vitro activity of amphotericin B and anidulafungin against Candida spp. biofilms]. | 2007 Dec 31 |
|
A comparative evaluation of properties and clinical efficacy of the echinocandins. | 2007 Jul |
|
Update on new antifungal therapy. | 2007 Jul-Sep |
|
Essential gene identification and drug target prioritization in Aspergillus fumigatus. | 2007 Mar |
|
Antifungal drug discovery, six new molecules patented after 10 years of feast: why do we need new patented drugs apart from new strategies? | 2007 Nov |
|
Mould breakthrough in immunosuppressed adults receiving anidulafungin: a report of 2 cases. | 2007 Nov |
|
Management of invasive pulmonary aspergillosis in non-neutropenic critically ill patients. | 2007 Oct |
|
Recent advances in antifungal agents. | 2007 Sep |
|
Susceptibility patterns of Candida species recovered from Canadian intensive care units. | 2007 Sep |
|
Anidulafungin and fluconazole for candidiasis. | 2007 Sep 27 |
|
Anidulafungin and fluconazole for candidiasis. | 2007 Sep 27 |
|
Advances in antifungal therapy. | 2008 |
|
In vitro susceptibilities of invasive isolates of Candida species: rapid increase in rates of fluconazole susceptible-dose dependent Candida glabrata isolates. | 2008 Aug |
|
Management of Candida infections in the adult intensive care unit. | 2008 Feb |
|
In vivo pharmacodynamic characterization of anidulafungin in a neutropenic murine candidiasis model. | 2008 Feb |
|
Paradoxical growth effects of the echinocandins caspofungin and micafungin, but not of anidulafungin, on clinical isolates of Candida albicans and C. dubliniensis. | 2008 Feb |
|
Anidulafungin was noninferior to fluconazole for invasive candidiasis. | 2008 Jan-Feb |
|
[Anidulafungin in the invasive fungal infection: current topics]. | 2008 Jun |
Patents
Sample Use Guides
Candidemia and other Candida infections (intra-abdominal abscess, and peritonitis) The recommended dose is a single 200 mg loading dose on Day 1, followed by 100 mg daily dose thereafter. Duration of treatment should be based on the patient’s clinical response. In general, antifungal therapy should continue for at least 14 days after the last positive culture.
Esophageal Candidiasis: The recommended dose is a single 100 mg loading dose on Day 1, followed by 50 mg daily dose thereafter. Patients should be treated for a minimum of 14 days and for at least 7 days following resolution of symptoms. Duration of treatment should be based on the patient’s clinical response. Because of the risk of relapse of esophageal candidiasis in patients with HIV infections, suppressive antifungal therapy may be considered after a course of treatment.
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27197532
A 48 hours exposure of human erythrocytes to Anidulafungin (1.5 - 6 µg/ml) significantly increased hemolysis and the percentage of annexin-V-binding cells, and significantly decreased forward scatter. Anidulafungin (6 µg/ml) slightly, but significantly inceased Fluo3-fluorescence and the effect of Anidulafungin on annexin-V-binding was slightly, but significantly blunted by removal of extracellular Ca2+. The effect of Anidulafungin on annexin-V-binding was further significantly blunted by the p38 kinase inhibitor SB203580 (2 µM) and NO donor nitroprusside (1 µM). An increase of extracellular K+ concentration significantly blunted the effect of Anidulafungin on cell volume but not on annexin-V-binding.
Substance Class |
Chemical
Created
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admin
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Record UNII |
9HLM53094I
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Record Status |
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LIVERTOX |
58
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NDF-RT |
N0000175508
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N0000175507
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NCI_THESAURUS |
C514
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WHO-ATC |
J02AX06
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N0000175508
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WHO-VATC |
QJ02AX06
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M1919
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C38716
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DB00362
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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9HLM53094I
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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4357
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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ANIDULAFUNGIN
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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SUB22240
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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166663-25-8
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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100000089572
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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341018
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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KK-25
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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55346
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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CHEMBL264241
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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7795
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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C102786
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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DTXSID50873201
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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166548
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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9HLM53094I
Created by
admin on Wed Jul 05 23:44:30 UTC 2023 , Edited by admin on Wed Jul 05 23:44:30 UTC 2023
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Related Record | Type | Details | ||
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TARGET ORGANISM->INHIBITOR |
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TARGET ORGANISM->INHIBITOR |
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METABOLIC ENZYME -> NON-SUBSTRATE |
WAS NOT A SUBSTRATE FOR ANY OTHER CYP ENZYME
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TARGET ORGANISM->INHIBITOR |
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TARGET ORGANISM->INHIBITOR |
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METABOLIC ENZYME -> NON-INHIBITOR |
DID NOT INHIBIT ANY OTHER CYP ENZYMES
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METABOLIC ENZYME -> NON-INDUCER |
DID NOT INDUCE ANY OTHER CYP ENZYMES
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EXCRETED UNCHANGED |
Based on the results of the mass balance study, approximately 10% of the administered dose were excreted in feces and none of the administered dose was excreted in urine.
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BINDER->LIGAND |
BINDING
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
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Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Volume of Distribution | PHARMACOKINETIC |
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