Anidulafungin in combination with amphotericin B against Aspergillus fumigatus

Antimicrob Agents Chemother. 2009 Sep;53(9):4035-9. doi: 10.1128/AAC.00659-09. Epub 2009 Jul 13.

Abstract

We investigated the effects of anidulafungin alone and in combination with amphotericin B against Aspergillus fumigatus. Indifference was the only type of interaction observed in vitro. Anidulafungin at 1 and 5 mg/kg of body weight/day, amphotericin B at 1 mg/kg/day, and combination therapy prolonged the survival of mice with invasive aspergillosis. Anidulafungin at 5 mg/kg/day, alone and in combination with amphotericin B, reduced the kidney fungal burden. Overall, the combination was not superior to the most active single drug.

MeSH terms

  • Amphotericin B / pharmacology*
  • Anidulafungin
  • Animals
  • Antifungal Agents / pharmacology*
  • Aspergillosis / drug therapy
  • Aspergillosis / mortality
  • Aspergillus fumigatus / drug effects*
  • Brain / drug effects
  • Brain / microbiology
  • Brain / pathology
  • Drug Therapy, Combination
  • Echinocandins / pharmacology*
  • Kidney / drug effects
  • Kidney / microbiology
  • Kidney / pathology
  • Mice
  • Microbial Sensitivity Tests

Substances

  • Antifungal Agents
  • Echinocandins
  • Amphotericin B
  • Anidulafungin