Reinhold, Ilana and Mori, Giovanni and Lanzafame, Massimiliano and Limongelli, Alessandro and Vena, Antonio and Gotz, Julia and Bauernfeind, Stilla and Hanses, Frank and Tometten, Lukas and Mayer, Michael and Rieke, Ansgar and Soriano-Martin, Ana and Valerio, Maricela and Vazquez, Jose A. and Yue, Patrick and Rahimli, Laman and Azimli, Nijat and Sal, Ertan and Salmanton-Garcia, Jon and Vasenda, Natalia and Sprute, Rosanne and Stemler, Jannik and Wingen-Heimann, Sebastian and Cornely, Oliver A. and Seidel, Danila (2025) Rezafungin Utilisation in Real Life-FungiScope Results From Europe and the United States. MYCOSES, 68 (9): e70114. ISSN 0933-7407, 1439-0507
Full text not available from this repository. (Request a copy)Abstract
Background Rezafungin, a novel echinocandin with once-weekly intravenous dosing, offers potential advantages for outpatient parenteral antifungal therapy (OPAT) in invasive candidiasis (IC). While clinical trial data support its efficacy and safety, real-world experience remains limited.Methods A retrospective analysis of patients treated with rezafungin across Germany, Italy, Spain, and the United States between January 2024 and June 2025 was conducted. Data was collected via the FungiScope registry. Clinical characteristics, indications for rezafungin, outcomes, safety, and logistical aspects of administration were evaluated.Results Fifteen patients were included, fourteen with IC; one with chronic pulmonary aspergillosis. Regarding patients with IC, the median age was 65.5 years; 43% were female. The most frequently identified pathogens were Candida glabrata (57%) and Candida parapsilosis (21%). Primary indications for rezafungin were intravascular (36%) and osteoarticular infections (36%). Rezafungin was mainly selected to enable OPAT (86%) or due to fluconazole resistance (36%) or drug-drug interactions (14%). The median treatment duration was 9 weeks (range: 1-38 weeks). One mild adverse event occurred (cutaneous photosensitivity), but rezafungin was otherwise well tolerated. Complete clinical or mycological response was observed in 36% at day 30, and partial response in 50% of patients. Access differed substantially across centres due to administrative and reimbursement hurdles, affecting treatment transition to rezafungin in 71% of patients with IC.Conclusions Rezafungin was effective and well tolerated in this cohort, particularly in patients requiring long-term treatment. Administrative and logistical hurdles remain significant barriers to its widespread use. Facilitated access and enhanced awareness may improve patient outcomes by supporting early initiation and continuity of care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CASPOFUNGIN; CANDIDIASIS; EFFICACY; DISEASES; OUTCOMES; antifungal treatment; candidemia; chronic pulmonary aspergillosis; invasive candidiasis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Krankenhaushygiene und Infektiologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 30 Mar 2026 13:14 |
| Last Modified: | 30 Mar 2026 13:14 |
| URI: | https://pred.uni-regensburg.de/id/eprint/67917 |
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