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Clinical Trial
. 2025 Mar 19;12(3):ofaf034.
doi: 10.1093/ofid/ofaf034. eCollection 2025 Mar.

Long-term Safety and Effectiveness of Rezafungin Treatment in Candidemia and Invasive Candidiasis: Results From an Early Access Program in Italy and Germany

Affiliations
Clinical Trial

Long-term Safety and Effectiveness of Rezafungin Treatment in Candidemia and Invasive Candidiasis: Results From an Early Access Program in Italy and Germany

Filippo Trapani et al. Open Forum Infect Dis. .

Abstract

Outcomes are reported for 6 adults receiving rezafungin for chronic, hard-to-treat, invasive candidiasis (including Candida parapsilosis) during an early access program. Rezafungin was well tolerated and administered via once-weekly outpatient intravenous infusion for up to 39 weeks during the program, enabling hospital discharge and replacing daily antifungal infusions.

Keywords: candidemia; early access program; echinocandin; invasive candidiasis; rezafungin.

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Conflict of interest statement

Potential conflicts of interest. Filippo Trapani, Giulio Viceconte, Valentina Morena, Giovanni Mori, Elham Khatamzas, and Britta Kölking have no relevant financial disclosures. Giusy Tiseo received speaker honoraria for educational meetings by Shionogi and honoraria for participation in a scientific advisory board by MSD. The study was funded by Mundipharma Research Limited.

Figures

Figure 1.
Figure 1.
Computed tomography scan images for Case 6 at diagnosis and at 8 months after starting treatment with echinocandin including rezafungin, showing regression of prevertebral soft tissue swelling. The patient required lifelong antifungal therapy and continued rezafungin treatment after the early access program period (ongoing at 19 months). A, T2 sagittal image of the cervical spine. B, Contrast media subtraction images.

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