Evidence map›Paper›PMID 29750016›Full record

ReviewDrug design, development and therapy2018

Spotlight on isavuconazole in the treatment of invasive aspergillosis and mucormycosis: design, development, and place in therapy.

Jeffrey D Jenks, Helmut Jf Salzer, Juergen Prattes, Robert Krause, Dieter Buchheidt, Martin Hoenigl

Open access · goldAbstract readReview
In one paragraph

Review in Drug design, development and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Expert review of anti-infective therapy · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. A Review of Current Insights in Fungal Endocarditis.Journal of clinical medicine · 2025
    Review
  6. Evaluation of the Activity of Triazoles Against Non-Open forum infectious diseases · 2024
    Article
  7. Article
  8. Review
  9. Isavuconazole use and TDM in real-world pediatric practice.Antimicrobial agents and chemotherapy · 2023
    Article
  10. Review
  11. Recommendations on the use of azole antifungals in hematology-oncology patients.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Journal of fungi (Basel, Switzerland) · 2023
    Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Jeffrey D Jenks *Department of Medicine, University of California San Diego, San Diego, CA, USA.
Helmut Jf Salzer *Division of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany.
Juergen Prattes *Section of Infectious Diseases and Tropical Medicine, Medical University of Graz, Graz, Austria.
Robert Krause *Section of Infectious Diseases and Tropical Medicine, Medical University of Graz, Graz, Austria.
Dieter Buchheidt *Department of Hematology and Oncology, Mannheim University Hospital, Heidelberg University, Mannheim, Germany.
Martin Hoenigl *Department of Medicine, University of California San Diego, San Diego, CA, USA.
Medical University of Graz · ATGerman Center for Infection Research · DEHeidelberg University · DEUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent decades, important advances have been made in the diagnosis and treatment of invasive aspergillosis (IA) and mucormycosis. One of these advances has been the introduction of isavuconazole, a second-generation broad spectrum triazole with a favorable pharmacokinetic and safety profile and few drug-drug interactions. Phase III trials in patients with IA and mucormycosis demonstrated that isavuconazole has similar efficacy to voriconazole for the treatment of IA (SECURE trial) and liposomal amphotericin B for the treatment of mucormycosis (VITAL trial with subsequent case-control analysis) and a favorable safety profile with significantly fewer ocular, hepatobiliary, and skin and soft tissue adverse events compared to voriconazole. As a result, recent IA guidelines recommend isavuconazole (together with voriconazole) as gold standard treatment for IA in patients with underlying hematological malignancies. In contrast to liposomal amphotericin B, isavuconazole can be safely administered in patients with reduced renal function and is frequently used for the treatment of mucormycosis in patients with reduced renal function. Updated guidelines on mucormycosis are needed to reflect the current evidence and give guidance on the use of isavuconazole for mucormycosis. Studies are needed to evaluate the role of isavuconazole for 1) anti-mold prophylaxis in high-risk patients, 2) salvage treatment for IA and mucormycosis, and 3) treatment for other mold infections such as

Indexed as

Drug DesignAnimalsAntifungal AgentsAspergillosisHumansMucormycosisNitrilesPyridinesTriazolesAntifungal AgentsisavuconazoleNitrilesPyridinesTriazolesplasma levelreal lifeSECUREsusceptibilityTDMtriazoleVITAL

Identifiers

PMID29750016
PMCPMC5933337
OpenAlexW2802474948

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.