Evidence map›Paper›PMID 31325309›Full record

ArticleThe Journal of antimicrobial chemotherapy2019

In vitro antifungal activity of a novel topical triazole PC945 against emerging yeast Candida auris.

Shivaprakash M Rudramurthy, Thomas Colley, Alireza Abdolrasouli, Jed Ashman, Manpreet Dhaliwal, Harsimran Kaur, Darius Armstrong-James, Pete Strong, Garth Rapeport, Silke Schelenz and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
  2. Emerging Applications of Triazole Antifungal Drugs.International journal of molecular sciences · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Current global status of Candida auris an emerging multidrug-resistant fungal pathogen: bibliometric analysis and network visualization.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  7. Review
  8. Review
  9. Recent Antifungal Pipeline Developments againstJournal of fungi (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Impact ofAntimicrobial agents and chemotherapy · 2022
    Article
  12. Antifungal Resistance and the Role of New Therapeutic Agents.Current infectious disease reports · 2022
    Review
  13. What Do We Know aboutMicroorganisms · 2021
    Review
  14. International journal of molecular sciences · 2021
    Review
  15. Review
  16. Intestinal Infection ofFrontiers in microbiology · 2021
    Review
  17. Review
  18. Review
  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

12 authors at 3 institutions in 2 countries.

Shivaprakash M RudramurthyMedical Microbiology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Thomas ColleyPulmocide Ltd, London, UK.
Alireza AbdolrasouliDepartment of Medical Microbiology, North West London Pathology, Imperial College Healthcare NHS Trust, London, UK.
Jed AshmanPulmocide Ltd, London, UK.
Manpreet DhaliwalMedical Microbiology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Harsimran KaurMedical Microbiology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Darius Armstrong-JamesNational Heart and Lung Institute, Imperial College School of Medicine, London, UK.
Pete StrongPulmocide Ltd, London, UK.
Garth RapeportPulmocide Ltd, London, UK.
Silke SchelenzDepartment of Microbiology, Royal Brompton Hospital, Royal Brompton and Harefield NHS Trust, London, UK.
Kazuhiro ItoPulmocide Ltd, London, UK.
Arunaloke ChakrabartiMedical Microbiology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · INRoyal Brompton Hospital · GBImperial College Healthcare NHS Trust · GB

Funding

Medical Research Council MR/P028225/1
6 · The paper itself

Abstract

objectivesManagement of Candida auris infection is difficult as this yeast exhibits resistance to different classes of antifungals, necessitating the development of new antifungals. The aim of this study was to investigate the susceptibility of C. auris to a novel antifungal triazole, PC945, optimized for topical delivery.

methodsA collection of 50 clinical isolates was obtained from a tertiary care hospital in North India. Nine isolates from the UK, 10 from a CDC panel (USA) and 3 from the CBS-KNAW culture collection (Japanese and South Korean isolates) were also obtained. MICs (azole endpoint) of PC945 and other triazoles were determined in accordance with CLSI M27 (third edition). Quality control strains were included [Candida parapsilosis (ATCC 22019) and Candida krusei (ATCC 6258)].

resultsSeventy-four percent of isolates tested showed reduced susceptibility to fluconazole (≥64 mg/L). PC945 (geometric mean MIC = 0.058 mg/L) was 7.4-fold and 1.5-fold more potent than voriconazole and posaconazole, respectively (both P < 0.01). PC945 MIC values correlated with those of voriconazole or posaconazole, and only three isolates were found to be cross-resistant between PC945 and other azoles. ERG11 sequence analysis revealed several mutations, but no correlation could be established with the MIC of PC945. Tentative epidemiological cut-off values (ECOFFs) evaluated by CLSI's ECOFF Finder (at 99%) with 24 h reading of MICs were 1, 4 and 1 mg/L for PC945, voriconazole and posaconazole, respectively. MIC values for quality control strains of all triazoles were in the normal ranges.

conclusionsPC945 was found to be a more potent inhibitor than posaconazole, voriconazole and fluconazole of C. auris isolates collected globally, warranting further laboratory and clinical evaluations.

Indexed as

Antifungal AgentsAsiaBenzamidesCandidaCandida parapsilosisCandidiasisHumansMicrobial Sensitivity TestsTertiary Care CentersTriazolesUnited KingdomUnited StatesAntifungal AgentsBenzamidesPC945 compoundTriazoles

Identifiers

PMID31325309
PMCPMC6753477
OpenAlexW2963538331

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.