Evidence map›Paper›PMID 31613363›Full record

ArticleMedical mycology2020

Isavuconazole for the treatment of patients with invasive fungal diseases involving the central nervous system.

Stefan Schwartz, Oliver A Cornely, Kamal Hamed, Francisco M Marty, Johan Maertens, Galia Rahav, Raoul Herbrecht, Werner J Heinz

Open access · hybridAbstract read
In one paragraph

Article in Medical mycology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
5.8field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Guideline
  5. Article
  6. Article
  7. Article
  8. Article
  9. Non-JHLT open · 2025
    Review
  10. Histoplasmosis.Infectious disease clinics of North America · 2025
    Review
  11. Mucormycosis.Infectious disease clinics of North America · 2025
    Review
  12. Review
  13. Article
  14. ISCCM Position Statement on the Management of Invasive Fungal Infections in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  15. Mucormycosis: A Rare disease to Notifiable Disease.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Review
  16. Article
  17. Aneurysm, meningitis, and subarachnoid hemorrhage secondary to intracranialQuantitative imaging in medicine and surgery · 2024
    Article
  18. Article
  19. Article
  20. Review
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

8 authors at 8 institutions in 7 countries.

Stefan SchwartzDepartment of Hematology and Oncology, Charité Campus Benjamin Franklin, Berlin, Germany.
Oliver A CornelyDepartment I of Internal Medicine, European Diamond Excellence Center of Medical Mycology, University Hospital Cologne; Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD); and Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne, Germany.
Kamal HamedBasilea Pharmaceutica International Ltd., Basel, Switzerland.
Francisco M MartyDivision of Infectious Diseases, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Johan MaertensDepartment of Hematology, University Hospital Gasthuisberg, Gasthuisberg; and Department of Infection, Immunology, and Transplantation, KU Leuven, Leuven, Belgium.
Galia RahavInfectious Disease Unit, Sheba Medical Center, Tel Hashomer; and Sackler Medical School, Tel Aviv University, Israel.
Raoul HerbrechtDepartment of Oncology and Hematology, Hautepierre University Hospital; and University of Strasbourg, INSERM UMR1113/IRFAC, Strasbourg, France.
Werner J HeinzWeiden Clinic, Weiden; and University Medical Center, Würzburg, Germany.
Basilea Pharmaceutica (Switzerland) · CHBrigham and Women's Hospital · USCharité - Universitätsmedizin Berlin · DEInserm · FRKlinikum Weiden · DEKU Leuven · BETel Aviv University · ILUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of invasive fungal diseases (IFDs) with central nervous system (CNS) involvement is increasing due to the rising numbers of immunocompromised individuals, such as patients receiving chemotherapy, transplantation procedures, or immune-modulating therapies. CNS IFDs cause significant morbidity and mortality, and treatments are complicated by difficulties in identifying fungal pathogens and delivering antifungal agents to the CNS. Isavuconazole is a novel triazole with broad-spectrum activity that has shown good blood-brain barrier penetration in animal models. We present a retrospective analysis of isavuconazole in the treatment of patients with CNS IFDs and who either participated in the phase III VITAL or SECURE clinical trials, or were included in a named-patient program. A total of 36 patients were identified, including 27 patients from the clinical trials. Of these patients, 47.2% had hematologic malignancies, while 13.9% had no identifiable underlying conditions. Mucorales, Aspergillus species, and Cryptococcus species accounted for 30.6%, 22.2%, and 13.9% of infections, respectively. The overall survival rate was 80.6% at day 42 and 69.4% at day 84, and at the end of treatment, a complete or partial clinical response was achieved in 58.3% of patients. Isavuconazole exhibited clinical activity in a variety of CNS IFDs.

Indexed as

AdolescentAdultAgedAged, 80 and overAntifungal AgentsCentral Nervous System Fungal InfectionsChildChild, PreschoolClinical Trials, Phase III as TopicDrug Resistance, FungalFemaleFungiHumansInvasive Fungal InfectionsMaleMiddle AgedAntifungal AgentsisavuconazoleNitrilesPyridinesTriazolesAspergilluscentral nervous systeminvasive fungal diseasesisavuconazoleMucorales

Identifiers

PMID31613363
PMCPMC7261609
OpenAlexW2981172453

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.