Evidence map›Paper›PMID 35171022›Full record

ArticleMicrobiology spectrum2022

Safety and Effectiveness of Isavuconazole Treatment for Fungal Infections in Solid Organ Transplant Recipients (ISASOT Study).

Arnau Monforte, Ibai Los-Arcos, Maria Teresa Martín-Gómez, David Campany-Herrero, Judith Sacanell, Cristina Berastegui, Ester Márquez-Algaba, Abiu Sempere, Xavier Nuvials, Maria Deu and 5 more

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Real-world study of effectiveness and safety compared among isavuconazole, amphotericin B, and voriconazole in invasive mold disease patients.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Article
  4. Article
  5. Non-JHLT open · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Isavuconazole for Treating Invasive Mould Disease in Solid Organ Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Review
  17. Microbiology spectrum · 2022
    Article
  18. 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

15 authors at 3 institutions in 1 country.

Arnau MonforteDepartment of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Ibai Los-ArcosDepartment of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain.ORCID 0000-0001-8835-2702
Maria Teresa Martín-GómezDepartment of Microbiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
David Campany-HerreroDepartment of Pharmacy, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Judith SacanellIntensive Care Unit, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Cristina BerasteguiDepartment of Pneumology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Ester Márquez-AlgabaDepartment of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Abiu SempereDepartment of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Xavier NuvialsIntensive Care Unit, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Maria DeuDepartment of Thoracic Surgery, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Lluís CastellsLiver Unit, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Francesc MoresoDepartment of Nephrology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Carles BravoDepartment of Pneumology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Joan GavaldàDepartment of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Oscar LenDepartment of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Vall d'Hebron Hospital Universitari · ESUniversitat Autònoma de Barcelona · ESInstituto de Salud Carlos III · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isavuconazole (ISA) is an alternative treatment for Aspergillus spp. and other fungal infections, but evidence regarding its use in solid organ transplant recipients (SOTR) is scarce. All SOTR who received ISA for treatment of a fungal infection (FI) at our center from December 2017 to January 2021 were included. The duration of the treatment depended on the type of infection. All patients were followed up to 3 months after treatment. Fifty-three SOTR were included, and the majority (44, 83%) were lung transplant recipients. The most frequently treated FI was tracheobronchitis (25, 46.3%). Aspergillus spp. (43, 81.1%); specially A. flavus (16, 37.2%) and A. fumigatus (12, 27.9%), was the most frequent etiology. Other filamentous fungi including one mucormycosis, and four yeast infections were treated. The median duration of treatment was 81 days (IQR 15-197). Mild gamma-glutamyltransferase elevation was the most frequent adverse event (34%). ISA was prematurely discontinued in six patients (11.3%) due to mild hepatotoxicity (2), fatigue (2), gastrointestinal intolerance (1) and myopathy (1). The mean tacrolimus dose decrease was 30% after starting ISA. Seven patients received ISA with mTOR inhibitors with good tolerability. Two patients developed breakthrough FI (3.8%). Among patients who completed the treatment, 27 (50.9%) showed clinical cure and 15 (34.1%) presented fungal persistence. Three patients (6%) died while on ISA due to FI. ISA was well tolerated and appeared to be an effective treatment for FI in SOTR.

Indexed as

Transplant RecipientsAgedAntifungal AgentsAspergillosisAspergillusFemaleHumansMaleMiddle AgedMycosesNitrilesOrgan TransplantationPyridinesTriazolesAntifungal AgentsisavuconazoleNitrilesPyridinesTriazolesfungal infection treatmentisavuconazolesolid organ transplantation

Identifiers

PMID35171022
PMCPMC8849063
OpenAlexW4213194472

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.