Evidence map›Paper›PMID 42460544›Full record

Trial reportMycoses2026

Rezafungin Versus Caspofungin in Candidaemia and Invasive Candidiasis: A Post Hoc Pooled Analysis of Phase 2 and Phase 3 Trials.

Alex Soriano, George R Thompson, Oliver A Cornely, Matteo Bassetti, Bart Jan Kullberg, Patrick M Honoré, Hervé Dupont, Jose A Vazquez, Haihui Huang, Yingyuan Zhang and 3 more

2 registry-linked trialsAbstract readRandomized Controlled TrialClinical Trial, Phase IIIClinical Trial, Phase II
In one paragraph

Trial report in Mycoses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT02734862 phase2completednot on this map

A Phase 2, Multicenter, Randomized, Double-blind Study of the Safety, Tolerability, and Efficacy of Intravenous CD101 vs Intravenous Caspofungin Followed by Oral Fluconazole Step-down in the Treatment of Subjects With Candidemia and/or Invasive Candidiasis

TypeinterventionalSponsorCidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)Ran2016 to 2019Enrolled207ConditionsCandidemia, Mycoses, Fungal Infection, FungemiaArmsCD101, Caspofungin, Fluconazole, intravenous placebo, oral placebo
NCT03667690 phase3completednot on this map

A Phase 3, Multicenter, Randomized, Double-blind Study of the Efficacy and Safety of Rezafungin for Injection vs. Intravenous Caspofungin Followed by Oral Fluconazole Step Down in the Treatment of Subjects With Candidemia and/or Invasive Candidiasis

TypeinterventionalSponsorCidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)Ran2018 to 2021Enrolled199ConditionsCandidemia, Mycoses, Fungal Infection, Invasive CandidiasesArmsRezafungin for Injection, Caspofungin, Fluconazole, intravenous placebo, oral placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

13 authors.

Alex SorianoDepartment of Infectious Diseases, Hospital Clínic de Barcelona, IDIBAPS, University of Barcelona, CIBERINF, Barcelona, Spain.
George R ThompsonDepartment of Internal Medicine, Division of Infectious Diseases, University of California Davis Medical Center, Sacramento, California, USA.
Oliver A CornelyInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0001-9599-3137
Matteo BassettiUniversity of Genoa and Policlinico San Martino IRCCS Hospital, Genoa, Italy.
Bart Jan KullbergDepartment of Medicine, Radboudumc Community for Infectious Diseases and, Radboud University Medical Center, Nijmegen, the Netherlands.
Patrick M HonoréDepartment of Intensive Care, CHU UCL Godinne, UCLouvain, Site Godinne, Yvoir, Belgium.
Hervé DupontDepartment of Anesthesiology and Critical Care Medicine, Amiens-Picardie University Hospital, Amiens, France.
Jose A VazquezMedical College of Georgia/Augusta University, Augusta, Georgia, USA.
Haihui HuangInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China.
Yingyuan ZhangInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, China.
Sara DickersonClinical Development, Mundipharma Research Limited, Cambridge, UK.
Laura CoxClinical Development, Mundipharma Research Limited, Cambridge, UK.
Peter G PappasUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0003-3643-9931

Funding

Cidara TherapeuticsMundipharma Research Limited
6 · The paper itself

Abstract

backgroundThe efficacy and safety of rezafungin in invasive candidiasis (IC) and candidaemia was demonstrated in the Phase 2 STRIVE and Phase 3 ReSTORE trials, and an additional cohort of patients in ReSTORE from China (ReSTORE China).

objectivesThis post hoc analysis is the first time that combined data from all double-blind, randomised Phase 2 and 3 rezafungin trials have been evaluated. Outcomes were comprehensively assessed across a large, diverse population.

methodsData were assessed from adults with candidaemia/IC in STRIVE (NCT02734862) and ReSTORE (NCT03667690) (including the China extension cohort) who received weekly rezafungin 400/200 mg or daily caspofungin 70/50 mg for ≤ 4 weeks. Efficacy was assessed in the modified intent-to-treat population. Endpoints were Day 30 all-cause mortality (ACM, primary), mycological response at Days 5 and 14 (secondary) and time to negative blood cultures (TTNBC, secondary). Treatment-emergent adverse events were assessed in the safety population.

resultsOverall, 372 patients were included (rezafungin 179; caspofungin 193). Day-30 ACM was 20% (33/161) for rezafungin versus 22% (39/178) for caspofungin (weighted difference, -2.4% [95% confidence interval -11.2 to 6.4]). Day-5 and Day-14 mycological eradication rates were 73% and 70% for rezafungin versus 65% and 68% for caspofungin, respectively. Median TTNBC was shorter for rezafungin than for caspofungin (23.1 versus 36.7 h, respectively; p = 0.0073). Adverse-event profiles were generally similar across treatments.

conclusionsThis pooled analysis of Phase 2 and Phase 3 data, including the China extension cohort, supports the efficacy and safety of rezafungin. Rezafungin was non-inferior to caspofungin, with earlier mycological eradication.

Indexed as

Antifungal AgentsCandidemiaCandidiasis, InvasiveCaspofunginEchinocandinsAdultAgedChinaDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeAntifungal AgentsCaspofunginEchinocandinsRezafunginCandidacandidaemiacaspofunginChinaefficacyinvasive candidiasisrezafunginsafety

Identifiers

PMID42460544
PMCPMC13373745

What OpenQuestion holds

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Registered trials

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.