Evidence map›Paper›PMID 42500178›Full record

SynthesisRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2026

Oteseconazole

Elizabeth Honorato de Farias, Ana Gabriela Alves Pereira, Anderson Matheus Pereira da Silva, Lucas Silva Cabeça, Laila Leite Pacheco Vieira, Pedro Lucas Machado Magalhães, Josvaldo da Silva Viana, José Eleutério

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Elizabeth Honorato de FariasUniversidade Federal de Roraima Boa VistaRR Brazil Universidade Federal de Roraima, Boa Vista, RR, Brazil.ORCID https://orcid.org/0000-0001-6594-5118
Ana Gabriela Alves PereiraUniversidade Estadual Paulista BotucatuSP Brazil Universidade Estadual Paulista, Botucatu, SP, Brazil.ORCID https://orcid.org/0009-0003-7023-6254
Anderson Matheus Pereira da SilvaUniversidade Federal de Pernambuco RecifePE Brazil Universidade Federal de Pernambuco, Recife, PE, Brazil.ORCID https://orcid.org/0009-0003-4789-6019
Lucas Silva CabeçaUniversidade Federal do Pará BelémPA Brazil Universidade Federal do Pará, Belém, PA, Brazil.ORCID https://orcid.org/0009-0000-3632-4806
Laila Leite Pacheco VieiraCentro Universitário CESMAC MaceióAL Brazil Centro Universitário CESMAC, Maceió, AL, Brazil.ORCID https://orcid.org/0009-0009-0849-5435
Pedro Lucas Machado MagalhãesInstituto de Educação Médica Angra dos ReisRJ Brazil Instituto de Educação Médica, Angra dos Reis, RJ, Brazil.ORCID https://orcid.org/0009-0004-1840-2953
Josvaldo da Silva VianaUniversidade Federal de Roraima Boa VistaRR Brazil Universidade Federal de Roraima, Boa Vista, RR, Brazil.ORCID https://orcid.org/0009-0006-5445-4528
José EleutérioUniversidade Federal do Ceará FortalezaCE Brazil Universidade Federal do Ceará, Fortaleza, CE, Brazil.ORCID https://orcid.org/0000-0003-4617-7269

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Vulvovaginal candidiasis (VVC) is a common infection traditionally treated with fluconazole. Oteseconazole is a new oral antifungal offering a promising alternative. However, it is essential to assess if it has better efficacy than the treatment already used in VVC. Methods: This systematic review and meta-analysis followed PRISMA guidelines, searching PubMed, EMBASE, and Cochrane for studies comparing oteseconazole and fluconazole in acute VVC. Three randomized controlled trials were included. Odds ratios were calculated using a random-effects model. Results: The initial search yielded 203 results, but only three RCTs with 593 patients were included. Oteseconazole showed significantly higher rates of therapeutic and sustained clinical cure at day 14 and 28 compared to fluconazole (OR 2.56 and 2.08, respectively), with similar rates of mild to moderate adverse events. Risk of bias was high due to selective reporting. Conclusion: Oteseconazole appears to be a safe and more effective alternative to fluconazole for acute VVC, but further research and more robust studies are needed to confirm these findings.

Indexed as

Antifungal AgentsCandidiasis, VulvovaginalFluconazoleImidazolesItraconazoleAcute DiseaseFemaleHumansThiophenesAntifungal AgentsFluconazoleImidazolesItraconazolesertaconazoleThiophenesFluconazoleOteseconazoleVulvovaginal candidiasis

Identifiers

PMID42500178
PMCPMC13399485

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.