Evidence map›Paper›PMID 42618087›Full record

ArticlePharmacotherapy2026

Use of Expanded Access Fosmanogepix in Two Pediatric Patients With Rhino-Orbital-Cerebral Mucormycosis.

Misty M Oldham, Gwendolyn Buckendorf, Islam Elmitwalli, David P Sparling, Donna L Tyungu

Abstract readCase Reports
In one paragraph

Article in Pharmacotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

5 authors.

Misty M OldhamUniversity of Oklahoma College of Pharmacy, Oklahoma City, Oklahoma, USA.ORCID https://orcid.org/0009-0001-1931-6270
Gwendolyn BuckendorfUniversity of Oklahoma College of Pharmacy, Oklahoma City, Oklahoma, USA.ORCID https://orcid.org/0009-0005-3578-7610
Islam ElmitwalliThe University of Oklahoma Health Campus and Oklahoma Children's Hospital at OU Health, Oklahoma City, Oklahoma, USA.ORCID https://orcid.org/0009-0008-1541-9628
David P SparlingThe University of Oklahoma Health Campus and Oklahoma Children's Hospital at OU Health, Oklahoma City, Oklahoma, USA.ORCID https://orcid.org/0000-0001-5940-1544
Donna L TyunguThe University of Oklahoma Health Campus and Oklahoma Children's Hospital at OU Health, Oklahoma City, Oklahoma, USA.ORCID https://orcid.org/0000-0002-0909-8564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucormycosis is a severe fungal infection with high morbidity and mortality. Pharmacotherapeutic options are limited, often used in combination, and associated with significant adverse effects. Fosmanogepix is an investigational antifungal with a novel mechanism of action and has shown broad in vitro activity. Early clinical trials suggest a manageable adverse effect profile, making it an attractive treatment option. Two pediatric patients presented in diabetic ketoacidosis and were found to have extensive rhino-orbital-cerebral mucormycosis. Treatment with standard of care, including liposomal amphotericin B, micafungin, and azole antifungals along with nonpharmacologic measures, was unable to eradicate the infection. Expanded access fosmanogepix was added to the multimodal treatment regimens. Each patient improved and more poorly tolerated antifungals were able to be discontinued. Both patients completed several months of fosmanogepix, tolerated therapy well, and survived their deadly infections.

Indexed as

Antifungal AgentsMucormycosisOrbital DiseasesChildDiabetic KetoacidosisFemaleHumansMaleAntifungal Agentsantifungalfosmanogepixinvasive infectionmucormycosispediatricsRhizopus

Identifiers

PMID42618087
PMCPMC13489783

What OpenQuestion holds

Textmetadata
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.