Drug intelligence / Profile preview

liposomal amphotericin B + voriconazole

Development stage
Unknown
Lead developer
Gilead Sciences
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

Liposomal amphotericin B + voriconazole is a combination antifungal regimen frequently utilized as a standard of care for the treatment of suspected or confirmed invasive mould infections, such as invasive aspergillosis. The regimen typically involves induction therapy with liposomal amphotericin B, a polyene antifungal that binds to ergosterol in the fungal cell membrane to create pores and cause cell death, followed by consolidation therapy with voriconazole, a triazole that inhibits the fungal enzyme 14-alpha-lanosterol demethylase to block ergosterol synthesis. This sequential or concurrent approach is often used as a comparator in clinical trials for novel antifungal agents, such as Elion Therapeutics' turletricin (EL219), to evaluate efficacy and safety against established therapeutic protocols.

Brand names
AmBisome + Vfend
Other names
L-AMB + voriconazoleliposomal amphotericin B followed by voriconazole
02

Targets

CYP2C9 (Cytochrome P450 family 2 subfamily C member 9)CYP51A1 (Sterol 14α-demethylase)CYP2C19 (Cytochrome P450 2C19)ErgosterolCYP3A4 (Cytochrome P450 3A4)

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