Drug intelligence / Profile preview

micafungin + amphotericin B + itraconazole

Development stage
Preclinical
Lead developer
Astellas Pharma
Modality
Small Molecules
Administration
Intravenous, Oral
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Overview

This is a combination antifungal therapy consisting of micafungin (an echinocandin), amphotericin B (a polyene), and itraconazole (a triazole). Micafungin inhibits the synthesis of (1,3)-beta-D-glucan, an essential component of fungal cell walls. Amphotericin B binds to ergosterol in fungal cell membranes, creating pores that lead to cell death. Itraconazole inhibits fungal cytochrome P450-dependent enzymes, preventing the synthesis of ergosterol. This combination has been studied for treating acute invasive aspergillosis, with micafungin showing potential synergistic activity with amphotericin B.

02

Targets

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