Evidence map›Paper›PMID 37674634›Full record

ArticleOpen forum infectious diseases2023

Real-world Use of Mold-Active Triazole Prophylaxis in the Prevention of Invasive Fungal Diseases: Results From a Subgroup Analysis of a Multicenter National Registry.

M Hong Nguyen, Luis Ostrosky-Zeichner, Peter G Pappas, Thomas J Walsh, Joseph Bubalo, Barbara D Alexander, Marisa H Miceli, Jeanette Jiang, Yi Song, George R Thompson

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Managing Invasive Fungal Infections During Allogeneic Hematopoietic Transplantation: A 2025 Update.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  7. A breakthroughFrontiers in cellular and infection microbiology · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Reply to Williams et al.Open forum infectious diseases · 2024
    Article
  14. Review
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

10 authors at 8 institutions in 1 country.

M Hong NguyenUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-2065-3239
Luis Ostrosky-ZeichnerMcGovern Medical School, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-4784-7589
Peter G PappasUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Thomas J WalshWeill Cornell Medicine, Cornell University, New York, New York, USA.
Joseph BubaloOregon Health and Science University Hospital and Clinics, Portland, Oregon, USA.
Barbara D AlexanderDuke University, Durham, North Carolina, USA.
Marisa H MiceliUniversity of Michigan, Ann Arbor, Michigan, USA.
Jeanette JiangAstellas Pharma Global Development, Inc., Northbrook, Illinois, USA.
Yi SongAstellas Pharma Global Development, Inc., Northbrook, Illinois, USA.
George R ThompsonUC Davis Health, Sacramento, California, USA.
Astellas Pharma (United States) · USCornell University · USDuke University · USUC Davis Health · USUniversity Hospital and Clinics · USUniversity of Alabama at Birmingham · USUniversity of Michigan · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antifungal prophylaxis can prevent invasive fungal diseases (IFDs) in high-risk, immunocompromised patients. This study assessed the real-world use of mold-active triazoles (MATs) for the prevention of IFDs. Methods: This subgroup analysis of a multicenter, observational, prospective registry in the United States from March 2017 to April 2020 included patients who received MATs for prophylaxis (isavuconazole, posaconazole, and voriconazole) at study index/enrollment. The primary objective was to describe patient characteristics and patterns of MAT use. Exploratory assessments included the frequency of breakthrough IFDs and MAT-related adverse drug reactions (ADRs). Results: A total of 1177 patients (256 isavuconazole, 397 posaconazole, 272 voriconazole, and 252 multiple/sequenced MATs at/after index/enrollment) were included in the prophylaxis subgroup analysis. Patient characteristics were similar across MAT groups, but risk factors varied. Hematological malignancy predominated (76.5%) across all groups. Breakthrough IFDs occurred in 7.1% (73/1030) of patients with an investigator's assessment (5.0% [11/221] isavuconazole; 5.3% [20/374] posaconazole; 4.0% [9/226] voriconazole; and 15.8% [33/209] multiple/sequenced MATs). Conclusions: Breakthrough IFDs were uncommon in patients who received MATs for prophylaxis.

Indexed as

antifungal prophylaxisisavuconazoleposaconazolereal-worldvoriconazole

Identifiers

PMID37674634
PMCPMC10478153
OpenAlexW4385622011

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.