Evidence map›Paper›PMID 40958610›Full record

ArticleMycoses2025

Rezafungin Utilisation in Real Life-FungiScope Results From Europe and the United States.

Ilana Reinhold, Giovanni Mori, Massimiliano Lanzafame, Alessandro Limongelli, Antonio Vena, Julia Götz, Stilla Bauernfeind, Frank Hanses, Lukas Tometten, Michael Mayer and 15 more

Abstract read
In one paragraph

Article in Mycoses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. Review
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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

25 authors.

Ilana ReinholdInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0002-6222-0418
Giovanni MoriUnit of Infectious Diseases, Santa Chiara Hospital, Azienda Provinciale per i Servizi Sanitari, Trento, Italy.ORCID https://orcid.org/0000-0003-0399-2220
Massimiliano LanzafameUnit of Infectious Diseases, Santa Chiara Hospital, Azienda Provinciale per i Servizi Sanitari, Trento, Italy.ORCID https://orcid.org/0000-0002-4674-4772
Alessandro LimongelliDivision of Infectious Diseases, Department of Health Sciences (DISSAL), University of Genova, Genova, Italy.ORCID https://orcid.org/0000-0001-7995-5528
Antonio VenaDivision of Infectious Diseases, Department of Health Sciences (DISSAL), University of Genova, Genova, Italy.ORCID https://orcid.org/0000-0002-0697-3992
Julia GötzDepartment I of Internal Medicine, Division of Infectious Diseases, University of Cologne, Faculty of Medicine, University Clinics, Cologne, Germany.ORCID https://orcid.org/0009-0003-5003-7821
Stilla BauernfeindUniversitätsklinikum Regensburg, Abt. Krankenhaushygiene und Infektiologie, Regensburg, Germany.
Frank HansesUniversitätsklinikum Regensburg, Abt. Krankenhaushygiene und Infektiologie, Regensburg, Germany.ORCID https://orcid.org/0000-0002-0007-8014
Lukas TomettenDepartment I of Internal Medicine, Division of Infectious Diseases, University of Cologne, Faculty of Medicine, University Clinics, Cologne, Germany.ORCID https://orcid.org/0000-0002-5968-8335
Michael MayerDepartment of Internal Medicine, Gemeinschaftsklinikum Mittelrhein, Koblenz, Germany.
Ansgar RiekeDepartment of Internal Medicine, Gemeinschaftsklinikum Mittelrhein, Koblenz, Germany.
Ana Soriano-MartinClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID https://orcid.org/0000-0002-7226-8212
Maricela ValerioClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID https://orcid.org/0000-0001-6394-2861
Jose A VazquezDepartment of Medicine/Division of Infectious Disease, Medical College of Georgia/Augusta University, Augusta, Georgia, USA.ORCID https://orcid.org/0000-0001-5774-819X
Patrick YueDepartment of Medicine/Division of Infectious Disease, Medical College of Georgia/Augusta University, Augusta, Georgia, USA.
Laman RahimliInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0003-2266-445X
Nijat AzimliInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0009-0000-8897-9417
Ertan SalInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0003-2761-2675
Jon Salmanton-GarcíaInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0002-6766-8297
Natalia VasendaInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0002-8606-3621
Rosanne SpruteInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.
Jannik StemlerInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0001-9152-2469
Sebastian Wingen-HeimannInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.
Oliver A CornelyInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0001-9599-3137
Danila SeidelInstitute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Faculty of Medicine, University of Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0003-4388-3117

Funding

Amplyx Pharmaceuticals Inc.Basilea PharmaceuticaCidara TherapeuticsF2G Biotech GmbHMatinas BioPharma Holdings Inc.Melinta Therapeutics LLCMundipharma Research LimitedPfizer Inc.
6 · The paper itself

Abstract

backgroundRezafungin, a novel echinocandin with once-weekly intravenous dosing, offers potential advantages for outpatient parenteral antifungal therapy (OPAT) in invasive candidiasis (IC). While clinical trial data support its efficacy and safety, real-world experience remains limited.

methodsA retrospective analysis of patients treated with rezafungin across Germany, Italy, Spain, and the United States between January 2024 and June 2025 was conducted. Data was collected via the FungiScope registry. Clinical characteristics, indications for rezafungin, outcomes, safety, and logistical aspects of administration were evaluated.

resultsFifteen patients were included, fourteen with IC; one with chronic pulmonary aspergillosis. Regarding patients with IC, the median age was 65.5 years; 43% were female. The most frequently identified pathogens were Candida glabrata (57%) and Candida parapsilosis (21%). Primary indications for rezafungin were intravascular (36%) and osteoarticular infections (36%). Rezafungin was mainly selected to enable OPAT (86%) or due to fluconazole resistance (36%) or drug-drug interactions (14%). The median treatment duration was 9 weeks (range: 1-38 weeks). One mild adverse event occurred (cutaneous photosensitivity), but rezafungin was otherwise well tolerated. Complete clinical or mycological response was observed in 36% at day 30, and partial response in 50% of patients. Access differed substantially across centres due to administrative and reimbursement hurdles, affecting treatment transition to rezafungin in 71% of patients with IC.

conclusionsRezafungin was effective and well tolerated in this cohort, particularly in patients requiring long-term treatment. Administrative and logistical hurdles remain significant barriers to its widespread use. Facilitated access and enhanced awareness may improve patient outcomes by supporting early initiation and continuity of care.

Indexed as

Antifungal AgentsCandidiasis, InvasiveEchinocandinsAdultAgedAged, 80 and overCandidaEuropeFemaleHumansMaleMiddle AgedRegistriesRetrospective StudiesTreatment OutcomeUnited StatesAntifungal AgentsEchinocandinsRezafunginantifungal treatmentcandidemiachronic pulmonary aspergillosisinvasive candidiasis

Identifiers

PMID40958610
PMCPMC12441757

What Socratic holds

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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.