Evidence map›Paper›PMID 41003194›Full record

ArticleJournal of fungi (Basel, Switzerland)2025

Isavuconazole Therapy for Patients with Hematologic Diseases and Hematopoietic Cell Transplantation with and Without Breakthrough Invasive Fungal Infections.

Fabián Herrera, Diego Torres, Gustavo Mendez, Noelia Mañez, Rosana Jordán, Adriana Manzur, Myrna Cabral, Manuel Alderete, Natalia García Allende, José Benso and 13 more

Abstract read
In one paragraph

Article in Journal of fungi (Basel, Switzerland), 2025. 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

23 authors.

Fabián HerreraInfectious Diseases Section, Internal Medicine Department, Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires C1431, Argentina.
Diego TorresInfectious Diseases Section, Internal Medicine Department, Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires C1431, Argentina.ORCID 0009-0001-3831-4561
Gustavo MendezInfectious Diseases Service, Hospital Dr. Ramón Madariaga, Misiones N3300, Argentina.ORCID 0000-0003-0514-7004
Noelia MañezInfectious Diseases Section, Internal Medicine Department, Hospital Italiano de Buenos Aires, Buenos Aires C1199ABB, Argentina.ORCID 0009-0008-2413-662X
Rosana JordánInfectious Diseases Service, Hospital Británico de Buenos Aires, Buenos Aires C1280AEB, Argentina.
Adriana ManzurInfectious Diseases Service, Hospital Rawson, San Juan J5400, Argentina.
Myrna CabralInfectious Diseases Service, Hospital Central, Mendoza M5502, Argentina.ORCID 0009-0002-7158-2258
Manuel AldereteInstituto Alexander Fleming, Buenos Aires C1426, Argentina.
Natalia García AllendeInfectious Diseases Service, Hospital Alemán, Buenos Aires C1118AAT, Argentina.
José BensoInfectious Diseases Section, Internal Medicine Department, Hospital Italiano de San Justo, Buenos Aires B1754AZK, Argentina.
Claudia SalgueiraInfectious Diseases Service, Sanatorio Anchorena, Buenos Aires C1425, Argentina.ORCID 0009-0003-4158-6255
María Laura PereyraInfectious Diseases Service, Hospital Universitario Austral, Buenos Aires B1629, Argentina.
Hugo PerettiHematopoietic Stem Cell Transplant Unit, Sanatorio Británico, Rosario S2000, Argentina.
Carla NiveyroInfectious Diseases Service, Hospital Dr. Ramón Madariaga, Misiones N3300, Argentina.
Maximiliano CastroInfectious Diseases Section, Internal Medicine Department, Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires C1431, Argentina.ORCID 0000-0003-0112-8455
Federico PollastrelliInfectious Diseases Service, Hospital Británico de Buenos Aires, Buenos Aires C1280AEB, Argentina.
Silvina García RojasInfectious Diseases Service, Hospital Británico de Buenos Aires, Buenos Aires C1280AEB, Argentina.
Juan DapásInfectious Diseases Service, Hospital Central, Mendoza M5502, Argentina.
Agustina Risso PatrónInfectious Diseases Service, Hospital Alemán, Buenos Aires C1118AAT, Argentina.
Verónica FernándezInfectious Diseases Section, Internal Medicine Department, Hospital Italiano de San Justo, Buenos Aires B1754AZK, Argentina.ORCID 0009-0004-7059-0138
Rocío GagoInfectious Diseases Service, Hospital Universitario Austral, Buenos Aires B1629, Argentina.
Javier AfeltraMicrobiology Laboratory, Hospital Dr. José María Ramos Mejía, Buenos Aires C1221ADC, Argentina.
Multicenter study on Isavuconazole for Treatment and Prophylaxis of Invasive Fungal Infections in Patients with Hematologic Malignancies and Hematopoietic Cell Transplantation (EMISA)

Funding

Knigth Therapeutics no number
6 · The paper itself

Abstract

There are no data available on the effectiveness and safety of isavuconazole (ISA) for treating breakthrough invasive fungal infections (bIFIs). A retrospective and prospective cohort study was conducted between January 2020 and March 2025 in 13 centers in Argentina. Hematologic diseases (HD) and hematopoietic cell transplantation (HCT) patients who received ISA for IFI were included and followed for 12 weeks. Patients with proven and probable bIFIs and non-bIFIs were compared. One hundred and sixty-three patients were included. IFIs were classified as proven (13.5%), probable (26.9%) and possible (59.5%). Among 66 proven and probable IFIs, 53% were bIFIs, with aspergillosis and mucormycosis being the most common. Twenty-three (34.8%) patients had acute myelogenous leukemia, and 40.9% had received HCT. Forty-eight (72.7%) patients experienced neutropenia, with a median duration of 26 days (interquartile range [IQR] 16-44). Fluconazole and posaconazole were the most frequently received antifungal prophylaxis. ISA was prescribed as first-line therapy in 31 (46.9%) patients. The other 35 received ISA as a continuation therapy, mainly as a step-down therapy after liposomal amphotericin B. Four (6.1%) patients developed adverse effects, and one discontinued ISA. The 90-day overall clinical response between patients with bIFI vs. non-bIFI was 91.4% vs. 70.9% (

Indexed as

breakthrough invasive fungal infectionshematologic diseaseshematopoietic cell transplantationisavuconazole therapy

Identifiers

PMID41003194
PMCPMC12471279

What Socratic holds

Textmetadata
LicenceCC BY
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.