VFEND IV (voriconazole), triazole antifungal

INFECTIOUS DISEASE - Investigation
Opinions on drugs - Posted on Sep 09 2016

Reason for request

Re-assessment of the actual benefit and the improvement in actual benefit

Major improvement in the management of invasive aspergillosis and serious infections with Scedosporium spp. or Fusarium spp.,

Minor improvement in the treatment of invasive candidiasis and candidemia, with resistance to fluconazole.

 

VFEND has been reassessed in curative treatment of:

-          invasive aspergillosis and serious fungal infections with Scedosporium spp. or Fusarium spp., where it retains its major therapeutic contribution as the standard treatment.

-          for invasive candidiasis and candidemia, where it offers few advantages relative to fluconazole: fungistatic activity comparable to that of fluconazole, less sensitivity for C. glabrata with reduced fluconazole sensitivity and increased cross resistance among azole derivatives. It is mainly recommended as an oral relay treatment in candidiasis with C. krusei and C. glabrata sensitive to voriconazole.


Clinical Benefit

Substantial

-


Clinical Added Value

major

-

minor

Therapeutic use

-

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