Efficacy and tolerability of micafungin monotherapy for candidemia and deep-seated candidiasis in adults with cancer

Antimicrob Agents Chemother. 2014 Jun;58(6):3526-9. doi: 10.1128/AAC.00051-14. Epub 2014 Mar 17.

Abstract

The response rate among 58 patients with cancer and candidemia or deep-seated candidiasis treated with micafungin monotherapy was 81%. Intensive care unit (ICU) stay, concomitant nonfungal infections, and acute kidney injury were significantly associated with the 30-day crude mortality rate. Severe neutropenia was an independent predictor of micafungin failure. The efficacy and safety of micafungin in cancer patients with invasive candidiasis were comparable to those reported for patients without malignancy and for cancer patients treated with caspofungin.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antifungal Agents / therapeutic use*
  • Candidemia / complications
  • Candidemia / drug therapy*
  • Candidiasis / drug therapy*
  • Candidiasis, Invasive / complications
  • Candidiasis, Invasive / drug therapy
  • Echinocandins / therapeutic use*
  • Female
  • Humans
  • Intensive Care Units
  • Lipopeptides / therapeutic use*
  • Male
  • Micafungin
  • Middle Aged
  • Neoplasms / complications*
  • Neutropenia
  • Young Adult

Substances

  • Antifungal Agents
  • Echinocandins
  • Lipopeptides
  • Micafungin

Supplementary concepts

  • Systemic candidiasis