Isavuconazole (ISA) + micafungin (MICA) combination therapy is not better than
either drug alone in treating murine mucormycosis due to R.
delemar. (a) Survival of neutropenic mice [n = 19 for
placebo-, 18 for ISA- (given orally) (215 mg/kg three times daily), 19 for MICA-
(administered by ip injection) and 13 for ISA + MICA-treated mice, from two separate
experiments that included all treatment regimens] infected intratracheally with
R. delemar (average inhaled inoculum of 1.3 × 103 per
mouse). Treatment started on day +1 and lasted through day +4, relative to
infection. *P < 0.02 versus placebo-treated mice. (b) Lungs and
brain fungal burden of mice (n = 10 per group) infected with
R. delemar (average inoculum of 4.2 × 103 per mouse),
treated on days 0 (8 h post-infection) through +2 and sacrificed on day +3, relative
to infection. Data are expressed as median ± IQR. *P < 0.03
versus placebo-treated mice and **P < 0.03 versus placebo- and
MICA-treated mice.