TABLE 4.
Modal MICs/MIC50s and proportions of non-wild-type isolates for isavuconazole and comparators for the yeast isolatese
Isolate category | Dilution range | Total no. of isolates | ISA |
FLC |
VRC |
AMBa
|
ANF |
MFG |
||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Modal MIC/MIC50 (range) or range (mg/liter) | % of non-WT isolates | Modal MIC/MIC50 (range) or range (mg/liter) | % of non-WT isolates | Modal MIC/MIC50 (range) or range (mg/liter) | % of non-WT isolates | Modal MIC/MIC50 (range) or range (mg/liter) | % of non-WT isolates | Modal MIC/MIC50 (range) or range (mg/liter) | % of non-WT isolates | Modal MIC/MIC50 (range) or range (mg/liter) | % of non-WT isolates | |||
C. albicans | 8 | 174 | ≤0.03/≤0.03 (≤0.03 to >4) | 3.2 | 0.25/0.25 (≤0.125 to >16) | 2.7 | ≤0.03/≤0.03 (≤0.03 to 2) | 2.5 | ND | 0 | ≤0.008/≤0.008 (≤0.008 to 0.03) | 0.3 | ≤0.008/≤0.008 (≤0.008 to 0.03) | 3.2 |
11 | 264 | ≤0.004/≤0.004 (≤0.004 to 4) | 0.25/0.25 (0.03 to >32) | ≤0.004/≤0.004 (≤0.004 to 2) | 0.25/0.25 (≤0.016 to 0.5) | ≤0.004/≤0.004 (≤0.004 to 0.125) | 0.008/0.008 (≤0.004 to 0.5) | |||||||
C. dubliniensis | 8 | 24 | ≤0.03/≤0.03 (≤0.03) | 5.3 | ≤0.125/≤0.125 (≤0.125 to 4) | 5.3 | ≤0.03/≤0.03 (≤0.03) | 5.3 | ND | 0 | 0.016/0.016 (≤0.008 to 0.5) | 2.2 | 0.016/0.016 (≤0.008 to 1) | 6.5 |
11 | 33 | ≤0.004/≤0.004 (≤0.004 to >4) | 0.125/0.25 (0.06 to >32) | 0.008/0.008 (≤0.004 to >4) | 0.03/0.03 (≤0.016 to 0.25) | 0.008/0.008 (≤0.004 to 0.03) | 0.016/0.016 (≤0.004 to 0.06) | |||||||
C. glabrata | 8 | 117 | ≤0.03/≤0.03 (≤0.03 to >4) | 11.8 | 4/4 (0.5 to >16) | 7.8d | 0.06/0.06 (≤0.03 to 4) | 7.8 | ND | 0 | 0.06/0.06 (0.016 to 1) | 1.9 | ≤0.008/≤0.008 (≤0.008 to 1) | 2.7 |
11 | 205 | 0.06/0.06 (≤0.004 to >4) | 4/4 (0.5 to >32) | 0.06/0.06 (0.016 to >4) | 0.25/0.25 (0.03 to 1) | 0.016/0.016 (0.008 to 1) | 0.016/0.016 (≤0.004 to 0.5) | |||||||
C. krusei | 8 | 15 | 0.125/0.125 (≤0.03 to 0.5) | 1.9 | >16/>16 (16 to >16) | 0 | 0.25/0.25 (0.125 to 1) | 1.9 | ND | 0 | 0.06/0.06 (0.03 to 0.06) | 0 | 0.125/0.125 (0.06 to 0.25) | 0 |
11 | 39 | 0.125/0.125 (0.03 to 1) | 32/32 (8 to >32) | 0.25/0.25 (0.125 to 2) | 0.5/0.5 (0.5 to 1) | 0.03/0.03 (0.016 to 0.06) | 0.125/0.125 (0.06 to 0.5) | |||||||
C. parapsilosis | 8 | 16 | ≤0.03/≤0.03 (≤0.03) | 2.3 | 1/1 (≤0.125 to 4) | 8.7 | ≤0.03/≤0.03 (≤0.03 to 0.06) | 3.3 | ND | 0 | >1/>1 (1 to >1) | 0 | (1/>1)/>1 (1 to >1) | 0 |
11 | 27 | 0.016/0.016 (≤0.004 to 0.25) | (0.5/1)/1 (0.5 to >32) | 0.016/0.016 (0.008 to 2) | 0.5/0.5 (0.125 to 1) | 0.5/1 (0.5 to 2) | 2/2 (0.5 to 4) | |||||||
C. tropicalis | 8 | 27 | ≤0.03/≤0.03 (≤0.03 to 0.125) | 12.3 | 0.5/0.5 (≤0.125 to 16) | 10.8 | ≤0.03/≤0.03 (≤0.03 to 0.25) | 12.3 | ND | 0 | 0.03/0.03 (≤0.008 to 0.5) | 1.0 | 0.016/0.016 (≤0.008 to 0.5) | 1.0 |
11 | 38 | 0.008/0.008 (≤0.004 to 2) | 0.5/0.5 (0.125 to >32) | 0.016/0.03 (0.008 to >4) | 0.25/0.25 (0.125 to 1) | 0.016/0.016 (≤0.004 to 0.03) | 0.03/0.03 (≤0.004 to 0.06) | |||||||
Other Candida speciesb | 8 | 21 | ≤0.03 to 0.5 | ≤0.125 to >16 | ≤0.03 to 2 | 0.016 to >1 | 0.03 to 0.5 | |||||||
11 | 39 | ≤0.004 to >4 | 0.06 to >32 | ≤0.004 to >4 | 0.06 to >4 | ≤0.004 to 2 | 0.016 to 0.5 | |||||||
Saccharomyces cerevisiae | 8 | 5 | ≤0.03 to 1 | 2 to >16 | 0.06 to 0.5 | 0.06 to 0.25 | 0.125 to 0.25 | |||||||
11 | 7 | 0.03 to 0.5 | 2 to 16 | 0.06 to 0.5 | 0.25/0.25 (0.06 to 1) | 0.016 to 0.125 | 0.06 to 0.125 | |||||||
Cryptococcus neoformans | 8 | 3 | ≤0.03 to 0.25 | 1 to 16 | ≤0.03 to 0.25 | >1 | >1 | |||||||
11 | 7 | 0.008 to 0.125 | 2 to 16 | 0.016 to 0.125 | 0.25/0.25 (0.03 to 0.5) | >4 | >4 | |||||||
All rare yeastc | 8 | 3 | 0.125 to 0.5 | 8 to >16 | 0.06 to 2 | >1 | >1 | |||||||
11 | 5 | 0.125 to 2 | 16 to >32 | 0.25 to >4 | 0.06 to 1 | 0.125 to >4 | 0.03 to >4 |
Amphotericin B was tested only in a wide concentration range.
Fifteen C. lusitaniae isolates; 11 C. guilliermondii isolates; 6 C. orthopsilosis isolates; 5 C. kefyr isolates; 4 isolates of C. fermentati, C. inconspicua, and C. pelliculosa; 2 C. norvegensis isolates; and one isolate each of C. auris, C. bovina, C. duobushaemulonii, C. famata, C. metapsilosis, C. nivariensis, C. palmioleophila, C. pararugosa, and C. utilis.
Two Geotrichum candidum and Rhodotorula mucilaginosa isolates and one isolate each of Arxula adeninivorans, Exophiala dermatitidis, Geotrichum silvicola, and Magnusiomyces capitatus.
Potentially an underestimate of the true non-wild-type proportion, as some of the C. glabrata isolates were not tested at fluconazole concentrations above 16 mg/liter.
ISA, isavuconazole; FLC, fluconazole; VRC, voriconazole; AMB, amphotericin B; ANF, anidulafungin; MFG, micafungin; ND, not done.