TABLE 2.
Cumulative fraction of response (CFR) of echinocandins against Candida spp. in critically ill patients with different weights using net fungal stasis target
Antifungal | Dosing regimen (mg/day) | Cumulative fraction of response (%) against Candida spp. according to wt (kg)a |
|||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C. albicans
|
C. glabrata
|
C. parapsilosis
|
C. tropicalis
|
C. krusei
|
C. auris
|
||||||||||||||
50 | 75 | 100 | 50 | 75 | 100 | 50 | 75 | 100 | 50 | 75 | 100 | 50 | 75 | 100 | 50 | 75 | 100 | ||
Caspofungin | 70/50b | 90.4 | 88.5 | 88.5 | 99.0 | 99.0 | 99.0 | 64.6 | 61.8 | 19.3 | |||||||||
100 q48h | 88.7 | 88.5 | 88.4 | 99.0 | 99.0 | 99.0 | 63.2 | 60.8 | 14.5 | ||||||||||
100/70 | 98.5 | 98.2 | 93.2 | 99.7 | 99.7 | 99.2 | 64.7 | 64.6 | 64.2 | ||||||||||
150 q48h | 98.5 | 98.4 | 95.3 | 99.7 | 99.7 | 99.3 | 65.1 | 64.6 | 64.3 | ||||||||||
100 | 98.5 | 98.5 | 98.4 | 99.7 | 99.7 | 99.7 | 89.2 | 86.5 | 64.7 | ||||||||||
200 q48h | 98.5 | 98.5 | 98.5 | 99.7 | 99.7 | 99.7 | 90.1 | 88.7 | 65.9 | ||||||||||
150 | 99.4 | 99.4 | 98.8 | 99.7 | 99.7 | 99.7 | 90.8 | 90.8 | 90.7 | ||||||||||
Micafungin | 100b | 62.3 | 18.3 | 10.2 | 71.7 | 20.5 | 11.2 | 11.0 | 7.9 | 3.6 | 41.1 | 10.5 | 4.9 | 2.9 | 0.5 | 0.1 | 94.3 | 94.3 | 94.2 |
200 q48h | 63.0 | 25.6 | 10.4 | 72.5 | 29.0 | 11.3 | 11.0 | 9.0 | 3.9 | 41.6 | 15.6 | 5.0 | 2.9 | 0.9 | 0.1 | 94.3 | 94.3 | 94.3 | |
300 q72h | 63.0 | 28.3 | 10.5 | 72.5 | 32.2 | 11.4 | 11.0 | 9.5 | 4.5 | 41.7 | 17.5 | 5.1 | 2.9 | 1.0 | 0.1 | 94.3 | 94.3 | 94.3 | |
150 | 65.6 | 62.9 | 57.6 | 74.5 | 72.4 | 66.2 | 22.2 | 11.0 | 10.9 | 45.3 | 41.6 | 37.9 | 3.7 | 2.9 | 2.6 | 94.3 | 94.3 | 94.3 | |
300 q48h | 67.3 | 63.1 | 59.8 | 75.8 | 72.6 | 68.7 | 25.1 | 11.2 | 10.9 | 47.7 | 41.7 | 39.4 | 4.3 | 2.9 | 2.7 | 94.3 | 94.3 | 94.3 | |
200 | 88.3 | 71.1 | 63.6 | 91.7 | 78.6 | 72.9 | 34.3 | 25.6 | 13.1 | 78.0 | 53.2 | 42.4 | 11.2 | 5.5 | 3.1 | 94.3 | 94.3 | 94.3 | |
250 | 88.5 | 87.7 | 75.7 | 91.8 | 91.2 | 82.1 | 34.5 | 34.2 | 28.6 | 78.3 | 77.1 | 59.8 | 11.3 | 11.0 | 7.1 | 94.3 | 94.3 | 94.3 | |
300 | 88.9 | 88.4 | 87.1 | 92.0 | 91.8 | 90.7 | 55.9 | 34.4 | 33.9 | 79.3 | 78.2 | 76.2 | 14.2 | 11.3 | 10.8 | 94.3 | 94.3 | 94.3 | |
Anidulafunginc | 200/100b | 68.2 | 69.0 | 4.0 | 94.8 | ||||||||||||||
250 q48h | 72.5 | 75.2 | 4.1 | 95.1 | |||||||||||||||
350 q72h | 71.4 | 73.7 | 4.1 | 95.1 | |||||||||||||||
200/150 | 75.6 | 79.6 | 4.9 | 95.6 | |||||||||||||||
300 q48h | 75.5 | 79.4 | 4.8 | 95.6 | |||||||||||||||
200 | 81.8 | 86.3 | 6.1 | 96.8 | |||||||||||||||
250 | 89.7 | 93.9 | 6.7 | 97.4 | |||||||||||||||
300 | 92.0 | 95.7 | 7.6 | 97.7 |
Boldface indicates CFR of ≤90%. Body weights are given as 50, 75, and 100 kg.
Conventional dose for echinocandins.
CFR values for anidulafungin are calculated regardless of weight.