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Galactomannan Is a Biomarker of Fosmanogepix (APX001) Efficacy in Treating Experimental Invasive Pulmonary Aspergillosis
- Gebremariam, Teclegiorgis;
- Alkhazraji, Sondus;
- Gu, Yiyou;
- Singh, Shakti;
- Alqarihi, Abdullah;
- Shaw, Karen Joy;
- Ibrahim, Ashraf S
Published Web Location
https://doi.org/10.1128/aac.01966-19Abstract
Galactomannan (GM) detection in biological samples has been shown to predict therapeutic response by azoles and polyenes. In a murine invasive pulmonary aspergillosis model, fosmanogepix or posaconazole treatment resulted in an ∼6- to 7-log reduction in conidial equivalents (CE)/g lung tissue after 96 h versus placebo. Changes in GM levels in BAL fluid and serum mirrored reductions in lung CE, with significant decreases seen after 96 h or 72 h for fosmanogepix or posaconazole, respectively (P < 0.02).
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