MedPath

Amphotericin B

Generic Name
Amphotericin B
Brand Names
Abelcet, Ambisome, Amphotec, Fungizone
Drug Type
Small Molecule
Chemical Formula
C47H73NO17
CAS Number
1397-89-3
Unique Ingredient Identifier
7XU7A7DROE
Background

Amphotericin B shows a high order of in vitro activity against many species of fungi. Histoplasma capsulatum, Coccidioides immitis, Candida species, Blastomyces dermatitidis, Rhodotorula, Cryptococcus neoformans, Sporothrix schenckii, Mucor mucedo, and Aspergillus fumigatus are all inhibited by concentrations of amphotericin B ranging from 0.03 to 1.0 mcg/mL in vitro. While Candida albicans is generally quite susceptible to amphotericin B, non-albicans species may be less susceptible. Pseudallescheria boydii and Fusarium sp. are often resistant to amphotericin B. The antibiotic is without effect on bacteria, rickettsiae, and viruses.

Indication

Used to treat potentially life threatening fungal infections.

Associated Conditions
Coccidioidomycosis, Fungal Infections, Histoplasmosis, Invasive Aspergillosis, Invasive Fungal Infections, Leishmaniasis, Meningitis, Cryptococcal, Meningitis, Fungal, Mucocutaneous Leishmaniasis, Mycotic endophthalmitis, Penicillium marneffei infection, Visceral Leishmaniasis, Candidal cystitis, Disseminated Cryptococcosis, Fungal osteoarticular infections, Ocular aspergillosis, Refractory aspergillosis, Severe Coccidioidomycosis, Severe Cryptococcosis, Severe Fungal infection caused by Basidiobolus spp., Severe Fungal infection caused by Conidiobolus spp., Severe Fungal infection caused by sporotrichosis spp., Severe Histoplasmosis, Severe Mucocutaneous leishmaniasis, Severe North American blastomycosis, Severe Systemic candidiasis

Voriconazole vs. Amphotericin B in the Treatment of Invasive Aspergillosis

Phase 3
Completed
Conditions
Acquired Immunodeficiency Syndrome
Aspergillosis
HIV Infections
Immunologic Deficiency Syndromes
Neutropenia
First Posted Date
2002-12-10
Last Posted Date
2008-03-04
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
10
Registration Number
NCT00001646
Locations
🇺🇸

National Institute of Allergy and Infectious Diseases (NIAID), Bethesda, Maryland, United States

Trial of Micafungin (FK463) in Combination With Liposomal Amphotericin B (AmBisome) for Aspergillosis

Phase 2
Terminated
Conditions
Aspergillosis
Interventions
First Posted Date
2002-10-24
Last Posted Date
2014-08-20
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
2
Registration Number
NCT00047827

A Randomized, Open, Comparative Multicenter Study of Initial Treatment With Intravenous Itraconazole Versus Amphotericin B Followed by Consolidation Treatment With Itraconazole Capsules in Patients With Blastomycosis or Histoplasmosis

Phase 3
Completed
Conditions
HIV Infections
Histoplasmosis
Blastomycosis
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Janssen, LP
Target Recruit Count
60
Registration Number
NCT00002159
Locations
🇺🇸

Community Hosp, Indianapolis, Indiana, United States

🇺🇸

LSU Med Ctr / Div of Pulmonary & Critical Care Med, Shreveport, Louisiana, United States

🇺🇸

Univ of Arkansas for Med Sciences, Little Rock, Arkansas, United States

and more 6 locations

A Study of Amphotericin B in the Treatment of Fungal Infections of the Mouth in HIV-Infected Patients Who Have Not Had Success With Fluconazole

Phase 2
Completed
Conditions
Candidiasis, Oral
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2021-11-01
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
70
Registration Number
NCT00001065
Locations
🇺🇸

The Ponce de Leon Ctr. CRS, Atlanta, Georgia, United States

🇺🇸

Cook County Hosp. CORE Ctr., Chicago, Illinois, United States

🇺🇸

Weiss Memorial Hosp., Chicago, Illinois, United States

and more 29 locations

A Randomized Double Blind Protocol Comparing Amphotericin B With Flucytosine to Amphotericin B Alone Followed by a Comparison of Fluconazole and Itraconazole in the Treatment of Acute Cryptococcal Meningitis

Not Applicable
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2021-11-02
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
400
Registration Number
NCT00000639
Locations
🇺🇸

Ucsf Aids Crs, San Francisco, California, United States

🇺🇸

USC CRS, Los Angeles, California, United States

🇺🇸

Northwestern University CRS, Chicago, Illinois, United States

and more 21 locations

Comparison of Fluconazole and Amphotericin B in the Treatment of Brain Infections in Patients With AIDS

Phase 3
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2011-03-14
Lead Sponsor
Pfizer
Target Recruit Count
330
Registration Number
NCT00001017
Locations
🇺🇸

Beth Israel Deaconess - West Campus, Boston, Massachusetts, United States

🇺🇸

SUNY - Stony Brook, Stony Brook, New York, United States

🇺🇸

Duke Univ Med Ctr, Durham, North Carolina, United States

and more 25 locations

Multi-center Comparison of Fluconazole (UK-49,858) and Amphotericin B as Treatment for Acute Cryptococcal Meningitis

Not Applicable
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2011-03-14
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
120
Registration Number
NCT00000708
Locations
🇺🇸

Univ of Miami School of Medicine, Miami, Florida, United States

🇺🇸

Julio Arroyo, West Columbia, South Carolina, United States

🇺🇸

Tulane Univ School of Medicine, New Orleans, Louisiana, United States

and more 3 locations

Comparison of Two Treatments to Prevent Invasive Fungal Infections in Patients Who Have Received Liver Transplants

Phase 4
Completed
Conditions
Candidiasis
First Posted Date
2001-08-31
Last Posted Date
2010-08-27
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
500
Registration Number
NCT00001107
Locations
🇺🇸

Mary Ellen Bradley, Birmingham, Alabama, United States

The Safety and Effectiveness of RMP-7 Plus Amphotericin B in Patients With HIV and Cryptococcal Meningitis

Phase 1
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Alkermes, Inc.
Registration Number
NCT00002316
Locations
🇺🇸

SUNY / Health Sciences Ctr at Stony Brook, Stony Brook, New York, United States

🇺🇸

Pennsylvania State Univ / Hershey Med Ctr, Hershey, Pennsylvania, United States

🇺🇸

Los Angeles County - USC Med Ctr, Los Angeles, California, United States

and more 8 locations

Multicenter Comparison of Fluconazole (UK-49,858) and Amphotericin B as Treatment for Acute Cryptococcal Meningitis

Not Applicable
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002075
Locations
🇺🇸

Dr Robert Larsen, Los Angeles, California, United States

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