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

Safety and Efficacy of Amphotericin B Lipid Complex in the Treatment of Cryptococcal Meningitis in Patients With the Acquired Immunodeficiency Syndrome

Not Applicable
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Liposome
Registration Number
NCT00002019
Locations
🇺🇸

Univ TX Galveston Med Branch, Galveston, Texas, United States

🇺🇸

Rush Presbyterian - Saint Luke's Med Ctr, Chicago, Illinois, United States

🇺🇸

Cornell Univ Med College, New York, New York, United States

and more 16 locations

A Comparison of Fluconazole and Amphotericin B in the Treatment of 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
NCT00002305
Locations
🇺🇸

UCLA CARE Ctr, Los Angeles, California, United States

🇺🇸

Emory Univ School of Medicine, Atlanta, Georgia, United States

🇺🇸

DeKalb Gen Hosp, Decatur, Georgia, United States

and more 42 locations

A Comparison of Fluconazole and Amphotericin B in the Treatment of Fungal Infections

Phase 3
Completed
Conditions
Mycoses
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2005-06-24
Lead Sponsor
Pfizer
Registration Number
NCT00002277
Locations
🇺🇸

Dr Temple Williams, Houston, Texas, United States

🇺🇸

M D Anderson Cancer Ctr, Houston, Texas, United States

🇺🇸

Dr Layne Gentry, Houston, Texas, United States

Evaluation of Amphotericin B in the Treatment of Biopsy Proven Candida Esophagitis in Immunocompromised Patients

Not Applicable
Completed
Conditions
Candidiasis, Esophageal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2007-10-02
Lead Sponsor
Bristol-Myers Squibb
Registration Number
NCT00002041
Locations
🇺🇸

Bristol - Myers Squibb Co, Princeton, New Jersey, United States

Multicenter Comparison of Fluconazole (UK-49,858) and Amphotericin B as Maintenance Treatment for the Prevention of Relapse of Cryptococcal Meningitis in Patients With Acquired Immunodeficiency Syndrome

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
NCT00002074
Locations
🇺🇸

Dr Richard Meyer, Los Angeles, California, United States

🇺🇸

DeKalb Gen Hosp, Decatur, Georgia, United States

🇺🇸

Shallowford Hosp, Decatur, Georgia, United States

and more 36 locations

A 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
NCT00002068
Locations
🇺🇸

Christiana Hosp / Med Ctr of Delaware, Wilmington, Delaware, United States

🇺🇸

Univ of Tennessee, Memphis, Tennessee, United States

🇺🇸

Davies Med Ctr, San Francisco, California, United States

and more 5 locations

Dexamethasone in Cryptococcal Meningitis

Phase 2
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2021-10-28
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
36
Registration Number
NCT00000776
Locations
🇺🇸

Northwestern Univ Med School, Chicago, Illinois, United States

🇺🇸

Cook County Hosp, Chicago, Illinois, United States

🇺🇸

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

and more 11 locations

Safety and Antifungal Activity of Recombinant Interferon-Gamma 1b (rIFN-Gamma 1b) Given With Standard Therapy in Patients With Cryptococcal Meningitis

Phase 2
Completed
Conditions
Meningitis, Cryptococcal
HIV Infections
First Posted Date
2001-08-31
Last Posted Date
2009-06-03
Lead Sponsor
InterMune
Target Recruit Count
60
Registration Number
NCT00012467
Locations
🇺🇸

Houston Veterans Administration Med Ctr, Houston, Texas, United States

🇺🇸

Univ of Texas / Med School at Houston, Houston, Texas, United States

🇵🇪

Instituto de Medicina Tropical, Lima, Peru

and more 6 locations
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