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Isavuconazonium Sulfate

FDA-approved product (capsule, oral), marketed as Cresemba.

Registered studies
50+
Lab records
0
Pathogens at ≥40%
3 of 4

Chemical structure

Chemical structure of Isavuconazonium Sulfate
A drawing shows what the molecule is, not what it does.

Existing / approved use

Documented · FDA, WHO, ChEMBL

Approved for

  • Aspergillosis
  • Mucormycosis

Indications ChEMBL records as approved, from FDA and DailyMed labels. Label ↗

WHO therapeutic group
Triazole and tetrazole derivatives
Anti-infective classification
Classified as another kind of anti-infective (for example an antifungal, antiviral or antiparasitic medicine).WHO ATC J02AC05

Repurposing investigation

This medicine is being investigated here for AI-predicted antimicrobial activity against MRSA, E. coli and M. tuberculosis. It was surfaced computationally for further investigation; it is not an established treatment for these infections.

AI-predicted activity

AI prediction · nothing measured
  • MRSA64.3% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • E. coli45.2% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • K. pneumoniae31.2% AI-predicted activityBelow the ≥40% mark this site uses to surface candidates.
  • M. tuberculosis52.0% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.

A model’s estimate of laboratory activity against each pathogen species. It is not clinical effectiveness.

Evidence

Clinical and experimental

Documented evidence

Clinical

50+registered studies name this medicine, for any condition. The registry search keeps the first 50, so there may be more. See them below.

Experimental

No evidence found

No laboratory measurement against the four pathogens in the ChEMBL records loaded here.

Docking

Computational · nothing measured

Dihydrofolate reductase ↗ (E. coli)

Not yet docked: queued in the docking rundetails

KPC-2 carbapenemase ↗ (K. pneumoniae)

Not yet docked: queued in the docking rundetails

Enoyl-ACP reductase (InhA) ↗ (M. tuberculosis)

Not yet docked: queued in the docking rundetails

Dihydrofolate reductase ↗ (MRSA)

Not yet docked: queued in the docking rundetails

AutoDock Vina, one experimentally solved protein per pathogen. This project’s screening target is -7.0 kcal/mol, its own mark rather than a universal cutoff. A docking score is a structural hypothesis, not proof of binding, and requires experimental validation.

Other medicines to investigate

AI prediction · nothing measured

Other repurposing candidates: approved medicines besides Isavuconazonium Sulfate with AI-predicted activity ≥40% against the chosen pathogen, leaving out existing antimicrobials. They are computational candidates for further investigation, not alternatives and not recommendations.

Sorted by AI-predicted activity, high to low. The order is not a ranking of which medicine is better.

Registered studies

A registration describes a study; it does not establish a positive result.

  • A Study to Evaluate the Pharmacokinetics of BAL8728 After a Single Dose of Pyridinylmethyl-14C-Labeled Isavuconazonium Sulfate in Healthy Male Subjects

    NCT02059590 · start 2013-04

    Registered record
    Registry ID
    NCT02059590
    Conditions
    Pharmacokinetics of 14C-labeled Isavuconazonium Sulfate; Healthy Subjects
    Interventions
    Pyridinylmethyl-14C-labeled isavuconazonium sulfate
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2013-04
    Completion
    2013-04
    Enrolment
    6

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of 14C-labeled Isavuconazonium Sulfate; Healthy Subjects
    InterventionPyridinylmethyl-14C-labeled isavuconazonium sulfate
    PhasePhase 1
    Registry statusCompleted
  • A Study to Evaluate the Effect of Multiple Doses of Isavuconazole on the Pharmacokinetics of Metformin

    NCT01884558 · start 2013-02

    Registered record
    Registry ID
    NCT01884558
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Metformin; Healthy Subjects
    Interventions
    isavuconazole; metformin
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2013-02
    Completion
    2013-02
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Metformin; Healthy Subjects
    Interventionisavuconazole; metformin
    PhasePhase 1
    Registry statusCompleted
  • Study to Evaluate the Pharmacokinetics of 14C-labeled Isavuconazole Following a Single Oral Dose of 14C-labeled Prodrug Isavuconazonium Sulfate (BAL8557) in Healthy Male Subjects

    NCT01813461 · start 2012-10

    Registered record
    Registry ID
    NCT01813461
    Conditions
    Pharmacokinetics of 14C-labeled Isavuconazole; Healthy Subjects
    Interventions
    14C-labeled prodrug isavuconazonium sulfate
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-10
    Completion
    2012-11
    Enrolment
    8

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of 14C-labeled Isavuconazole; Healthy Subjects
    Intervention14C-labeled prodrug isavuconazonium sulfate
    PhasePhase 1
    Registry statusCompleted
  • Drug Interaction Study of Multiple Doses of Isavuconazole and a Single Dose of Bupropion

    NCT01635972 · start 2012-06

    Registered record
    Registry ID
    NCT01635972
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Bupropion; Healthy Volunteers
    Interventions
    Isavuconazole; bupropion hydrochloride
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-06
    Completion
    2012-07
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Bupropion; Healthy Volunteers
    InterventionIsavuconazole; bupropion hydrochloride
    PhasePhase 1
    Registry statusCompleted
  • Drug-drug Interaction Study Between Lopinavir/Ritonavir and Isavuconazole

    NCT01660477 · start 2012-06

    Registered record
    Registry ID
    NCT01660477
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Lopinavir/Ritonavir; Healthy Volunteers
    Interventions
    Isavuconazole; Lopinavir/ritonavir
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-06
    Completion
    2012-10
    Enrolment
    68

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Lopinavir/Ritonavir; Healthy Volunteers
    InterventionIsavuconazole; Lopinavir/ritonavir
    PhasePhase 1
    Registry statusCompleted
  • Drug Interaction Study of Multiple Doses of Isavuconazole and Single Dose of Dextromethorphan in Healthy Adult Subjects

    NCT01651325 · start 2012-05

    Registered record
    Registry ID
    NCT01651325
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Dextromethorphan; Healthy Adult Volunteers
    Interventions
    Isavuconazole; dextromethorphan
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-05
    Completion
    2012-05
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Dextromethorphan; Healthy Adult Volunteers
    InterventionIsavuconazole; dextromethorphan
    PhasePhase 1
    Registry statusCompleted
  • Drug Interaction Study of the Effect of Ketoconazole at Steady State on the Pharmacokinetics of a Single Dose of Isavuconazole in Healthy Adult Subjects

    NCT01657838 · start 2012-05

    Registered record
    Registry ID
    NCT01657838
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Ketoconazole; Healthy Adult Volunteers
    Interventions
    Isavuconazole; Ketoconazole
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-05
    Completion
    2012-05
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Ketoconazole; Healthy Adult Volunteers
    InterventionIsavuconazole; Ketoconazole
    PhasePhase 1
    Registry statusCompleted
  • Drug Interaction Study of Isavuconazole and Methadone

    NCT01582425 · start 2012-04

    Registered record
    Registry ID
    NCT01582425
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Methadone; Healthy Volunteers
    Interventions
    Isavuconazole; Methadone
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-04
    Completion
    2012-06
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Methadone; Healthy Volunteers
    InterventionIsavuconazole; Methadone
    PhasePhase 1
    Registry statusCompleted
  • Drug Interaction Study of Isavuconazole and Oral Contraceptive Containing Ethinyl Estradiol and Norethindrone

    NCT01597986 · start 2012-04

    Registered record
    Registry ID
    NCT01597986
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Ethinyl Estradiol and Norethindrone; Healthy Volunteers
    Interventions
    isavuconazole; Oral Contraceptive (ethinyl estradiol / norethindrone)
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-04
    Completion
    2012-06
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Ethinyl Estradiol and Norethindrone; Healthy Volunteers
    Interventionisavuconazole; Oral Contraceptive (ethinyl estradiol / norethindrone)
    PhasePhase 1
    Registry statusCompleted
  • Study of the Effect of Renal Impairment on the Pharmacokinetics of Isavuconazole.

    NCT01555866 · start 2012-03

    Registered record
    Registry ID
    NCT01555866
    Conditions
    Pharmacokinetics of Isavuconazole; Healthy Volunteers; Renal Impaired
    Interventions
    isavuconazole
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-03
    Completion
    2013-04
    Enrolment
    49

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Healthy Volunteers; Renal Impaired
    Interventionisavuconazole
    PhasePhase 1
    Registry statusCompleted
  • Study of the Effect of Repeat Doses of Isavuconazole on Cardiac Repolarization

    NCT01565720 · start 2012-03

    Registered record
    Registry ID
    NCT01565720
    Conditions
    Pharmacokinetics of Isavuconazole; Healthy Volunteers
    Interventions
    Isavuconazole; Placebo; Moxifloxacin
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-03
    Completion
    2012-06
    Enrolment
    161

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Healthy Volunteers
    InterventionIsavuconazole; Placebo; Moxifloxacin
    PhasePhase 1
    Registry statusCompleted
  • Drug Interaction Study of Isavuconazole and Digoxin

    NCT01582412 · start 2012-03

    Registered record
    Registry ID
    NCT01582412
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Digoxin; Healthy Volunteers
    Interventions
    Isavuconazole; digoxin
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-03
    Completion
    2012-05
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Digoxin; Healthy Volunteers
    InterventionIsavuconazole; digoxin
    PhasePhase 1
    Registry statusCompleted
  • A Study to Assess the Effect of Multiple Doses of Isavuconazole on the Pharmacokinetics of a Single Dose of Mycophenolate Mofetil in Healthy Adult Subjects

    NCT01711489 · start 2012-03

    Registered record
    Registry ID
    NCT01711489
    Conditions
    Healthy Subjects; Pharmacokinetics of Isavuconazole; Pharmacokinetics of Plasma Mycophenolic Acid (MPA); Pharmacokinetics of Plasma Phenolic Glucuronide of MPA (MPAG)
    Interventions
    isavuconazole; Mycophenolate mofetil
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-03
    Completion
    2012-04
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionHealthy Subjects; Pharmacokinetics of Isavuconazole; Pharmacokinetics of Plasma Mycophenolic Acid (MPA); Pharmacokinetics of Plasma Phenolic Glucuronide of MPA (MPAG)
    Interventionisavuconazole; Mycophenolate mofetil
    PhasePhase 1
    Registry statusCompleted
  • A Study to Evaluate the Effect of Multiple Doses of Isavuconazole on the Pharmacokinetics of a Single Dose of Prednisone in Healthy Adult Subjects

    NCT01711827 · start 2012-02

    Registered record
    Registry ID
    NCT01711827
    Conditions
    Healthy Subjects; Pharmacokinetics of Isavuconazole; Pharmacokinetics of Prednisolone
    Interventions
    Isavuconazole; Prednisone
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2012-02
    Completion
    2012-03
    Enrolment
    21

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionHealthy Subjects; Pharmacokinetics of Isavuconazole; Pharmacokinetics of Prednisolone
    InterventionIsavuconazole; Prednisone
    PhasePhase 1
    Registry statusCompleted
  • Drug Interaction Study of Isavuconazole and Tacrolimus

    NCT01535547 · start 2011-12

    Registered record
    Registry ID
    NCT01535547
    Conditions
    Pharmacokinetics of Isavuconazole; Pharmacokinetics of Tacrolimus; Healthy Volunteers
    Interventions
    isavuconazole; tacrolimus
    Study type
    INTERVENTIONAL
    Phase
    Phase 1
    Registry status
    Completed
    Start
    2011-12
    Completion
    2012-01
    Enrolment
    24

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPharmacokinetics of Isavuconazole; Pharmacokinetics of Tacrolimus; Healthy Volunteers
    Interventionisavuconazole; tacrolimus
    PhasePhase 1
    Registry statusCompleted