I Am… Liposomal Amphotericin B: Ready to fight Ahmad's life-threatening mucormycosis infection
Ahmad's uncontrolled diabetes was a major risk factor for mucormycosis, particularly for ROC presentations.7 ROC mucormycosis is a rapidly progressive disease, associated with high mortality rates of up to 60%, despite treatment. Many survivors are also left with life-long effects, such as permanent loss of vision.8
*The clinical relevance of these animal studies in humans is unknown.16
**Please refer to the Liposomal Amphotericin B Summary of Product Characteristics for detailed information on safety profile.
Liposomal Amphotericin B has greater fungicidal activity against Mucorales vs. echinocandins (shown to have limited to no activity against Mucor spp. in vitro) and some azoles9,10 (mostly fungistatic9,11).
A well-established tolerability and safety profile6**
Very common adverse events associated with Liposomal Amphotericin B treatment include rigors, pyrexia, hypokalaemia, nausea and vomiting.6
Prompt treatment may help to reduce mortality12
Delayed initiation of amphotericin B, the active ingredient in Liposomal Amphotericin B, was identified as an independent predicator of poor outcome in patients with mucormycosis (OR, 8.1; 95% CI, 1.7–38.2; p=0.008). Mortality rate reduced with early treatment vs. delaying treatment in patients with mucormycosis at Week 4 (35.1% vs. 66.6%; p=0.006) and Week 12 (48.6% vs. 82.9%; p=0.03).*12
Ahmad's uncontrolled diabetes was a major risk factor for mucormycosis, particularly for ROC presentations.7 ROC mucormycosis is a rapidly progressive disease, associated with high mortality rates of up to 60%, despite treatment. Many survivors are also left with life-long effects, such as permanent loss of vision.8
Liposomal Amphotericin B was chosen as Ahmad's line of defence because:
Why Liposomal Amphotericin B
I Am… Liposomal Amphotericin B: Ready to fight Ahmad's life-threatening mucormycosis infection
Liposomal Amphotericin B has greater fungicidal activity against Mucorales vs. echinocandins (shown to have limited to no activity against Mucor spp. in vitro) and some azoles9,10 (mostly fungistatic9,11).
Delayed initiation of amphotericin B, the active ingredient in Liposomal Amphotericin B, was identified as an independent predicator of poor outcome in patients with mucormycosis (OR, 8.1; 95% CI, 1.7–38.2; p=0.008). Mortality rate reduced with early treatment vs. delaying treatment in patients with mucormycosis at Week 4 (35.1% vs. 66.6%; p=0.006) and Week 12 (48.6% vs. 82.9%; p=0.03).*12
Very common adverse events associated with Liposomal Amphotericin B treatment include rigors, pyrexia, hypokalaemia, nausea and vomiting.6