PMID- 15265515 OWN - NLM STAT- MEDLINE DCOM- 20050204 LR - 20131121 IS - 0928-0987 (Print) IS - 0928-0987 (Linking) VI - 22 IP - 5 DP - 2004 Aug TI - Comparative therapeutic efficacy of a novel lyophilized amphotericin B lecithin-based oil-water microemulsion and deoxycholate-amphotericin B in immunocompetent and neutropenic mice infected with Candida albicans. PG - 451-8 AB - The in vivo efficacy of a new amphotericin B (AmB) oil-in-water lecithin-based microemulsion delivery system (M-AmB) compared to deoxycholate-AmB (D-AmB) was studied in an immunocompetent and neutropenic murine model of systemic candidiasis. D-AmB was administered at the maximum tolerated dose of 1 mg/kg whereas M-AmB was given at the doses of 1, 2 and 3 mg/kg; doses were well tolerated due to their reduced toxicity. Both formulations were administered 24, 48 and 72 h after infection in immunocompetent mice, and 2, 6 and 24 h after infection in neutropenic mice. Kaplan-Meier survival curves showed that the M-AmB treated group had a better survival time than infected mice without treatment used as a control group (P = 4.66 x 10(-6)), and the Mann-Whitney W statistical test indicated that it reduced the percentage of mortality and fungal load in the most representative organs. This new formulation is a designed competitor which has proved to present better results than D-AmB in an established infection not only in immunocompetent but in neutropenic mice as well. FAU - Brime, Begona AU - Brime B AD - Department of Pharmacy and Pharmaceutical Technology, Complutense University of Madrid, 28040 Madrid, Spain. FAU - Molero, Gloria AU - Molero G FAU - Frutos, Paloma AU - Frutos P FAU - Frutos, Gloria AU - Frutos G LA - eng PT - Comparative Study PT - Journal Article PL - Netherlands TA - Eur J Pharm Sci JT - European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences JID - 9317982 RN - 0 (Emulsions) RN - 0 (Phosphatidylcholines) RN - 005990WHZZ (Deoxycholic Acid) RN - 7XU7A7DROE (Amphotericin B) SB - IM MH - Amphotericin B/chemistry/pharmacology/*therapeutic use MH - Animals MH - Candidiasis/*drug therapy/immunology MH - Chemistry, Pharmaceutical MH - Deoxycholic Acid/chemistry/pharmacology/therapeutic use MH - Emulsions MH - Freeze Drying MH - Immunocompetence/drug effects/physiology MH - Male MH - Mice MH - Neutropenia/*drug therapy/immunology MH - Phosphatidylcholines/chemistry/pharmacology/*therapeutic use EDAT- 2004/07/22 05:00 MHDA- 2005/02/05 09:00 CRDT- 2004/07/22 05:00 PHST- 2003/08/29 00:00 [received] PHST- 2004/04/28 00:00 [revised] PHST- 2004/04/29 00:00 [accepted] PHST- 2004/07/22 05:00 [pubmed] PHST- 2005/02/05 09:00 [medline] PHST- 2004/07/22 05:00 [entrez] AID - S0928098704001198 [pii] AID - 10.1016/j.ejps.2004.04.008 [doi] PST - ppublish SO - Eur J Pharm Sci. 2004 Aug;22(5):451-8. doi: 10.1016/j.ejps.2004.04.008.