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DRUG:

Noxafil (posaconazole)

i
Other names: MK-5592, SCH 56592
Associations
Company:
Ligand, Merck (MSD)
Drug class:
Cytochrome P450 inhibitor
Associations
1d
New P3 trial
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itraconazole • Noxafil (posaconazole)
7d
New trial
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Venclexta (venetoclax) • Noxafil (posaconazole)
7d
Trial completion date • Trial primary completion date
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Noxafil (posaconazole)
1m
Characterizing CYP3A4-mediated drug interactions: a fixed-sequence pharmacokinetic Chinese study of posaconazole and ruxolitinib in haematological malignancies. (PubMed, J Antimicrob Chemother)
Although co-administration of posaconazole with ruxolitinib resulted in a statistically significant increase in ruxolitinib systemic exposure, the magnitude of this interaction was clinically moderate. Although ruxolitinib dose adjustment may not be routinely required when used concomitantly with posaconazole, close monitoring for ruxolitinib-related adverse effects is recommended under this combination therapy setting.
PK/PD data • Journal
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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Jakafi (ruxolitinib) • Noxafil (posaconazole)
2ms
New trial
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Noxafil (posaconazole)
3ms
Posaconazole (MK-5592) Intravenous and Oral in Children (<2 Years) With Invasive Fungal Infection (MK-5592-127) (clinicaltrials.gov)
P2, N=40, Recruiting, Merck Sharp & Dohme LLC | Trial completion date: Dec 2025 --> Dec 2026 | Trial primary completion date: Dec 2025 --> Dec 2026
Trial completion date • Trial primary completion date
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Noxafil (posaconazole)
3ms
New trial
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Noxafil (posaconazole)
4ms
New trial
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Noxafil (posaconazole)
5ms
Caspofungin for Primary Antifungal Prophylaxis in Acute Myeloid Leukemia: A Real-Life Study from an Academic Center. (PubMed, Cancers (Basel))
Caspofungin appears clinically comparable to posaconazole for PAP in AML during the induction phase, especially when azole use is contraindicated. Prospective studies are warranted to refine prophylactic strategies in the era of new AML therapies.
Journal
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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Venclexta (venetoclax) • midostaurin • Noxafil (posaconazole)
5ms
Development and Evaluation of Oro-Mucosal Drug Delivery System for the Effective Management of Oropharyngeal Candidiasis: An Animal Study. (PubMed, Cureus)
Abnormally increased serum CRP and TNF-α levels were decreased gradually on treatment with the nanoformulation at the end of day 8. Conclusion Local treatment of OC with buccal mucoadhesive chitosan-coated nanoparticles of posaconazole was found to be beneficial not only in reducing the overall required dosage and minimizing side effects but also in eliminating the possibility of drug interaction that is encountered during systemic therapy of posaconazole.
Journal
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TNFA (Tumor Necrosis Factor-Alpha)
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Noxafil (posaconazole)
6ms
Chinese population may require further venetoclax dose reduction beyond guidelines when combined with voriconazole: real-world evidence from China. (PubMed, Front Pharmacol)
Safety and economic implications were evaluated based on the duration of cytopenias and hospitalization costs for Chinese patients with acute myeloid leukemia (AML) across three groups: VEN 400 mg, VEN 100 mg combined with posaconazole (POS) (VEN 100 mg + POS) and VEN 100 mg combined with VOR (VEN 100 mg + VOR). This increase in the plasma concentration of VEN may result in a longer duration of days to white blood cell (WBC) > 2000 cells/mm3 (25 vs. 13, p < 0.05) and a higher likelihood of increased hospitalization costs (140,469 vs. 73,513, p = 0.068) compared to VEN 400 mg alone. Chinese population may require further dose reduction of VEN beyond guideline recommendations when combined with VOR.
Journal • HEOR • Real-world evidence
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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Venclexta (venetoclax) • Noxafil (posaconazole)