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Adverse event reporting can be found at the bottom of the page

AboutAbout  CRESEMBA®Invasive fungal infections and risk factorsMeet CRESEMBA ®CRESEMBA® patient profilesVirtual Patient ExperienceEfficacyEfficacyInvasive AspergillosisMucormycosis

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Information on how to access prescribing information and adverse event reporting can be found towards the bottom of the page.

CRESEMBA® (isavuconazole) in mucormycosis

CRESEMBA® (isavuconazole) is indicated for mucormycosis in patients for whom amphotericin B is inappropriate.1

VITAL was a single-arm, open-label trial which assessed the efficacy and safety of CRESEMBA® for the treatment of mucormycosis and compared its efficacy with amphotericin B in a matched case-control analysis.2

VITAL study design

VITAL: the registration trial for CRESEMBA® in mucormycosis2

VITAL: the registration trial for CRESEMBA® in mucormycosis1
  • Primary disease group (defined as ≤4 days of previous systemic antifungals; n=21) were matched with controls from the FungiScope Registry who received primary AmB-based treatment

Primary endpoints

  • Overall response at day 42 as determined by an independent data review committee. Overall responses were classified as complete or partial (deemed treatment success); or stable or progressive disease (deemed treatment failure) according to prespecified criteria.

Secondary endpoints

  • Overall, clinical, radiological and mycological responses at day 42 (n=37), day 84 and end of treatment
  • All-cause (crude and weighted) mortality at days 42 and 84
  • Matched case-control analysis using the FungiScope: Global Emerging Fungal Infection Registry for day 42 crude all-cause mortality
Efficacy

Primary efficacy endpoint, DRC-assessed overall response at day 42 (n=37), demonstrated:

  • Partial response: 11% 
  • Stable mucormycosis: 43%
  • Disease progression: 3% 
  • Missing data: 8% 
  • Death: 35%


In the case-control analysis (patients with mucormycosis from VITAL matched with controls from the FungiScope registry) survival was similar with CRESEMBA® and amphotericin B.2,b

  • Weighted all-cause mortality (day 42): 33% vs 41% (p=0.595)
Survival rates in patients receiving CRESEMBA® as primary treatment in VITAL vs matched controls treated with AmB (FungiScope).

VITAL: the registration trial for CRESEMBA® in mucormycosis2

Adapted from reference 2.Adverse events

The AE profile of CRESEMBA® in VITAL was consistent with observations from the SECURE trial (invasive aspergillosis).2

Most common (≥10%) TEAEs reported for CRESEMBA® in VITAL1

Most common (≥10%) TEAEs reported for CRESEMBA® in VITAL2

The survival rates and safety profile of CRESEMBA® allow you to prescribe with confidence for your patients with mucormycosis, for whom amphotericin B is inappropriate1,2

How can the safety profile of CRESEMBA® support your patients?
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a. Oral or intravenous loading regimen determined at the discretion of local investigators.
b. Patients were censored on the day of their last known survival status (circles).

AE, adverse events; AmB, amphotericin B; CI, confidence interval; DRC, data review committee; HR, hazard ratio; IV, intravenous; PO, orally; q8h, every 8 hours; q24h, every 24 hours; TEAE, treatment-emergent adverse events.

Prescribing Information:

Click here for CRESEMBA® (isavuconazole) prescribing information

References:

CRESEMBA GB Summary of Product Characteristics.Marty FM et al. Lancet Infect Dis 2016;16(7):828–837.
PP-CRB-GBR-1780. March 2023
Efficacy Learn how CRESEMBA® allows for simple and reliable dosing Dosing information Loading

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search 

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Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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