Anidulafungin is an antifungal used in the treatment of several types of candida infections.
- Brand Names
- Ecalta, Eraxis
- Generic Name
- DrugBank Accession Number
Anidulafungin or Eraxis is an anti-fungal drug manufactured by Pfizer that gained approval by the Food and Drug Administration (FDA) in February 21, 2006; it was previously known as LY303366. There is preliminary evidence that it has a similar safety profile to caspofungin.
- Small Molecule
- Approved, Investigational
- Average: 1140.2369
- Chemical Formula
- External IDs
For use in the treatment of the following fungal infections: Candidemia and other forms of Candida infections (intra-abdominal abscess, and peritonitis), Aspergillus infections, and esophageal candidiasis. Also considered an alternative treatment for oropharyngeal canaidiasis.Reduce drug development failure ratesBuild, train, & validate machine-learning modelswith evidence-based and structured datasets.Build, train, & validate predictive machine-learning models with structured datasets.
- Associated Conditions
- Contraindications & Blackbox Warnings
- Avoid life-threatening adverse drug eventsImprove clinical decision support with information on contraindications & blackbox warnings, population restrictions, harmful risks, & more.Avoid life-threatening adverse drug events & improve clinical decision support.
Anidulafungin is a semi-synthetic lipopeptide synthesized from a fermentation product of Aspergillus nidulans. Anidulafungin is an echinocandin, a class of antifungal drugs that inhibits the synthesis of 1,3-β-D-glucan, an essential component of fungal cell walls. Anidulafungin is active in vitro against many Candida, as well as some Aspergillus. Like other echinocandins, anidulafungin is not active against Cryptococcus neoformans, Trichosporon, Fusarium, or zygomycetes.
- Mechanism of action
Anidulafungin is a semi-synthetic echinocandin with antifungal activity. Anidulafungin inhibits glucan synthase, an enzyme present in fungal, but not mammalian cells. This results in inhibition of the formation of 1,3-β-D-glucan, an essential component of the fungal cell wall, ultimately leading to osmotic instability and cell death.
Target Actions Organism A1,3-beta-glucan synthase component FKS1inhibitor Aspergillus niger (strain CBS 513.88 / FGSC A1513)
- Volume of distribution
- 30 to 50 L
- Protein binding
Hepatic metabolism of anidulafungin has not been observed. Anidulafungin is not a clinically relevant substrate, inducer, or inhibitor of cytochrome P450 (CYP450) isoenzymes. Anidulafungin undergoes slow chemical degradation at physiologic temperature and pH to a ring-opened peptide that lacks antifungal activity.
- Route of elimination
Less than 1% of the administered radioactive dose was excreted in the urine. Anidulafungin is not hepatically metabolized.
- 1 L/h
- Adverse Effects
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During clinical trials a single 400 mg dose of anidulafungin was inadvertently administered as a loading dose. No clinical adverse events were reported. The maximum non-lethal dose of anidulafungin in rats was 50 mg/kg, a dose which is equivalent to 10 times the recommended daily dose for esophageal candidiasis (50mg/day).
- Not Available
- Pharmacogenomic Effects/ADRs
- Not Available
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Acenocoumarol The therapeutic efficacy of Acenocoumarol can be increased when used in combination with Anidulafungin. Dicoumarol The therapeutic efficacy of Dicoumarol can be increased when used in combination with Anidulafungin. Fluindione The therapeutic efficacy of Fluindione can be increased when used in combination with Anidulafungin. Phenindione The therapeutic efficacy of Phenindione can be increased when used in combination with Anidulafungin. Phenprocoumon The therapeutic efficacy of Phenprocoumon can be increased when used in combination with Anidulafungin. Warfarin The therapeutic efficacy of Warfarin can be increased when used in combination with Anidulafungin.Identify potential medication risksEasily compare up to 40 drugs with our drug interaction checker.Get severity rating, description, and management advice.Learn more
- Food Interactions
- No interactions found.
- Drug product information from 10+ global regionsOur datasets provide approved product information including:dosage, form, labeller, route of administration, and marketing period.Access drug product information from over 10 global regions.
- International/Other Brands
- Ecalta (Pfizer)
- Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Ecalta Injection, powder, for solution 100 mg Intravenous Pfizer Europe Ma Eeig 2020-12-23 Not applicable Eraxis Kit 50 mg/15mL Intravenous Pfizer Inc. 2007-05-15 2007-05-15 Eraxis Injection, powder, lyophilized, for solution 50 mg/15mL Intravenous Roerig 2006-02-17 Not applicable Eraxis Powder, for solution 100 mg / vial Intravenous Pfizer Canada Ulc 2008-01-25 2013-07-19 Eraxis Kit 100 mg/30mL Intravenous Pfizer Inc. 2007-05-15 2007-05-15 Eraxis Powder, for solution 100 mg / vial Intravenous Pfizer Canada Ulc 2010-01-25 Not applicable Eraxis Injection, powder, lyophilized, for solution 100 mg/30mL Intravenous Roerig 2006-02-17 Not applicable
- Generic Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Gd-anidulafungin Powder, for solution 100 mg / vial Intravenous Genmed A Division Of Pfizer Canada Ulc Not applicable Not applicable
- ATC Codes
- J02AX06 — Anidulafungin
- Drug Categories
- Chemical TaxonomyProvided by Classyfire
- This compound belongs to the class of organic compounds known as oligopeptides. These are organic compounds containing a sequence of between three and ten alpha-amino acids joined by peptide bonds.
- Organic compounds
- Super Class
- Organic acids and derivatives
- Carboxylic acids and derivatives
- Sub Class
- Amino acids, peptides, and analogues
- Direct Parent
- Alternative Parents
- Cyclic peptides / P-terphenyls / Macrolactams / N-acyl-alpha amino acids and derivatives / Biphenyls and derivatives / Benzamides / Benzoyl derivatives / Phenoxy compounds / Phenol ethers / 1-hydroxy-2-unsubstituted benzenoids / Alkyl aryl ethers / Pyrrolidines / Tertiary carboxylic acid amides / Lactams / Secondary alcohols / Secondary carboxylic acid amides / Polyols / Azacyclic compounds / Alkanolamines / Organic oxides / Hydrocarbon derivatives / Carbonyl compounds / Aromatic alcohols / Organopnictogen compounds show 14 more
- 1-hydroxy-2-unsubstituted benzenoid / Alcohol / Alkanolamine / Alkyl aryl ether / Alpha-amino acid or derivatives / Alpha-oligopeptide / Aromatic alcohol / Aromatic heteropolycyclic compound / Azacycle / Benzamide / Benzenoid / Benzoic acid or derivatives / Benzoyl / Biphenyl / Carbonyl group / Carboxamide group / Cyclic alpha peptide / Ether / Hydrocarbon derivative / Lactam / Macrolactam / Monocyclic benzene moiety / N-acyl-alpha amino acid or derivatives / Organic nitrogen compound / Organic oxide / Organic oxygen compound / Organoheterocyclic compound / Organonitrogen compound / Organooxygen compound / Organopnictogen compound / Para-terphenyl / Phenol / Phenol ether / Phenoxy compound / Polyol / Pyrrolidine / Secondary alcohol / Secondary carboxylic acid amide / Terphenyl / Tertiary carboxylic acid amide show 30 more
- Molecular Framework
- Aromatic heteropolycyclic compounds
- External Descriptors
- antibiotic antifungal drug, echinocandin, semisynthetic derivative, azamacrocycle, heterodetic cyclic peptide (CHEBI:55346)
- Affected organisms
- Candida albicans and other yeasts
- Aspergillis, Candida and other fungi
- Candida parapsilosis
- Coolia tropicalis
- CAS number
- InChI Key
- IUPAC Name
- Synthesis Reference
Scott Jenkins, Gary Liversidge, Deborah Neville, "Nanoparticulate Anidulafungin Compositions and Methods for Making the Same." U.S. Patent US20090238867, issued September 24, 2009.US20090238867
- General References
- Cappelletty D, Eiselstein-McKitrick K: The echinocandins. Pharmacotherapy. 2007 Mar;27(3):369-88. [Article]
- Vazquez JA: Anidulafungin: a new echinocandin with a novel profile. Clin Ther. 2005 Jun;27(6):657-73. [Article]
- Grover ND: Echinocandins: A ray of hope in antifungal drug therapy. Indian J Pharmacol. 2010 Feb;42(1):9-11. doi: 10.4103/0253-7613.62396. [Article]
- Vazquez JA: The safety of anidulafungin. Expert Opin Drug Saf. 2006 Nov;5(6):751-8. [Article]
- Menichetti F: Anidulafungin, a new echinocandin: effectiveness and tolerability. Drugs. 2009;69 Suppl 1:95-7. doi: 10.2165/11315570-000000000-00000. [Article]
- Vazquez JA, Sobel JD: Anidulafungin: a novel echinocandin. Clin Infect Dis. 2006 Jul 15;43(2):215-22. Epub 2006 Jun 9. [Article]
- Estes KE, Penzak SR, Calis KA, Walsh TJ: Pharmacology and antifungal properties of anidulafungin, a new echinocandin. Pharmacotherapy. 2009 Jan;29(1):17-30. doi: 10.1592/phco.29.1.17. [Article]
- Morace G, Borghi E, Iatta R, Montagna MT: Anidulafungin, a new echinocandin: in vitro activity. Drugs. 2009;69 Suppl 1:91-4. doi: 10.2165/11315560-000000000-00000. [Article]
- FDA label
- Download (2.25 MB)
- Clinical Trials
Phase Status Purpose Conditions Count 4 Completed Not Available Aspergillosis / Candidemia 1 4 Completed Other Mycoses / Obesity (Disorder) 1 4 Completed Other Obesity, Morbid 1 4 Completed Prevention Central Nervous System Fungal Infections / Fungaemia / Lung Diseases, Fungal / Mycoses 1 4 Completed Treatment Candidemia 1 4 Completed Treatment Candidemia / Candidiasis, Invasive 1 4 Completed Treatment Candidiasis 1 4 Completed Treatment Infections, Fungal / Liver Diseases 1 4 Terminated Treatment Aspergillosis 1 3 Completed Treatment Aspergillosis 1
- Vicuron pharmaceuticals inc
- Ben Venue Laboratories Inc.
- Pfizer Inc.
- Pharmacia Inc.
- Dosage Forms
Form Route Strength Injection, powder, for solution Parenteral Injection, powder, for solution Parenteral 100 MG Injection, powder, for solution Injection, solution Intravenous Injection, powder, for solution Intravenous Injection, powder, for solution Intravenous 100 mg Injection, powder, for solution Intravenous; Parenteral 100 MG Powder Intravenous 100 MG Injection, powder, lyophilized, for solution Intravenous 100 mg Injection, powder, lyophilized, for solution Intravenous 100 mg/30mL Injection, powder, lyophilized, for solution Intravenous 50 mg/15mL Kit Intravenous 100 mg/30mL Kit Intravenous 50 mg/15mL Powder Intravenous 100 mg/1vial Injection, powder, lyophilized, for solution Intravenous Injection, solution, concentrate Intravenous Injection Parenteral Powder, for solution Intravenous 100 mg / vial
Unit description Cost Unit Eraxis(water dil) 100 mg vial 216.0USD vial Eraxis(water dil) 50 mg vial 108.0USD vialDrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
Patent Number Pediatric Extension Approved Expires (estimated) Region US7198796 No 2007-04-03 2022-06-13 US6384013 No 2002-05-07 2012-03-19 CA2362481 No 2008-11-04 2020-03-02 CA2091663 No 2007-10-30 2013-03-15 US5965525 No 1999-10-12 2020-02-17 US6960564 No 2005-11-01 2021-04-12 US7709444 No 2010-05-04 2021-04-12
- Experimental Properties
Property Value Source water solubility Practically insoluble Not Available logP 2.9 Not Available
- Predicted Properties
Property Value Source Water Solubility 0.0564 mg/mL ALOGPS logP 1.87 ALOGPS logP -1.5 ChemAxon logS -4.3 ALOGPS pKa (Strongest Acidic) 9.46 ChemAxon pKa (Strongest Basic) -3.5 ChemAxon Physiological Charge 0 ChemAxon Hydrogen Acceptor Count 17 ChemAxon Hydrogen Donor Count 14 ChemAxon Polar Surface Area 377.42 Å2 ChemAxon Rotatable Bond Count 14 ChemAxon Refractivity 292.29 m3·mol-1 ChemAxon Polarizability 122.78 Å3 ChemAxon Number of Rings 7 ChemAxon Bioavailability 0 ChemAxon Rule of Five No ChemAxon Ghose Filter No ChemAxon Veber's Rule No ChemAxon MDDR-like Rule Yes ChemAxon
- Predicted ADMET Features
Property Value Probability Human Intestinal Absorption + 0.6513 Blood Brain Barrier - 0.9833 Caco-2 permeable - 0.7967 P-glycoprotein substrate Substrate 0.9066 P-glycoprotein inhibitor I Non-inhibitor 0.6298 P-glycoprotein inhibitor II Inhibitor 0.6296 Renal organic cation transporter Non-inhibitor 0.9085 CYP450 2C9 substrate Non-substrate 0.7737 CYP450 2D6 substrate Non-substrate 0.8428 CYP450 3A4 substrate Substrate 0.644 CYP450 1A2 substrate Non-inhibitor 0.949 CYP450 2C9 inhibitor Non-inhibitor 0.8978 CYP450 2D6 inhibitor Non-inhibitor 0.8104 CYP450 2C19 inhibitor Non-inhibitor 0.8827 CYP450 3A4 inhibitor Non-inhibitor 0.8221 CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.8637 Ames test Non AMES toxic 0.7638 Carcinogenicity Non-carcinogens 0.8077 Biodegradation Not ready biodegradable 1.0 Rat acute toxicity 2.7797 LD50, mol/kg Not applicable hERG inhibition (predictor I) Weak inhibitor 0.9863 hERG inhibition (predictor II) Inhibitor 0.6881
- Mass Spec (NIST)
- Not Available
Spectrum Spectrum Type Splash Key Predicted MS/MS Spectrum - 10V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 20V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 40V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 10V, Negative (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 20V, Negative (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 40V, Negative (Annotated) Predicted LC-MS/MS Not Available
- Aspergillus niger (strain CBS 513.88 / FGSC A1513)
- Pharmacological action
- General Function
- 1,3-beta-d-glucan synthase activity
- Specific Function
- Catalytic subunit of the 1,3-beta-glucan synthase. Synthesizes 1,3-beta-glucan, a major structural component of the cell wall. Involved in cell wall synthesis, maintenance and cell wall remodeling ...
- Gene Name
- Uniprot ID
- Uniprot Name
- 1,3-beta-glucan synthase component FKS1
- Molecular Weight
- 216972.8 Da
- Sucher AJ, Chahine EB, Balcer HE: Echinocandins: the newest class of antifungals. Ann Pharmacother. 2009 Oct;43(10):1647-57. doi: 10.1345/aph.1M237. Epub 2009 Sep 1. [Article]
- Morris MI, Villmann M: Echinocandins in the management of invasive fungal infections, part 1. Am J Health Syst Pharm. 2006 Sep 15;63(18):1693-703. [Article]
- Morris MI, Villmann M: Echinocandins in the management of invasive fungal infections, Part 2. Am J Health Syst Pharm. 2006 Oct 1;63(19):1813-20. [Article]
- Ponton J: [The fungal cell wall and the mechanism of action of anidulafungin]. Rev Iberoam Micol. 2008 Jun;25(2):78-82. [Article]
- Quindos G, Eraso E, Javier Carrillo-Munoz A, Canton E, Peman J: [In vitro antifungal activity of micafungin]. Rev Iberoam Micol. 2009 Mar 31;26(1):35-41. doi: 10.1016/S1130-1406(09)70006-3. Epub 2009 May 7. [Article]
Drug created on June 13, 2005 13:24 / Updated on September 19, 2021 19:53