Semisynthetic echinocandin antifungal that inhibits 1,3-β-d-glucan synthase which is required for cell wall synthesis. Prepn: J. M. Balkovec et al., WO 9421677; eidem, US 5378804 (1994, 1995 both to Merck & Co.). HPLC/MS determn in plasma: C. M. Chavez-Eng et al., J. Chromatogr. B 721, 229 (1999). Clinical study vs amphotericin B, q.v. in Candida esophagitis: A. Villanueva et al., Clin. Infect. Dis. 33, 1529 (2001). Review of pharmacology and clinical experience: A. Hoang, Am. J. Health Syst. Pharm. 58, 1206-1214 (2001); W. W. Hope et al., Expert Opin. Drug Metab. Toxicol. 3, 263-274 (2007).
Antifungal.
Antifungal (Antibiotics); Echinocandins