T-8581 is a new water-soluble
triazole antifungal agent. The geometric mean IC80s (GM-IC80S; where the IC80 is the lowest
drug concentration which reduced the optical density at 630 nm by 80% compared with the optical density at 630 nm of the
drug-free control) for Candida albicans were as follows:
T-8581, 0.218 microgram/ml;
fluconazole; 0.148 microgram/ml; and
itraconazole, 0.0170 microgram/ml. For Cryptococcus neoformans the GM-IC80s were as follows:
T-8581, 9.28 micrograms/ml;
fluconazole, 4.00 micrograms/ml; and
itraconazole, 0.119 microgram/ml. For Aspergillus fumigatus the GM-IC80s were as follows:
T-8581, 71.0 micrograms/ml;
fluconazole, 239 micrograms/ml; and
itraconazole, 0.379 microgram/ml. Against
systemic candidiasis in mice, the 50% effective doses (ED50s) of
T-8581,
fluconazole, and
itraconazole (given orally) were 0.412, 0.392, and > 320 mg/kg of
body weight, respectively. Against systemic
aspergillosis in mice, the ED50s of
T-8581,
fluconazole, and
itraconazole (given orally) were 50.5, 138, > 320 mg/kg, respectively.
T-8581 was also efficacious when it was given parenterally (ED50, 59.2 mg/kg), while the ED50 of
fluconazole given parenterally was > 20 mg/kg. Against systemic
aspergillosis in rabbits,
T-8581 was more effective than
fluconazole and
itraconazole in prolonging the life span. The high concentrations of
T-8581 were observed in the sera of mice, rats, rabbits and dogs. Species differences in half-lives and areas under the concentration-time curves were observed, with the values for mice, rats, rabbits, and dogs increasing in that order. These results suggest that
T-8581 would be a potentially effective antifungal
drug for oral and parenteral use.