Fosmanogepix treatment for coccidioidomycosis under an expanded access program.

Cohen, Stuart H; Allyn, Paul; Chow, Felicia C; Rathe, Jennifer; Nanayakkara, Deepa D; Hutfles, Gerald; Vijayan, Tara; Smith, Ethan A et al. · Clin Infect Dis · 2026

case_series · Level IV

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Abstract

Coccidioidomycosis is an invasive fungal infection that can disseminate and cause severe disease. Fosmanogepix ("gepix"), a first-in-class antifungal available via expanded access (NCT06433128), was successful in 8/11 patients (meningitis, 6/8 [75%]; non-meningeal dissemination, 2/3 [66%]) and was well tolerated for a median treatment duration of 208 days.