Table 3: Properties of Amphotericin-B formulations.
Properties |
Amphotericin-B deoxycholate |
Liposomal Amphotericin-B |
|
Amfocare™ (BPRL) 50 mg/10 ml |
AmBisome® (Gilead) 50 mg/10 ml |
FUNGISOME (Lifecare Innovations 1 mg/ml 10 ml, 50 ml |
|
Particle |
Micelle |
Liposome-small unilamellar vesicles (SUV) |
Liposome: multilamellar vesicles MLV--- > SUV |
Size (nm) |
25 |
77.8 (60-80) |
2743-3454-- > 20-200 |
Amphoterician B (Mol%) |
34 |
10 |
1 |
Carrier |
Deoxycholate |
Liposome (*DSPG: **HSPC: Cholesterol) |
Liposome (HSOC:Cholesterol) |
Carrier: Amphotericin B |
2:01 |
(0.8:2:1):0.4(7:1::Lipid:drug) |
(7:3):0.22(45:1::Lipid:drug) |
Diateroryl phosphatidyl glycerol (DSPG) |
|
84 |
|
Hydrogenated Soy Phosphatidyl choline (HSPC) |
|
213 |
31.5 |
Cholesterol |
|
52 |
13.5 |
Sucrose |
|
900 |
|
α-tocopherol |
|
0.64 |
|
Disodium succinate hexahydrate |
|
27 |
|
Vehicle |
PBS |
Distilled water |
Normal saline (0.9% Nacl) |
Sonication |
Not required |
Not required |
45 min |
Nephrotoxicity |
34-60% |
10-20% |
Negligible or not detected |
Antifungal Clinical trials |
Several-See ref. [41] |
Several-See ref. [41,42,78] |
Limited see ref- [41,45,48.73,75] |
Relative Cost/Stability |
Not expensive/one week |
Expensive/72h |
Less expensive/1 year 4 °C. If unused Resonication after 24 hour |
Availability/usage |
Universal |
Universal |
Limited to certain countries. Available where C. auris is most prevalent |
References |
[41,44,47] |
[40-42, 46,78] |
[41,45,48,73,75] |