In vitro and in vivo activities of SCH 42427, the active enantiomer of the antifungal agent SCH 39304

Antimicrob Agents Chemother. 1992 Feb;36(2):498-501. doi: 10.1128/AAC.36.2.498.

Abstract

SCH 39304, a new triazole antifungal agent, is a 50:50 racemic mixture of two enantiomers, SCH 42427 and SCH 42426. The activities of these three compounds were compared in a series of in vitro and in vivo experiments. SCH 42427 was twofold more active in vitro against a variety of yeasts and dermatophytes than SCH 39304, while SCH 42426 was inactive (MICs greater than 64 micrograms/ml). In a systemic Candida albicans infection in mice, SCH 42427 administered orally (p.o.) (50% protective dose [PD50], 0.17 mg/kg of body weight; 50% effective dose, [ED50], 0.47 mg/kg) had greater efficacy than SCH 39304 (PD50, 0.21 mg/kg; ED50, 0.62 mg/kg) and SCH 42426 (greater than 100 mg/kg for PD50 and ED50). In a pulmonary Aspergillus flavus infection in mice, SCH 42427 p.o. (PD50, 13 mg/kg) was also more effective than SCH 39304 (18 mg/kg) and SCH 42426 (greater than 250 mg/kg). In a C. albicans vaginal infection in hamsters, SCH 42427 p.o. (ED50, 3.5 mg/kg) was more active than SCH 39304 (8.5 mg/kg) and SCH 42426 (320 mg/kg). Following topical administration, against a Trichophyton mentagrophytes infection in guinea pigs, SCH 42427 was about 2-fold more active than SCH 39304 and about 100-fold more active than SCH 42426. These and other results indicated that SCH 42427 is the active enantiomer, responsible for all the antifungal activity observed with SCH 39304.

MeSH terms

  • Animals
  • Antifungal Agents / pharmacology*
  • Antifungal Agents / therapeutic use
  • Aspergillosis / drug therapy
  • Aspergillosis / microbiology
  • Aspergillus flavus
  • Candidiasis / drug therapy
  • Candidiasis / microbiology
  • Candidiasis, Vulvovaginal / drug therapy
  • Candidiasis, Vulvovaginal / microbiology
  • Cricetinae
  • Dermatomycoses / drug therapy
  • Dermatomycoses / microbiology
  • Female
  • Fungi / drug effects*
  • Guinea Pigs
  • Male
  • Mesocricetus
  • Mice
  • Microbial Sensitivity Tests
  • Rats
  • Rats, Inbred Strains
  • Stereoisomerism
  • Triazoles / pharmacology*
  • Triazoles / therapeutic use
  • Trichophyton

Substances

  • Antifungal Agents
  • Triazoles
  • Sch 39304