Why the study?
Does isavuconazole affect the QT interval and cardiac repolarization in vitro and in vivo?
Does isavuconazole affect the QT interval and cardiac repolarization in vitro and in vivo?
Isavuconazole is associated with a dose- and concentration-dependent shortening of the cardiac QT interval, without significant cardiac safety signals.
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QT shortening without proarrhythmic signals supports use where QT prolongation risks limit alternatives; extends azole cardiac safety data from phase I RCTs.
channels were most sensitive to inhibition by isavuconazole. The 50% inhibitory concentrations for ion channels were higher than maximum serum concentrations of nonprotein-bound isavuconazole in vivo. In the phase I study (n = 161), isavuconazole shortened the QT interval in a dose- and plasma concentration-related manner. There were no serious treatment-emergent adverse events; palpitations and tachycardia were observed in placebo and supratherapeutic isavuconazole groups; no cardiac safety signals were detected in the SECURE study (n = 257). Isavuconazole was associated with a shortened cardiac QT interval.
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Keirns et al. (2017) studied this question.
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