Fosmanogepix

Source: Wikipedia, the free encyclopedia.
Fosmanogepix
Clinical data
Other namesAPX001, APX-001
ATC code
  • None
Legal status
Legal status
  • Investigational
Identifiers
  • [2-Amino-3-(3-{4-[(2-pyridinyloxy)methyl]benzyl}-1,2-oxazol-5-yl)-1-pyridiniumyl]methyl hydrogen phosphate
JSmol)
  • c1ccnc(c1)OCc2ccc(cc2)Cc3cc(on3)c4ccc[n+](c4N)COP(=O)(O)[O-]
  • InChI=1S/C22H21N4O6P/c23-22-19(4-3-11-26(22)15-31-33(27,28)29)20-13-18(25-32-20)12-16-6-8-17(9-7-16)14-30-21-5-1-2-10-24-21/h1-11,13,23H,12,14-15H2,(H2,27,28,29)
  • Key:JQONJQKKVAHONF-UHFFFAOYSA-N

Fosmanogepix is an experimental

candidaemia, and coccidioidomycosis.[3]

Fosmanogepix is a prodrug and is converted into the active drug form, manogepix in vivo.[4] Manogepix targets the enzyme GWT1 (Glycosylphosphatidylinositol-anchored Wall protein Transfer 1[5]), an enzyme in the glycosylphosphatidylinositol biosynthesis pathway.[6] Inhibiting this enzyme prevents the fungi from properly modifying certain (so called GPI-anchored) proteins essential to the fungal life cycle. This mechanism of action is totally novel; therefore, if approved, fosmanogepix would become a first-in-class medication.[6][7]

In 2023, the drug was given a compassionate use authorization for four patients with Fusarium solani meningitis.[8]

References

  1. ^ "What we do : Basilea".
  2. PMID 34626339
    .
  3. ^ "Fosmanogepix - Amplyx Pharmaceuticals". AdisInsight. Springer Nature Switzerland AG. Retrieved June 27, 2022.
  4. PMID 33722886
    .
  5. ^ "GWT1". Saccharomyces Genome Database. Stanford University. Retrieved 2022-06-28.
  6. ^
    PMID 33105672
    .
  7. .
  8. .