Drugs / Micafungin
last change Feb 2026 re-read 2 minutes ago

Micafungin

Peptide targets CYP3A4 via inhibition

Developed for
fungal infectious disease · candidiasis · candidemia · invasive aspergillosis · neutropenia · oral candidiasis · aspergillosis · acute myeloid leukemia
+8 more · candidiasis, invasive · esophageal candidiasis · myelodysplastic syndrome · acute leukemia · fungal meningitis · infectious disease with sepsis · peritonitis · osteomyelitis
Investigated by
Astellas Pharma Inc · Astellas Pharma Inc · Asan Medical Center · Astellas Pharma Global Development, Inc. · Children's Hospital Medical Center, Cincinnati · National Cancer Institute (NCI)
+18 more · Radboud University Medical Center · Seoul National University Hospital · Ain Shams University · Astellas Pharma Inc · Astellas Pharma Taiwan, Inc. · Astellas Pharma US, Inc. · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · French National Institute of Health and Medical Research · IRCCS, Ospedale Pediatrico Bambino Gesu · Kevin Watt · Medical University of Vienna · Memorial Sloan Kettering Cancer Center · Nantes University Hospital · Nîmes University Hospital · Shandong Provincial Hospital · Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine · St. Antonius Hospital · Yonsei University

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) MYCAMINE 2008-01-22 – 2019-12-20 fda.gov
Approved EU (EMA) Mycamine 2008-04-25 europa.eu
Approved US (FDA) MYCAMINE 2005-03-16 fda.gov

Trials 44 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 19 trials
Phase 1 NCT02057289 Jan → Nov 2014 cancer, immunodeficiency disease Children's Hospital Medical Center, Cincinnati Terminated No outcome recorded
Phase 1 NCT01666769 Jan 2013 → Feb 2016 candidiasis, invasive Kevin Watt Completed No outcome recorded
Phase 1 NCT00606268 Nov 2007 → Mar 2009 fungal infectious disease Astellas Pharma Inc Completed No outcome recorded
Phase 1 NCT00608335 Oct 2007 → Sep 2011 candidemia, esophageal candidiasis, oral candidiasis Astellas Pharma Inc Completed No outcome recorded
Phase 1 NCT00607763 Oct 2007 → Oct 2009 candidemia, esophageal candidiasis, oral candidiasis Astellas Pharma Inc Completed No outcome recorded
Phase 1 NCT00818584 Aug → Oct 2007 candidiasis Astellas Pharma Inc Completed No outcome recorded
Phase 1 NCT00842504 Jul 2007 → Dec 2009 fungal infectious disease Children's Hospital Medical Center, Cincinnati Completed No outcome recorded
Phase 1 NCT00809887 Jun 2006 → Jun 2008 fungal infectious disease Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Terminated No outcome recorded
Phase 1 NCT00001790 Oct 1998 → Sep 2000 fungal infectious disease, neutropenia National Cancer Institute (NCI) Completed No outcome recorded
Phase 211 trials
Phase 2 NCT02440178 Sep 2015 → Jun 2017 acute leukemia Seoul National University Hospital Completed No outcome recorded
Phase 2 NCT03421002 May 2015 → Apr 2018 candidiasis, fungal meningitis Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 2 NCT02172768 Oct 2014 → Jun 2016 acute graft versus host disease, acute myeloid leukemia, myelodysplastic syndrome Radboud University Medical Center Completed No outcome recorded
Phase 2 NCT01888458 Sep 2013 → Apr 2016 fungal infectious disease Nantes University Hospital Completed No outcome recorded
Phase 2 NCT01417169 Aug 2011 → Dec 2014 fungal infectious disease, neutropenia Seoul National University Hospital Unknown No outcome recorded
Phase 2 NCT01344681 Jun 2011 → Mar 2014 neutropenia Yonsei University Completed No outcome recorded
Phase 2 NCT01122368 Jul 2010 → Dec 2011 fungal infectious disease Astellas Pharma Inc Completed No outcome recorded
Phase 2 NCT00376337 Jun 2006 → Sep 2008 invasive aspergillosis Astellas Pharma Inc Terminated No outcome recorded
Phase 2 NCT00047827 Dec 2002 → Feb 2003 invasive aspergillosis Astellas Pharma Inc Terminated No outcome recorded
Phase 2 NCT00036179 Feb 1999 → Jan 2002 candidiasis Astellas Pharma Inc Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT02145832 Oct 2014 → Nov 2015 candidiasis French National Institute of Health and Medical Research Completed No outcome recorded
Phase 311 trials
Phase 3 NCT00815516 Feb 2013 → Dec 2014 candidiasis Astellas Pharma Global Development, Inc. Terminated No outcome recorded
Phase 3 NCT01974375 Aug 2012 → Jun 2014 Asan Medical Center Unknown No outcome recorded
Phase 3 NCT01058174 Dec 2009 → May 2012 fungal infectious disease Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT00794703 Nov 2008 → Nov 2009 fungal infectious disease Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT00105144 Sep 2004 → Apr 2006 candidemia Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT00189709 Aug 2004 → Jul 2006 candidemia Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT00665639 Jun → Dec 2004 oral candidiasis Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT00666185 Aug 2003 → Feb 2004 oral candidiasis Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT00106288 Jan 2003 → Dec 2005 candidiasis Astellas Pharma Inc Completed No outcome recorded
Phase 3 NCT00048750 Jan → Jun 2003 fungal infectious disease Astellas Pharma Inc Terminated No outcome recorded
Phase 412 trials
Phase 4 NCT06413056 Oct 2022 → May 2023 candidiasis, invasive Ain Shams University Completed No outcome recorded
Phase 4 NCT04728971 Oct 2022 → Oct 2025 Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine Unknown No outcome recorded
Phase 4 NCT04738955 Feb 2021 → Jan 2023 fungal infectious disease Shandong Provincial Hospital Unknown No outcome recorded
Phase 4 NCT02805049 Jan 2017 → Jun 2018 infectious disease with sepsis, peritonitis Nîmes University Hospital Completed No outcome recorded
Phase 4 NCT03102658 Jan → Jul 2017 morbid obesity Radboud University Medical Center Completed No outcome recorded
Phase 4 NCT02646800 Mar → Dec 2014 aspergillosis, candidiasis Astellas Pharma Inc Terminated No outcome recorded
Phase 4 NCT02646774 Mar 2014 → Jun 2015 invasive aspergillosis Astellas Pharma Inc Terminated No outcome recorded
Phase 4 NCT01982071 Sep 2013 → Aug 2015 candidemia Astellas Pharma Inc Terminated No outcome recorded
Phase 4 NCT02651038 May 2012 → Jan 2015 candidemia Medical University of Vienna Completed No outcome recorded
Phase 4 NCT01200355 Sep 2010 → Apr 2017 acute myeloid leukemia, myelodysplastic syndrome Memorial Sloan Kettering Cancer Center Completed No outcome recorded
Also used as a comparator or background therapy in 12 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT01950507 Background Feb 2014 → May 2018 graft versus host disease National Institutes of Health Clinical Center (CC) Terminated No outcome recorded
Phase 22 trials
Phase 2 NCT02244606 Comparator Sep 2014 → Jun 2016 candidemia Scynexis, Inc. Completed No outcome recorded
Phase 2 NCT01207128 Comparator Feb 2011 → Jan 2012 invasive aspergillosis University of Arkansas Withdrawn No outcome recorded
Phase 33 trials
Phase 3 NCT05178862 Background Aug 2022 → Nov 2025 candidemia Scynexis, Inc. Terminated No outcome recorded
Phase 3 NCT01773876 Comparator Jul 2012 → Feb 2015 candidiasis, invasive University Hospital, Grenoble Completed No outcome recorded
Phase 3 NCT00717860 Comparator Aug 2008 → Jul 2010 fungal infectious disease Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 46 trials
Phase 4 NCT07072923 Comparator Sep 2025 → Jul 2027 expected osteomyelitis University of Arizona Not yet recruiting No outcome recorded
Phase 4 NCT05784844 Comparator Aug 2024 → Apr 2025 neutropenia Wake Forest University Health Sciences Withdrawn No outcome recorded
Phase 4 NCT03906916 Background Jul → Dec 2018 candidiasis, invasive Fadoi Foundation, Italy Terminated No outcome recorded
Phase 4 NCT01090141 Comparator Nov 2009 → May 2010 obesity disorder University of Texas Southwestern Medical Center Completed No outcome recorded
Phase 4 NCT00839540 Comparator Dec 2008 → May 2010 candidemia Gary E. Stein, Pharm.D. Completed No outcome recorded

Press releases naming this drug 2 releases

DateIssuerRelease
2023-08-28 Novartis Pharmaceuticals Sandoz completes acquisition of leading antifungal agent Mycamine® from Astellas, reinforcing leading global anti-infectives portfolio novartis.com
2023-01-24 Novartis Pharmaceuticals Sandoz announces agreement to acquire leading antifungal agent Mycamine® from Astellas, reinforcing hospital offering and leading Anti-Infectives portfolio novartis.com

Evidence & citations 16 cited values

Every value below carries the sentence it was read from. 58 sources stand behind the page.

FieldValueCited text
Known as Micafungin “Calcium sulfate beads will be loaded with best available antibiotics based on surgeon/infectious disease specialist determination from the following options (vancomycin,...” NCT07072923
51

Micafungin (FK463) is a new lipopeptide compound (echinocandin) with activity against Aspergillus and Candida species.” PMID 16678903 May 2006

“The patients included in this protocol require routine treatment with caspofungin or micafungin.” NCT02805049

MicafunginNCT05178862

NCT06413056

NCT02440178

NCT01207128

NCT00304772

NCT00717860

NCT00839540

NCT01090141

NCT00105144

NCT02172768

NCT00794703

NCT01950507

NCT02145832

NCT01122368

NCT02244606

NCT00665639

NCT01888458

NCT00607763

NCT03102658

NCT00608335

NCT01417169

NCT03906916

NCT01773876

NCT01974375

NCT00048750

NCT04738955

NCT00606268

NCT01666769

NCT02057289

NCT00423163

NCT00106288

NCT00189709

NCT01982071

NCT05784844

NCT01058174

NCT01135589

NCT00809887

NCT00815516

NCT00047827

NCT02646800

NCT02646774

NCT00666185

NCT00376337

NCT03421002

NCT02651038

NCT00818584

NCT00842504

NCT01200355

NCT04728971

Known as FK463 “Micafungin (FK463) is a new lipopeptide compound (echinocandin) with activity against Aspergillus and Candida species.” PMID 16678903 May 2006
3

NCT00001790

NCT00001937

NCT00036179

Known as Fungard ChEMBL registry synonym — accepted as the source's own label CHEMBL457547
Known as Funguard ChEMBL registry synonym — accepted as the source's own label CHEMBL457547
Known as MCA “Micafungin (MCA) has broad-spectrum fungicidal activity against Candida spp.” PMID 29596222 Oct 2018
Known as Micafungin na ChEMBL registry synonym — accepted as the source's own label CHEMBL457547
Known as Micafungin sodium Micafungin sodium 150 mg/day, once daily IV, for 1-4 weeks for esophageal candidiasis, 2-8 weeks for invasive candidiasis, 2-12 weeks for aspergillosis.” NCT00717860
1

NCT01344681

Known as Micafungin sodium salt ChEMBL registry synonym — accepted as the source's own label CHEMBL457547
Known as Micafungina ChEMBL registry synonym — accepted as the source's own label CHEMBL457547
Known as Micafungine ChEMBL registry synonym — accepted as the source's own label CHEMBL457547
Known as Mycamin “Pharmacokinetics of Micafungin (Mycamin ®) as Antifungal Prophylaxis Given Twice Weekly Intravenously Compared to Micafungin Given Daily to Patients at Risk for Developing an...” NCT02172768
Known as Mycamine “Micafungin (trade name Mycamine) is an echinocandin antifungal drug developed by Astellas Pharma.” NCT02057289
3

Mycamine 50mg - 10 mg/mL of micafungin” NCT02145832

“with micafungin (MYCAMINE 100 mg)” NCT01773876

“Micafungin (Mycamine)” NCT00607763

Action Inhibit “micafungin has a low potential to cause drug-drug interactions through inhibition of CYP3A4” NCT01950507
Modality Peptide “cell wall-active antifungal lipopeptideNCT00001790
Route Intravenous Intravenous FK463 will be administered daily as a one hour infusion” NCT00001790
Target CYP3A4 “micafungin has a low potential to cause drug-drug interactions through inhibition of CYP3A4NCT01950507