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Caspofungin Accord

Active Substance: caspofungin acetate
Common Name: caspofungin
ATC Code: J02AX04
Marketing Authorisation Holder: Accord Healthcare Ltd
Active Substance: caspofungin acetate
Status: Authorised
Authorisation Date: 2016-02-11
Therapeutic Area: Aspergillosis Candidiasis
Pharmacotherapeutic Group: Antimycotics for systemic use

Therapeutic Indication

  • Treatment of invasive candidiasis in adult or paediatric patients.
  • Treatment of invasive aspergillosis in adult or paediatric patients who are refractory to or intolerant of amphotericin B, lipid formulations of amphotericin B and/or itraconazole. Refractoriness is defined as progression of infection or failure to improve after a minimum of 7 days of prior therapeutic doses of effective antifungal therapy.
  • Empirical therapy for presumed fungal infections (such as Candida or Aspergillus) in febrile, neutropaenic adult or paediatric patients.

What is Caspofungin Accord and what is it used for?

Caspofungin Accord is an antifungal medicine used to treat adults, adolescents and children with:

  • invasive candidiasis (a type of fungal infection due to Candida);
  • invasive aspergillosis (another type of fungal infection due to Aspergillus) when the infection does not respond to or the patient does not tolerate amphotericin B or itraconazole (other antifungal medicines);
  • suspected fungal infections (such as due to Candida or Aspergillus) when the patient is febrile (feverish) and neutropenic (has low levels of white blood cells).

Caspofungin Accord is a powder that is made up into a solution for infusion (drip) into a vein. It contains the active substance caspofungin.

Caspofungin Accord is a ‘generic medicine’. This means that Caspofungin Accord is similar to a ‘reference medicine’ already authorised in the European Union (EU) called Cancidas.

How is Caspofungin Accord used?

Caspofungin Accord can only be obtained with a prescription and treatment should be started by a doctor who has experience in the management of invasive fungal infections. Caspofungin Accord must be made up into a concentrated solution and then diluted before use, using a diluent that does not contain glucose.

It is given once a day by slow infusion lasting about one hour. In adults, treatment begins with a 70-mg starting dose, followed by a daily dose of 50 mg, or of 70 mg if the patient weighs more than 80 kg. A lower dose is given to adults who have moderate problems with their liver.

In patients between 12 months and 17 years of age, the dose depends on body surface area (calculated using the patient’s height and weight). Caspofungin Accord should be used with caution in children below 12 months of age, because it has not been studied sufficiently in this age group.

Treatment is continued for up to two weeks after the infection has been cured.

How does Caspofungin Accord work?

The active substance in Caspofungin Accord, caspofungin, belongs to a group of antifungal medicines known as ‘echinocandins’. It works by interfering with the production of a component of the fungal cell wall called ‘glucan polysaccharide’, which is necessary for the fungus to survive and grow. Fungal cells treated with Caspofungin Accord have incomplete or defective cell walls, making them fragile, unable to grow and causing their death. The list of fungi against which Caspofungin Accord is active can be found in the summary of product characteristics (also part of the EPAR).

How has Caspofungin Accord been studied?

The company provided data from the published literature on caspofungin. No additional studies in humans were needed as Caspofungin Accord is a generic medicine that is given by infusion and contains the same active substance as Cancidas.

What are the benefits and risks of Caspofungin Accord?

Because Caspofungin Accord is a generic medicine, its benefits and risks are taken as being the same as the reference medicine’s.

Why is Caspofungin Accord approved?

The Agency’s Committee for Medicinal Products for Human Use (CHMP) concluded that, in accordance with EU requirements, Caspofungin Accord has been shown to be comparable to Cancidas. Therefore, the CHMP’s view was that, as for Cancidas, the benefit outweighs the identified risk. The Committee recommended that Caspofungin Accord be approved for use in the EU.

What measures are being taken to ensure the safe and effective use of Caspofungin Accord?

A risk management plan has been developed to ensure that Caspofungin Accord is used as safely as possible. Based on this plan, safety information has been included in the summary of product characteristics and the package leaflet for Caspofungin Accord, including the appropriate precautions to be followed by healthcare professionals and patients.

Further information can be found in the summary of the risk management plan.

Other information about Caspofungin Accord

The European Commission granted a marketing authorisation valid throughout the European Union for Caspofungin Accord on 11 February 2016.

For more information about treatment with Caspofungin Accord, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Source: European Medicines Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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