Can a gentler antifungal drug protect liver transplant patients from deadly mold without risking organ rejection?

NCT ID NCT07725874

First seen Jul 24, 2026 ยท Last updated Jul 24, 2026

Summary

Invasive mold infections are a major threat to liver transplant recipients, with mortality rates as high as 90%. The standard treatment, voriconazole, can interfere with anti-rejection drugs, increasing the risk of graft loss. This trial tests whether liposomal amphotericin B (AmBisome) can safely and effectively treat these infections without those dangerous drug interactions. The study will follow 60 liver transplant patients receiving AmBisome in real-world conditions, closely monitoring for side effects like kidney damage and electrolyte imbalances.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
liposomal amphotericin B (AmBisome)
What this could lead to
If this trial succeeds, it could provide strong evidence for using liposomal amphotericin B as a first-line treatment for invasive mold infections in liver transplant recipients, potentially reducing the risk of graft rejection compared to current alternatives.
What could go wrong
This is a small, single-center, real-world study with no fixed dosing, which limits the strength of conclusions. Liposomal amphotericin B can cause kidney damage, electrolyte imbalances, and infusion reactions, especially in already vulnerable transplant patients.

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Conditions

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