Overview

Rezzayo is an antifungal medicine used to treat adults with invasive candidiasis. Invasive candidiasis is a fungal infection caused by a yeast called Candida that has spread widely in the body and may also be present in the blood.

Invasive candidiasis is rare, and Rezzayo was designated an ‘orphan medicine’ (a medicine used in rare diseases) on 6 January 2021. Further information on the orphan designation can be found on the EMA website. 

Rezzayo contains the active substance rezafungin.
 

Rezzayo can only be obtained with a prescription and treatment should be started by a doctor experienced in the management of invasive fungal infections.

The medicine is given once a week as an infusion (drip) into a vein lasting at least 1 hour. The duration of treatment depends on how the patient responds, but should continue for at least 2 weeks after the last day that Candida is found in the patient’s blood.

The medicine should be used according to official guidance issued at national level on the use of antifungal agents.

For more information about using Rezzayo, see the package leaflet or contact your doctor or pharmacist.
 

Rezafungin belongs to the group of antifungal medicines called echinocandins. It works by interfering with the production of a molecule called (1,3)-β-D-glucan, which strengthens the fungal cell wall. Treatment with rezafungin makes Candida cells fragile, causing them to die. This helps to bring invasive candidiasis under control and reduces damage from the disease.

A main study involving 187 people with invasive candidiasis showed that Rezzayo was as effective as caspofungin (another antifungal medicine) in the treatment of invasive candidiasis. After 14 days of treatment, 59% (55 out of 93) of people who received Rezzayo had no signs or symptoms of Candida infection compared with 61% (57 out of 94) of those who received caspofungin. 

Additional data showed that the rate of death due to any cause after 30 days of treatment was 24% (22 out of 93) for people treated with Rezzayo compared with 21% (20 out of 94) for those treated with caspofungin. 
 

For the full list of side effects and restrictions with Rezzayo, see the package leaflet.

The most common side effects with Rezzayo (which may affect more than 1 in 10 people) include hypokalaemia (low blood potassium levels), fever and diarrhoea.

 Rezzayo must not be used by people who are hypersensitive (allergic) to other echinocandin medicines or to any of the ingredients of Rezzayo (which are listed in the package leaflet).
 

Rezzayo has been found to be as effective in treating invasive candidiasis as an authorised antifungal medicine of the same class, caspofungin. Although there was some uncertainty regarding the effectiveness of the medicine compared with that of caspofungin due to the relatively small number of patients in the study, additional data supported the main study outcome. In addition, Rezzayo is given once a week compared with once a day for other medicines of the same class. The safety profile of the medicine is in line with that of other medicines of the same class. The European Medicines Agency therefore decided that Rezzayo’s benefits are greater than its risks and it can be authorised for use in the EU.

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Rezzayo have been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of Rezzayo are continuously monitored. Suspected side effects reported with Rezzayo are carefully evaluated and any necessary action taken to protect patients.
 

Rezzayo received a marketing authorisation valid throughout the EU on 22 December 2023. 

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Product information

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22/12/2023

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This medicine’s product information is available in all official EU languages.
Select 'available languages' to access the language you need.

Product information documents contain:

  • summary of product characteristics (annex I);
  • manufacturing authorisation holder responsible for batch release (annex IIA);
  • conditions of the marketing authorisation (annex IIB);
  • labelling (annex IIIA);
  • package leaflet (annex IIIB).

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Product details

Name of medicine
Rezzayo
Active substance
rezafungin
International non-proprietary name (INN) or common name
rezafungin
Therapeutic area (MeSH)
  • Candidiasis
  • Candidiasis, Invasive
Anatomical therapeutic chemical (ATC) code
J02AX08

Pharmacotherapeutic group

Antimycotics for systemic use

Therapeutic indication

Rezzayo is indicated for the treatment of invasive candidiasis in adults.

Consideration should be given to official guidance on the appropriate use of antifungal agents.
 

Authorisation details

EMA product number
EMEA/H/C/005900

Additional monitoring

This medicine is under additional monitoring, meaning that it is monitored even more intensively than other medicines. For more information, see Medicines under additional monitoring.

Orphan

This medicine was designated an orphan medicine. This means that it was developed for use against a rare, life-threatening or chronically debilitating condition or, for economic reasons, it would be unlikely to have been developed without incentives. For more information, see Orphan designation.

Marketing authorisation holder
Mundipharma GmbH

De-Saint-Exupery-Straße 10
Flughafen
60549 Frankfurt Am Main
GERMANY

Opinion adopted
12/10/2023
Opinion status
Positive
Marketing authorisation issued
22/12/2023

Assessment history

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