Piritetrate (M-732), a new topical antifungal agent belonging chemically to the thiocarbamates, was demonstrated to possess a potent selective antidermatophytic activity. In terms of its MICs in susceptibility testing, mainly done by using Sabouraud dextrose agar plates, piritetrate exhibited several-to 10-fold-stronger antidermatophytic activity than tolnaftate, a reference thiocarbamate. Furthermore, piritetrate was found to show a broader antifungal spectrum than tolnaftate; relatively many species and strains of dematiaceous fungi, dimorphic fungi, and some other Mifamentous fungi as weUl as a few strains of Cryptococcus neoformans were fairly susceptible to piritetrate, while almost all the tested species and strains were resistant to tolnaftate. All the tested species of the genus Candida were, however, resistant to both compounds. Variables which can influence antimicrobial activity caused few changes in the MICs of either compound against Trichophyton mentagrophytes; however, an increase in the inoculum size resulted in a significant increase in the MICs. The antidermatophytic activities of piritetrate and tolnaftate were fungistatic but not fungicidal. Piritetrate also exhibited a more potent in vitro anti-T. mentagrophytes activity than clotrimazole or tolciclate. Piritetrate and tolnaftate had no antibacterial activity. The in vivo activity of topically administered piritetrate against experimental dermal infection of guinea pigs with T. mentagrophytes was more effective than that of tolnaftate both mycologically and clinically. Piritetrate manifested no acute toxicity in laboratory animals when administered even in large quantities by the oral, intraperitoneal, and topical routes.Piritetrate (M-732) is a new thiocarbamate compound [methyl(6-methoxy-2-pyridyl)carbamothioic acid 0-5,6,7,8-tetrahydro-2-naphthalenyl ester (C18H20N202S)] which was synthesized by the Chemical Research Laboratory, Tosoh Corporation (formerly, Toyo Soda Manufacturing Co., Ltd.), Yamaguchi-ken, Japan. The structure of piritetrate is shown in Fig. 1
MATERIALS AND METHODSAntifungal agents. Piritetrate, tolnaftate, and tolciclate were provided by Tosoh Corporation. Clotrimazole was a gift from Bayer Yakuhin Co., Ltd., Tokyo, Japan. For in vitro antifungal and antibacterial tests, stock solutions at a concentration of 10 mg/ml were prepared by dissolving the compounds in dimethyl sulfoxide, which proved to be stable for many months when stored at 4°C in the dark. For in vivo antifungal tests, piritetrate and tolnaftate were formulated as 1 and 2% creams suspended in a mixture of polyethylene glycol 400 and 1540 (6:4 [vol/vol]) and were administered topically. Piritetrate was also tested for acute toxicity, the method for which will be described later.Organisms Table 1). The recent isolates of dermatophytes, generously provided by S. Kagawa, Department of Dermatology, Tokyo Medical and Dental University, Tokyo, Japan (see Table 2), were compared with the stock cultures of dermatophytes for susceptibility to piritetrate and the t...