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Human pneumocystosis is caused by an infectious agent, which (after recent nomenclature and taxonomy revisions) is now classed as the fungus Pneumocystis jiroveci. The prevalence is unknown. Pneumocystis jiroveci is an opportunistic infectious agent, developing in immunosuppressed patients. It is an air-borne infection, localized to the lungs. However, extrapulmonary involvement is seen in AIDS patients. The disease manifests progressively with coughing, respiratory problems (dyspnea) and fever, followed by acute respiratory insufficiency and death within a few weeks in untreated cases. The most reliable diagnostic method is bronchoalveolar lavage. The treatment of choice is cotrimoxazole.
Biomarker and diagnostic research for pneumocystosis has been reported in the published literature.
2 FDA-approved treatments are available for pneumocystosis, including PENTAMIDINE ISETHIONATE (PENTAM 300, approved 1984) and ATOVAQUONE (MEPRON, approved 1995). An additional 2 compounds hold orphan drug designation.
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
Estimated prevalence: Unknown (Unknown prevalence).
17 clinical trials registered, 6 recruiting. Interventions under study include drug therapy and other interventions. Pipeline includes 4 PHASE4, 3 PHASE3, 1 PHASE2. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06890078](https://clinicaltrials.gov/study/NCT06890078) |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 12:11 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
MEPRON |
ATOVAQUONE |
— |
1995 |
Available |
NEBUPENT | PENTAMIDINE ISETHIONATE | — | 1989 | Available |
PENTAM 300 | PENTAMIDINE ISETHIONATE | — | 1984 | Available |
The following drugs have received orphan drug designation from the FDA for pneumocystosis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Primaquine phosphate | Primaquine phosphate | Sanofi Winthrop, Inc. | 1993 | — | Designated |
Clindamycin | Clindamycin | Pharmacia & Upjohn | 1988 | — | Designated |
Gene therapy approaches for pneumocystosis have been reported in the published literature.
17 trials found
Optimizing the Diagnosis of Pneumocystis in Immunocompromised Patients
— |
Assistance Publique - Hôpitaux de Paris |
RECRUITING |
[NCT05835479](https://clinicaltrials.gov/study/NCT05835479) | Rezafungin for Treatment of Pneumocystis Pneumonia in HIV Adults | PHASE2 | Mundipharma Research Limited | RECRUITING |
[NCT04851015](https://clinicaltrials.gov/study/NCT04851015) | Low Dose Trimethoprim-Sulfamethoxazole for the Treatment of Pneumocystis Jirovecii Pneumonia | PHASE3 | Todd C. Lee MD MPH FIDSA | RECRUITING |
[NCT07269314](https://clinicaltrials.gov/study/NCT07269314) | Introduction of Polymerase Chain Reaction (PCR) in Microbiology and Parasitology | — | Fondazione IRCCS Policlinico San Matteo di Pavia | RECRUITING |
[NCT06691321](https://clinicaltrials.gov/study/NCT06691321) | Caspofungin for Pneumocystis Pneumonia in PLWHIV. | — | Instituto Nacional de Enfermedades Respiratorias | RECRUITING |
198 publications have been identified in PubMed for pneumocystosis. Research spans Review / Meta-Analysis (34%), Epidemiology / Natural History (24%), and Clinical Trial Publication (15%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 54 | 34% |
Disease patterns and progression | 39 | 24% |
Clinical study results | 24 | 15% |
Patient case studies | 16 | 10% |
Laboratory research | 14 | 9% |
Testing and diagnosis research | 12 | 7% |
New treatment approaches | 2 | 1% |
Mendoza MA (2026). [PMID: 41412483](https://pubmed.ncbi.nlm.nih.gov/41412483/). *American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons*. [Review / Meta-Analysis]
Srisurapanont K (2026). [PMID: 41954633](https://pubmed.ncbi.nlm.nih.gov/41954633/). *Blood Adv*. [Review / Meta-Analysis]
Viitanen SJ (2026). [PMID: 42062104](https://pubmed.ncbi.nlm.nih.gov/42062104/). *Vet Clin North Am Small Anim Pract*. [Review / Meta-Analysis]
Goussard P (2026). [PMID: 41212838](https://pubmed.ncbi.nlm.nih.gov/41212838/). *Respiration*. [Case Report / Case Series]
Wang Y (2026). [PMID: 42022264](https://pubmed.ncbi.nlm.nih.gov/42022264/). *J Inflamm Res*. [Review / Meta-Analysis]
Pulsipher AM (2026). [PMID: 41205908](https://pubmed.ncbi.nlm.nih.gov/41205908/). *Chest*. [Clinical Trial Publication]
Xiao K (2026). [PMID: 41556515](https://pubmed.ncbi.nlm.nih.gov/41556515/). *The New England journal of medicine*. [Case Report / Case Series]
Díaz-Santana P (2026). [PMID: 41572579](https://pubmed.ncbi.nlm.nih.gov/41572579/). *Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc*. [Review / Meta-Analysis]
Montesinos I (2026). [PMID: 41745247](https://pubmed.ncbi.nlm.nih.gov/41745247/). *Journal of fungi (Basel, Switzerland)*. [Review / Meta-Analysis]
Moore KE (2026). [PMID: 41812320](https://pubmed.ncbi.nlm.nih.gov/41812320/). *Semin Arthritis Rheum*. [Review / Meta-Analysis]