Table 1 Small molecule antibacterial drugs and β-lactamase inhibitor (BLI) combinations launched from January 2013 to December 2022

From: Antibiotics in the clinical pipeline as of December 2022

Year approved

Drug namea,b

Class

Country of first approval

Therapeutic indication(s)

Lead source

Small molecule drugs

 2014

delamanid

nitroimidazole

Europe

TB

S

 2014

dalbavancin

glycopeptide

USA

G+ve SSSI

NP

 2014

oritavancin

glycopeptide

USA

G+ve SSSI

NP

 2014

tedizolid phosphate (prodrug)

oxazolidinone

USA

G+ve cSSSI

S

 2014

nemonoxacin

quinolone

Taiwan

G+ve /G-ve cSSSI

S

 2014

morinidazolec

nitroimidazole

China

G+ve/G-ve gynecological and suppurative appendicitis

S

 2014

finafloxacind

fluoroquinolone

USA

acute otitis externa

S

 2015

zabofloxacin

fluoroquinolone

South Korea

G+ve/G-ve CABP

S

 2017

delafloxacin

fluoroquinolone

USA

G+ve/G-ve ABSSSI and CABP

S

 2018

plazomicin

aminoglycoside

USA

G-ve UTI

NP

 2018

eravacycline

tetracycline

Europe

G+ve/G-ve IAI

NP

 2018

omadacycline

tetracycline

USA

G+ve/G-ve CABP and ABSSSI

NP

 2018

sarecyclined

tetracycline

USA

G+ve acne

NP

 2019

pretomanid

nitroimidazole

USA

TB

S

 2019

lefamulin

pleuromutilin

USA

G+ve/G-ve CABP

NP

 2019

lascufloxacin

fluoroquinolone

Japan

G+ve/G-ve CABP and sinusitis

S

 2019

cefiderocol

cephalosporin siderophore

USA

G-ve cUTI and bacterial infections

NP

 2020

levonadifloxacin (1); alalevonadifloxacin (2) (prodrug)

fluoroquinolone

India

G+ve/G-ve ABSSSI

S

 2021

contezolid (4)

oxazolidinone

China

G+ve cSSSI

S

BL/BLI combination drugs

 2014

Zerbaxa: ceftolozane + tazobactame

BL + BLI

USA

G-ve cUTI, cIAI and HAP/VAP

NP + NP

 2015

Avycaz: avibactam (80)b + ceftazidimee

DBO BLI + BL

USA

G-ve cUTI, cIAI and HAP/VAP

S + NP

 2017

Vabomere/Vaborem: vaborbactamb + meropeneme (66)

boronate BLI + BL

USA

G-ve cUTI, cIAI and HAP/VAP

S + NP

 2019

Recarbrio: relebactam + imipenem (77)e + cilastatin (78)e

DBO BLI + BL+ renal dehydropeptidase inhibitor

USA

G-ve cUTI, cIAI and HAP/VAP

S + NP + S

  1. ABSSSI acute bacterial skin and skin structure infections, BLI β-lactamase inhibitor, BL β-lactam, CABP community-acquired bacterial infections, DBO diazabicyclooctane, HAP/VAP hospital/ventilator-associated pneumonia, cIAI complicated intra-abdominal infections, NP natural product, S synthetic, SSSI skin and skin structure infections, cSSSI complicated SSSI, UTI urinary tract infections, cUTI complicated UTI, TB tuberculosis, USA United States of America
  2. aThe structures of antibacterial drugs approved from 2010–2022 are in Fig. 2 and those approved from 2000–2019 can be found in previous reviews [23,24,25,26]
  3. bFirst member of a new antibacterial or BLI class approved for human therapeutic use
  4. cAlso approved for the treatment of amoebiasis and trichomoniasis
  5. dApproved for topical use
  6. eFirst launches: tazobactam in 1992, ceftazidime in 1983, meropenem (66) in 1998, and imipenem (77) + cilastatin (78) in 1985