Table 3 Antibiotics with NDA/MAA submitted or in phase-III clinical trials (structures in Figs. 3 and 4)

From: Antibiotics in the clinical pipeline as of December 2022

Name (synonym)a

Compound class (lead source)

Mode of actiona

Administration; indication (developer)

NDA/MAA

 solithromycin (6) (T-4288)

erythromycin (NP)

protein synthesis inhibition

IV/po; respiratory tract infection (FUJIFILM Toyama)

Phase-III

 sulopenem (6) (IV) sulopenem etzadroxil (7) (prodrug) + probenecid (8)

penem (NP)

PBP (cell wall)

po; uUTI, cUTI and cIAI (Iterum Therapeutics)

 nafithromycin (9) (WCK 4873)

macrolide (NP)

protein synthesis

po; CABP (Wockhardt)

 gepotidacin (10) (GSK-2140944)

triazaacenaphthylene (S)

DNA gyrase (GyrA) — different to quinolones

po; UTI and gonorrhea (GSK)

 zoliflodacin (11) (ETX0914)

spiropyrimidinetrione (S)

DNA gyrase (GyrB)

po; gonorrhea (Innoviva / GARDP)

Phase-II/III

 benapenem (12)

carbapenem (NP)

PBP (cell wall)

IV; UTI (Sihuan Pharmaceuticals)

 epetraborole (13) (BRII-658)

oxaborole (S)

leucyl-tRNA synthetase (LeuRS) – protein synthesis

po; NTM with a focus on M. avium (AN2 Therapeutics / Brii Biosciences)

  1. CABP community-acquired bacterial pneumonia, cIAI complicated intra-abdominal infections, cUTI complicated urinary tract infections, IV intravenous, NP natural product, PBP penicillin binding protein, po per orem (oral), NTM non-tuberculosis mycobacteria, S synthetic, uUTI uncomplicated urinary tract infections, UTI urinary tract infections
  2. aCompounds with new pharmacophores and MoA are underlined