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Nafithromycin

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Nafithromycin
Legal status
Legal status
  • Investigational
Identifiers
  • (1S,2R,5R,7R,8R,9R,11R,13R,14S,15R)-8-[(2S,3R,4S,6R)-4-(dimethylamino)-3-hydroxy-6-methyloxan-2-yl]oxy-2-ethyl-9-methoxy-1,5,7,9,11,13-hexamethyl-4,6,12,16-tetraoxo-N'-[(1S)-1-(5-pyridin-2-yl-1,3,4-thiadiazol-2-yl)ethoxy]-3,17-dioxabicyclo[12.3.0]heptadecane-15-carboximidamide
CAS Number
PubChem CID
Chemical and physical data
FormulaC42H62N6O11S
Molar mass859.05 g·mol−1
3D model (JSmol)
  • CC[C@@H]1[C@@]2([C@@H]([C@H](C(=O)[C@@H](C[C@@]([C@@H]([C@H](C(=O)[C@H](C(=O)O1)C)C)O[C@H]3[C@@H]([C@H](C[C@H](O3)C)N(C)C)O)(C)OC)C)C)[C@@H](C(=O)O2)/C(=N/O[C@@H](C)C4=NN=C(S4)C5=CC=CC=N5)/N)C
  • InChI=1S/C42H62N6O11S/c1-13-28-42(9)30(29(39(53)58-42)35(43)47-59-25(7)36-45-46-37(60-36)26-16-14-15-17-44-26)22(4)31(49)20(2)19-41(8,54-12)34(23(5)32(50)24(6)38(52)56-28)57-40-33(51)27(48(10)11)18-21(3)55-40/h14-17,20-25,27-30,33-34,40,51H,13,18-19H2,1-12H3,(H2,43,47)/t20-,21-,22-,23+,24-,25+,27+,28-,29-,30+,33-,34-,40+,41-,42-/m1/s1
  • Key:RLFCSBSRGRJFRO-QAOQTAGDSA-N

Nafithromycin is an experimental antibiotic drug for the treatment of pneumonia.[1][2]

Developed by Wockhardt, as of Dec 2024, it is in Phase 3 trials as a three-day oral treatment for community-acquired bacterial pneumonia.

It is trade-marked as MIQNAF.

References

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  1. ^ Iwanowski P, Bhatia A, Gupta M, Patel A, Chavan R, Yeole R, et al. (September 2019). "Safety, tolerability and pharmacokinetics of oral nafithromycin (WCK4873) after single or multiple doses and effects of food on single-dose bioavailability in healthy adult subjects". Antimicrobial Agents and Chemotherapy. 63 (12). doi:10.1128/AAC.01253-19. PMC 6879255. PMID 31591119.
  2. ^ Sellarès-Nadal J, Burgos J, Falcó V, Almirante B (2020). "Investigational and Experimental Drugs for Community-Acquired Pneumonia: the Current Evidence". Journal of Experimental Pharmacology. 12: 529–538. doi:10.2147/JEP.S259286. PMC 7682597. PMID 33239925.