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Published on: January 1, 2016
Efficacies of ABT-773, a new ketolide, against experimental bacterial infections
M J Mitten1, J Meulbroek, M Nukkala
1Infectious Diseases Research, Abbott Laboratories, Abbott Park, Illinois 60064-3537, USA. michael.j.mitten@abbott.com
Abstract:
ABT-773 is a novel ketolide effective against antibacterial-resistant respiratory tract pathogens. The pharmacokinetic profile of ABT-773 was studied in rats and consisted of a mean peak concentration in plasma of 1.07 microg/ml and an area under the concentration-time curve (AUC) of 12.03 microg. h/ml when the compound was delivered at a dose of 25 mg/kg of body weight. It concentrated in rat lung tissue, with a lung tissue-to-plasma ratio of 29 based on the AUC. In acute systemic infections in mice, ABT-773 showed efficacy against macrolide-susceptible strains of Staphylococcus aureus, Streptococcus pneumoniae, S. pyogenes, and Listeria monocytogenes. Additionally, ABT-773 improved the survival of mice infected with resistant S. pneumoniae containing either the ermB gene, the mefE gene, or altered penicillin binding protein genes. In a rat lung model of infection, ABT-773 demonstrated 50% effective doses lower than those of comparator macrolides when evaluated against the following strains of S. pneumoniae: a macrolide-lincosamide-streptogramin B-susceptible strain, an ermB strain, and an mefE strain. ABT-773 was also effective against Haemophilus influenzae lung infections in rats. Thus, ABT-773 may prove to be a useful new antibacterial agent for the treatment of respiratory tract infections.
Insights
ABT-773, a novel ketolide, shows effectiveness against drug-resistant respiratory pathogens. This new antibacterial agent demonstrates promising efficacy in preclinical models for treating resistant bacterial infections.
Area of Science:
- Pharmacology and Microbiology
- Infectious Diseases
- Drug Discovery
Background:
- Antibiotic resistance in respiratory tract pathogens poses a significant global health threat.
- Novel therapeutic agents are urgently needed to combat infections caused by resistant bacteria.
- Ketolides represent a class of antibiotics with potential against resistant strains.
Purpose of the Study:
- To evaluate the pharmacokinetic profile of ABT-773 in rats.
- To assess the in vivo efficacy of ABT-773 against various bacterial pathogens, including resistant strains.
- To compare the efficacy of ABT-773 with existing macrolide antibiotics in preclinical infection models.
Main Methods:
- Pharmacokinetic studies in rats to determine plasma and tissue concentrations (AUC, peak concentration, tissue-to-plasma ratio).
- In vivo efficacy studies in mice against acute systemic infections caused by susceptible and resistant strains of Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes, and Listeria monocytogenes.
- Efficacy evaluation in a rat lung infection model against Streptococcus pneumoniae (including resistant strains) and Haemophilus influenzae.
Main Results:
- ABT-773 exhibited favorable pharmacokinetic properties in rats, concentrating in lung tissue.
- The compound demonstrated efficacy against macrolide-susceptible strains and resistant strains of S. pneumoniae, S. aureus, S. pyogenes, and L. monocytogenes in systemic infections.
- In a rat lung infection model, ABT-773 showed superior efficacy compared to comparator macrolides against various S. pneumoniae strains and was effective against H. influenzae.
Conclusions:
- ABT-773 possesses promising pharmacokinetic and pharmacodynamic properties for treating respiratory tract infections.
- The novel ketolide is effective against both susceptible and resistant bacterial pathogens commonly implicated in respiratory infections.
- ABT-773 represents a potential new therapeutic option for combating challenging bacterial respiratory infections.
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