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Novel C-7 carbon substituted fourth generation fluoroquinolones targeting N. Gonorrhoeae infections
Ralph Kirk1, Mark Betson1, Matilda Bingham1
1Concept Life Sciences, Alderley Park, Cheshire SK10 4TG, UK.
Abstract:
Delafloxacin, a fourth-generation anionic fluoroquinolone (FQ) was approved in 2019 for community acquired bacterial pneumonia (CARP). It has broad spectrum activity and an improved class-related toxicity profile. However, it has recently failed a Phase 3 clinical trial for treatment of N. gonorrhoeae infections due to the lack of sufficient efficacy at the dose administered. Inspired by the microbiological and safety profile of delafloxacin, we have developed and profiled the first reported delafloxacin carbon analogue whereby a Nitrogen-for-Carbon swap has been successfully carried out at the C7 position. Not only have we shown that compounds with this modification maintain activity against N. gonorrhoeae (plus other gram-positive and gram-negative bacteria) but they also demonstrate a differentiated physicochemical profile. A zwitterionic derivative of delafloxacin was also profiled and demonstrated a superior microbiological profile against gram-negative strains, whilst maintaining favorable selected ADMET properties.
Insights
Researchers developed novel delafloxacin analogues, showing preserved antibacterial activity against Neisseria gonorrhoeae and other bacteria. These new compounds offer a differentiated profile, addressing treatment challenges.
Area of Science:
- Medicinal Chemistry
- Antimicrobial Drug Discovery
Background:
- Delafloxacin, a fourth-generation fluoroquinolone, has broad-spectrum activity but faced efficacy issues in treating Neisseria gonorrhoeae.
- There is a need for novel antimicrobial agents with improved efficacy and safety profiles.
Purpose of the Study:
- To develop and characterize novel delafloxacin analogues with a nitrogen-for-carbon swap at the C7 position.
- To evaluate the antibacterial activity and physicochemical properties of these new compounds.
Main Methods:
- Synthesis of delafloxacin carbon analogues via a nitrogen-for-carbon swap.
- Microbiological profiling against Gram-positive, Gram-negative bacteria, including Neisseria gonorrhoeae.
- Assessment of physicochemical properties and ADMET (Absorption, Distribution, Metabolism, Excretion, Toxicity) profiles.
Main Results:
- The novel delafloxacin analogues retained significant activity against Neisseria gonorrhoeae and other key bacterial pathogens.
- A differentiated physicochemical profile was observed for the modified compounds.
- A zwitterionic derivative showed enhanced activity against Gram-negative strains with favorable ADMET properties.
Conclusions:
- The C7 nitrogen-for-carbon modification represents a viable strategy for developing new delafloxacin-based antibiotics.
- These analogues demonstrate potential as next-generation agents for bacterial infections, including those caused by N. gonorrhoeae.
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