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Levonadifloxacin arginine salt to treat acute bacterial skin and skin structure infection due to S. aureus including MRSA.

Abstract
Acute bacterial skin and skin structure infections (ABSSSIs) are one of the most common types of infections due to methicillin-resistant Staphylococcus aureus (MRSA). The standard of care for ABSSSI includes glycopeptides such as vancomycin, teicoplanin, oxazolidinones and fluoroquinolones, which are potent broad-spectrum antibacterial agents. Unfortunately, due to indiscriminate utilization, resistance to these agents is rising and identification of novel agents is an urgent unmet medical need. In this context, levonadifloxacin (WCK-771) is a novel, hydrate arginine salt of nadifloxacin with improved bactericidal activity against MRSA as well as fluoroquinolone-resistant S. aureus by targeting bacterial DNA supercoiling enzymes DNA gyrase and topoisomerase IV. Levonadifloxacin displays a broad-spectrum bactericidal activity against Gram-positive and Gram-negative bacteria, atypical bacteria, anaerobic bacteria and bioterror pathogens with a very low frequency of mutation. Levonadifloxacin also displays improved activity under low pH biofilm environments. The drug has successfully completed phase I, phase II and phase III clinical trials in India. The U.S. Food and Drug Administration (FDA) granted a Qualified Infectious Disease Product (QIDP) designation to levonadifloxacin for the treatment of MRSA infections in August 2014.
AuthorsD Saxena, G Kaul, A Dasgupta, S Chopra
JournalDrugs of today (Barcelona, Spain : 1998) (Drugs Today (Barc)) Vol. 56 Issue 9 Pg. 583-598 (Sep 2020) ISSN: 1699-3993 [Print] Spain
PMID33025952 (Publication Type: Journal Article)
CopyrightCopyright 2020 Clarivate Analytics.
Chemical References
  • Anti-Bacterial Agents
  • Quinolizines
  • Quinolones
  • levonadifloxacin
Topics
  • Anti-Bacterial Agents (therapeutic use)
  • Clinical Trials as Topic
  • Humans
  • Methicillin-Resistant Staphylococcus aureus (drug effects)
  • Quinolizines (therapeutic use)
  • Quinolones (therapeutic use)
  • Staphylococcal Skin Infections (drug therapy)
  • Staphylococcus aureus (drug effects)

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