Fluorocyclines. 1. 7-fluoro-9-pyrrolidinoacetamido-6-demethyl-6-deoxytetracycline: a potent, broad spectrum antibacterial agent

J Med Chem. 2012 Jan 26;55(2):597-605. doi: 10.1021/jm201465w. Epub 2012 Jan 4.

Abstract

This and the accompanying report (DOI: 10.1021/jm201467r ) describe the design, synthesis, and evaluation of a new generation of tetracycline antibacterial agents, 7-fluoro-9-substituted-6-demethyl-6-deoxytetracyclines ("fluorocyclines"), accessible through a recently developed total synthesis approach. These fluorocyclines possess potent antibacterial activities against multidrug resistant (MDR) Gram-positive and Gram-negative pathogens. One of the fluorocyclines, 7-fluoro-9-pyrrolidinoacetamido-6-demethyl-6-deoxytetracycline (17j, also known as TP-434, 50th Interscience Conference on Antimicrobial Agents and Chemotherapy Conference , Boston, MA , September 12-15, 2010 , poster F1 - 2157 ), is currently undergoing phase 2 clinical trials in patients with complicated intra-abdominal infections (cIAI).

MeSH terms

  • Animals
  • Anti-Bacterial Agents / chemical synthesis*
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology
  • Cyclophosphamide
  • Drug Resistance, Multiple, Bacterial
  • Escherichia coli Infections / drug therapy
  • Escherichia coli Infections / etiology
  • Gram-Negative Bacteria / drug effects
  • Gram-Positive Bacteria / drug effects
  • Male
  • Methicillin Resistance
  • Mice
  • Microbial Sensitivity Tests
  • Neutropenia / chemically induced
  • Neutropenia / complications
  • Pyrrolidines / chemical synthesis*
  • Pyrrolidines / chemistry
  • Pyrrolidines / pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Ribosomes / drug effects
  • Ribosomes / metabolism
  • Sepsis / drug therapy
  • Stereoisomerism
  • Structure-Activity Relationship
  • Tetracycline Resistance
  • Tetracyclines / chemical synthesis*
  • Tetracyclines / chemistry
  • Tetracyclines / pharmacology

Substances

  • Anti-Bacterial Agents
  • Pyrrolidines
  • Tetracyclines
  • eravacycline
  • Cyclophosphamide