Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogens
Nafithromycin (WCK 4873) is a novel lactone ketolide antibiotic developed to address the critical issue of multidrug-resistant bacteria, especially those causing community-acquired pneumonia (CAP). Given the increasing prevalence of antibiotic resistance, there is a pressing need for new antibiotic...
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| Language: | English |
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PAGEPress Publications
2025-08-01
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| Series: | Monaldi Archives for Chest Disease |
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| Online Access: | https://www.monaldi-archives.org/macd/article/view/3340 |
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| author | Akshata Gore Agadi Hiremath Viswanatha Swamy Sanatkumar Bharamu Nyamagoud |
| author_facet | Akshata Gore Agadi Hiremath Viswanatha Swamy Sanatkumar Bharamu Nyamagoud |
| author_sort | Akshata Gore |
| collection | DOAJ |
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Nafithromycin (WCK 4873) is a novel lactone ketolide antibiotic developed to address the critical issue of multidrug-resistant bacteria, especially those causing community-acquired pneumonia (CAP). Given the increasing prevalence of antibiotic resistance, there is a pressing need for new antibiotics with improved efficacy and safety profiles. This review synthesizes data from various in vitro studies and clinical trials to evaluate the pharmacological properties, mechanism of action, and clinical potential of nafithromycin. Key clinical trials assessed the drug's pharmacokinetics, safety, and efficacy in both healthy volunteers and patients with CAP. Nafithromycin exhibits strong in vitro antimicrobial activity against a broad spectrum of pathogens, including macrolide-resistant and telithromycin-insensitive strains. Clinical trials demonstrated that nafithromycin has a favorable pharmacokinetic profile, with high lung tissue concentrations and manageable side effects. Phase I studies confirmed its safety and tolerability in healthy adults, while Phase II trials showed its efficacy in treating CAP, with a 3-day treatment regimen proving comparable to a seven-day regimen of moxifloxacin. Nafithromycin holds significant promise as a therapeutic agent against respiratory infections caused by resistant bacteria. Its unique mechanism of action, high tissue penetration, and broad-spectrum activity position it as a valuable addition to the antimicrobial arsenal. Continued research and clinical trials are essential to further define its role in combating antibiotic resistance and ensuring effective treatment options.
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| format | Article |
| id | doaj-art-4e534afbd2ec4d33a06e60f3bf00f893 |
| institution | Kabale University |
| issn | 1122-0643 2532-5264 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | PAGEPress Publications |
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| series | Monaldi Archives for Chest Disease |
| spelling | doaj-art-4e534afbd2ec4d33a06e60f3bf00f8932025-08-20T03:39:00ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642025-08-0110.4081/monaldi.2025.3340Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogensAkshata Gore0https://orcid.org/0000-0001-6421-5084Agadi Hiremath Viswanatha Swamy1Sanatkumar Bharamu Nyamagoud2https://orcid.org/0000-0002-5111-7685Department of Pharmacy Practice, KLE College of Pharmacy, Vidyanagar, Hubballi, KarnatakaDepartment of Pharmacy Practice, KLE College of Pharmacy, Vidyanagar, Hubballi, KarnatakaDepartment of Pharmacy Practice, KLE College of Pharmacy, Vidyanagar, Hubballi, Karnataka Nafithromycin (WCK 4873) is a novel lactone ketolide antibiotic developed to address the critical issue of multidrug-resistant bacteria, especially those causing community-acquired pneumonia (CAP). Given the increasing prevalence of antibiotic resistance, there is a pressing need for new antibiotics with improved efficacy and safety profiles. This review synthesizes data from various in vitro studies and clinical trials to evaluate the pharmacological properties, mechanism of action, and clinical potential of nafithromycin. Key clinical trials assessed the drug's pharmacokinetics, safety, and efficacy in both healthy volunteers and patients with CAP. Nafithromycin exhibits strong in vitro antimicrobial activity against a broad spectrum of pathogens, including macrolide-resistant and telithromycin-insensitive strains. Clinical trials demonstrated that nafithromycin has a favorable pharmacokinetic profile, with high lung tissue concentrations and manageable side effects. Phase I studies confirmed its safety and tolerability in healthy adults, while Phase II trials showed its efficacy in treating CAP, with a 3-day treatment regimen proving comparable to a seven-day regimen of moxifloxacin. Nafithromycin holds significant promise as a therapeutic agent against respiratory infections caused by resistant bacteria. Its unique mechanism of action, high tissue penetration, and broad-spectrum activity position it as a valuable addition to the antimicrobial arsenal. Continued research and clinical trials are essential to further define its role in combating antibiotic resistance and ensuring effective treatment options. https://www.monaldi-archives.org/macd/article/view/3340Nafithromycincommunity-acquired pneumoniamultidrug-resistant bacterialactone ketolide antibioticpharmacokinetics |
| spellingShingle | Akshata Gore Agadi Hiremath Viswanatha Swamy Sanatkumar Bharamu Nyamagoud Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogens Monaldi Archives for Chest Disease Nafithromycin community-acquired pneumonia multidrug-resistant bacteria lactone ketolide antibiotic pharmacokinetics |
| title | Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogens |
| title_full | Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogens |
| title_fullStr | Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogens |
| title_full_unstemmed | Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogens |
| title_short | Nafithromycin: advancements in antibiotic therapy against community-acquired pneumonia-resistant pathogens |
| title_sort | nafithromycin advancements in antibiotic therapy against community acquired pneumonia resistant pathogens |
| topic | Nafithromycin community-acquired pneumonia multidrug-resistant bacteria lactone ketolide antibiotic pharmacokinetics |
| url | https://www.monaldi-archives.org/macd/article/view/3340 |
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