Compound ID | 643

Pretomanid

Synonym(s): PA-824  |  PA 824  |  PA824

Class: Nitroimidazole

Agent Type: Synthetic; Small molecule; Direct acting;
Spectrum of activity: Antimycobacterial
Mechanism of action: Mycolic acid synthesis inhibitor. Additionally inhibits protein synthesis
Target Pathogen: Active against Mycobacterium tuberculosis
Description: A nitroimidazopyran derivative; 1. Bake WR, Keeler EL, Cai S, et al. Identification of PA-834, a novel 6-nitroimidazopyran antitubercular agent, using high throughput synthesis and screening methodology. 36th-Intersci-Conf-Antimicrobial-Agents-Chemother 1996; 137. 2. Ritchie HD, Orta GJ, Harris LM, et al. Toxicology and toxicokinetics of PA-824 and PA 1297, two nitroimidazopyran antitubercular agents in mice. 37th-Intersci-Conf-Antimicrobial-Agents-Chemother 1997; 150.
Institute where first reported: Pathogenesis Corp. (Chiron Corp., USA)
Year first mentioned: 1997
Highest development stage: Phase 2 and Phase 3
Development status: Active
Reason dropped: Poor oral bioavailability which although can be improved through use of lipid coated cyclodextrin formulations would increase cost a lot.; previous Clinical Phase Trial terminated due to failure to achieve the trial objective of identifying a new regimen to treat tuberculosis in 3 months or less

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