gentamicin
Trade name: garamycin
Approved
Mar 15, 1966
Gentamicin C2 together with epimer C2a is a part of the antibiotic of the aminoglycoside group, gentamicin. Gentamicin C2 has a methyl group in the 6′ position. Gentamicin is a broad-spectrum antibiotic that binds to the prokaryotic ribosome, inhibiting protein synthesis in susceptible bacteria. Gentamicin is bactericidal in vitro against Gram-positive and Gram-negative bacteria. — NCATS
Clinical trial activity
168 trials · 215 clinical orgs · 48 marketing orgs
Earliest trial started Feb 1, 2000 (NCT00005574)
Timeline
1960s
1970s
- May 3, 1973
Schering-Plough — Marketing Organization
- Oct 1, 1979
Schering-Plough — NDA Secondary Org
1980s
- May 2, 1980
Pharmacia & Upjohn — Marketing Organization
- Jun 5, 1980
Hikma — Marketing Organization
- Jun 5, 1980
West-Ward Pharmaceutical — Marketing Organization
- Jul 2, 1980
Sandoz — Marketing Organization
- May 15, 1981
Padagis Us — Marketing Organization
- Aug 20, 1981
Watson Pharmaceuticals — Marketing Organization
- Mar 4, 1982
Fresenius — Marketing Organization
- Apr 5, 1982
Kala Pharmaceuticals — Marketing Organization
- Sep 7, 1982
Baxalta — Marketing Organization
- Sep 7, 1982
Baxter — Marketing Organization
- Mar 28, 1983
Pharm Spec — Marketing Organization
- May 26, 1983
Taro Pharmaceuticals — Marketing Organization
- Aug 11, 1983
Abbott — Marketing Organization
- Aug 15, 1983
Hospira — Marketing Organization
- Mar 30, 1984
Novartis — Marketing Organization
- Jul 5, 1984
Fougera — Marketing Organization
- Oct 10, 1984
Allergan — Marketing Organization
- Oct 10, 1984
SmithKline Beckman — Marketing Organization
- Nov 25, 1985
Alcon — Marketing Organization
- Nov 25, 1985
Nestle — Marketing Organization
- Jan 8, 1987
Akorn, Inc. — Marketing Organization
- Jan 8, 1987
Epic Pharma Llc — Marketing Organization
- Aug 28, 1987
B. Braun — Marketing Organization
- Jun 10, 1988
SmithKline Beckman — NDA Secondary Org
- Dec 1, 1989
SmithKline Beecham — NDA Secondary Org
1990s
- Nov 21, 1991
Teva — Marketing Organization
- Apr 29, 1994
Cosette — Marketing Organization
- Apr 29, 1994
ACP Nimble — Marketing Organization
- Apr 29, 1994
G & W Laboratories Inc. — Marketing Organization
- May 11, 1994
Bausch & Lomb — Marketing Organization
- Aug 31, 1995
Sciegen Pharmaceticals — Marketing Organization
- Aug 31, 1995
Saptalis Pharmaceuticals — Marketing Organization
2000s
- Jan 1, 2000
Earliest Phase 1 Sponsor(trial)
- Jan 1, 2003
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2003
Earliest Phase 3 Sponsor(trial)
- Jan 30, 2004
Perrigo — Marketing Organization
- Jul 30, 2004
Fera Development, LLC — Marketing Organization
2010s
- Dec 31, 2018
Pharmaceutical Associates — Marketing Organization
- Dec 31, 2018
Teligent Pharmaceuticals — Marketing Organization
- Dec 31, 2018
Encube Ethicals Pvt. Ltd. — Marketing Organization
2020s
- Jan 8, 2024
Eugia Pharma — Marketing Organization
Indications
Approved for
Studied for
- Abdominal Abscess · Phase 3
- Anti-Bacterial Agents · Phase 3
- Appendicitis · Phase 4
- Bacteremia · Phase 4
- Bacterial Infections · Phase 4
- Breast Diseases · Phase 1
- Breast Neoplasms · Phase 4
- Bronchiectasis · Phase 4
- Bronchitis · Phase 2
- Bronchopulmonary Dysplasia · Phase 2
- Burns · Phase 4
- Cardiopulmonary Bypass · Phase 2/Phase 3
- Catheter-Related Infections · Phase 4
- Catheters · Phase 1
- Cat-Scratch Disease · Phase 3
- Cerebral Intraventricular Hemorrhage · Phase 2
- Child Nutrition Disorders · Phase 2/Phase 3
- Chorioamnionitis · Phase 2/Phase 3
- Colitis, Ulcerative · Phase 4
- Colonic Neoplasms · Phase 3
- Colorectal Neoplasms · Phase 3
- Colorectal Surgery · Phase 3
- Crohn Disease · Phase 4
- Cystic Fibrosis · Phase 4
- Cystitis, Interstitial · Phase 2
- Dermatitis, Atopic · Phase 4
- Diabetes Mellitus · Early Phase 1
- Diabetic Foot · Phase 4
- Dialysis · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Drug Resistance, Bacterial · Early Phase 1
- Drug Resistance, Microbial · Phase 3
- Eczema · Phase 3
- Endocarditis · Phase 4
- Endometrium · Phase 4
- Endophthalmitis · Phase 4
- Enterocolitis, Necrotizing · Phase 3
- Epidermolysis Bullosa · Phase 1/Phase 2
- Epidermolysis Bullosa, Junctional · Phase 1/Phase 2
- Erectile Dysfunction · Phase 3
- Femoral Neck Fractures · Phase 3
- Folliculitis · Phase 2/Phase 3
- Fractures, Bone · Phase 4
- Fractures, Open · Phase 4
- Gastrointestinal Microbiome · Phase 3
- Gonorrhea · Phase 4
- Growth and Development · Phase 3
- Healthy Volunteers · Phase 2
- Hematologic Neoplasms · Phase 3
- Hematopoietic Stem Cell Transplantation · Phase 3
- Hernia, Inguinal · Phase 4
- HIV Infections · Phase 2/Phase 3
- Hypotrichosis · Phase 2
- Ichthyosis · Phase 2
- Ileum · Phase 2
- Implant Capsular Contracture · Phase 3
- Infant, Newborn · Phase 3
- Infant, Premature, Diseases · Phase 3
- Infections · Phase 4
- Inflammation · Early Phase 1
- Keratitis · Phase 3
- Kidney Calculi · Phase 3
- Kidney Diseases · Phase 4
- Kidney Failure, Chronic · Phase 4
- Knee Injuries · Phase 3
- Leishmaniasis, Cutaneous · Phase 2
- Leukomalacia, Periventricular · Phase 2
- Lung Diseases · Phase 2
- Lymph Nodes · Phase 3
- Malnutrition · Phase 3
- Mammaplasty · Phase 1
- Meniere Disease · Phase 2/Phase 3
- Meningitis · Phase 4
- Mesenteric Ischemia · Phase 3
- Microbiota · Phase 2
- Muscular Dystrophy, Duchenne · Phase 1
- Mycobacterium · Phase 2
- Nasopharyngeal Neoplasms · Phase 2
- Neonatal Sepsis · Phase 3
- Neoplasms · Phase 3
- Nephrolithiasis · Phase 4
- Neuroma, Acoustic · Phase 4
- Obesity · Early Phase 1
- Osteomyelitis · Phase 3
- Osteoporosis · Early Phase 1
- Pain · Phase 3
- Pelvic Organ Prolapse · Phase 2
- Pemphigoid, Bullous · Phase 3
- Pemphigus · Phase 3
- Penile Prosthesis · Phase 3
- Perinatal Death · Phase 3
- Peripheral Vascular Diseases · Phase 2/Phase 3
- Peritonitis · Phase 4
- Plague · Phase 2/Phase 3
- Pneumonia · Phase 3
- Pneumonia, Bacterial · Phase 2
- Pneumonia, Ventilator-Associated · Phase 2/Phase 3
- Postoperative Complications · Phase 2
- Pregnancy · Phase 4
- Premature Birth · Phase 3
- Prostheses and Implants · Phase 3
- Renal Insufficiency · Phase 4
- Respiratory Insufficiency · Early Phase 1
- Respiratory Tract Infections · Phase 2
- Sepsis · Phase 4
- Shock, Septic · Phase 3
- Sinusitis · Phase 4
- Skin Diseases, Eczematous · Phase 4
- Spinal Cord Diseases · Phase 2/Phase 3
- Spinal Cord Injuries · Phase 2/Phase 3
- Staphylococcus aureus · Phase 4
- Stomatitis · Phase 2
- Surgical Wound Infection · Phase 3
- Thoracic Surgery · Phase 3
- Tibial Fractures · Phase 3
- Traumatology · Phase 4
- Urinary Bladder Diseases · Phase 2
- Urinary Bladder, Neurogenic · Phase 2/Phase 3
- Urinary Incontinence, Stress · Phase 2
- Urinary Tract Infections · Phase 4
- Vascular Diseases · Phase 2/Phase 3
- Wound Infection · Phase 4
- Wounds and Injuries · Phase 4
Mechanism of action
- Bacterial 70S ribosomeINHIBITOR
Bacterial 70S ribosome inhibitor
16s RRNA
- 30S ribosomal protein S2 (rpsB) ↗
- 50S ribosomal protein L4 (rplD) ↗
- 30S ribosomal protein S15 (rpsO) ↗
- 30S ribosomal protein S16 (rpsP) ↗
- 30S ribosomal protein S17 (rpsQ) ↗
- 30S ribosomal protein S18 (rpsR) ↗
- 30S ribosomal protein S19 (rpsS) ↗
- 30S ribosomal protein S20 (rpsT) ↗
- 30S ribosomal protein S21 (rpsU) ↗
- 30S ribosomal protein S3 (rpsC) ↗
- 30S ribosomal protein S4 (rpsD) ↗
- 30S ribosomal protein S5 (rpsE) ↗
- 30S ribosomal protein S6 (rpsF) ↗
- 30S ribosomal protein S7 (rpsG) ↗
- 30S ribosomal protein S8 (rpsH) ↗
- 30S ribosomal protein S9 (rpsI) ↗
- 50S ribosomal protein L35 (rpmI) ↗
- 50S ribosomal protein L36 2 (ykgO) ↗
- 50S ribosomal protein L36 (rpmJ) ↗
- 50S ribosomal protein L3 (rplC) ↗
- 50S ribosomal protein L5 (rplE) ↗
- 50S ribosomal protein L6 (rplF) ↗
- 50S ribosomal protein L7/L12 (rplL) ↗
- 30S ribosomal protein S1 (rpsA) ↗
- 30S ribosomal protein S10 (rpsJ) ↗
- 30S ribosomal protein S11 (rpsK) ↗
- 30S ribosomal protein S12 (rpsL) ↗
- 30S ribosomal protein S13 (rpsM) ↗
- 30S ribosomal protein S14 (rpsN) ↗
- 50S ribosomal protein L10 (rplJ) ↗
- 50S ribosomal protein L11 (rplK) ↗
- 50S ribosomal protein L13 (rplM) ↗
- 50S ribosomal protein L14 (rplN) ↗
- 50S ribosomal protein L15 (rplO) ↗
- 50S ribosomal protein L16 (rplP) ↗
- 50S ribosomal protein L17 (rplQ) ↗
- 50S ribosomal protein L18 (rplR) ↗
- 50S ribosomal protein L19 (rplS) ↗
- 50S ribosomal protein L1 (rplA) ↗
- 50S ribosomal protein L20 (rplT) ↗
- 50S ribosomal protein L21 (rplU) ↗
- 50S ribosomal protein L22 (rplV) ↗
- 50S ribosomal protein L23 (rplW) ↗
- 50S ribosomal protein L24 (rplX) ↗
- 50S ribosomal protein L25 (rplY) ↗
- 50S ribosomal protein L27 (rpmA) ↗
- 50S ribosomal protein L28 (rpmB) ↗
- 50S ribosomal protein L29 (rpmC) ↗
- 50S ribosomal protein L2 (rplB) ↗
- 50S ribosomal protein L30 (rpmD) ↗
- 50S ribosomal protein L31 type B (ykgM) ↗
- 50S ribosomal protein L31 (rpmE) ↗
- 50S ribosomal protein L32 (rpmF) ↗
- 50S ribosomal protein L33 (rpmG) ↗
- 50S ribosomal protein L34 (rpmH) ↗
Combination products
pred-g
with prednisone
Approval history
- approvedMar 15, 1966
Chemistry & pharmacology
SMILES
CNC(C)[C@@H]1CC[C@@H](N)[C@@H](O[C@H]2[C@H](O)[C@@H](O[C@H]3OC[C@](C)(O)[C@H](NC)[C@H]3O)[C@H](N)C[C@@H]2N)O1.CN[C@@H]1[C@@H](O)[C@@H](O[C@@H]2[C@@H](O)[C@H](O[C@H]3O[C@H](C(C)N)CC[C@H]3N)[C@@H](N)C[C@H]2N)OC[C@]1(C)O.CN[C@@H]1[C@@H](O)[C@@H](O[C@@H]2[C@@H](O)[C@H](O[C@H]3O[C@H](CN)CC[C@H]3N)[C@@H](N)C[C@H]2N)OC[C@]1(C)O- Mol. weight
- 1390.73 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral, Topical
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
Yes
Sources
- WikipediaAminoglycoside ↗
- ChEMBLCHEMBL3039597 ↗
- NCATS3P99H114B8 ↗
- ChEMBLCHEMBL6067485 ↗
- NCATS8X7386QRLV ↗
- WikipediaGentamicin ↗
- ChEMBLCHEMBL6067484 ↗
- ChEMBLCHEMBL3039594 ↗
Also known as
- alcomicin
- aminoglycoside
- aminoglycoside
- apogen
- apogen
- cidomycin
- cidomycin
- cidomycin intrathecal
- garamycin
- garamycin
- garamycin
- garamycin
- genoptic
- genoptic
- gentacin
- gentak
- gentak
- gentamicin
- gentamicin
- gentamicin
- gentamicin
- gentamicin
- gentamicin
- gentamicin
- gentamicin
- gentamicine sulfate
- gentamicin pmma
- gentamicin-polymethylmethacrylate bead
- gentamicin-polymethyl-methacrylate chain
- gentamicin sulfate
- gentamicin sulfate
- gentamicin sulfate
- gentamicin sulfate
- gentamicin sulfate
- gentamicin sulfate
- gentamicin sulfate
- gentamicin sulfate
- gentamicin sulfate mixture with paromomycin sulfate
- gentamicin sulphate
- gentamycin
- gentamycin
- genticin
- genticin
- genticin intrathecal
- g-pmma
- lugacin
- refobacin
- refobacin-palacos r
- sch-9724
- sch-9724
- septopal
- septopal
- uromycine
- uromycine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07300553 | Phase 2 | Dec 31, 2025 | Assistance Publique - Hôpitaux de Paris |
| NCT07311395 | N/A | Dec 8, 2025 | Western Galilee Hospital |
| NCT07220967 | Phase 4 | Oct 21, 2025 | Memorial Sloan-Kettering Cancer Center |
| NCT06712641 | Phase 4 | Jun 30, 2025 | Oslo Metropolitan University, University of Oslo |
| NCT06841003 | Phase 3 | Feb 28, 2025 | Spaarne Gasthuis, ZonMw: The Netherlands Organisation for Health Research and Development |
| NCT06585020 | Phase 2 | Oct 31, 2024 | Central Hospital Saint Quentin, Centre Hospitalier COMPIEGNE, Centre Hospitalier de Cannes, Centre hospitalier de Mulhouse, Centre hospitalier de Perpignan, Centre Hospitalier le Mans, CH PERPIGNAN, Croix-Rousse Hospital, Lyon, Hospital Avicenne, Rouen Normandy University, University Hospital, Tours, University of Angers, University of Bordeaux, University of Burgundy, University of Grenoble, University of Paris, University of Picardie Jules Verne, University of Poitiers, University of Reims, University of Rennes, University of Strasbourg, University of Western Brittany |
| NCT06814223 | Phase 4 | Oct 28, 2024 | Western Galilee Hospital |
| NCT06362447 | Phase 2 | Sep 30, 2024 | University of Toulouse |
| NCT06387147 | Phase 3 | Sep 1, 2024 | Assistance Publique - Hôpitaux de Paris, University of Paris |
| NCT06332781 | Phase 4 | Aug 1, 2024 | Brown University |
| NCT05977400 | Phase 3 | Apr 30, 2024 | New York Presbyterian Hospital, Pennsylvania State University, Sharp HealthCare, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, State University of New York, Brooklyn, Thomas Jefferson University, University of Louisville, University of Pennsylvania, University of Pittsburgh, University of South Florida, University of Texas, San Antonio, University of Toronto, Westchester Medical Center, Yale University |
| NCT05766670 | Phase 3 | Feb 29, 2024 | Wake Forest University |
| NCT06007352 | Phase 2 | Jan 31, 2024 | Yale University |
| NCT06209047 | Phase 4 | Jan 25, 2024 | Assiut University |
| NCT06168708 | N/A | Dec 7, 2023 | Tanta University |
| NCT06489431 | Phase 3 | Dec 4, 2023 | Rush University |
| NCT06332040 | Phase 4 | Oct 9, 2023 | University of Arizona |
| NCT05750966 | N/A | Jul 19, 2023 | University of Amsterdam, ZonMw: The Netherlands Organisation for Health Research and Development |
| NCT05548283 | Phase 4 | Feb 1, 2023 | Cystic Fibrosis Foundation, Medical University of South Carolina, University of Washington |
| NCT05594472 | Phase 3 | Nov 1, 2022 | Ain Shams University, Cairo University |
Organizations
Research & Development (215)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Innocoll | For profit | 7 | 7 | 2 | 2007 |
| Assistance Publique - Hôpitaux de Paris | Academic/Hospital | 5 | 5 | 2 | 2018 |
| Premier Research Group | For profit | 5 | 0 | 2 | 2007 |
| University of Southern California | Academic/Hospital | 5 | 5 | 2 | 2016 |
| Duke University | Academic/Hospital | 4 | 1 | 2 | 2007 |
| Miguel Hernández University | Academic/Hospital | 4 | 4 | 1 | 2011 |
| University of Amsterdam | Academic/Hospital | 4 | 1 | 3 | 2012 |
| University of London | Academic/Hospital | 4 | 1 | 1 | 2009 |
| University of Paris | Academic/Hospital | 4 | 1 | 3 | 2003 |
| University of Toulouse | Academic/Hospital | 4 | 4 | 2 | 2016 |
| Hebrew University | Academic/Hospital | 3 | 3 | 2 | 2014 |
| Johns Hopkins University | Academic/Hospital | 3 | 2 | 2 | 2003 |
| United States Army | Government | 3 | 3 | 1 | 2004 |
| University of California, San Diego | Academic/Hospital | 3 | 2 | 3 | 2015 |
| University of Louisville | Academic/Hospital | 3 | 2 | 3 | 2014 |
| University of Oxford | Academic/Hospital | 3 | 2 | 2 | 2017 |
| Western Galilee Hospital | Academic/Hospital | 3 | 3 | 2 | 2022 |
| ZonMw: The Netherlands Organisation for Health Research and Development | Academic/Hospital | 3 | 0 | 3 | 2016 |
| Aga Khan University | Academic/Hospital | 2 | 2 | 1 | 2003 |
| Ain Shams University | Academic/Hospital | 2 | 1 | 1 | 2016 |
Marketing (55)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ACP Nimble | For profit | MKTG | Apr 29, 1994 |
| Abbott | For profit | MKTG | Aug 11, 1983 |
| Akorn, Inc. | For profit | MKTG | Jan 8, 1987 |
| Alcon | For profit | MKTG | Nov 25, 1985 |
| Allergan | For profit | MKTG | Oct 10, 1984 |
| Alpharma | For profit | MKTG | — |
| American Home Products | For profit | MKTG | — |
| B. Braun | For profit | MKTG | Aug 28, 1987 |
| Bausch & Lomb | For profit | MKTG | May 11, 1994 |
| Baxalta | For profit | MKTG | Sep 7, 1982 |
| Baxter | For profit | MKTG | Sep 7, 1982 |
| Bristol-Myers | For profit | MKTG | — |
| Cosette | For profit | MKTG | Apr 29, 1994 |
| Encube Ethicals Pvt. Ltd. | For profit | MKTG | Dec 31, 2018 |
| Epic Pharma Llc | For profit | MKTG | Jan 8, 1987 |
| Eugia Pharma | For profit | MKTG | Jan 8, 2024 |
| Fera Development, LLC | For profit | MKTG | Jul 30, 2004 |
| Fougera | For profit | MKTG | Jul 5, 1984 |
| Fresenius | For profit | MKTG | Mar 4, 1982 |
| G & W Laboratories Inc. | For profit | MKTG | Apr 29, 1994 |
| Hikma | For profit | MKTG | Jun 5, 1980 |
| Hikma | For profit | MKTG | Jun 5, 1980 |
| Hospira | For profit | MKTG | Aug 15, 1983 |
| International Medication | For profit | MKTG | — |
| Kala Pharmaceuticals | For profit | MKTG | Apr 5, 1982 |
| King Pharmaceuticals | For profit | MKTG | — |
| Nestle | For profit | MKTG | Nov 25, 1985 |
| Novartis | For profit | MKTG | Mar 30, 1984 |
| Paco | For profit | MKTG | — |
| Padagis Us | For profit | MKTG | May 15, 1981 |
| Perrigo | For profit | MKTG | Jan 30, 2004 |
| Perrigo | For profit | SYN | May 15, 1981 |
| Pharm Spec | For profit | MKTG | Mar 28, 1983 |
| Pharmaceutical Associates | For profit | MKTG | Dec 31, 2018 |
| Pharmacia & Upjohn | For profit | MKTG | May 2, 1980 |
| Pharmaderm | For profit | MKTG | — |
| Pharmafair | For profit | MKTG | — |
| SOLOPAK | For profit | MKTG | — |
| Sandoz | For profit | SYN | Jul 2, 1980 |
| Sandoz | For profit | MKTG | Jul 2, 1980 |
| Saptalis Pharmaceuticals | For profit | MKTG | Aug 31, 1995 |
| Schering | For profit | NDA | Mar 15, 1966 |
| Schering | For profit | MKTG | Mar 15, 1966 |
| Schering-Plough | For profit | NDA2 | Oct 1, 1979 |
| Schering-Plough | For profit | MKTG | May 3, 1973 |
| Sciegen Pharmaceticals | For profit | MKTG | Aug 31, 1995 |
| SmithKline Beckman | For profit | NDA2 | Jun 10, 1988 |
| SmithKline Beckman | For profit | MKTG | Oct 10, 1984 |
| SmithKline Beecham | For profit | NDA2 | Dec 1, 1989 |
| Taro Pharmaceuticals | For profit | MKTG | May 26, 1983 |
| Teligent Pharmaceuticals | For profit | SYN | Dec 31, 2018 |
| Teligent Pharmaceuticals | For profit | MKTG | Dec 31, 2018 |
| Teva | For profit | MKTG | Nov 21, 1991 |
| Watson Pharmaceuticals | For profit | MKTG | Aug 20, 1981 |
| West-Ward Pharmaceutical | For profit | MKTG | Jun 5, 1980 |