bacitracin
Trade name: polysporin
Approved
Jul 29, 1948
Bacitracin is a polypeptide antibiotic produced by Bacillus subtilis and Bacillus licheniformis. Bacitracin in combination with neomycin and polymyxin B is indicated for the treatment of many bacterial diseases. The antibacterial properties of bacitracin are mediated by its binding to C55-isoprenyl pyrophosphate, resulting in inhibition of cell wall biosynthesis. — NCATS
Clinical trial activity
32 trials · 35 clinical orgs · 27 marketing orgs
Earliest trial started Nov 2, 1999 (NCT00000635)
Timeline
1940s
- Jul 29, 1948
Burroughs Wellcome — Earliest FDA Approval
- Jul 29, 1948
Pharmacia & Upjohn — Marketing Organization
- Jul 29, 1948
Burroughs Wellcome — NDA Organization
1950s
- Sep 6, 1950
Pfizer — Marketing Organization
- Apr 19, 1954
Dow Pharmaceutical Sciences — Marketing Organization
- Mar 26, 1957
Monarch Pharmaceuticals — Marketing Organization
- Mar 26, 1957
Monarch Pharmaceuticals — NDA Secondary Org
1970s
- May 10, 1971
Casper Pharma LLC — Marketing Organization
- May 10, 1971
Casper Pharma LLC — NDA Secondary Org
- Nov 9, 1971
Perrigo — Marketing Organization
- Nov 9, 1971
Padagis Us — Marketing Organization
- Jan 6, 1972
X Gen Pharmaceuticals — Marketing Organization
- Dec 21, 1972
Apothekernes — Marketing Organization
1990s
- Jan 26, 1995
Bausch & Lomb — Marketing Organization
- Jan 30, 1995
Saptalis Pharmaceuticals — Marketing Organization
- Jan 30, 1995
Sciegen Pharmaceticals — Marketing Organization
2000s
2010s
- May 11, 2010
Mylan — Marketing Organization
- Aug 25, 2014
Xellia Pharmaceuticals — Marketing Organization
- Aug 25, 2014
Novo Nordisk — Marketing Organization
- Oct 20, 2017
Akorn, Inc. — Marketing Organization
Indications
Approved for
Studied for
- Allergy and Immunology · Phase 4
- Arrhythmias, Cardiac · Phase 3
- Arteriovenous Fistula · Phase 4
- Breast Diseases · Phase 1
- Burns · Phase 4
- Catheter-Related Infections · Phase 2/Phase 3
- Dermatitis, Allergic Contact · Phase 2
- Diabetes Mellitus, Type 1 · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Diabetic Foot · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Edema · Phase 2/Phase 3
- Eyelid Diseases · Phase 4
- General Surgery · Phase 4
- Hemodialysis, Home · Phase 2/Phase 3
- Keratosis, Actinic · Phase 4
- Kidney Failure, Chronic · Phase 4
- Mammaplasty · Phase 1
- Melanoma · Phase 2
- Paranasal Sinus Diseases · Phase 2
- Sinusitis · Phase 4
- Skin Neoplasms · Phase 4
- Surgical Wound · Phase 4
- Surgical Wound Infection · Phase 4
- Urinary Tract Infections · Phase 4
- Wounds and Injuries · Phase 4
Mechanism of action
- C55-isoprenyl pyrophosphateINHIBITOR
C55-isoprenyl pyrophosphate inhibitor
Combination products
cortisporin
with urea, neomycin, polymyxin b sulfate
Also known as bacitracin-neomycin-polymyxin w/ hydrocortisone acetate, neomycin and polymyxin b sulfates, bacitracin zinc and hydrocortisone
lanabiotic
with lidocaine, neomycin, polymyxin b sulfate
neo-polycin
with neomycin, polymyxin b sulfate
Also known as neomycin and polymyxin b sulfates and bacitracin zinc
polysporin
with polymyxin b sulfate
Approval history
- approvedJul 29, 1948
Chemistry & pharmacology
SMILES
CC[C@H](C)[C@H](N)C1=N[C@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@H](CCC(=O)O)C(=O)N[C@H](C(=O)N[C@H]2CCCCNC(=O)[C@H](CC(N)=O)NC(=O)[C@@H](CC(=O)O)NC(=O)[C@H](Cc3cnc[nH]3)NC(=O)[C@@H](Cc3ccccc3)NC(=O)[C@H]([C@@H](C)CC)NC(=O)[C@@H](CCCN)NC2=O)[C@@H](C)CC)CS1- Mol. weight
- 1422.72 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral, Topical
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
Yes
Sources
- ChEMBLCHEMBL1200558 ↗
- WikipediaBacitracin ↗
- NCATS58H6RWO52I ↗
- ChEMBLCHEMBL2096639 ↗
Also known as
- albac 50
- baciferm 50
- baciguent
- baciguent
- baciguent
- baciim
- baciim
- bacillichin
- bacilliquin
- baci-rx
- baci-rx
- bacitracin
- bacitracin
- bacitracin
- bacitracin
- bacitracin
- bacitracin
- bacitracin
- bacitracin
- bacitracin
- bacitracin
- bacitracin f, 1-(n-((2-(1-amino-2-methylbutyl)-4,5-dihydro-4-thiazolyl)carbonyl)-l-leucine)-
- bacitracin f, 1-(n-((2-(1-amino-2-methylbutyl)-4,5-dihydro-4-thiazolyl)carbonyl)-l-leucine)-
- bacitracin zinc
- bacitracin zinc
- bacitracin zinc
- bacitracin zinc
- e700
- e700
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05874219 | Phase 2/Phase 3 (Phase 3) | Apr 10, 2023 | Future University in Egypt |
| NCT04438655 | N/A | May 1, 2019 | University of Turin |
| NCT03929224 | Phase 4 | Oct 25, 2018 | Ascension Health, Michigan Ear Institute |
| NCT03715387 | Phase 2/Phase 3 (Phase 3) | Oct 10, 2018 | University of British Columbia |
| NCT03483363 | Phase 4 | Mar 31, 2018 | University of Texas at Houston |
| NCT03199911 | Phase 4 | Oct 2, 2017 | University of California, San Francisco |
| NCT03213249 | Phase 1 | Jul 25, 2017 | The Plastic Surgery Foundation, Washington University in St. Louis |
| NCT03099863 | Phase 4 | Apr 1, 2016 | Case Western Reserve University |
| NCT02395614 | N/A | Dec 1, 2015 | Vanderbilt University |
| NCT02497326 | N/A | Apr 1, 2015 | King Edward Medical University |
| NCT02320695 | N/A | Mar 1, 2015 | Johnson and Johnson |
| NCT02138994 | N/A | Jul 1, 2014 | Jacksonville Center for Clinical Research, Mayo Clinic, Next Science |
| NCT02106962 | Phase 4 | Apr 1, 2014 | California Institute of Renal Research, Inc., Harrow Health |
| NCT02673229 | Phase 4 | Jan 1, 2014 | Healthpoint, University of Kansas |
| NCT01608880 | N/A | Aug 1, 2012 | University of British Columbia |
| NCT01668030 | Phase 4 | Apr 1, 2012 | Healthpoint, University of Louisville |
| NCT01516463 | Phase 4 | Mar 1, 2012 | Healthpoint, University of Kansas |
| NCT01350102 | Phase 4 | Feb 1, 2012 | Milton S. Hershey Medical Center, Pennsylvania State University |
| NCT01359735 | Phase 2 | May 1, 2011 | Healthpoint |
| NCT01222832 | Phase 2 | Jul 1, 2010 | Tufts University |
Organizations
Research & Development (35)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Healthpoint | For profit | 4 | 2 | 2 | 2011 |
| Tufts University | Academic/Hospital | 3 | 3 | 3 | 2006 |
| University of British Columbia | Academic/Hospital | 3 | 2 | 2 | 2009 |
| Case Western Reserve University | Academic/Hospital | 2 | 2 | 2 | 2006 |
| University of Kansas | Academic/Hospital | 2 | 1 | 1 | 2012 |
| Ascension Health | Academic/Hospital | 1 | 1 | 1 | 2018 |
| California Institute of Renal Research, Inc. | For profit | 1 | 1 | 1 | 2014 |
| Fraser Health | Academic/Hospital | 1 | 1 | 1 | 2009 |
| Future University in Egypt | Academic/Hospital | 1 | 1 | 1 | 2023 |
| Glaxo Wellcome | For profit | 1 | 0 | 1 | 1999 |
| Harrow Health | For profit | 1 | 0 | 1 | 2014 |
| Jacksonville Center for Clinical Research | For profit | 1 | 0 | 1 | 2014 |
| Johnson and Johnson | For profit | 1 | 1 | 1 | 2015 |
| King Edward Medical University | Academic/Hospital | 1 | 1 | 1 | 2015 |
| Mayo Clinic | Academic/Hospital | 1 | 0 | 1 | 2014 |
| McMaster University | Academic/Hospital | 1 | 1 | 1 | 2009 |
| Michigan Ear Institute | Academic/Hospital | 1 | 0 | 1 | 2018 |
| Milton S. Hershey Medical Center | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Mylan | For profit | 1 | 1 | 1 | 2007 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 1 | 1 | 1 | 1999 |
Marketing (30)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Akorn, Inc. | For profit | MKTG | Oct 20, 2017 |
| Altana | For profit | MKTG | — |
| Apothekernes | For profit | MKTG | Dec 21, 1972 |
| Athenex, Inc. | For profit | MKTG | — |
| Bausch & Lomb | For profit | MKTG | Jan 26, 1995 |
| Bristol-Myers Squibb | For profit | NDA2 | — |
| Bristol-Myers Squibb | For profit | MKTG | — |
| Burroughs Wellcome | For profit | NDA | Jul 29, 1948 |
| Casper Pharma LLC | For profit | MKTG | May 10, 1971 |
| Casper Pharma LLC | For profit | NDA2 | May 10, 1971 |
| Dow Pharmaceutical Sciences | For profit | MKTG | Apr 19, 1954 |
| Eli Lilly | For profit | MKTG | — |
| Fresenius | For profit | MKTG | Dec 3, 2002 |
| GlaxoSmithKline | For profit | NDA2 | — |
| Monarch Pharmaceuticals | For profit | MKTG | Mar 26, 1957 |
| Monarch Pharmaceuticals | For profit | NDA2 | Mar 26, 1957 |
| Mylan | For profit | MKTG | May 11, 2010 |
| Naska Pharmacal | For profit | MKTG | — |
| Novo Nordisk | For profit | MKTG | Aug 25, 2014 |
| Padagis Us | For profit | MKTG | Nov 9, 1971 |
| Paddock Laboratories | For profit | MKTG | — |
| Perrigo | For profit | MKTG | Nov 9, 1971 |
| Pfizer | For profit | MKTG | Sep 6, 1950 |
| Pharmacia & Upjohn | For profit | MKTG | Jul 29, 1948 |
| Pharmaderm | For profit | MKTG | — |
| Pharmafair | For profit | MKTG | — |
| Saptalis Pharmaceuticals | For profit | MKTG | Jan 30, 1995 |
| Sciegen Pharmaceticals | For profit | MKTG | Jan 30, 1995 |
| X Gen Pharmaceuticals | For profit | MKTG | Jan 6, 1972 |
| Xellia Pharmaceuticals | For profit | MKTG | Aug 25, 2014 |