polymyxin b sulfate
Trade name: poly-rx
Approved
Apr 19, 1954
Polymyxin B is a lipopeptide antibiotic isolated from Bacillus polymyxa. Its basic structure consists of a polycationic peptide ring and a tripeptide side chain with a fatty acid tail. Polymyxin B is a mixture of at least four closely related components, polymyxin B1 to B4, with polymyxin B1 and B2 being the two major components. Polymyxin B acts on Gram-negative bacteria by interacting with lipopolysaccharide (LPS) of the outer membrane and destabilizing it. Polymyxin B is indicated for the treatment of many bacterial diseases such as meningeal infections, urinary tract infections and bacteremia. — NCATS
Clinical trial activity
36 trials · 54 clinical orgs · 49 marketing orgs
Earliest trial started Nov 2, 1999 (NCT00000635)
Timeline
1950s
- Apr 19, 1954
Earliest FDA Approval
- Apr 19, 1954
Dow Pharmaceutical Sciences — Marketing Organization
- Mar 26, 1957
Monarch Pharmaceuticals — Marketing Organization
- Mar 26, 1957
Monarch Pharmaceuticals — NDA Secondary Org
- Jun 25, 1958
Parke-Davis — Marketing Organization
- Jun 25, 1958
Parke-Davis — NDA Secondary Org
1960s
- May 10, 1963
Allergan — Marketing Organization
- May 10, 1963
Allergan — NDA Secondary Org
- Jun 6, 1963
Harrow Health — NDA Secondary Org
- Jul 19, 1963
Novartis — NDA Secondary Org
- Jun 29, 1964
West-Ward Pharmaceutical — Marketing Organization
- Jun 29, 1964
Hikma — Marketing Organization
- Jul 8, 1965
Casper Pharma LLC — Marketing Organization
- Jul 8, 1965
Casper Pharma LLC — NDA Secondary Org
1970s
- Jan 5, 1972
X Gen Pharmaceuticals — First NDA Organization
- Jan 5, 1972
X Gen Pharmaceuticals — NDA Organization
- Jan 5, 1972
X Gen Pharmaceuticals — Marketing Organization
- Oct 11, 1972
Forest Laboratories — Marketing Organization
- Mar 12, 1974
Alcon — Marketing Organization
- Mar 12, 1974
Alcon — NDA Secondary Org
1980s
- Nov 13, 1980
GlaxoSmithKline — Marketing Organization
- Jan 22, 1981
Perrigo — Marketing Organization
- Jan 22, 1981
Padagis Us — Marketing Organization
- Dec 1, 1981
Schering — Marketing Organization
- Dec 1, 1981
Schering-Plough — Marketing Organization
- Aug 25, 1983
Sandoz — Marketing Organization
- Oct 29, 1984
Novartis — Marketing Organization
- Nov 30, 1984
Nestle — Marketing Organization
- Apr 8, 1986
Watson Pharmaceuticals — Marketing Organization
- Oct 20, 1988
SmithKline Beckman — NDA Secondary Org
1990s
- Jul 25, 1994
Bausch & Lomb — Marketing Organization
- Sep 30, 1994
BEOWULF ASSET — Marketing Organization
- Sep 30, 1994
PHARMOBEDIENT — Marketing Organization
- Jan 30, 1995
Akorn, Inc. — Marketing Organization
- Jan 30, 1995
Sciegen Pharmaceticals — Marketing Organization
- Dec 17, 1998
Epic Pharma Llc — Marketing Organization
2000s
- Jan 1, 2005
Earliest Phase 2 Sponsor(trial)
- Oct 28, 2005
Amring Pharmaceticals — Marketing Organization
- Oct 31, 2005
Saptalis Pharmaceuticals — Marketing Organization
- Jan 1, 2007
Earliest Phase 3 Sponsor(trial)
- Jan 10, 2008
Fresenius — Marketing Organization
2010s
- Jan 1, 2011
Earliest Phase 1 Sponsor(trial)
- Jun 29, 2011
Mylan — Marketing Organization
- Jun 29, 2011
Rising Pharmaceuticals — Marketing Organization
- Jan 15, 2014
Xellia Pharmaceuticals — Marketing Organization
- Jan 15, 2014
Novo Nordisk — Marketing Organization
- Apr 4, 2016
Aurobindo Pharma — Marketing Organization
- Apr 4, 2016
Eugia Pharma — Marketing Organization
- Apr 14, 2016
Gland Pharma Ltd — Marketing Organization
2020s
- Aug 5, 2024
Somerset Pharmaceuticals — Marketing Organization
- Sep 30, 2025
Amneal Pharmaceuticals — Marketing Organization
Indications
Approved for
Studied for
- Anesthesia and Analgesia · Phase 3
- Bacteremia · Phase 2/Phase 3
- Bacterial Infections · Early Phase 1
- Burns · Phase 2/Phase 3
- Conjunctivitis · Phase 4
- Conjunctivitis, Bacterial · Phase 3
- Critical Illness · Phase 3
- Cross Infection · Phase 4
- Dentures · Phase 1
- Diabetic Foot · Phase 2
- Drug Evaluation · Phase 3
- Drug-Related Side Effects and Adverse Reactions · Phase 1
- Drug Resistance, Bacterial · Phase 3
- Eczema · Phase 3
- Edema · Phase 2/Phase 3
- Graft vs Host Disease · Phase 2
- Healthcare-Associated Pneumonia · Phase 2/Phase 3
- Heart Failure · Phase 3
- Hematopoietic Stem Cell Transplantation · Phase 2
- Hordeolum · Phase 3
- Kidney Failure, Chronic · Phase 4
- Leber Congenital Amaurosis · Phase 1/Phase 2
- Nasolacrimal Duct · Phase 1
- Otitis · Phase 3
- Pneumonia, Ventilator-Associated · Phase 3
- Retinoblastoma · Phase 1
- Sick Sinus Syndrome · Phase 3
- Syncope · Phase 3
- Urinary Tract Infections · Phase 4
- Vaginitis · Phase 4
- Wound Healing · Phase 2
- Wounds and Injuries · Phase 3
Mechanism of action
- Cell outer membraneINHIBITOR
Cell outer membrane inhibitor
Combination products
casporyn hc
Also known as neomycin and polymyxin b sulfates and hydrocortisone, oticair, pediotic
chloromyxin
with chloramphenicol
cortisporin
with urea, bacitracin, neomycin
Also known as bacitracin-neomycin-polymyxin w/ hydrocortisone acetate, neomycin and polymyxin b sulfates, bacitracin zinc and hydrocortisone
lanabiotic
with lidocaine, bacitracin, neomycin
maxitrol
with neomycin, dexamethasone
Also known as dexacidin, dexasporin, neomycin and polymyxin b sulfates and dexamethasone
neo-polycin
with bacitracin, neomycin
Also known as neomycin and polymyxin b sulfates and bacitracin zinc
neosporin
with neomycin, gramicidin
Also known as neomycin and polymyxin b sulfates and gramicidin
neosporin g.u. irrigant
with neomycin
Also known as neomycin and polymyxin b sulfate, statrol
ophthocort
with urea, chloramphenicol
poly-pre
with prednisone, neomycin
polysporin
with bacitracin
polytrim
with trimethoprim
pyocidin
with urea
Also known as otobiotic
terramycin w/ polymyxin b sulfate
with oxytetracycline
Approval history
- approvedApr 19, 1954
Chemistry & pharmacology
SMILES
CCC(C)CCCCC(=O)N[C@@H](CCN)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CCN)C(=O)N[C@H]1CCNC(=O)[C@@H](NC(=O)[C@H](CCN)NC(=O)[C@H](CCN)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](Cc2ccccc2)NC(=O)[C@@H](CCN)NC1=O)[C@@H](C)O.OS(=O)(=O)O- Mol. weight
- 1301.58 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaPolymyxin B ↗
- NCATSJ2VZ07J96K ↗
- ChEMBLCHEMBL3989738 ↗
- ChEMBLCHEMBL3989714 ↗
- ChEMBLCHEMBL5314355 ↗
- ChEMBLCHEMBL1200626 ↗
- ChEMBLCHEMBL1201283 ↗
- ChEMBLCHEMBL5314354 ↗
Also known as
- aerosporin
- aerosporin
- aerosporin
- aerosporin
- bacitracin - polymyxin b
- bacitracin, polymyxin b drug combination
- duobiotic
- gppe pdr ster
- mastimyxin
- neosporin
- neosporin
- neosporin
- polimixina b
- polimixina b
- polyfax
- polyfax
- polyfax
- polymycin b sulfate
- polymyxin
- polymyxin
- polymyxin b
- polymyxin b
- polymyxin b
- polymyxin b
- polymyxin b
- polymyxin b
- polymyxin b(1)
- polymyxin-b-sulfat
- polymyxin-b-sulfat
- polymyxin b sulfate
- polymyxin b sulfate
- polymyxin b sulfate
- polymyxin b sulfate
- polymyxin b sulfate
- polymyxin b sulfate
- polymyxin b sulfate
- polymyxin b sulfate
- polymyxin b sulphate
- polymyxin b sulphate
- polymyxin b sulphate
- polymyxine b
- polymyxine b
- polymyxine b (sulfate de)
- polymyxine b (sulfate de)
- polymyxini b sulfas
- polymyxini b sulfas
- polymyxinum b
- polymyxinum b
- poly-rx
- poly-rx
- polysporin
- polysporin
- polysporin
- polytrim
- polytrim
- thiosporin
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05685615 | Phase 2 | Apr 20, 2023 | BioVersys SAS |
| NCT05359627 | Phase 1 | May 31, 2022 | TTY Biopharm |
| NCT05063422 | Phase 1 | Jan 18, 2021 | Altamash Institute of Dental Medicine |
| NCT06739382 | Phase 3 | Jan 1, 2021 | Beni Suef University, Cairo University |
| NCT05234086 | Phase 2 | Jan 2, 2020 | Government of Chile, Instituto para el Desarrollo Biotecnológico y la Innovación S.A. |
| NCT03920007 | Phase 1/Phase 2 (Phase 2) | Jul 9, 2019 | Sanofi |
| NCT03950544 | Early Phase 1 (Phase 1) | Jan 1, 2019 | Huazhong University of Science and Technology |
| NCT03715387 | Phase 2/Phase 3 (Phase 3) | Oct 10, 2018 | University of British Columbia |
| NCT03159078 | Phase 3 | May 25, 2017 | University of Puerto Rico |
| NCT02792036 | Phase 1 | Nov 1, 2016 | St. Jude Children's Hospital |
| NCT03099863 | Phase 4 | Apr 1, 2016 | Case Western Reserve University |
| NCT02809131 | Phase 3 | Apr 1, 2016 | Medtronic, Rowan University, Thomas Jefferson University, Valley Health System, Vanderbilt University |
| NCT02641236 | Phase 2 | Mar 1, 2016 | Harvard University |
| NCT02515656 | Phase 3 | Sep 1, 2015 | Fournier Labs, International Clinical Trials Association, Laboratoire Innotech International, Venn Life Sciences |
| NCT02497326 | N/A | Apr 1, 2015 | King Edward Medical University |
| NCT02320695 | N/A | Mar 1, 2015 | Johnson and Johnson |
| NCT02134106 | Phase 2/Phase 3 (Phase 3) | Jan 1, 2015 | Changi General Hospital, Nanyang Technological University, National University of Singapore, Singapore General Hospital |
| NCT02328183 | Phase 4 | Dec 1, 2014 | Mahidol University, Siriraj Hospital |
| NCT02186457 | N/A | Nov 1, 2014 | Indiana University |
| NCT02138994 | N/A | Jul 1, 2014 | Jacksonville Center for Clinical Research, Mayo Clinic, Next Science |
Organizations
Research & Development (54)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Fournier Labs | For profit | 2 | 0 | 2 | 2009 |
| Laboratoire Innotech International | For profit | 2 | 2 | 2 | 2009 |
| University of British Columbia | Academic/Hospital | 2 | 2 | 2 | 2012 |
| Altamash Institute of Dental Medicine | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Azidus | For profit | 1 | 1 | 1 | 2011 |
| Bausch & Lomb | For profit | 1 | 0 | 1 | 2011 |
| Beni Suef University | Academic/Hospital | 1 | 1 | 1 | 2021 |
| BioVersys SAS | For profit | 1 | 1 | 1 | 2023 |
| Cairo University | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Case Western Reserve University | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Changi General Hospital | Academic/Hospital | 1 | 0 | 1 | 2015 |
| Chulalongkorn University | Academic/Hospital | 1 | 1 | 1 | 2007 |
| EMS S/A | For profit | 1 | 1 | 1 | 2012 |
| Faculdade de Medicina do ABC | Academic/Hospital | 1 | 0 | 1 | 2009 |
| Fraser Health | Academic/Hospital | 1 | 1 | 1 | 2009 |
| Glaxo Wellcome | For profit | 1 | 0 | 1 | 1999 |
| Government of Chile | Government | 1 | 0 | 1 | 2020 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Huazhong University of Science and Technology | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Indiana University | Academic/Hospital | 1 | 1 | 1 | 2014 |
Marketing (65)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actavis | For profit | MKTG | — |
| Akorn, Inc. | For profit | MKTG | Jan 30, 1995 |
| Akorn, Inc. | For profit | SYN | Dec 17, 1998 |
| Alcon | For profit | MKTG | Mar 12, 1974 |
| Alcon | For profit | SYN | Nov 17, 1986 |
| Alcon | For profit | NDA2 | Mar 12, 1974 |
| Allergan | For profit | MKTG | May 10, 1963 |
| Allergan | For profit | NDA2 | May 10, 1963 |
| Altana | For profit | MKTG | — |
| Amneal Pharmaceuticals | For profit | MKTG | Sep 30, 2025 |
| Amring Pharmaceticals | For profit | MKTG | Oct 28, 2005 |
| Aurobindo Pharma | For profit | MKTG | Apr 4, 2016 |
| BEOWULF ASSET | For profit | MKTG | Sep 30, 1994 |
| Bausch & Lomb | For profit | MKTG | Jul 25, 1994 |
| Bristol-Myers Squibb | For profit | NDA2 | — |
| Bristol-Myers Squibb | For profit | MKTG | — |
| Casper Pharma LLC | For profit | MKTG | Jul 8, 1965 |
| Casper Pharma LLC | For profit | NDA2 | Jul 8, 1965 |
| Dow Pharmaceutical Sciences | For profit | MKTG | Apr 19, 1954 |
| Epic Pharma Llc | For profit | MKTG | Dec 17, 1998 |
| Eugia Pharma | For profit | MKTG | Apr 4, 2016 |
| Forest Laboratories | For profit | MKTG | Oct 11, 1972 |
| Fresenius | For profit | MKTG | Jan 10, 2008 |
| Gland Pharma Ltd | For profit | MKTG | Apr 14, 2016 |
| Gland Pharma Ltd | For profit | SYN | Apr 14, 2016 |
| GlaxoSmithKline | For profit | MKTG | Nov 13, 1980 |
| GlaxoSmithKline | For profit | NDA2 | — |
| Harrow Health | For profit | NDA2 | Jun 6, 1963 |
| Hikma | For profit | MKTG | Jun 29, 1964 |
| Monarch Pharmaceuticals | For profit | MKTG | Mar 26, 1957 |
| Monarch Pharmaceuticals | For profit | NDA2 | Mar 26, 1957 |
| Mylan | For profit | MKTG | Jun 29, 2011 |
| Naska Pharmacal | For profit | MKTG | — |
| Nestle | For profit | MKTG | Nov 30, 1984 |
| Novartis | For profit | MKTG | Oct 29, 1984 |
| Novartis | For profit | SYN | Jun 6, 1963 |
| Novartis | For profit | NDA2 | Jul 19, 1963 |
| Novo Nordisk | For profit | MKTG | Jan 15, 2014 |
| PHARMOBEDIENT | For profit | MKTG | Sep 30, 1994 |
| Padagis Us | For profit | MKTG | Jan 22, 1981 |
| Paddock Laboratories | For profit | MKTG | — |
| Parke-Davis | For profit | MKTG | Jun 25, 1958 |
| Parke-Davis | For profit | NDA2 | Jun 25, 1958 |
| Perrigo | For profit | MKTG | Jan 22, 1981 |
| Pfizer | For profit | MKTG | — |
| Pharmacia & Upjohn | For profit | MKTG | — |
| Pharmaderm | For profit | MKTG | — |
| Pharmafair | For profit | MKTG | — |
| Rising Pharmaceuticals | For profit | MKTG | Jun 29, 2011 |
| Rising Pharmaceuticals | For profit | SYN | Jun 29, 2011 |
| Sandoz | For profit | MKTG | Aug 25, 1983 |
| Sandoz | For profit | SYN | Aug 25, 1983 |
| Saptalis Pharmaceuticals | For profit | MKTG | Oct 31, 2005 |
| Schering | For profit | MKTG | Dec 1, 1981 |
| Schering-Plough | For profit | MKTG | Dec 1, 1981 |
| Sciegen Pharmaceticals | For profit | MKTG | Jan 30, 1995 |
| SmithKline Beckman | For profit | NDA2 | Oct 20, 1988 |
| Somerset Pharmaceuticals | For profit | MKTG | Aug 5, 2024 |
| Watson Pharmaceuticals | For profit | MKTG | Apr 8, 1986 |
| West-Ward Pharmaceutical | For profit | MKTG | Jun 29, 1964 |
| X Gen Pharmaceuticals | For profit | NDA | Jan 5, 1972 |
| X Gen Pharmaceuticals | For profit | MKTG | Jan 5, 1972 |
| X Gen Pharmaceuticals | For profit | SYN | Sep 30, 1994 |
| Xellia Pharmaceuticals | For profit | MKTG | Jan 15, 2014 |
| iPharma | For profit | MKTG | — |