linezolid
Trade name: zyvox
Approved
Apr 18, 2000
Linezolid is an antibiotic used for the treatment of infections caused by Gram-positive bacteria that are resistant to other antibiotics. Linezolid appears to be unique in that it blocks the initiation of protein production. Most common adverse reactions include diarrhea, vomiting, headache, nausea, and anemia. Linezolid has the potential for interaction with adrenergic and serotonergic agents. And with monoamine oxidase inhibitors because it’s nonselective inhibitor of monoamine oxidase. — NCATS
Clinical trial activity
147 trials · 203 clinical orgs · 30 marketing orgs
Earliest trial started Nov 1, 2001 (NCT00035425)
Timeline
2000s
2010s
- Jun 27, 2012
Teva — Marketing Organization
- Jun 3, 2015
West-Ward Pharmaceutical — Marketing Organization
- Jun 3, 2015
Hikma — Marketing Organization
- Jun 18, 2015
Hospira — NDA Secondary Org
- Jun 18, 2015
Hospira — Marketing Organization
- Jul 16, 2015
Sandoz — Marketing Organization
- Jul 16, 2015
Novartis — Marketing Organization
- Dec 21, 2015
Alembic — Marketing Organization
- Dec 21, 2015
Alkem Labs Ltd — Marketing Organization
- Dec 21, 2015
Amneal Pharmaceuticals — Marketing Organization
- Dec 21, 2015
Glenmark Pharmaceuticals — Marketing Organization
- Dec 21, 2015
Hetero Labs Ltd — Marketing Organization
- Dec 21, 2015
Rising Pharmaceuticals — Marketing Organization
- Mar 15, 2016
Fresenius — Marketing Organization
- Aug 4, 2016
Aurobindo Pharma — Marketing Organization
- Aug 4, 2016
Eugia Pharma — Marketing Organization
- Aug 22, 2016
Novel Anti-Infective Technologies, LLC — Marketing Organization
- Dec 20, 2016
Nang Kuang Pharmaceutical Co., Ltd. — Marketing Organization
- Feb 22, 2017
Zydus Discovery DMCC — Marketing Organization
- Mar 2, 2017
Sagent Pharmaceuticals, Inc. — Marketing Organization
- Mar 2, 2017
Nichi-Iko Pharmaceutical Co., Ltd. — Marketing Organization
- Jul 7, 2017
Hq Speciality Pharma — Marketing Organization
- Dec 6, 2017
Mylan — Marketing Organization
- Dec 6, 2017
PHARMOBEDIENT — Marketing Organization
- Apr 25, 2019
Celltrion — Marketing Organization
- Apr 25, 2019
Chartwell Pharmaceuticals — Marketing Organization
2020s
- Oct 10, 2024
Macleods Pharmaceuticals, Ltd — Marketing Organization
- Dec 8, 2025
Caplin Point Laboratories — Marketing Organization
Indications
Approved for
Studied for
- Abscess · Phase 3
- Antibiotic Prophylaxis · Phase 4
- Bacteremia · Phase 4
- Bacterial Infections · Phase 4
- Bone and Bones · Phase 1/Phase 2
- Burns · Phase 1
- Catheter-Related Infections · Phase 4
- Cellulitis · Phase 3
- Community-Acquired Infections · Phase 3
- Critical Illness · Phase 4
- Cross Infection · Phase 3
- Cystic Fibrosis · Phase 2
- Dermatology · Phase 2
- Diabetes Mellitus · Phase 3
- Diabetic Foot · Phase 4
- Endocarditis · Phase 4
- Extensively Drug-Resistant Tuberculosis · Phase 3
- Febrile Neutropenia · Phase 3
- General Surgery · Phase 4
- Gram-Positive Bacteria · Phase 1
- Gram-Positive Bacterial Infections · Phase 4
- Healthcare-Associated Pneumonia · Phase 4
- Healthy Volunteers · Phase 1
- HIV Infections · Phase 4
- Infections · Phase 3
- Joints · Phase 1/Phase 2
- Kidney Diseases · Phase 4
- Linezolid · Phase 2
- Lung Diseases · Phase 2/Phase 3
- Lymphoma · Phase 2
- Meningitis · Phase 1/Phase 2
- Methicillin-Resistant Staphylococcus aureus · Phase 4
- Neoplasms · Phase 2
- Neurosurgery · Phase 1
- Optic Nerve Diseases · Phase 3
- Osteoarthritis · Phase 4
- Osteomyelitis · Phase 2
- Pneumonia, Bacterial · Phase 3
- Pneumonia, Ventilator-Associated · Phase 4
- Prosthesis-Related Infections · Phase 2
- Skin and Connective Tissue Diseases · Phase 4
- Skin Diseases, Bacterial · Phase 3
- Skin Diseases, Infectious · Phase 3
- Soft Tissue Infections · Phase 4
- Staphylococcal Infections · Phase 3
- Staphylococcal Skin Infections · Phase 2
- Streptococcal Infections · Phase 2
- Surgical Wound Infection · Phase 3
- Syphilis · Phase 3
- Syphilis, Congenital · Phase 2
- Tuberculosis · Phase 4
- Tuberculosis, Meningeal · Phase 2
- Tuberculosis, Multidrug-Resistant · Phase 4
- Tuberculosis, Pulmonary · Phase 3
- Ulcer · Phase 3
- Ventilators, Mechanical · Phase 4
- Wound Infection · Phase 3
- Yaws · Phase 3
Mechanism of action
- Bacterial 70S ribosomeINHIBITOR
Bacterial 70S ribosome inhibitor
Indicated for Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes, Streptococcus agalactiae, Enterococcus faecium
23S 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) ↗
Approval history
- approvedPriority reviewApr 18, 2000
Chemistry & pharmacology
SMILES
CC(=O)NC[C@H]1CN(C(=O)O1)C2=CC=C(N3CCOCC3)C(F)=C2- Mol. weight
- 337.3461 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- WikipediaLinezolid ↗
- NCATSISQ9I6J12J ↗
- ChEMBLCHEMBL126 ↗
Also known as
- linezolid
- linezolid
- linezolid
- linezolid
- linezolid
- linezolid
- linezolid
- linezolid
- linezolid
- linezolid
- linezolid
- linezolide
- linezolide
- linezolide
- linezolid sodium chloride
- linezolidum
- linezolidum
- linospan
- linox
- n-(((s)-3-(3-fluoro-4-morpholinophenyl)-2-oxo-5-oxazolidinyl)methyl)acetamide
- n-(((s)-3-(3-fluoro-4-morpholinophenyl)-2-oxo-5-oxazolidinyl)methyl)acetamide
- u 100766
- u-100766
- u-100766
- u-100766
- zyvox
- zyvox
- zyvox
- zyvox
- zyvox
- zyvoxid
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07227779 | Phase 2 | Feb 15, 2026 | Makerere University, University of Minnesota |
| NCT07301294 | Phase 4 | Jan 1, 2026 | Menoufia University |
| NCT07138521 | Phase 4 | Oct 15, 2025 | Alexandria University |
| NCT06958835 | N/A | Oct 6, 2025 | Swiss National Science Foundation, University of Basel |
| NCT06921213 | Phase 2 | Oct 1, 2025 | Chiangmai University, Medical Research Council, Murdoch University, National University of Ireland, Stellenbosch University, University of London, University of Sydney, Wellcome Trust |
| NCT07198685 | N/A | Sep 30, 2025 | Huazhong University of Science and Technology |
| NCT07126639 | N/A | Sep 1, 2025 | Huazhong University of Science and Technology |
| NCT07076225 | Phase 3 | Jul 25, 2025 | Capital Medical University, Fudan University, Huazhong University of Science and Technology, Shenzhen Third People's Hospital, Sichuan University, Tsinghua University |
| NCT06905522 | Phase 3 | Apr 15, 2025 | Shenyang Tenth People's Hospital, Shenzhen Third People's Hospital, Zhejiang University |
| NCT06590428 | N/A | Nov 30, 2024 | Columbia University, Emory University, National Institute of Allergy and Infectious Diseases (NIAID), University of Cape Town, University of London, Yeshiva University |
| NCT06649721 | Phase 3 | Nov 15, 2024 | Capital Medical University, Fudan University |
| NCT06441006 | Phase 3 | Nov 1, 2024 | Johns Hopkins University, University of California, San Francisco |
| NCT06192160 | Phase 2 | Oct 15, 2024 | National Institute of Allergy and Infectious Diseases (NIAID), TB Alliance, University of California, Berkeley, Vanderbilt University |
| NCT06444802 | Phase 3 | Sep 1, 2024 | University of Hamburg |
| NCT06336824 | Phase 3 | Jun 28, 2024 | Clinical Research Centre, Malaysia, Government of Malaysia |
| NCT06811025 | Phase 1/Phase 2 (Phase 2) | Feb 1, 2024 | Capital Medical University |
| NCT06811012 | Phase 1/Phase 2 (Phase 2) | Jan 31, 2024 | Capital Medical University |
| NCT06114628 | Phase 2 | Dec 8, 2023 | German Center for Infection Research, GlaxoSmithKline, Government of France, Janssen Pharmaceutica NV, KNCV Tuberculosis Foundation, Otsuka, Radboud University, Research Center Borstel, TASK Applied Science, TB Alliance, Tuberculosis Network European Trialsgroup, University of California, San Francisco, University of Cambridge, University of Hamburg, University of Liverpool, University of London, University of Milan, University of Oxford, University of Porto, University of St Andrews, Uppsala University, Vita-Salute University of Milano. Italy |
| NCT06081361 | Phase 3 | Nov 1, 2023 | Capital Medical University |
| NCT06058299 | Phase 2 | Oct 31, 2023 | Global Alliance for TB Drug Development, TB Alliance |
Organizations
Research & Development (203)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Pfizer | For profit | 20 | 14 | 5 | 2001 |
| University of London | Academic/Hospital | 11 | 4 | 3 | 2005 |
| Capital Medical University | Academic/Hospital | 8 | 6 | 4 | 2019 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 8 | 6 | 4 | 2003 |
| Global Alliance for TB Drug Development | Academic/Hospital | 7 | 4 | 2 | 2014 |
| Medecins Sans Frontieres | Academic/Hospital | 6 | 6 | 1 | 2016 |
| University of California, San Francisco | Academic/Hospital | 6 | 2 | 2 | 2019 |
| University of Cape Town | Academic/Hospital | 6 | 2 | 3 | 2009 |
| Boston University | Academic/Hospital | 5 | 2 | 3 | 2003 |
| Fudan University | Academic/Hospital | 5 | 4 | 2 | 2019 |
| Merck | For profit | 5 | 2 | 1 | 2014 |
| Paratek Pharmaceuticals Inc | For profit | 5 | 5 | 2 | 2007 |
| Allergan | For profit | 4 | 3 | 2 | 2011 |
| GlaxoSmithKline | For profit | 4 | 2 | 3 | 2009 |
| University of Ulsan | Academic/Hospital | 4 | 1 | 3 | 2012 |
| Basilea Pharmaceutica | For profit | 3 | 3 | 1 | 2005 |
| Cempra Inc | For profit | 3 | 3 | 2 | 2009 |
| Columbia University | Academic/Hospital | 3 | 0 | 2 | 2009 |
| Forest Laboratories | For profit | 3 | 3 | 2 | 2008 |
| Government of Belarus | Government | 3 | 0 | 1 | 2017 |
Marketing (42)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Alembic | For profit | MKTG | Dec 21, 2015 |
| Alembic | For profit | SYN | Dec 21, 2015 |
| Alkem Labs Ltd | For profit | MKTG | Dec 21, 2015 |
| Amneal Pharmaceuticals | For profit | MKTG | Dec 21, 2015 |
| Aurobindo Pharma | For profit | MKTG | Aug 4, 2016 |
| Caplin Point Laboratories | For profit | MKTG | Dec 8, 2025 |
| Celltrion | For profit | MKTG | Apr 25, 2019 |
| Chartwell Pharmaceuticals | For profit | MKTG | Apr 25, 2019 |
| Eugia Pharma | For profit | MKTG | Aug 4, 2016 |
| Fresenius | For profit | MKTG | Mar 15, 2016 |
| Glenmark Pharmaceuticals | For profit | SYN | Dec 21, 2015 |
| Glenmark Pharmaceuticals | For profit | MKTG | Dec 21, 2015 |
| Hetero Labs Ltd | For profit | MKTG | Dec 21, 2015 |
| Hetero Labs Ltd | For profit | SYN | Oct 31, 2022 |
| Hikma | For profit | MKTG | Jun 3, 2015 |
| Hikma | For profit | SYN | Jun 3, 2015 |
| Hospira | For profit | NDA2 | Jun 18, 2015 |
| Hospira | For profit | MKTG | Jun 18, 2015 |
| Hq Speciality Pharma | For profit | MKTG | Jul 7, 2017 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Oct 10, 2024 |
| Mylan | For profit | SYN | Dec 21, 2015 |
| Mylan | For profit | MKTG | Dec 6, 2017 |
| Mylan | For profit | SYN | Dec 21, 2015 |
| Nang Kuang Pharmaceutical Co., Ltd. | For profit | MKTG | Dec 20, 2016 |
| Nichi-Iko Pharmaceutical Co., Ltd. | For profit | MKTG | Mar 2, 2017 |
| Novartis | For profit | MKTG | Jul 16, 2015 |
| Novel Anti-Infective Technologies, LLC | For profit | MKTG | Aug 22, 2016 |
| PHARMOBEDIENT | For profit | MKTG | Dec 6, 2017 |
| Pfizer | For profit | MKTG | Apr 18, 2000 |
| Pfizer | For profit | NDA2 | Apr 18, 2000 |
| Pharmacia | For profit | NDA | — |
| Pharmacia & Upjohn | For profit | NDA2 | Apr 18, 2000 |
| Rising Pharmaceuticals | For profit | MKTG | Dec 21, 2015 |
| Sagent Pharmaceuticals, Inc. | For profit | SYN | Mar 2, 2017 |
| Sagent Pharmaceuticals, Inc. | For profit | MKTG | Mar 2, 2017 |
| Sandoz | For profit | MKTG | Jul 16, 2015 |
| Sandoz | For profit | SYN | Jul 16, 2015 |
| Teva | For profit | SYN | Feb 5, 2016 |
| Teva | For profit | MKTG | Jun 27, 2012 |
| Teva | For profit | SYN | May 18, 2015 |
| West-Ward Pharmaceutical | For profit | MKTG | Jun 3, 2015 |
| Zydus Discovery DMCC | For profit | MKTG | Feb 22, 2017 |