plazomicin
Trade name: Zemdri
Approved
Jun 25, 2018
Plazomicin is a novel aminoglycoside antibiotic that binds to the bacterial 30S ribosomal subunit, thus inhibiting protein synthesis in a concentration-dependent manner. Plazomicin displays a broad spectrum of activity against aerobic gram-negative bacteria including extended-spectrum β-lactamase-producing Enterobacteriaceae, carbapenem-resistant Enterobacteriaceae, and organisms with aminoglycoside-modifying enzymes. Plazomicin resistance in Enterobacteriaceae is via modification of the ribosomal binding site due to expression of 16S rRNA methyltransferases. ZEMDRI (plazomicin) injection for intravenous use is indicated for the treatment of patients 18 years of age or older with Complicated Urinary Tract Infections (cUTI) including Pyelonephritis. — NCATS
Clinical trial activity
10 trials · 5 clinical orgs · 2 marketing orgs
Earliest trial started Jan 1, 2009 (NCT00822978)
Timeline
2000s
- Jan 1, 2009
Achaogen, Inc. — Earliest Phase 1 Sponsor(trial)
2010s
- Jan 1, 2010
Achaogen, Inc. — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2014
Achaogen, Inc. — Earliest Phase 3 Sponsor(trial)
- Jun 25, 2018
Earliest FDA Approval
- Jun 25, 2018
Achaogen, Inc. — NDA Secondary Org
- Jun 25, 2018
Cipla — Marketing Organization
- Jun 25, 2018
Cipla — NDA Secondary Org
- Jul 27, 2018
Achaogen, Inc. — First NDA Organization
- Jul 27, 2018
Achaogen, Inc. — NDA Organization
Indications
Mechanism of action
aac(6')-Ii agonist
- 30S ribosomal protein S12INHIBITOR
rpsL inhibitor
- Bacterial 70S ribosomeINHIBITOR
Bacterial 70S ribosome inhibitor
Inhibits bacterial protein synthesis.
Indicated for Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Enterobacter cloacae. Activity against (but not indicated for) Pseudomonas aeruginosa, Citrobacter freundii, Citrobacter koseri, Enterobacter aerogenes, Klebsiella oxytoca, Morganella morganii, Proteus vulgaris, Providencia stuartii and Serratia marcescens.
30S subunit
- 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 reviewJun 25, 2018
Chemistry & pharmacology
SMILES
CN[C@@H]1[C@@H](O)[C@@H](O[C@H]2[C@@H](C[C@H](N)[C@@H](O[C@H]3OC(CNCCO)=CC[C@H]3N)[C@@H]2O)NC(=O)[C@@H](O)CCN)OC[C@]1(C)O- Mol. weight
- 592.6828 g/mol
- Lipinski Ro5
- 3 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaPlazomicin ↗
- NCATSLYO9XZ250J ↗
- ChEMBLCHEMBL2364623 ↗
- ChEMBLCHEMBL1650559 ↗
Also known as
- 6'-(hydroxylethyl)-1-(haba)-sisomicin
- achn490
- achn 490
- achn-490
- achn-490
- achn-490
- achn-490
- plazomicin
- plazomicin
- plazomicin
- plazomicin
- plazomicin
- plazomicin sulfate
- plazomicin sulfate
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04699656 | Phase 1 | Jan 5, 2021 | Cipla |
| NCT03270553 | Phase 1 | Aug 31, 2017 | Achaogen, Inc. |
| NCT03177278 | Phase 1 | Jun 6, 2017 | Achaogen, Inc., Celerion |
| NCT02486627 | Phase 3 | Jan 1, 2016 | Achaogen, Inc. |
| NCT01970371 | Phase 3 | Sep 1, 2014 | Achaogen, Inc., Department of Health and Human Services |
| NCT01514929 | Phase 1 | Oct 1, 2011 | Achaogen, Inc., Department of Health and Human Services |
| NCT01462136 | Phase 1 | Sep 1, 2011 | Achaogen, Inc., Department of Health and Human Services |
| NCT01096849 | Phase 2 | Mar 1, 2010 | Achaogen, Inc. |
| NCT01034774 | Phase 1 | Jan 1, 2010 | Achaogen, Inc. |
| NCT00822978 | Phase 1 | Jan 1, 2009 | Achaogen, Inc., Jasper Clinic, Inc. |
Organizations
Research & Development (5)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Achaogen, Inc. | For profit | 9 | 9 | 3 | 2009 |
| Department of Health and Human Services | Government | 3 | 0 | 2 | 2011 |
| Celerion | For profit | 1 | 0 | 1 | 2017 |
| Cipla | For profit | 1 | 1 | 1 | 2021 |
| Jasper Clinic, Inc. | For profit | 1 | 0 | 1 | 2009 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Achaogen, Inc. | For profit | NDA2 | Jun 25, 2018 |
| Achaogen, Inc. | For profit | NDA | Jul 27, 2018 |
| Cipla | For profit | MKTG | Jun 25, 2018 |
| Cipla | For profit | NDA2 | Jun 25, 2018 |