retapamulin
Trade name: altabax
Approved
Apr 12, 2007
Retapamulin is a topical antibiotic which was approved by FDA (Altabax brand name) for the treatment of impetigo due to Staphylococcus aureus (methicillin-susceptible isolates only) or Streptococcus pyogenes. Retapamulin exerts its antibacterial action by binding to 50S subunit of the bacterial ribosome. — NCATS
Clinical trial activity
16 trials · 13 clinical orgs · 3 marketing orgs
Earliest trial started Apr 1, 2005 (NCT00133874)
Timeline
2000s
- Jan 1, 2005
GlaxoSmithKline — Earliest Phase 3 Sponsor(trial)
- Jan 1, 2007
GlaxoSmithKline — Earliest Phase 2 Sponsor(trial)
- Apr 12, 2007
GlaxoSmithKline — Earliest FDA Approval
- Apr 12, 2007
GlaxoSmithKline — NDA Organization
- Apr 12, 2007
Aqua Pharmaceuticals — NDA Secondary Org
- Apr 12, 2007
Almirall — NDA Secondary Org
2010s
- Jan 1, 2014
GlaxoSmithKline — Earliest Phase 1 Sponsor(trial)
Indications
Approved for
Mechanism of action
- 70S ribosomeINHIBITOR
70S ribosome inhibitor
Indicated for staph aur and strep pyogenes.
Binding site is 50S ribosomal protein L3
- 30S ribosomal protein S8 (rpsH) ↗
- 30S ribosomal protein S9 (rpsI) ↗
- 50S ribosomal protein L10 (rplJ) ↗
- 50S ribosomal protein L11 (rplK) ↗
- 50S ribosomal protein L14 (rplN) ↗
- 50S ribosomal protein L15 (rplO) ↗
- 50S ribosomal protein L16 (rplP) ↗
- 50S ribosomal protein L18 (rplR) ↗
- 50S ribosomal protein L19 (rplS) ↗
- 30S ribosomal protein S10 (rpsJ) ↗
- 30S ribosomal protein S11 (rpsK) ↗
- 30S ribosomal protein S12 (rpsL) ↗
- 30S ribosomal protein S13 (rpsM) ↗
- 30S ribosomal protein S14 type Z (rpsZ) ↗
- 30S ribosomal protein S14 (rpsN) ↗
- 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 S2 (rpsB) ↗
- 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) ↗
- 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 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 (rpmE2) ↗
- 50S ribosomal protein L32 (rpmF) ↗
- 50S ribosomal protein L33 1 (rpmG1) ↗
- 50S ribosomal protein L33 2 (rpmG2) ↗
- 50S ribosomal protein L33 3 (rpmG3) ↗
- 50S ribosomal protein L34 (rpmH) ↗
- 50S ribosomal protein L35 (rpmI) ↗
- 50S ribosomal protein L36 (rpmJ) ↗
- 50S ribosomal protein L3 (rplC) ↗
- 50S ribosomal protein L4 (rplD) ↗
- 50S ribosomal protein L5 (rplE) ↗
- 50S ribosomal protein L6 (rplF) ↗
- 50S ribosomal protein L7/L12 (rplL) ↗
- 50S ribosomal protein L9 (rplI) ↗
- 70S ribosomeINHIBITOR
70S ribosome inhibitor
Indicated for staph aur and strep pyogenes.
Binding site is 50S ribosomal protein L3
- 30S ribosomal protein S7 (rpsG) ↗
- 30S ribosomal protein S8 (rpsH) ↗
- 30S ribosomal protein S9 (rpsI) ↗
- 50S ribosomal protein L35 (rpmI) ↗
- 50S ribosomal protein L36 (rpmJ) ↗
- 50S ribosomal protein L3 (rplC) ↗
- 30S ribosomal protein S11 (rpsK) ↗
- 30S ribosomal protein S12 (rpsL) ↗
- 30S ribosomal protein S13 (rpsM) ↗
- 30S ribosomal protein S14 type Z (rpsZ) ↗
- 30S ribosomal protein S14 (rpsN) ↗
- 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 S2 (rpsB) ↗
- 30S ribosomal protein S3 (rpsC) ↗
- 30S ribosomal protein S4 (rpsD) ↗
- 30S ribosomal protein S5 (rpsE) ↗
- 30S ribosomal protein S6 (rpsF) ↗
- 30S ribosomal protein S1, putative ↗
- 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 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 (rpmE2) ↗
- 50S ribosomal protein L32 (rpmF) ↗
- 50S ribosomal protein L33 1 (rpmG1) ↗
- 50S ribosomal protein L33 2 (rpmG2) ↗
- 50S ribosomal protein L34 (rpmH) ↗
- 50S ribosomal protein L4 (rplD) ↗
- 50S ribosomal protein L5 (rplE) ↗
- 50S ribosomal protein L6 (rplF) ↗
- 50S ribosomal protein L7/L12 (rplL) ↗
- 50S ribosomal protein L9 (rplI) ↗
Approval history
- approvedApr 12, 2007
Chemistry & pharmacology
SMILES
C=C[C@]1(C)C[C@@H](OC(=O)CS[C@@H]2C[C@H]3CC[C@@H](C2)N3C)[C@]2(C)[C@H](C)CC[C@]3(CCC(=O)[C@H]32)[C@@H](C)[C@@H]1O- Mol. weight
- 517.78 g/mol
- Lipinski Ro5
- 2 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Topical
- Availability
- Discontinued
Oral
No
Parenteral
No
Topical
Yes
Sources
- ChEMBLCHEMBL1658 ↗
- WikipediaRetapamulin ↗
- NCATS4MG6O8991R ↗
- ChEMBLCHEMBL409542 ↗
Also known as
- aitabax
- altabax
- altabax
- altabax
- altabax
- altabax
- altargo
- altargo
- altargo
- mutilin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retapamulin
- retpamulin
- sb275833
- sb275833
- sb 275833
- sb-275833
- sb-275833
- sb-275833
- sb-275833
- sb-275833
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT03304873 | Phase 3 | Dec 1, 2017 | New York University |
| NCT01812382 | Phase 1 | Apr 2, 2014 | GlaxoSmithKline |
| NCT01461668 | Phase 4 | Jul 1, 2012 | Department of Health and Human Services, University of California, Irvine |
| NCT01397461 | Phase 3 | Mar 1, 2012 | Ferrer Internacional S.A. |
| NCT01591785 | N/A | Jan 1, 2012 | Icahn School of Medicine at Mount Sinai |
| NCT01126268 | Phase 4 | Apr 1, 2010 | GlaxoSmithKline, University of Texas at Houston |
| NCT01064947 | Phase 4 | Feb 1, 2010 | Derm Research, PLLC, GlaxoSmithKline |
| NCT00903279 | Phase 2 | Aug 1, 2009 | Department of Veteran Affairs |
| NCT00871208 | Phase 4 | May 1, 2009 | GlaxoSmithKline, St. Luke's-Roosevelt Hospital Center |
| NCT00856089 | Phase 4 | May 1, 2009 | GlaxoSmithKline, Ochsner Health System, Tulane University |
| NCT00852540 | Phase 3 | Apr 1, 2009 | GlaxoSmithKline, Stiefel Laboratories |
| NCT00684177 | Phase 3 | May 1, 2008 | GlaxoSmithKline |
| NCT00539994 | Phase 2 | Sep 1, 2007 | GlaxoSmithKline |
| NCT00555061 | Phase 4 | Sep 1, 2007 | GlaxoSmithKline |
| NCT00133874 | Phase 3 | Apr 1, 2005 | GlaxoSmithKline |
| NCT00133848 | Phase 3 | Apr 1, 2005 | GlaxoSmithKline |
Organizations
Research & Development (13)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| GlaxoSmithKline | For profit | 11 | 6 | 4 | 2005 |
| Department of Health and Human Services | Government | 1 | 0 | 1 | 2012 |
| Department of Veteran Affairs | Government | 1 | 1 | 1 | 2009 |
| Derm Research, PLLC | For profit | 1 | 1 | 1 | 2010 |
| Ferrer Internacional S.A. | For profit | 1 | 1 | 1 | 2012 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 1 | 1 | 1 | 2012 |
| New York University | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Ochsner Health System | Academic/Hospital | 1 | 1 | 1 | 2009 |
| Stiefel Laboratories | For profit | 1 | 1 | 1 | 2009 |
| St. Luke's-Roosevelt Hospital Center | Academic/Hospital | 1 | 1 | 1 | 2009 |
| Tulane University | Academic/Hospital | 1 | 0 | 1 | 2009 |
| University of California, Irvine | Academic/Hospital | 1 | 1 | 1 | 2012 |
| University of Texas at Houston | Academic/Hospital | 1 | 1 | 1 | 2010 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Almirall | For profit | NDA2 | Apr 12, 2007 |
| Aqua Pharmaceuticals | For profit | NDA2 | Apr 12, 2007 |
| GlaxoSmithKline | For profit | NDA | Apr 12, 2007 |