In vitro activity of gepotidacin and comparator antimicrobials against isolates of nontuberculous mycobacteria (NTM)

Antimicrob Agents Chemother. 2024 Jun 5;68(6):e0168423. doi: 10.1128/aac.01684-23. Epub 2024 Apr 24.

Abstract

Novel antimicrobials are needed to treat rising nontuberculous mycobacteria (NTM) infections. Using standard broth microdilution methods, 68 NTM isolates were tested against gepotidacin, a new, first-in-class, oral triazaacenaphthylene bacterial topoisomerase inhibitor. MICs varied (0.25 to >64 µg/mL) with the lowest being M. fortuitum complex (0.25-8 µg/mL), M. mucogenicum complex (1-2 µg/mL), M. kansasii (0.25-8 µg/mL), and M. marinum (4-16 µg/mL). Testing greater numbers of some species is suggested to better understand gepotidacin activity against NTM.

Keywords: antimicrobial activity; gepotidacin; nontuberculous mycobacteria; rapidly growing mycobacteria; slowly growing mycobacteria.

MeSH terms

  • Acenaphthenes* / pharmacology
  • Anti-Bacterial Agents* / pharmacology
  • Heterocyclic Compounds, 3-Ring / pharmacology
  • Humans
  • Microbial Sensitivity Tests*
  • Mycobacterium Infections, Nontuberculous* / drug therapy
  • Mycobacterium Infections, Nontuberculous* / microbiology
  • Nontuberculous Mycobacteria* / drug effects

Substances

  • Anti-Bacterial Agents
  • gepotidacin
  • Acenaphthenes
  • Heterocyclic Compounds, 3-Ring

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