Gatifloxacin

drug
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Also known as AM-1155BMS-20658401GatifloGatifloxacin (sesquihydrate)Gatifloxacin anhydrousGatifloxacin hydrateGatifloxacin sesquihydrateGatifloxacineGatifloxacinoNSC-758701PD-135432TequinZymarZymaxidZymerSID26748958SID861394SID104171401SID124888832

Summary

Gatifloxacin (CHEMBL31) is an approved small-molecule antiinfective agent (ATC S01AE06); indicated across 8 conditions including bacterial conjunctivitis and eye infectious disorder.

At a glance

  • Status: Approved (max clinical phase 4)
  • Modality: Small molecule
  • ATC class: S01AE06 (+1 more)
  • Indications: 8 conditions
  • Clinical trials: 19
  • Chemistry: 375.4 Da · C19H22FN3O4

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL31
NameGatifloxacin
TypeSmall molecule
Max phase4
FDA approvedyes
PubChem CID5379
ChEBICHEBI:5280
ATCS01AE06, J01MA16
Molecular formulaC19H22FN3O4
Molecular weight375.4
InChIKeyXUBOMFCQGDBHNK-UHFFFAOYSA-N

SMILES: CC1CN(CCN1)C2=C(C=C3C(=C2OC)N(C=C(C3=O)C(=O)O)C4CC4)F

IUPAC name: 1-cyclopropyl-6-fluoro-8-methoxy-7-(3-methylpiperazin-1-yl)-4-oxoquinoline-3-carboxylic acid

ChEBI definition: A monocarboxylic acid that is 4-oxo-1,4-dihydroquinoline-3-carboxylic acid which is substituted on the nitrogen by a cyclopropyl group and at positions 6, 7, and 8 by fluoro, 3-methylpiperazin-1-yl, and methoxy groups, respectively. Gatifloxacin is an antibiotic of the fourth-generation fluoroquinolone family, that like other members of that family, inhibits the bacterial topoisomerase type-II enzymes.

Pharmacological roles (ChEBI): antiinfective agent, EC 5.99.1.3 [DNA topoisomerase (ATP-hydrolysing)] inhibitor, antimicrobial agent.

Also known as: AM-1155, BMS-20658401, Gatiflo, Gatifloxacin, Gatifloxacin (sesquihydrate), Gatifloxacin anhydrous, Gatifloxacin hydrate, Gatifloxacin sesquihydrate, Gatifloxacine, Gatifloxacino, NSC-758701, PD-135432

Parent form; salt/anhydrous children: CHEMBL1974188, CHEMBL3764608

Patent coverage: 6,770 distinct patent families (25,151 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 24,781 (99%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.

Targets

Targets

Broader ChEMBL bioactivity targets: 16 (assay-derived). Sample: Tyrosyl-DNA phosphodiesterase 1, Lysine-specific demethylase 4E, Streptokinase A, 15-hydroxyprostaglandin dehydrogenase [NAD(+)], DNA gyrase, Mu-type opioid receptor, Voltage-gated inwardly rectifying potassium channel KCNH2, Serine/threonine-protein kinase D3, Polyunsaturated fatty acid lipoxygenase ALOX15, Cruzipain.

Bioactivity

ChEMBL activities: 8 potent at pChembl ≥ 5 of 20 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
P0AES46.3IC50500nMCHEMBL_ACT_1695507
P0AES46.3IC50500nMCHEMBL_ACT_1775318
P105206.17EC50668nMCHEMBL_ACT_4937613
P0C1U95.92IC501200nMCHEMBL_ACT_1695523
CLK45.4Ki3981nMCHEMBL_ACT_9691229
CLK25.1Ki7943nMCHEMBL_ACT_9507618
PRKD35.1Ki7943nMCHEMBL_ACT_9615971
P9WG475.03IC509400nMCHEMBL_ACT_3551877

Target pathways

No target-pathway data for this drug (no mapped target genes).

Indications & clinical

Indications

8 indications (4 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).

IndicationTrial phaseMONDOEFO
bacterial conjunctivitis4MONDO:0006668EFO:1000829
eye infectious disorder4MONDO:0043885EFO:1001888
bacterial infectious disease4MONDO:0005113EFO:0000771
tuberculosis3MONDO:0018076MONDO:0018076
corneal ulcer2MONDO:0004577MONDO:0004577
cataract1MONDO:0005129MONDO:0005129
osteomyelitis0MONDO:0005246EFO:0003102

1 further indication record had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.

Clinical trials

Total trials: 19.

Phase distribution

PhaseTrials
PHASE47
PHASE34
Not specified3
PHASE22
PHASE12
PHASE1/PHASE21

Top trials by phase / activity

NCTPhaseStatusTitle
NCT00350363PHASE4COMPLETEDOne Hour Preoperative Gatifloxacin
NCT00407017PHASE4COMPLETEDTherapeutic Variables in Cataract Surgery
NCT00410891PHASE4COMPLETEDTopical Antibiotics and Intravitreous Injections
NCT00433225PHASE4COMPLETEDEfficacy of Topical Ketorolac Versus Placebo for Improving Visual Outcomes Following Multifocal IOL Implantation
NCT00464438PHASE4COMPLETEDA Study to Evaluate the Safety and Efficacy of Gatifloxacin for the Treatment of Bacterial Conjunctivitis
NCT01421693PHASE4COMPLETEDGatifloxacin Versus Ceftriaxone in the Treatment of Enteric Fever
NCT03578276PHASE4COMPLETEDProphylactic Treatment: Lessdrops™ vs Standard Drops Regimen
NCT00509873PHASE3COMPLETEDA Study of the Safety and Efficacy of Gatifloxacin in Patients With Bacterial Conjunctivitis
NCT00518089PHASE3COMPLETEDA Study of the Safety and Efficacy of Gatifloxacin in Patients With Bacterial Conjunctivitis
NCT01330355PHASE3TERMINATEDBesifloxacin Ophthalmic Suspension Verses Gatifloxacin Ophthalmic Solution in Neonates With Bacterial Conjunctivitis
NCT03696342PHASE3TERMINATEDEfficacy of the Ophthalmic Pazufloxacin 0.6% for Bacterial Conjunctivitis, Compared to Gatifloxacin 0.3%.
NCT00396084PHASE1/PHASE2COMPLETEDEarly Bactericidal Activity of Linezolid, Gatifloxacin, Levofloxacin, Isoniazid (INH) and Moxifloxacin in HIV Negative Adults With Initial Episodes of Sputum Smear-Positive Pulmonary Tuberculosis
NCT00651586PHASE2COMPLETEDSafety and Efficacy Study of Gatifloxacin Compared With Ciprofloxacin in Patients With Acute Bacterial Corneal Ulcers
NCT01928693PHASE2TERMINATEDA Comparison of Three Fluoroquinolone Topical Eyedrops in the Treatment of Infectious Corneal Ulcers.
NCT00824070PHASE1COMPLETEDAssessment of the Concentrations of Besifloxacin, Moxifloxacin, or Gatifloxacin in the Aqueous Humor of Subjects
NCT00905762PHASE1COMPLETEDConcentration of Besifloxacin, Gatifloxacin, and Moxifloxacin in Human Conjunctiva After Topical Instillation
NCT00414011Not specifiedCOMPLETEDComparison of the Effect of 4th Generation Fluoroquinolones, Gatifloxacin and Moxifloxacin, on Epithelial Healing Following Photorefractive Keratectomy (PRK), A Substudy of: Initial Evaluation of Excimer Laser Keratorefractive Surgery in U.S. Army Personnel (WU # 2335-99)
NCT00466570Not specifiedWITHDRAWNProspective Randomized Comparison of Zymar(Gatifloxacin) and Vigamox (Moxifloxacin) in Killing Conjunctival Bacterial Flora Following a One-hour Application
NCT00569881Not specifiedCOMPLETEDEffect of Topical Fluoroquinolones on Epithelial Wound Healing After PRK

Clinical evidence (CIViC)

No CIViC predictive evidence (expected for non-precision-medicine drugs).

Pharmacology

Pharmacogenomics

No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.

No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).