The 2-pyridones are a new class of broad-spectrum orally bioavailable antibacterial agents. These compounds are potent bacterial DNA gyrase inhibitors which differ from fluoroquinolones by placement of the nitrogen atom in the ring juncture. ABT-719 is an S isomer and a representative 2-pyridone. ABT-719 administered orally or subcutaneously was 4-to 10-fold more effective than ciprofloxacin against Staphylococcus aureus, Streptococcus pneumoniae, and Streptococcus pyogenes infections in normal mice. ABT-719 was equivalent in efficacy to ciprofloxacin for treatment of gram-negative bacterial infections caused by Pseudomonas aeruginosa or Escherichia coli. The racemate and R forms of ABT-719 produced similar results against gram-positive and gram-negative bacterial infections. The 50% effective doses of ABT-719 were at least threefold lower than those of ciprofloxacin for therapy of intracellular infections caused by Salmonella typhimurium or Listeria monocytogenes. In immunosuppressed mice, ABT-719 was more effective than ciprofloxacin against quinolonesensitive S. aureus, Enterococcus faecalis, and Enterococcus faecium. The pharmacokinetic properties of ABT-719 were consistent with its relative efficacy. The 2-pyridones are potent, orally available antibacterial agents with efficacy against gram-positive and gram-negative bacterial infections in mice.The 2-pyridones are a class of antibacterial agents recently synthesized at Abbott Laboratories (Fig. 1). ABT-719, 8-(3(S)-aminopyrrolidin-1-yl)-1-cyclopropyl-7-fluoro-9-methyl-4H-4-oxo-quinolizine-3-carboxylic acid hydrochloride monohydrate, is a representative 2-pyridone which exhibits potent, broadspectrum in vitro activity (7). The 2-pyridones differ structurally from the fluoroquinolones by placement of the nitrogen atom at the ring juncture. Like the fluoroquinolones, the 2-pyridones are inhibitors of bacterial DNA gyrase.There is a need to improve upon the fluoroquinolones in clinical use. Fluoroquinolones have limited activity against gram-positive bacteria, particularly Streptococcus pneumoniae (1,19) and Staphylococcus aureus (2). Infections caused by methicillin-resistant S. aureus (MRSA) and coagulase-negative staphylococci have caused concern regarding fluoroquinolone use because of the emergence of resistance (3,13,20). Fluoroquinolone use has generally been most effective against gram-negative infections (11).The efficacies of the R, S, and racemate forms of a representative 2-pyridone against systemic infections caused by salient gram-positive and gram-negative bacteria were investigated. The efficacy of the potent S isomer, ABT-719, was determined in additional trials with normal and immunocompromised mice. ABT-719 had efficacy against gram-positive, gram-negative, and intracellular bacterial infections in mice, demonstrating potential as a broad-spectrum agent.
MATERIALS AND METHODSAntimicrobial agents. The 2-pyridones ABT-719, A-86719.0, A-86504.1, and A-87092.1 were synthesized at Abbott Laboratories, Abbott Park, Ill. A-86504.1 is the racemate ...