2017
DOI: 10.1038/ja.2016.157
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The ups and downs of drug discovery: the early history of Fidaxomicin

Abstract: The path from antibiotic compound discovery to the market is marked by many potholes and its negotiation is often dependent on luck and persistence. Perhaps the prime example of this is the case of the development of tiacumicin B to Fidaxomicin, where both parameters were critical and the path was particularly circuitous.

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Cited by 16 publications
(10 citation statements)
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“…Nov [235]. Structure comparisons not only revealed tiacumicin B and clostomicin B 1 to be identical, but also that a third antibiotic, lipiarmycin A3, discovered in 1975 from culture of Actinoplanes deccanensis A/10655, shared the same structure [231,236]. Ultimately, only tiacumicin B went through to further clinical studies.…”
Section: Tiacumicinmentioning
confidence: 99%
See 1 more Smart Citation
“…Nov [235]. Structure comparisons not only revealed tiacumicin B and clostomicin B 1 to be identical, but also that a third antibiotic, lipiarmycin A3, discovered in 1975 from culture of Actinoplanes deccanensis A/10655, shared the same structure [231,236]. Ultimately, only tiacumicin B went through to further clinical studies.…”
Section: Tiacumicinmentioning
confidence: 99%
“…Nov. AB718C-41 (NRRL 18085) was isolated based on its activity against MRSA. After scaling up the production, six novel compounds were isolated known collectively as the tiacumicins [100,231]. Structure elucidation of the tiacumicins further revealed a shared 18-membered macrolactone, which differed between the analogues based on the types of modification to the macrocyclic ring and the number and esterification pattern of the sugar groups attached.…”
Section: Tiacumicinmentioning
confidence: 99%
“…Fidaxomicin ( 1 ) is a natural product possessing an 18‐membered, highly unsaturated macrolactone and is assigned as the first member of a new class of antibiotics . Antibiotic 1 was first isolated in 1972 from an actinobacterium, Actinoplanes deccanensis , found in a soil sample from India .…”
Section: Isolation Structure Elucidation and Biological Activitymentioning
confidence: 99%
“…[10][11][12] To date, the clinical use is limited to the treatment of C. difficile infections, the main cause of hospital acquired diarrhea, against which fidaxomicin was approved by the FDA in 2011. [13][14][15][16][17] Fidaxomicin inhibits RNA polymerase (RNAP) via a new mechanism of action, rendering second generation derivatives thereof particularly attractive. [18][19][20] Resistance development in bacteria accelerated over the last decades and new mechanisms of resistance have emerged, which calls for the development of antibiotics with unique mechanisms of action.…”
Section: Introductionmentioning
confidence: 99%