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Chemical & Engineering News Digital Edition - Institute of Materia ...

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Yet nearly every company in the antiinfectives<br />

arena claims to be in the early<br />

stages <strong>of</strong> developing compounds active<br />

against gram-negative bacteria. “Everybody<br />

is looking, and so are we,” says Cubist’s<br />

Metcalf. Cubist is moving a gram-negative<br />

program forward, although Metcalf<br />

won’t provide details about its therapeutic<br />

approach.<br />

OPTIMER PHARMACEUTICALS says it<br />

is looking at developing an agent against<br />

Pseudomonas. Replidyne is interested in<br />

the area but is not pursuing a specific<br />

compound. Nebojsa Janjic, Replidyne’s<br />

chief scientific <strong>of</strong>ficer, notes that the company’s<br />

lead drug candidate, feropenem,<br />

does show activity against some gramnegative<br />

organisms.<br />

Pfizer has one compound, an oral sulopenem,<br />

in late Phase I trials that it hopes<br />

to advance to Phase III tests within the<br />

next year, Miller says. Though the drug<br />

does not belong to a new class <strong>of</strong> antibiotics,<br />

its oral availability is an improvement<br />

over existing penems, which are all administered<br />

intravenously. Given rising medical<br />

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costs, hospital <strong>of</strong>ficials are eager to give<br />

oral drugs that allow them to get patients<br />

out <strong>of</strong> intensive care, if not the hospital,<br />

sooner, Miller notes.<br />

Earlier-stage research<br />

at Pfizer is aimed primarily<br />

at treating drug-resistant<br />

infections in the hospital.<br />

“The majority <strong>of</strong> our research<br />

right now is really<br />

focused on trying to find<br />

brand-new classes <strong>of</strong> agents<br />

that work against these<br />

resistant gram-negative organisms,”<br />

Miller says.<br />

Paratek is taking two<br />

approaches to dealing with<br />

gram-negative bacteria.<br />

The first is to come up with<br />

a classic antibiotic or two-<br />

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drug combination that can wipe out the<br />

<strong>of</strong>fending organisms. Because resistance<br />

is closely linked to the efflux pumps in the<br />

membrane, Paratek is pursuing molecules<br />

that could block the pumps and render the<br />

cell vulnerable to tetracycline or one <strong>of</strong> its<br />

derivatives.<br />

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Levy<br />

WWW.CEN-ONLINE.ORG 24 APRIL 14, 2008<br />

The company’s second strategy is to find<br />

small molecules that block the “multiple<br />

adaptational response” operon, a set <strong>of</strong><br />

genes that together act as a<br />

master switch that controls<br />

the expression <strong>of</strong> roughly<br />

80 proteins. Turning that<br />

switch on makes the organism<br />

virulent, and Paratek is<br />

trying to develop a vaccinelike<br />

compound, rather than<br />

an antibiotic, that would<br />

target that switch. The<br />

“acute vaccine” would be<br />

given to at-risk patients—<br />

those in the intensive care<br />

unit, for example—to prevent<br />

infection from even<br />

starting.<br />

Paratek now has three<br />

pro<strong>of</strong>-<strong>of</strong>-concept models showing that<br />

treating a patient before the disease strikes<br />

is effective. “This pill with no antibacterial<br />

activity enfeebles the organism and prevents<br />

Pseudonomonas from causing infection,”<br />

Levy says. The company is seeking<br />

funding to start preclinical studies. ■<br />

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