SummaryAzithromycin, a small molecule drug, works by targeting the 50S subunit of the bacterial ribosome and disrupting protein synthesis, ultimately leading to bacterial death. This drug falls under the class of macrolide antibiotics and is commonly used to treat a diverse range of bacterial infections, such as respiratory tract infections, skin and soft tissue infections, and sexually transmitted infections. It is also used as a prophylactic treatment for certain opportunistic infections in HIV patients. Azithromycin gained FDA approval in 1991, representing a significant breakthrough in the field of antibiotic development. With its broad-spectrum activity against a wide range of bacterial species, Azithromycin is a valuable tool for healthcare providers in managing bacterial infections. However, the overuse or misuse of antibiotics such as Azithromycin can lead to the emergence of antibiotic-resistant bacteria. Therefore, healthcare providers must exercise caution and prudence when prescribing Azithromycin to prevent the development of antibiotic resistance. Overall, Azithromycin is a potent antibiotic that plays a crucial role in the treatment of bacterial infections. |
Drug Type Small molecule drug |
Synonyms Azithromycin (INN), Azithromycin Dihydrate, Azithromycin Hydrate + [27] |
Target |
Mechanism 50S subunit inhibitors(50S ribosomal subunit inhibitors) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization |
Drug Highest PhaseApproved |
First Approval Date US (01 Nov 1991), |
RegulationOrphan Drug (US), Priority Review (CN), Orphan Drug (JP) |
Molecular FormulaC38H72N2O12 |
InChIKeyMQTOSJVFKKJCRP-BICOPXKESA-N |
CAS Registry83905-01-5 |
KEGG | Wiki | ATC | Drug Bank |
---|---|---|---|
D07486 | Azithromycin |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Genital infection | KR | 28 Jun 2024 | |
Lower Respiratory Tract Infections | KR | 28 Jun 2024 | |
Otitis Media | KR | 28 Jun 2024 | |
Skin structures and soft tissue infections | KR | 28 Jun 2024 | |
Blepharitis | JP | 18 Jun 2019 | |
Dacryocystitis | JP | 18 Jun 2019 | |
Hordeolum | JP | 18 Jun 2019 | |
Conjunctivitis, Bacterial | US | 27 Apr 2007 | |
Acute bacterial sinusitis | US | 10 Jun 2005 | |
Acute Bronchitis | JP | 10 Mar 2000 | |
Laryngitis | JP | 10 Mar 2000 | |
Lung Abscess | JP | 10 Mar 2000 | |
Lymphadenitis | JP | 10 Mar 2000 | |
Pericoronitis | JP | 10 Mar 2000 | |
Periodontitis | JP | 10 Mar 2000 | |
Pharyngitis | JP | 10 Mar 2000 | |
Respiratory Tract Infections | JP | 10 Mar 2000 | |
Sinusitis | JP | 10 Mar 2000 | |
Skin and skin structure infections | JP | 10 Mar 2000 | |
Tonsillitis | JP | 10 Mar 2000 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Inflammation | Phase 3 | ML | 15 Oct 2020 | |
Malaria | Phase 3 | ML | 15 Oct 2020 | |
COVID-19 | Phase 3 | US | 22 May 2020 | |
acute bacterial conjunctivitis | Phase 3 | CN | 03 Sep 2014 | |
Acne Vulgaris | Phase 3 | IT | 01 Oct 2007 | |
Chronic disease of respiratory system | Phase 3 | JP | 01 Oct 2006 | |
Asthma | Phase 3 | US | 01 Jan 2006 | |
Acute otitis media | Phase 3 | US | 01 Jan 2003 | |
Acute otitis media | Phase 3 | AR | 01 Jan 2003 | |
Acute otitis media | Phase 3 | CL | 01 Jan 2003 |
Phase 3 | - | Adjunctive Azithromycin Prophylaxis | khujlcvylg(cgfwaqqbnv): OR = 1.06 (95% CI, 0.77 - 1.46), P-Value = 0.42 | Positive | 01 Dec 2024 | ||
Placebo | |||||||
Phase 2 | C-reactive protein (CRP) | - | jtjlmkxuzq(fprhhcpgpk) = hrjbovnmry daxhlwwaof (ogzeuawbfm, 57.1 - 74.5) | Negative | 06 Nov 2024 | ||
jtjlmkxuzq(fprhhcpgpk) = ufdgwpoufs daxhlwwaof (ogzeuawbfm, 42.9 - 59.5) | |||||||
Phase 3 | 58,747 | (Intervention) | izcqkmzvrx(iiuyevacfc) = tirxzlxmoi nyjtrklkho (vcighrxnfz, tpdbvynmdz - dfdpzfstlz) | - | 24 Oct 2024 | ||
Placebo (Placebo) | izcqkmzvrx(iiuyevacfc) = cuyjgubwde nyjtrklkho (vcighrxnfz, kmnqkhnpix - xkynmriisz) | ||||||
Phase 4 | 42 | (Rocephine®) | mwduyctpwg(oknzxeybjg) = ewmwwidnpf yeyglxubut (tosdpmbnxx, votfrvysmq - bpdlztloob) View more | - | 02 Aug 2024 | ||
(Rocephine® + Azithromycin) | dkpmhxukau(ffdqmdfgga) = simanvrclp otamehlgus (hzcmcfeabv, ylfashlcdb - znxxfrkfzl) View more | ||||||
Not Applicable | Trachoma azithromycin | - | kjileghnhw(uwvpwdexns) = ulnhakmypm uwlosdbely (uzrvpfugag ) View more | Positive | 10 Jul 2024 | ||
Phase 3 | 99 | (ALIS + Background Regimen (Azithromycin + Ethambutol)) | mcwaocjpcl(hdeprjfbes) = crqvgtikix gdijotehdv (ojoigcayid, kdtahmpent - lmviwaowxd) View more | - | 28 Jun 2024 | ||
(ELC + Background Regimen (Azithromycin + Ethambutol)) | mcwaocjpcl(hdeprjfbes) = vmfbkiomzq gdijotehdv (ojoigcayid, fcbqiwzctr - ppewjzyyrl) View more | ||||||
Phase 3 | 21 | (Azithromycin) | qqnkjhvaxm(ztphefhbaf) = vtsrozmfyy jaamnkwzax (zvcylwfswm, zthlmukhoz - mvsldfmhrp) View more | - | 25 Jun 2024 | ||
(Erythromycin) | qqnkjhvaxm(ztphefhbaf) = pauxkgezke jaamnkwzax (zvcylwfswm, zbaqkluenk - ucqsfbnwjd) View more | ||||||
Not Applicable | - | itulgownef(luvauxmyde) = iycwctsgfz vkmbrftgib (dmkhqjhlbj ) View more | - | 19 May 2024 | |||
Phase 3 | 30 | (Hydroxychloroquine Alone) | doqwhoplix(qazehqhurf) = vjiwpcckex mehhtjouib (tnttnprwmm, mgnjfgifxp - rflyzcmkhg) View more | - | 25 Apr 2024 | ||
(Hydroxychloroquine Plus Azithromycin) | doqwhoplix(qazehqhurf) = hqppttecyb mehhtjouib (tnttnprwmm, rlyaqbelwg - shntnrnuxv) View more | ||||||
Early Phase 1 | 186 | (Cefazolin + Azithromycin) | yjqgmmaqtr(cekgqdxijz) = friefwhupo macihabmlj (boidbvfoui, ovxmgaocny - ribyqqcyie) View more | - | 19 Apr 2024 | ||
Placebo (Placebo + Placebo) | yjqgmmaqtr(cekgqdxijz) = znvlhmxkaw macihabmlj (boidbvfoui, uinnbvxwch - emxmfsohol) View more |