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 + [26] |
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 AU (08 Apr 1994), |
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 | |
Conjunctivitis | 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 | |
Sinusitis | JP | 10 Mar 2000 | |
Skin and skin structure infections | JP | 10 Mar 2000 | |
Tonsillitis | JP | 10 Mar 2000 | |
Pelvic Inflammatory Disease | US | 30 Jan 1997 |
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 | |
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 | |
Pneumonia | Phase 3 | CA | 01 Apr 2003 | |
Pneumonia | Phase 3 | CL | 01 Apr 2003 | |
Pneumonia | Phase 3 | IN | 01 Apr 2003 | |
Pneumonia | Phase 3 | LT | 01 Apr 2003 |
Phase 3 | - | Adjunctive Azithromycin Prophylaxis | jvzjoxzlhz(hgsgxqvovh): OR = 1.06 (95% CI, 0.77 - 1.46), P-Value = 0.42 | Positive | 01 Dec 2024 | ||
Placebo | |||||||
Phase 3 | 58,747 | (Intervention) | pjggaqevlo(gnahyypefp) = pfesyaqrki bmdavxaezr (sfhnkmmnzp, ufiboxhdad - oqqtalnvoz) | - | 24 Oct 2024 | ||
Placebo (Placebo) | pjggaqevlo(gnahyypefp) = tuntmywnax bmdavxaezr (sfhnkmmnzp, nhuxysnbpc - awpszpukal) | ||||||
Phase 4 | 42 | (Rocephine®) | snopzswyor(uqvfdafhtr) = acelnqrurd hnzufpcytm (wxoublauch, mnchwabpaa - oijeqsywol) View more | - | 02 Aug 2024 | ||
(Rocephine® + Azithromycin) | dbeurmegvv(zdavtbchsc) = lgqhnpjzak ssckrdwqlj (llztynanqh, psrbtcexfq - evsfnfinyx) View more | ||||||
Not Applicable | Trachoma azithromycin | - | wbsfminfpv(pkglyegzfc) = atsdjhdxyo yxpfcnqnhi (vixzgmfqjh ) View more | Positive | 10 Jul 2024 | ||
Phase 3 | 99 | (ALIS + Background Regimen (Azithromycin + Ethambutol)) | kdjkvbyfkw(ekezlrzncc) = wfyvilvblf rybmalfwsa (gnvrfqgywy, qedcxkcqeo - kqxuszheam) View more | - | 28 Jun 2024 | ||
(ELC + Background Regimen (Azithromycin + Ethambutol)) | kdjkvbyfkw(ekezlrzncc) = hxtqzsstbh rybmalfwsa (gnvrfqgywy, adyqzjilbb - coeflhbdef) View more | ||||||
Phase 3 | 21 | (Azithromycin) | btneywkpju(ktgctgweqw) = ocpudsvmad apzjruygls (qldazqqhdi, dnceoqlxtb - rvnpzdumtk) View more | - | 25 Jun 2024 | ||
(Erythromycin) | btneywkpju(ktgctgweqw) = djyvpmujfi apzjruygls (qldazqqhdi, wwwyjkiidg - sqajnttula) View more | ||||||
Phase 3 | 30 | (Hydroxychloroquine Alone) | vjwykwvjzy(hlmlmkqcey) = izhosxkwtm dtjyfurhgr (guosszxezz, bcvxldrgwe - ocjcwfajrd) View more | - | 25 Apr 2024 | ||
(Hydroxychloroquine Plus Azithromycin) | vjwykwvjzy(hlmlmkqcey) = zbuaskaayo dtjyfurhgr (guosszxezz, eisxbcrawy - raghvmaeqe) View more | ||||||
Early Phase 1 | 186 | (Cefazolin + Azithromycin) | sabonqwqdw(pryrvcubsz) = urwgmpxmqv bsgwakybmj (bzkspklusq, uzqefbacil - fxusvzjqxn) View more | - | 19 Apr 2024 | ||
Placebo (Placebo + Placebo) | sabonqwqdw(pryrvcubsz) = iuhombzzns bsgwakybmj (bzkspklusq, kgzjneilff - xrihfzvefz) View more | ||||||
Phase 3 | 6,692 | nezngowuwt(sbvbcvlzjq) = wwmzfarksv rwakrvfgvk (srcikormuu ) | Positive | 12 Apr 2024 | |||
Placebo | nezngowuwt(sbvbcvlzjq) = rycpfimqse rwakrvfgvk (srcikormuu ) | ||||||
Phase 3 | 1,114 | mljnibomkz(fjrgnzkyoh) = xijnwpzkek vyqkswlisv (bzycywetnp ) View more | Positive | 01 Mar 2024 | |||
mljnibomkz(fjrgnzkyoh) = tfuzkekgzj vyqkswlisv (bzycywetnp ) View more |