Iclaprim, a dihydrofolate reductase inhibitor antibiotic in Phase III of clinical development: a review of its pharmacology, microbiology and clinical efficacy and safety

Future Microbiol. 2018 Jul:13:957-969. doi: 10.2217/fmb-2018-0061. Epub 2018 May 10.

Abstract

Iclaprim is under clinical development for treating acute bacterial skin and skin structure infections (ABSSSI) and nosocomial pneumonia most often due to Gram-positive bacteria, including infections due to drug-resistant bacteria. In two recent Phase III studies of patients with acute bacterial skin and skin structure infections, intravenous iclaprim 80 mg every 12 h was noninferior to dose-adjusted vancomycin. Additional studies are planned for patients with nosocomial pneumonia. Iclaprim represents an alternative for the treatment of severe skin and pulmonary infections due to Gram-positive bacteria.

Keywords: iclaprim; pneumonia; skin.

Publication types

  • Review

MeSH terms

  • Administration, Intravenous
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / adverse effects
  • Anti-Bacterial Agents / pharmacology
  • Clinical Trials, Phase III as Topic
  • Drug-Related Side Effects and Adverse Reactions / epidemiology
  • Drug-Related Side Effects and Adverse Reactions / pathology
  • Folic Acid Antagonists / administration & dosage*
  • Folic Acid Antagonists / adverse effects
  • Folic Acid Antagonists / pharmacology
  • Gram-Negative Bacteria / drug effects
  • Gram-Positive Bacteria / drug effects
  • Humans
  • Microbial Sensitivity Tests
  • Pneumonia, Bacterial / drug therapy*
  • Pyrimidines / administration & dosage*
  • Pyrimidines / adverse effects
  • Pyrimidines / pharmacology
  • Skin Diseases, Bacterial / drug therapy*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Folic Acid Antagonists
  • Pyrimidines
  • iclaprim