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Synonyms: A-16686A2 | MDL 62,198
Compound class:
Peptide
Comment: Ramoplanin is a glycolipodepsipeptide antibacterial with Gram-positive activity, originally isolated from the culture broth of Actinoplanes strain ATCC 33076 as a mixture of three components (ramoplanin A1, A2, and A3) [1,3].
We show the structure for ramoplanin A2 which is the major component. Note that the INN describes the mixture. As with other natural products, there is ambiguity in the precise stereochemisrty presented across web resources e.g., CHEMBL3989605 shows an alternate structure. |
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| No information available. |
Summary of Clinical Use ![]() |
| Ramoplanin was granted Fast Track status by the FDA and was under clinical development as a treatment for Clostridium difficile-associated diarrhea and for the prevention of vancomycin-resistant Enterococcus (VRE) bloodstream infections. Results published from a Phase 2 study reported that ramoplanin was safe and effective in suppressing gastrointestinal VRE carriage [4]. The current development status of this drug is unclear and we note that it has been involved in numerous company mergers and acquisitions [5]. |
Mechanism Of Action and Pharmacodynamic Effects ![]() |
| Ramoplanin interfers with bacterial cell wall production by binding to Lipid II and inhibiting the transglycosylation step of peptidoglycan biosynthesis [2]. |