pretomanid   Click here for help

GtoPdb Ligand ID: 11172

Synonyms: PA-824 | PA824
Approved drug
pretomanid is an approved drug (FDA (2019), EMA (2020))
Compound class: Synthetic organic
Comment: Pretomanid is a nitroimidazole-based antibacterial used for the treatment of multi-drug-resistant pulmonary tuberculosis [3]. It is active against replicating and non-replicating Mycobacterium tuberculosis [1]. Pretomanid was developed by the non-profit organisation TB Alliance (www.tballiance.org.za).
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 2
Hydrogen bond donors 0
Rotatable bonds 6
Topological polar surface area 88.65
Molecular weight 359.07
XLogP 4.88
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES [O-][N+](=O)c1cn2c(n1)OC[C@H](C2)OCc1ccc(cc1)OC(F)(F)F
Isomeric SMILES [O-][N+](=O)c1cn2c(n1)OC[C@H](C2)OCc1ccc(cc1)OC(F)(F)F
InChI InChI=1S/C14H12F3N3O5/c15-14(16,17)25-10-3-1-9(2-4-10)7-23-11-5-19-6-12(20(21)22)18-13(19)24-8-11/h1-4,6,11H,5,7-8H2/t11-/m0/s1
InChI Key ZLHZLMOSPGACSZ-NSHDSACASA-N
No information available.
Summary of Clinical Use Click here for help
Pretomanid is administered orally. It is used in combination with bedaquiline and linezolid only for the treatment of patients with extensively drug resistant tuberculosis (XDR-TB), treatment-intolerant or nonresponsive multidrug resistant pulmonary tuberculosis (MDR-TB) [4]. This triple therapy, known as the BPaL regimen, received EU marketing authorisation in early August 2020, following FDA approval in 2019.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT02333799 A Phase 3 Study Assessing the Safety and Efficacy of Bedaquiline Plus PA-824 Plus Linezolid in Subjects With Drug Resistant Pulmonary Tuberculosis Phase 3 Interventional Global Alliance for TB Drug Development 2
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