Fluoroquinolones (FQ) are a first-line antibacterial therapy, used to treat both
Gram-negative and Gram-positive bacterial infections. FQ efficacy is achieved by
disrupting the bacterial enzyme’s DNA gyrase and topoisomerase IV. There is
extensive SAR analysis of this class of antibiotics – both in terms of
microbiological activity1-3 and target related toxicity. Delafloxacin, a fourth
generation FQ has broad spectrum activity and reduced FQ related toxicity4-5
.
However, it has recently failed a Phase 3 clinical trial for treatment of N.
gonorrhoeae infections. This was due to lack of sufficient efficacy at the dose administered