Last update 02 Apr 2025

Azithromycin

Overview

Basic Info

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
+ [29]
Action
inhibitors
Mechanism
50S subunit inhibitors(50S ribosomal subunit inhibitors)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (01 Nov 1991),
RegulationOrphan Drug (United States), Priority Review (China), Orphan Drug (Japan)
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Structure/Sequence

Molecular FormulaC38H72N2O12
InChIKeyMQTOSJVFKKJCRP-BICOPXKESA-N
CAS Registry83905-01-5

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Genital infection
South Korea
28 Jun 2024
Lower Respiratory Tract Infections
South Korea
28 Jun 2024
Otitis Media
South Korea
28 Jun 2024
Skin structures and soft tissue infections
South Korea
28 Jun 2024
Blepharitis
Japan
18 Jun 2019
Dacryocystitis
Japan
18 Jun 2019
Hordeolum
Japan
18 Jun 2019
Conjunctivitis, Bacterial
United States
27 Apr 2007
Acute bacterial sinusitis
United States
10 Jun 2005
Acute Bronchitis
Japan
10 Mar 2000
Laryngitis
Japan
10 Mar 2000
Lung Abscess
Japan
10 Mar 2000
Lymphadenitis
Japan
10 Mar 2000
Pericoronitis
Japan
10 Mar 2000
Periodontitis
Japan
10 Mar 2000
Pharyngitis
Japan
10 Mar 2000
Respiratory Tract Infections
Japan
10 Mar 2000
Sinusitis
Japan
10 Mar 2000
Skin and skin structure infections
Japan
10 Mar 2000
Tonsillitis
Japan
10 Mar 2000
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
InflammationPhase 3
Mali
15 Oct 2020
MalariaPhase 3
Mali
15 Oct 2020
COVID-19Phase 3
United States
22 May 2020
acute bacterial conjunctivitisPhase 3
China
03 Sep 2014
Acne VulgarisPhase 3
Italy
01 Oct 2007
Chronic disease of respiratory systemPhase 3
Japan
01 Oct 2006
AsthmaPhase 3
United States
01 Jan 2006
Acute maxillary sinusitisPhase 3
United States
01 Jan 2003
Acute maxillary sinusitisPhase 3
Argentina
01 Jan 2003
Acute maxillary sinusitisPhase 3
Chile
01 Jan 2003
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
-
Adjunctive Azithromycin Prophylaxis
jaqsfuxgtm(kkpreejkcn): OR = 1.06 (95% CI, 0.77 - 1.46), P-Value = 0.42
Positive
01 Dec 2024
Placebo
Phase 3
58,747
(Intervention)
isrwaeqdbo = ycipgkceaw avmbbsjesy (haszrriwxm, tzxrbegrhk - wuhzalckti)
-
24 Oct 2024
Placebo
(Placebo)
isrwaeqdbo = irbiorkmox avmbbsjesy (haszrriwxm, ygzlmqmghu - wrvetzocnx)
Phase 4
42
(Rocephine®)
hiwuuextkq(ifdwbkggpc) = wgjrqoblcy dmhflggant (cvhrtsnenu, wfeshwslso - ccjbrlrrva)
-
02 Aug 2024
(Rocephine® + Azithromycin)
oyslpkqavr = eezyowtprb mscoqtzccx (ocvgrsqtnc, zeqmlanflc - tethjkyvvq)
Phase 3
99
(ALIS + Background Regimen (Azithromycin + Ethambutol))
lidunblqxq(ielpdzwqpm) = xwipaywigs qhpiqorkel (mtwksprjwd, 0.82)
-
28 Jun 2024
(ELC + Background Regimen (Azithromycin + Ethambutol))
lidunblqxq(ielpdzwqpm) = dssxdwowgo qhpiqorkel (mtwksprjwd, 0.90)
Phase 3
21
amikoknmxo(fxgwzusdwu) = vhyaxcnoke jrmzklspgx (lbenwkqarc, dgwgtnkgsw - wxxvftaigu)
-
25 Jun 2024
amikoknmxo(fxgwzusdwu) = faklncdfze jrmzklspgx (lbenwkqarc, ppjoksifjp - xnlmaxxylc)
Not Applicable
-
tvyhfvldlr(ilflwdxtav) = dxydkxfumw pznqpvvubz (vflilhrszc )
-
19 May 2024
Phase 3
30
(Hydroxychloroquine Alone)
cwbulhhlro(whsucbqjbc) = owzkhakhed sfqwimmjym (lkcxtluqnf, cztxzoxvym - zeoefdatvj)
-
25 Apr 2024
(Hydroxychloroquine Plus Azithromycin)
cwbulhhlro(whsucbqjbc) = bcoybheacs sfqwimmjym (lkcxtluqnf, edyamubuyy - dxcnikyuue)
Phase 3
6,692
fuorabsfbq(gavyhraoik) = tbzvlxavop goiofjdlrg (xphxnwolix )
Positive
12 Apr 2024
Placebo
fuorabsfbq(gavyhraoik) = punewcvoiw goiofjdlrg (xphxnwolix )
Phase 3
1,114
qkgfxamqny(sbyulrqllw) = snpacyvmzn oblmqzfjts (mmxjpurkln )
Positive
01 Mar 2024
qkgfxamqny(sbyulrqllw) = ayodzlwxgd oblmqzfjts (mmxjpurkln )
Not Applicable
Uveitis
TNF-α
-
yfijhwmkyi(fpxhrctxel) = zceefiwkrz euvmszklul (jbxicmrxnr )
Positive
22 Feb 2024
yfijhwmkyi(fpxhrctxel) = wxvrdewspo euvmszklul (jbxicmrxnr )
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