Projan Steven J, Bradford Patricia A
Wyeth Research, 87 Cambridgepark Drive, Cambridge, MA 02140, USA.
Curr Opin Microbiol. 2007 Oct;10(5):441-6. doi: 10.1016/j.mib.2007.08.007. Epub 2007 Oct 22.
Bacterial resistance to antimicrobial agents is a growing problem worldwide. Not only is issue compounded by the fact that there are fewer pharmaceutical companies conducting research to discover novel antimicrobials than in the past but development time lines have stretched so that a dozen years from discovery to the market is now the standard. Eleven antibacterial drugs in late stage clinical development are discussed. Whereas many of these may successfully deal with resistant strains of Gram-positive pathogens, there is very little in development to address the gorwing unmet medical need of multi-drug resistant Gram-negative infections.
细菌对抗菌药物的耐药性在全球范围内是一个日益严重的问题。不仅由于进行新型抗菌药物研发的制药公司比过去更少,使得这个问题更加复杂,而且研发时间线也延长了,以至于从发现到上市需要十二年现在已成为标准时间。本文讨论了处于临床后期开发阶段的十一种抗菌药物。尽管其中许多药物可能成功应对革兰氏阳性病原体的耐药菌株,但针对多重耐药革兰氏阴性感染这一日益增长的未满足医疗需求,目前正在研发的药物却很少。