Tigecycline mesylate a first-in-class, broad spectrum antibiotic with activity against antibiotic-resistant organisms.
Target: Antibacterial
Tigecycline mesylate is active against a broad range of gram-negative and gram-positive bacterial species including clinically important multidrug-resistant nosocomial and community-acquired bacterial pathogens. Tigecycline mesylate has been shown to inhibit the translation elongation step by binding to the ribosome 30S subunit and preventing aminoacylated tRNAs to accommodate in the ribosomal A site. Tigecycline mesylate has also been found to be effective for the treatment of community- as well as hospital-acquired and ventilator-associated pneumonia and bacteremia, sepsis with shock and urinary tract infections. Tigecycline mesylate appears to be a valuable treatment option for the management of superbugs,  especially where conventional therapy has failed.
Fifteen patients received tigecycline mesylate for 16 episodes of CPKP infection. The main infections were pneumonia (31%), urinary tract infection (31%), peritonitis (20%), catheter-related bacteraemia (12%), and meningitis (6%). Most infections were complicated with severe sepsis (44%), septic shock (12%), and/or bacteraemia (19%). The daily maintenance dose of tigecycline mesylate was 200 mg in 10 episodes and 100 mg in 6 episodes. The overall 30-day mortality rate was 25%. Univariate analysis showed that mortality was significantly associated (p < 0.01) with mean APACHE II and SOFA scores and the presence of immunosuppression, but not with the tigecycline mesylate dose.
Clinical indications: Acinetobacter infection; Bacterial infection; Bacterial pneumonia; Bacterial skin             infection; Bacteroides fragilis infection; Bacteroides infection; Citrobacter infection; Clostridiaceae  infection; Clostridium difficile infection; Clostridium infection; Enterobacter infection
FDA Approved Date: June 17, 2005
Toxicity: nausea; vomiting; diarrhea; local IV-site reaction; infection; fever; headache

Polymyxin B sulphate
Telicoplanin
Tigecycline
Ascomycin
Calcipotriol
Pimecrolimus
Rapamycin/Sirolimus
Tacrolimus
Ramoplanin
Alvespimycin
Echinocandin B
Pristinamycin
Dibekacin sulphate
Arbekacin