Table 4. Miscellaneous Repurposed Drugs against Tuberculosis, Their Mechanism of Action, MICs, and Ongoing Investigationsa.
| S. no. | Drug name (Class of the drug) | Mechanism of action/Drug target in M.tb | Current use in therapeutics | Minimum inhibitory concentration (MIC) against M.tb | Current status/Ongoing studies | Refs |
|---|---|---|---|---|---|---|
| 1 | Vitamin D (Vitamins) | promotes autophagy in M.tb-infected monocytes | Supplements for calcium and phosphorus | (5000 IU of vitD3 for 2 months)b with standard ATT. | Several CT completed | NCT01580007 |
| NCT02237365146,159 | ||||||
| 2 | Auranofin (Gold salt) | Target TrxB2, and disrupt the redox balance | Rheumatoid arthritis | 3–6 mg/dayb 0.5 μg/mL | Phase II trial completed | NCT02968927149 |
| 3 | Thalidomide | Inhibit TNF-α, used as HDT | Immunomodulatory drug | 3–5 mg/kg/dayb | Various CT completed | (160) |
| 4 | Disulfiram (Thiocarbamate) | Inhibitor of MetA, alter methionine pool and redox status | Alcohol withdrawal drug | 5.3 μM | In vitro and in vivo | (161,162) |
| 5 | Rimonabant (Carbohydrazide) | Target MmpL3 protein, and inhibit cell wall synthesis | Antiobesity drug | 25 μg/mL (H37Rv) | In vitro, In vivo | (151,152) |
| 6 | Pranlukast | Arginine biosynthetic enzyme inhibitor (MtArgJ) | Antiasthma drug | MIC90 = 5 μg/mL (H37Rv) | In vitro, In vivo | (103) |
| 7 | Linolenic acid (Polyunsaturated fatty acid) | NA | Nutritional supplementation | 200 μg/mL (H37Rv) | In vitro | (163) |
| 8 | Diosmin (Phlebotonics) | l,d-transpeptidase enzymes | Hemorrhoids | NA | In vitro and In vivo | (157) |
| 9 | Cyclosporine-A (Immunosuppressants) | Disturb biofilm formation by inhibiting PpiB protein. | Organ transplant | NA | In silico and in vitro | (154,164) |
| 10 | Eltrombopag | Zmp1 and PDF | Thrombocytopenia or aplastic anemia | 6.25 μM (H37Rv), 12.5 μM (Beijing isolates) | in vitro | (131) |
| 11 | Arotinolol | Zmp1 and PDF | Antihypertensive therapy | 3.125 μM (H37Rv), 25 μM (Beijing isolates) | in vitro | (131) |
| 12 | Echinacoside (Phenylethanoid glycoside) | GyrB47 | Parkinson’s, Alzheimer’s, osteoporosis, and hepatitis | MIC90 –12 μM | in silico and in vitro | (109) |
NA: Not available, CT: clinical trials.
Patient daily dosage.