Table 2.
Novel Fluoroquinolones | Delafloxacin | Finafloxacin | Zabofloxacin | Reference |
---|---|---|---|---|
Further possible clinical applications |
P. aeruginosa-mediated lung infections in patients with cystic fibrosis. Infection by multidrug-resistant H.pylori. |
Complicated and non-complicated urinary-tract infections. Zoonoses, e.g., Y.pestis and B.anthracis. Prophylaxis and treatment of B. pseudomallei infections. |
Community-acquired bacterial pneumonia. | [18,42,46,50] |
Contraindication and
side effects |
Well-tolerated; lack of teratogenic effect, photosensitivity and cardiotoxicity. Diarrhoea, vomiting and other fluoroquinolone-specific adverse affects may occur. |
Ophthalmic use is contraindicated. In animal studies, showed teratogenic ability and fluoroquinolone-specific adverse effects (per os). Hypersensitivity and pruritus. |
Well-tolerated; lack of long QT-syndrome; in animal studies, subacute toxicity (atrophy of endocrine organs with vomitus by dogs) was found. Mainly gastrointestinal adverse effects were reported. |
[16,18,24,30,34,35,36,37,51] |
Resistance mechanisms | Multiple mutations by bacterial topoisomerase IV enzymes. Single mutations with efflux pumps. Generally fluoroquinolone-resistant strains are susceptible to to Delafloxacin (cross-resistance is also known). |
Multiple mutations in bacterial topoisomerase IV enzymes. Cross-resistance with other fluoroquinolones was reported. |
Multiple mutations in bacterial Topoisomerase IV enzymes. Generally fluoroquinolone-resistant strains are susceptible to Zabofloxacin. |
[18,26,28,30,39,47,48,51] |