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Antimicrobial resistance (AMR) is a major global health threat, causing nearly 5 million deaths in 2019. Given the urgency, identifying new treatments is more critical than ever. In this context, BWC0977, a bacterial topoisomerase inhibitor, emerges as an innovative therapeutic candidate effective against pathogens resistant to conventional treatments. With a broad spectrum of activity and demonstrated tolerability in clinical trials, it offers concrete solutions for critical infections.

This study examines the efficacy, safety, and therapeutic potential of BWC0977 in treating infections caused by multidrug-resistant pathogens.

How does BWC0977 address multidrug-resistant infections?

The efficacy of BWC0977 has been evaluated through in vitro and in vivo studies. In vitro, the drug was tested against multidrug-resistant pathogens such as E. coli, K. pneumoniae, P. aeruginosa, and A. baumannii, following CLSI standards to measure MIC90 and compare it with reference antibiotics. In vivo, murine and pulmonary models assessed its ability to reduce bacterial loads. Finally, clinical trials verified its tolerability and pharmacokinetics in healthy volunteers.

In vitro tests revealed an MIC90 ranging from 0.03 to 2 µg/mL, demonstrating superior efficacy compared to reference antibiotics such as ciprofloxacin and meropenem. In vivo studies further showed significant reductions in bacterial loads, with particularly high concentrations of BWC0977 observed in pulmonary epithelial fluids—an essential advantage for respiratory infections. Clinical trials confirmed good tolerability and dose-proportional pharmacokinetics, validating its promising profile for advanced clinical development.


BWC0977: A valuable tool against AMR

BWC0977 stands out as a key solution for critical hospital infections, including pneumonia and bacteremia. With sustained activity against strains resistant to fluoroquinolones and colistin, and high concentrations in pulmonary epithelial fluids, it holds great promise for applications such as respiratory infections linked to cystic fibrosis and targeting priority pathogens. Current efforts focus on improving its formulation to minimize injection-site reactions, while broader clinical validation could soon establish BWC0977 as a major reference in combating emerging resistance.

Source(s) :
Hameed P, S., et al. (2024). BWC0977, a broad-spectrum antibacterial clinical candidate to treat multidrug resistant infections. Nature Communications, 15(1), 8202 ;

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