Ozenoxacin
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Pronunciation | oz en ox' a sin |
Trade names | Ozanex; Xepi |
AHFS/Drugs.com | Monograph |
MedlinePlus | a618010 |
License data |
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Routes of administration | Topical |
ATC code | |
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Ozenoxacin, sold under the brand names Ozanex and Xepi, is a quinolone antibiotic used for the treatment of impetigo.[4] A 1% topical cream is approved for treatment of impetigo in Canada[5] and in the United States.[6][7]
Ozenoxacin is active against some bacteria that have developed resistance to
Mechanism of Action
Like other quinolone antibiotics, ozenoxacin targets DNA gyrase and topoisomerase IV.[9]
Its activity against bacteria with fluoroquinolone resistance is attributed to its evasion of bacterial efflux pumps.[8]
Chemistry
Synthesis
Ozenoxacin is synthesized by the Pd-catalyzed cross-coupling of a bromoquinolone and a pyridyl tributylstannane (Stille coupling).[10][11]
The pyridyl tributylstannane is synthesized from the corresponding dihalopyridine. This is achieved through a sequence of nucleophilic aromatic substitution with methylamine, which is protected as the acetamide using acetic anhydride and this is converted to the organostannane through a Pd-catalyzed stannylation with bis(tributyltin).
The bromoquinolone is made from the N-cyclopropyl aniline and diethyl ethoxymethylenemalonate, which react through a Michael addition, followed by elimination of the ethoxy group and then a Friedel-Crafts acylation at elevated temperature. The N-cyclopropyl aniline is prepared by a Pd-catalyzed cross coupling of 2,6-dibromotoluene and cyclopropylamine (Buchwald-Hartwig coupling).
References
- ^ "Skin health". Health Canada. 9 May 2018. Retrieved 13 April 2024.
- ^ "Xepi- ozenoxacin cream". DailyMed. 30 January 2020. Retrieved 13 October 2020.
- ^ https://www.ema.europa.eu/documents/psusa/ozenoxacin-list-nationally-authorised-medicinal-products-psusa/00010651/202205_en.pdf [bare URL PDF]
- ^ "Ozenoxacin". PubChem. U.S. National Library of Medicine. Retrieved 2019-01-10.
- ^ "Cipher Pharmaceuticals Receives Health Canada Approval of Ozanex (ozenoxacin cream 1%)" (Press release). Cipher Pharmaceuticals Inc.
- ^ "Medimetriks Pharmaceuticals, Inc. Receives FDA Approval for Xepi (ozenoxacin) Cream, 1%, a Novel Topical Antibiotic for Impetigo" (Press release). Medimetriks Pharmaceuticals, Inc. – via PRNewswire.
- ^ "Xepi (ozenoxacin) Cream". U.S. Food and Drug Administration (FDA). 18 January 2018. Retrieved 13 October 2020.
- ^ PMID 24080666.
- S2CID 205850659.
- ^ US 6335447, Hayashi K, Kito T, Mitsuyama J, Yamakawa T, Kuroda H, Kawafuchi H, "Quinolonecarboxylic acid derivatives or salts thereof", issued 2002-01-01, assigned to Toyama Chemical Co Ltd
- PMID 28421763.