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Aurimodi (YF-49-92.MLS) is an orally bioavailable small molecule inhibitor of decaprenylphosphoryl-beta-D-ribose 2'-epimerase (DprE1), an essential enzyme involved in the biosynthesis of the mycobacterial cell wall component arabinogalactan. Developed by Nanjing Chang'ao Pharmaceutical Technology, Aurimodi is designed to treat various forms of pulmonary tuberculosis, including drug-sensitive, multidrug-resistant (MDR), and extensively drug-resistant (XDR) strains. By inhibiting DprE1, the drug prevents the conversion of decaprenylphosphoryl-ribose (DPR) to decaprenylphosphoryl-arabinose (DPA), a critical precursor for cell wall assembly, thereby exerting potent bactericidal activity against *Mycobacterium tuberculosis*. It has advanced into Phase 2 clinical trials to evaluate its early bactericidal activity and safety in patients.
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