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BVC-110 (also known as BV63072 or OsteoFloxacin) is a preclinical-stage, bone-targeted small molecule antibiotic conjugate developed by BioVinc for the treatment of chronic musculoskeletal infections, including osteomyelitis, prosthetic joint infections (PJI), and implant-associated bone infections. Chemically, BVC-110 is a hydroxybisphosphonate-conjugated sitafloxacin (HBCS). It utilizes a 'target-and-release' mechanism of action: the hydroxybisphosphonate moiety binds with high affinity to hydroxyapatite (bone mineral) at sites of active bone remodeling or infection, localizing the drug within the osteocyte lacunar-canalicular network (OLCN). Upon binding, the sitafloxacin payload is released to exert its potent, dual-targeting bactericidal activity against bacterial DNA gyrase and topoisomerase IV, effectively eradicating mature biofilms, including those formed by methicillin-resistant *Staphylococcus aureus* (MRSA).
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