Drug intelligence / Profile preview

ciprofloxacin + metronidazole + vancomycin + neomycin

Development stage
Unknown
Lead developer
Cleveland Clinic
Modality
Small Molecules
Administration
Oral
01

Overview

This antibiotic cocktail, consisting of ciprofloxacin, metronidazole (Flagyl), vancomycin, and neomycin, was utilized by The Cleveland Clinic as a research intervention in the CARNIVAL study (NCT01731236). The primary objective was to temporarily suppress intestinal microbiota in healthy volunteers to investigate the role of gut flora in the metabolism of dietary carnitine and choline into trimethylamine N-oxide (TMAO), a metabolite linked to cardiovascular disease. By depleting the gut microbiome, researchers demonstrated that TMAO production is microbiota-dependent. This regimen was used as a diagnostic and research tool rather than a therapeutic treatment for a specific infection.

Other names
antibiotics-The Cleveland ClinicCARNIVAL antibiotic cocktailantibiotic cocktail
02

Targets

DNA gyraseTopo IV (Bacterial Topoisomerase IV)DNABacterial 16S ribosomal RNA / 30S ribosomal subunitD-Ala-D-Ala (D-Ala-D-Ala terminus)

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