Drug intelligence / Profile preview

NEXCHANGE KIT

Development stage
Phase 4
Lead developer
Osteal Therapeutics
Modality
Small Molecules
Administration
Intraarticular
01

Overview

**NEXCHANGE KIT** is an investigational, fixed-combination drug-device product from Osteal Therapeutics for treatment of hip or knee periprosthetic joint infection during two-stage exchange arthroplasty. The kit uses a spacer, wound-fluid management components, and an irrigation system to cyclically administer high local concentrations of **vancomycin** and **tobramycin** into the infected joint space over approximately seven days before permanent-prosthesis reimplantation. Vancomycin inhibits bacterial cell-wall synthesis by binding peptidoglycan precursor termini, while tobramycin binds bacterial 30S ribosomes and disrupts protein synthesis. NEXCHANGE KIT remains investigational and is not FDA approved. ([ostealtx.com](https://www.ostealtx.com/nexchange))

Brand names
NEXCHANGENEXCHANGE KIT
Other names
VT-X7 KITVT-X-7 KITVT-X 7 KIT
02

Targets

D-Ala-D-Ala (D-Ala-D-Ala terminus)Bacterial 50S ribosomal subunitBacterial Ribosome

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