Drug intelligence / Profile preview

Rabeprazole, Amoxicillin, Tetracycline, Furazolidone, and Colloidal Bismuth Pectin

Development stage
Phase 4
Lead developer
Eisai
Modality
Irreversible Covalent Inhibitors → Covalent Small Molecules → Small Molecules, Light/Condition-Responsive Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules
Administration
Oral
01

Overview

This is a combination therapy used for the treatment of Helicobacter pylori (H. pylori) infection. The regimen combines multiple mechanisms of action to effectively eradicate H. pylori bacteria, which is a common cause of gastric and duodenal ulcers, gastritis, and is associated with gastric cancer. The combination includes: - Rabeprazole: A proton pump inhibitor that reduces gastric acid production - Amoxicillin: A penicillin-type antibiotic that interferes with bacterial cell wall synthesis - Tetracycline: A broad-spectrum antibiotic that inhibits bacterial protein synthesis - Furazolidone: A nitrofuran antibacterial agent that also has monoamine oxidase inhibitor (MAOI) properties - Colloidal bismuth pectin: A bismuth compound that provides a protective coating in the stomach and has antimicrobial properties This combination represents a modified bismuth quadruple therapy approach for H. pylori eradication, particularly useful in areas with high antibiotic resistance rates.

Other names
modified bismuth quadruple therapy
02

Targets

Bacterial RibosomeNTR (Bacterial nitroreductase)ATP4A (Potassium–transporting ATPase alpha chain 1)PBP (Penicillin-binding protein family)NeuraminidaseMAOA (Monoamine oxidase A)

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