Evidence map›Paper›PMID 40148602›Full record

ReviewNature reviews. Microbiology2025

Global health perspectives on antibacterial drug discovery and the preclinical pipeline.

Ursula Theuretzbacher, Ravindra P Jumde, Alan Hennessy, Jennifer Cohn, Laura J V Piddock

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. From lipophilicity windows to decision-grade antibacterial design: the next translational step for coumarin amphiphiles.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Article
  2. Molecular action of NZ2114, a superior plectasin derivative.npj antimicrobials and resistance · 2026
    Article
  3. Review
  4. Article
  5. Antimicrobial activity ofmicroPublication biology · 2026
    Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Cross-species transmission ofFrontiers in cellular and infection microbiology · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Identification of novelRSC medicinal chemistry · 2025
    Article
  16. Article
  17. Article
  18. Efflux-Mediated Resistance inAntibiotics (Basel, Switzerland) · 2025
    Review
  19. Review
  20. Challenges of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ursula TheuretzbacherCenter for Anti-Infective Agents, Vienna, Austria.ORCID http://orcid.org/0000-0003-2116-7128
Ravindra P JumdeGlobal Antibiotic Research and Development Partnership, Geneva, Switzerland.
Alan HennessyGlobal Antibiotic Research and Development Partnership, Geneva, Switzerland.ORCID http://orcid.org/0009-0003-5655-562X
Jennifer CohnGlobal Antibiotic Research and Development Partnership, Geneva, Switzerland.ORCID http://orcid.org/0000-0002-3446-7982
Laura J V PiddockGlobal Antibiotic Research and Development Partnership, Geneva, Switzerland. lpiddock@gardp.org.ORCID http://orcid.org/0000-0003-1460-473X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibacterial resistance is a global challenge that requires a coordinated international response. The current clinical pipeline largely consists of derivatives of established antibiotic classes, whereas the discovery and preclinical pipeline is diverse and innovative including new direct-acting agents with no cross-resistance with existing antibiotics. These novel compounds target pathways such as lipoprotein synthesis, lipopolysaccharide biosynthesis and transport, outer membrane assembly, peptidoglycan biosynthesis, fatty acid biosynthesis and isoprenoid biosynthesis. If these agents can be developed into safe, effective and affordable drugs, they could address a broad range of infections worldwide, benefiting large patient populations without geographical limitations. However, strategies such as indirect-acting or pathogen-specific treatments are likely to benefit small patient groups, primarily in high-income countries that have advanced health-care systems and diagnostic infrastructure. Although encouraging, the discovery and preclinical pipeline remains insufficiently robust to offset the high attrition rates typical of early-stage drug innovation and to meet global health needs.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsDrug DiscoveryGlobal HealthAnimalsBacteriaDrug Evaluation, PreclinicalDrug Resistance, BacterialHumansAnti-Bacterial Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.