Evidence map›Paper›PMID 41034676›Full record

Trial reportPharmaceutical research2025

Single- and Multiple-dose Pharmacokinetics, Excretion, Metabolism, and Safety of the Antivirulence Agent Fluorothiazinone in Healthy Adults.

Mark V Savitskii, Natalia E Moskaleva, Svetlana A Appolonova, Alex Brito, Natalia E Bondareva, Nadezhda L Lubenec, Anna B Sheremet, Maria K Ordzhonikidze, Nailya A Zigangirova, Sergey K Zyryanov and 2 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pharmaceutical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Mark V SavitskiiI.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation, Trubetskaya Str., 8, B. 2, 119991, Moscow, Russia.
Natalia E MoskalevaI.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation, Trubetskaya Str., 8, B. 2, 119991, Moscow, Russia. moskaleva_n_e@staff.sechenov.ru.ORCID http://orcid.org/0000-0002-7309-8913
Svetlana A AppolonovaI.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation, Trubetskaya Str., 8, B. 2, 119991, Moscow, Russia.
Alex BritoSchool of Nutrition and Dietetics, Faculty of Rehabilitation and Quality of Life Sciences, Universidad San Sebastián, Patagonia Campus, G3JV+44, Lago Panguipulli 1390, Puerto Montt, Chile.
Natalia E BondarevaNational Research Center for Epidemiology and Microbiology Named After the Honorary Academician N. F. Gamaleya, 123098, Gamalei Str., 18, Moscow, Russia.
Nadezhda L LubenecNational Research Center for Epidemiology and Microbiology Named After the Honorary Academician N. F. Gamaleya, 123098, Gamalei Str., 18, Moscow, Russia.
Anna B SheremetNational Research Center for Epidemiology and Microbiology Named After the Honorary Academician N. F. Gamaleya, 123098, Gamalei Str., 18, Moscow, Russia.
Maria K OrdzhonikidzeNational Research Center for Epidemiology and Microbiology Named After the Honorary Academician N. F. Gamaleya, 123098, Gamalei Str., 18, Moscow, Russia.
Nailya A ZigangirovaNational Research Center for Epidemiology and Microbiology Named After the Honorary Academician N. F. Gamaleya, 123098, Gamalei Str., 18, Moscow, Russia.
Sergey K ZyryanovPeoples' Friendship University of Russia Named After Patrice Lumumba (RUDN), Department of General and Clinical Pharmacology, Russian Federation, Miklukho-Maklaya Str., 6, 117198, Moscow, Russia.
Vadim V TarasovI.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation, Trubetskaya Str., 8, B. 2, 119991, Moscow, Russia.
Alexander L GintsburgI.M. Sechenov First Moscow State Medical University (Sechenov University), Russian Federation, Trubetskaya Str., 8, B. 2, 119991, Moscow, Russia.

Funding

Ministry of Health of the Russian Federation AAAA-A18-118100890050-5Ministry of Health of the Russian Federation AAAA-Б19-219091390048-6
6 · The paper itself

Abstract

introductionFluorothiazinone (FT) is a novel antivirulence agent formulated as an immediate-release uncoated tablet, with demonstrated efficacy and safety against infections caused by drug-resistant Gram-negative bacteria. In this study, we evaluated the pharmacokinetics, excretion, metabolism, and safety of FT in healthy adults under single- and multiple-dose regimens.

methodsIn a randomized study, participants received either a single 1800 mg oral dose of FT or multiple doses according to one of the following regimens: two doses within one day (900 or 1200 mg every 12 h) or 14 doses across 7 days (900 mg every 12 h). Pharmacokinetics, excretion and metabolic profiles were assessed using serial blood and urine sampling.

resultsTwenty-nine participants completed the study. Dividing the total daily dose into two equal administrations extended FT's half-life and systemic exposure, representing the optimal dosing strategy. Steady-state pharmacokinetics were observed after 7 days of dosing, indicating extensive tissue distribution. Urinary recovery of unmetabolized FT was low, and identified metabolites are presented. Both single and multiple doses were well tolerated.

conclusionFT, administered orally, was safe and well tolerated in healthy adults in both single and repeated dosing regimens. The pharmacokinetic data support the continued clinical development of FT, including its use in future phase II and III trials. FT's lack of impact on normal intestinal microflora further substantiates its potential as an antivirulence therapy.

Indexed as

Anti-Bacterial AgentsAdministration, OralAdultDrug Administration ScheduleFemaleHalf-LifeHealthy VolunteersHumansMaleMiddle AgedTissue DistributionYoung AdultAnti-Bacterial Agentsantivirulencedrug developmentfluorothiazinoneglucuronidepharmacokinetics

Identifiers

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Registered trials

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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.