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Miltefosine and Paromomycin — Competitive Intelligence Brief
phase 3
Antiparasitic combination
Leishmania cell membrane and ribosomal protein synthesis
Infectious Disease / Neglected Tropical Diseases
Small molecule
Live · refreshed every 30 min
Target snapshot
Miltefosine and Paromomycin (Miltefosine and Paromomycin) — Drugs for Neglected Diseases. Miltefosine disrupts parasite cell membranes while paromomycin inhibits protein synthesis, together providing synergistic activity against Leishmania parasites.
Comparator set (6 drugs)
| Drug | Generic | Sponsor | Phase | Class | Target | Approval / PDUFA |
|---|---|---|---|---|---|---|
| Miltefosine and Paromomycin TARGET | Miltefosine and Paromomycin | Drugs for Neglected Diseases | phase 3 | Antiparasitic combination | Leishmania cell membrane and ribosomal protein synthesis | |
| miltefosine + Paromomycin sulfate | miltefosine + Paromomycin sulfate | Banaras Hindu University | phase 3 | Antiparasitic combination therapy | Leishmania cell membrane and ribosomal protein synthesis | |
| IDA - Ivermectin + DEC + albendazole | IDA - Ivermectin + DEC + albendazole | Medicines Development for Global Health | phase 3 | Antiparasitic combination | GABA-gated chloride channels (ivermectin); β-tubulin (albendazole); microfilarial motility (DEC) | |
| Ambisome and Paromomycin | Ambisome and Paromomycin | Drugs for Neglected Diseases | phase 3 | Antifungal and antiparasitic combination | Fungal ergosterol; parasitic 30S ribosomal subunit | |
| liposomal amphotericin B + paromomycin | liposomal amphotericin B + paromomycin | Drugs for Neglected Diseases | phase 3 | Antifungal/antiparasitic combination | Ergosterol (amphotericin B); ribosomal protein synthesis (paromomycin) | |
| Liposomal Amphotericin B with Miltefosine | Liposomal Amphotericin B with Miltefosine | Banaras Hindu University | phase 3 | Antifungal/antiparasitic combination | Fungal ergosterol; phosphatidylcholine synthesis pathway | |
| Ambisome + Miltefosine | Ambisome + Miltefosine | Drugs for Neglected Diseases | phase 3 | Antifungal/antiparasitic combination | Ergosterol (amphotericin B); phosphatidylcholine synthesis pathway (miltefosine) |
Recent regulatory actions (last 90 days)
Upcoming PDUFA dates (next 180 days)
Patent timeline (forward window)
Sponsor landscape (Antiparasitic combination class)
- Drugs for Neglected Diseases · 1 drug in this class
- Medicines Development for Global Health · 1 drug in this class
- University Hospitals Cleveland Medical Center · 1 drug in this class
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Cite this brief
Drug Landscape (2026). Miltefosine and Paromomycin — Competitive Intelligence Brief. https://druglandscape.com/ci/miltefosine-and-paromomycin. Accessed 2026-05-16.
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