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azithromycin and cefixime
This combination uses azithromycin (a macrolide antibiotic) and cefixime (a third-generation cephalosporin) to inhibit bacterial protein synthesis and cell wall synthesis, respectively, providing broad-spectrum coverage against multiple pathogens.
This combination uses azithromycin (a macrolide antibiotic) and cefixime (a third-generation cephalosporin) to inhibit bacterial protein synthesis and cell wall synthesis, respectively, providing broad-spectrum coverage against multiple pathogens. Used for Respiratory tract infections (community-acquired pneumonia, bronchitis), Urogenital infections (gonorrhea, chlamydia), Mixed bacterial infections.
At a glance
| Generic name | azithromycin and cefixime |
|---|---|
| Sponsor | Sheba Medical Center |
| Drug class | Combination antibiotic (macrolide + third-generation cephalosporin) |
| Target | Bacterial 50S ribosome (azithromycin); bacterial cell wall peptidoglycan (cefixime) |
| Modality | Small molecule |
| Therapeutic area | Infectious Disease |
| Phase | FDA-approved |
Mechanism of action
Azithromycin binds to the bacterial 50S ribosomal subunit to inhibit protein synthesis, while cefixime inhibits bacterial cell wall cross-linking by binding to penicillin-binding proteins. Together, they provide synergistic activity against a wide range of gram-positive and gram-negative bacteria, commonly used for respiratory and urogenital infections.
Approved indications
- Respiratory tract infections (community-acquired pneumonia, bronchitis)
- Urogenital infections (gonorrhea, chlamydia)
- Mixed bacterial infections
Common side effects
- Diarrhea
- Nausea
- Abdominal pain
- Headache
- Rash
- Vomiting
Key clinical trials
- The Azithromycin and Cefixime Treatment of Typhoid in South Asia Trial (ACT-South Asia Trial) (PHASE4)
- Periodic Presumptive Treatment vs. doxyPEP for STI Control in Kenyan MSM (PHASE4)
- Cefixime Plus Doxycycline Compared to Ceftriaxone Plus Azithromycin for Treatment of Gonorrhoea (PHASE4)
- Patients Response to Early Switch To Oral:Osteomyelitis Study (EARLY_PHASE1)
- The Pharmacokinetics of Extended Duration High-dose Cefixime for the Decreased Susceptibility of Neisseria Gonorrhoeae: A Phase I Pilot Study (PHASE1)
- "Performance of HPV DNA Test in Presence of Co-infection With Common RTIs" (NA)
- Empiric Therapy of Mucopurulent Cervicitis (MPC) (PHASE3)
- Typhoid Fever: Combined vs. Single Antibiotic Therapy (PHASE4)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- azithromycin and cefixime CI brief — competitive landscape report
- azithromycin and cefixime updates RSS · CI watch RSS
- Sheba Medical Center portfolio CI