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Fosfomycin Oral Suspension

Public Health Service of Amsterdam · FDA-approved active Small molecule

Fosfomycin inhibits bacterial cell wall synthesis by inactivating the enzyme enolpyruvate transferase, preventing peptidoglycan cross-linking.

Fosfomycin inhibits bacterial cell wall synthesis by inactivating the enzyme enolpyruvate transferase, preventing peptidoglycan cross-linking. Used for Uncomplicated urinary tract infections (acute cystitis), Bacterial infections susceptible to fosfomycin.

At a glance

Generic nameFosfomycin Oral Suspension
Also known asMonuril
SponsorPublic Health Service of Amsterdam
Drug classCell wall synthesis inhibitor
TargetMurA (enolpyruvate transferase)
ModalitySmall molecule
Therapeutic areaInfectious Disease
PhaseFDA-approved

Mechanism of action

Fosfomycin is a broad-spectrum antibiotic that works by disrupting bacterial cell wall formation. It binds to and inactivates MurA (enolpyruvate transferase), an essential enzyme in the early stages of peptidoglycan synthesis. This mechanism is distinct from beta-lactams and allows activity against many gram-positive and gram-negative bacteria, including some resistant strains.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results