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Intraoperative Intraosseous Vancomycin

OrthoCarolina Research Institute, Inc. · FDA-approved active Small molecule

Vancomycin is a glycopeptide antibiotic that inhibits bacterial cell wall synthesis by binding to D-Ala-D-Ala peptidoglycan precursors, delivered intraoperatively into bone to prevent surgical site infections.

Vancomycin is a glycopeptide antibiotic that inhibits bacterial cell wall synthesis by binding to D-Ala-D-Ala peptidoglycan precursors, delivered intraoperatively into bone to prevent surgical site infections. Used for Surgical site infection prophylaxis in orthopedic procedures.

At a glance

Generic nameIntraoperative Intraosseous Vancomycin
Also known asVancomycin
SponsorOrthoCarolina Research Institute, Inc.
Drug classGlycopeptide antibiotic
TargetBacterial peptidoglycan (D-Ala-D-Ala)
ModalitySmall molecule
Therapeutic areaOrthopedic Surgery / Surgical Prophylaxis
PhaseFDA-approved

Mechanism of action

Vancomycin works by preventing cross-linking of peptidoglycan strands in bacterial cell walls, leading to cell wall instability and bacterial death. When administered intraoperatively as an intraosseous injection directly into bone, it achieves high local concentrations at the surgical site to prevent infection during orthopedic procedures. This local delivery approach minimizes systemic exposure while maximizing antimicrobial efficacy at the site of greatest infection risk.

Approved indications

Common side effects

Key clinical trials

Primary sources

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

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