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Moxifloxacin (M)
Moxifloxacin is a fluoroquinolone antibiotic that inhibits bacterial DNA gyrase and topoisomerase IV, preventing DNA replication and transcription.
Moxifloxacin inhibits bacterial DNA gyrase and topoisomerase IV, preventing DNA replication and transcription in susceptible bacteria. Used for Community-acquired bacterial pneumonia, Acute bacterial sinusitis, Acute bacterial exacerbation of chronic bronchitis.
At a glance
| Generic name | Moxifloxacin (M) |
|---|---|
| Sponsor | Global Alliance for TB Drug Development |
| Drug class | Fluoroquinolone antibiotic |
| Target | DNA gyrase; Topoisomerase IV |
| Modality | Small molecule |
| Therapeutic area | Infectious Disease |
| Phase | FDA-approved |
Mechanism of action
Moxifloxacin binds to and inhibits DNA gyrase (in gram-negative bacteria) and topoisomerase IV (in gram-positive bacteria), enzymes essential for bacterial DNA replication and repair. This dual inhibition leads to rapid bactericidal activity against a broad spectrum of aerobic and anaerobic bacteria. It is particularly effective against respiratory pathogens and has enhanced activity against gram-positive organisms compared to earlier fluoroquinolones.
Approved indications
- Community-acquired bacterial pneumonia
- Acute bacterial sinusitis
- Acute bacterial exacerbation of chronic bronchitis
- Uncomplicated skin and soft tissue infections
- Complicated skin and soft tissue infections
- Intra-abdominal infections
- Tuberculosis (drug-resistant forms)
Common side effects
- Nausea
- Diarrhea
- Dizziness
- Tendinitis/tendon rupture
- QT prolongation
- Photosensitivity
- Peripheral neuropathy
Key clinical trials
- Shortened Regimen for Drug-susceptible TB in Children (PHASE3)
- A Phase 2b Clinical Study of JDB0131 Benzenesulfonate Tablets (PHASE2)
- Standard Chemotherapy Plus Moxifloxacin as First-line Treatment for Metastatic Triple-negative Breast Cancer (PHASE3)
- Moxifloxacin in Adjuvant Treatment of Patients With Operable Breast Cancer (PHASE3)
- A PAN-USR TB Multi-Center Trial (PHASE3)
- A Study in Healthy People to Test Whether Different Doses of BI 1015550 Have Potential to Induce Heart Rhythm Abnormalities (PHASE1)
- Platform Assessing Regimens and Durations In a Global Multisite Consortium for TB (PHASE2)
- Short-course Regimens for the Treatment of Pulmonary Tuberculosis (PHASE2, PHASE3)
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:
- Moxifloxacin (M) CI brief — competitive landscape report
- Moxifloxacin (M) updates RSS · CI watch RSS
- Global Alliance for TB Drug Development portfolio CI