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PRISTINAMYCIN XRP7263

Sanofi · FDA-approved active Small molecule

Pristinamycin is a macrolide antibiotic that inhibits bacterial protein synthesis by binding to the 50S ribosomal subunit.

Pristinamycin (XRP7263), developed by Sanofi, is a broad-spectrum antibiotic with activity against Gram-positive bacteria. It has been studied for treating acute community-acquired pneumonia but lacks an FDA label. One terminated Phase 4 trial compared it to amoxicillin.

At a glance

Generic namePRISTINAMYCIN XRP7263
Also known asPyostacine ®
SponsorSanofi
Drug classMacrolide antibiotic / Streptogramin
TargetBacterial 50S ribosomal subunit
ModalitySmall molecule
Therapeutic areaInfectious Disease
PhaseFDA-approved

Mechanism of action

Pristinamycin is a streptogramin-type macrolide antibiotic composed of two components (pristinamycin I and II) that work synergistically to inhibit bacterial protein synthesis. It binds to the bacterial 50S ribosomal subunit, preventing peptide bond formation and translation. This bactericidal activity makes it effective against a range of gram-positive bacteria and some gram-negative organisms.

Approved indications

Common side effects

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