TABLE 2

Summary of the key drugs used for the treatment of multidrug-/extensively drug-resistant tuberculosis (TB)

Chemical classMechanism of actionDetails
New drugs
 Bedaquiline (TMC-207)DiarylquinolineInhibits mycobacterial ATP synthaseClinical development (phase III)
Approved by US Food and Drug Administration and European Medicines Agency
Included in WHO group 5 drugs
 Delamanid (OPC-67683)NitroimidazoleInhibits mycolic acid cell wallClinical development (phase III)
Approved by European Medicines Agency
Included in WHO Group 5 drugs
 Sutezolid (PNU-100480)OxazolidinoneInhibits microbial protein synthesis by blocking 50S ribosomal subunitClinical development (phase II)
 AZD-5847OxazolidinoneInhibits microbial protein synthesis by blocking 50S ribosomal subunitClinical development (phase II)
 PA-824NitroimidazoleInhibits cell wall synthesisClinical development (phase IIb)
 SQ-109EthylenediamineInhibits cell wall synthesisClinical development (phase II)
Drugs originally developed with  different indications than TB
 ClofazimineRiminophenazineBinds to mycobacterial DNA (disrupting the cell cycle) and to bacterial potassium transporters, thereby inhibiting their functionClinical development (phase II)
Included in WHO Group 5 drugs
 LinezolidOxazolidinoneInhibits microbial protein synthesis by blocking 50S ribosomal subunitClinical development (phase II)
Included in WHO Group 5 drugs
 MoxifloxacinFluoroquinoloneInhibits DNA gyraseClinical development (phase III)
Included in WHO Group 3 drugs
  • WHO: World Health Organization.