PUBLISHED CONTINUOUSLY SINCE 1983 BY THE ALLIANCE FOR THE PRUDENT USE OF ANTIBIOTICS - tufts-2025

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Antibacterial drugs: last decade (20122022) [11], from 2012 to August 2022, there have been 22 newly approved antimicrobial drugs by the main worldwide medicament agencies, the FDA and EMA.
The development of antibiotics ClassaDiscovery reportedbIntroduced clinically Antibiotics from actinomycetes Thioamides 1956 1965 Phenazinesf 1954 1969 Oxazolidinones 1987 200048 more rows Nov 13, 2019
approved 1949. Chloramphenicol, like many early post-penicillin antibiotics, derived from a broad search for signs of activity through soils samples and other sources around the world. Its source was isolated in a Venezuelan soil sample.
No truly new antibiotics, of novel chemical class and mechanism, and approved for clinical use, have been discovered in more than 30 years. The most recently discovered agent, the cyclic lipopeptide daptomycin, is used exclusively to treat Gram-positive infections.
The first antibiotic, salvarsan, was deployed in 1910. In just over 100 years antibiotics have drastically changed modern medicine and extended the average human lifespan by 23 years. The discovery of penicillin in 1928 started the golden age of natural product antibiotic discovery that peaked in the mid-1950s.

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No new class has been discovered since daptomycin in 1986. The environmental resistome is ancient. The majority of antibiotics come from soil-living organisms (bacteria and fungi). Most antibiotics are non-rially synthesised secondary metabolites.
Between 1940 and 1962, more than 20 new classes of antibiotics were marketed. Since then, only two new classes have reached the market. Analogue development kept pace with the emergence of resistant bacteria until 10-20 years ago.
NARRATOR: Thats because most major drug companies were pulling out of the antibiotic research field just as the Gram-negative threat was worsening. One of the last companies to stay was Pfizer, which had made its name on antibiotics. By the mid-2000s, it had set its sights squarely on the Gram-negative problem.

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