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Chemistry

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Also known as: 220620-09-7, Tygacil, Way-gar-936, Gar-936, Tbg-mino, Gar 936
Molecular Formula
C29H39N5O8
Molecular Weight
585.6  g/mol
InChI Key
SOVUOXKZCCAWOJ-HJYUBDRYSA-N
FDA UNII
70JE2N95KR

Tigecycline
A tetracycline derivative that acts as a protein synthesis inhibitor. It is used as an antibacterial agent for the systemic treatment of complicated skin and intra-abdominal infections. It is also used for the treatment of community-acquired pneumonia.
Tigecycline is a Tetracycline-class Antibacterial.
1 2D Structure

Tigecycline

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(4S,4aS,5aR,12aR)-9-[[2-(tert-butylamino)acetyl]amino]-4,7-bis(dimethylamino)-1,10,11,12a-tetrahydroxy-3,12-dioxo-4a,5,5a,6-tetrahydro-4H-tetracene-2-carboxamide
2.1.2 InChI
InChI=1S/C29H39N5O8/c1-28(2,3)31-11-17(35)32-15-10-16(33(4)5)13-8-12-9-14-21(34(6)7)24(38)20(27(30)41)26(40)29(14,42)25(39)18(12)23(37)19(13)22(15)36/h10,12,14,21,31,36-37,40,42H,8-9,11H2,1-7H3,(H2,30,41)(H,32,35)/t12-,14-,21-,29-/m0/s1
2.1.3 InChI Key
SOVUOXKZCCAWOJ-HJYUBDRYSA-N
2.1.4 Canonical SMILES
CC(C)(C)NCC(=O)NC1=CC(=C2CC3CC4C(C(=O)C(=C(C4(C(=O)C3=C(C2=C1O)O)O)O)C(=O)N)N(C)C)N(C)C
2.1.5 Isomeric SMILES
CC(C)(C)NCC(=O)NC1=CC(=C2C[C@H]3C[C@H]4[C@@H](C(=O)C(=C([C@]4(C(=O)C3=C(C2=C1O)O)O)O)C(=O)N)N(C)C)N(C)C
2.2 Other Identifiers
2.2.1 UNII
70JE2N95KR
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 9-(tert-butylglycylamido)minocycline

2. Gar 936

3. Gar-936

4. Gar936

5. Tbg-mino

6. Tygacil

2.3.2 Depositor-Supplied Synonyms

1. 220620-09-7

2. Tygacil

3. Way-gar-936

4. Gar-936

5. Tbg-mino

6. Gar 936

7. (4s,4as,5ar,12as)-9-(2-(tert-butylamino)acetamido)-4,7-bis(dimethylamino)-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-tetrahydroxy-1,11-dioxo-2-naphthacenecarboxamide

8. Chebi:149836

9. 70je2n95kr

10. (4s,4as,5ar,12as)-9-(2-(tert-butylamino)acetamido)-4,7-bis(dimethylamino)-3,10,12,12a-tetrahydroxy-1,11-dioxo-1,4,4a,5,5a,6,11,12a-octahydrotetracene-2-carboxamide

11. (4s,4as,5ar,12as)-9-[(n-tert-butylglycyl)amino]-4,7-bis(dimethylamino)-3,10,12,12a-tetrahydroxy-1,11-dioxo-1,4,4a,5,5a,6,11,12a-octahydrotetracene-2-carboxamide

12. Tigecycline [usan]

13. Tigilcycline

14. Gar-936,tigecycline

15. Tygacil(tm)

16. (4s,4as,5ar,12ar)-9-[[2-(tert-butylamino)acetyl]amino]-4,7-bis(dimethylamino)-1,10,11,12a-tetrahydroxy-3,12-dioxo-4a,5,5a,6-tetrahydro-4h-tetracene-2-carboxamide

17. (4s,4as,5ar,12as)-9-(2-(tert-butylamino)acetamido)-4,7-bis(dimethylamino)-3,10,12,12a-tetrahydroxy-1,11-dioxo-1,4,4a,5,5a,6,11,12a-octahydrotetracene-2-carboxa

18. (4s,4as,5ar,12as)-9-[[2-(tert-butylamino)acetyl]amino]-4,7-bis(dimethylamino)-3,10,12,12a-tetrahydroxy-1,11-dioxo-4a,5,5a,6-tetrahydro-4h-tetracene-2-carboxamide

19. 2-naphthacenecarboxamide, 4,7-bis(dimethylamino)-9-((((1,1-dimethylethyl)amino)acetyl)amino)-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-tetrahydroxy-1,11-dioxo-, (4s,4as,5ar,12as)-

20. 2-naphthacenecarboxamide, 4,7-bis(dimethylamino)-9-((2-((1,1-dimethylethyl)amino)acetyl)amino)-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-tetrahydroxy-1,11-dioxo-, (4s,4as,5ar,12as)-

21. 2-naphthacenecarboxamide, 4,7-bis(dimethylamino)-9-[[[(1,1-dimethylethyl)amino]acetyl]amino]-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-tetrahydroxy-1,11-dioxo-, (4s,4as,5ar,12as)-

22. 2-naphthacenecarboxamide, 4,7-bis(dimethylamino)-9-[[2-[(1,1-dimethylethyl)amino]acetyl]amino]-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-tetrahydroxy-1,11-dioxo-, (4s,4as,5ar,12as)-

23. Tygacil (tn)

24. Gar936

25. Mfcd00935753

26. 9-t-butylglycylamido Minocycline

27. Haizheng Li Xing

28. Tigecycline 95%

29. Ncgc00183095-01

30. T1c

31. Tigecycline (jan/usp)

32. Tigecycline [mi]

33. Tigecycline [inn]

34. Tigecycline [jan]

35. Tigecycline [vandf]

36. Dsstox_cid_28507

37. Dsstox_rid_82779

38. Tigecycline [mart.]

39. Unii-70je2n95kr

40. Dsstox_gsid_48581

41. Tigecycline [usp-rs]

42. Tigecycline [who-dd]

43. (4s,4as,5ar,12as)-9-(2-(tert-butylamino)acetamido)-4,7-bis(dimethylamino)-3,10,12,12a-tetrahydroxy-1

44. Mls006010079

45. Schembl101795

46. Schembl105082

47. Schembl237962

48. Tigecycline [ema Epar]

49. Tigecycline [usan:inn:ban]

50. Chembl376140

51. 9-t-butylglycylamido-minocycline

52. Dtxsid2048581

53. Gtpl10929

54. Hsdb 8172

55. Tigecycline [orange Book]

56. 9-tert-butylglycylamidominocycline

57. Bcpp000045

58. Hms3714i13

59. Tigecycline [ep Monograph]

60. Tigecycline [usp Monograph]

61. Act08710

62. Bcp01397

63. Hy-b0117

64. Tox21_112910

65. Bdbm50247905

66. Nsc794945

67. S1403

68. Zinc14879972

69. Akos015895663

70. Akos025401452

71. Akos037643695

72. Zinc100022633

73. Zinc102200515

74. Ac-1798

75. Ccg-270150

76. Cs-1876

77. Db00560

78. Nsc-794945

79. (4s,12as)-4,7-bis(dimethylamino)-9-{2-[(tert-butyl)amino]acetylamino}-3,10,12,12a-tetrahydroxy-1,11-dioxo-4,5,6,12a,4a,5a-hexahydronaphthacene-2-carboxamide

80. 121ge002

81. As-30703

82. Smr002530064

83. A5226

84. Am20090708

85. Cas-220620-09-7

86. T3589

87. D01079

88. Ab01566818_01

89. 620t097

90. A815890

91. Q420595

92. Tigecycline, Antibiotic For Culture Media Use Only

93. Q-101396

94. (4s,4as,5ar,12as)-9-(2-t-butylaminoacetylamino)-4,7-bis(dimethylamino)-3,10,12,12a-tetrahydroxy-1,11-dioxo-1,4,4a,5,5a,6,11,12a-octahydronaphthacene-2-carboxamide

95. 2-naphthacenecarboxamide, 4,7-bis(dimethylamino)-9-((((1,1-dimethylethyl)amino)acetyl)amino)-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-tetrahydroxy-1,11-dioxo-, (4s,4as,5ar,12as)-

2.4 Create Date
2011-12-26
3 Chemical and Physical Properties
Molecular Weight 585.6 g/mol
Molecular Formula C29H39N5O8
XLogP31.1
Hydrogen Bond Donor Count7
Hydrogen Bond Acceptor Count11
Rotatable Bond Count7
Exact Mass585.27986322 g/mol
Monoisotopic Mass585.27986322 g/mol
Topological Polar Surface Area206 Ų
Heavy Atom Count42
Formal Charge0
Complexity1240
Isotope Atom Count0
Defined Atom Stereocenter Count4
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameTygacil
PubMed HealthTigecycline (Injection)
Drug ClassesAntibiotic
Drug LabelTYGACIL (tigecycline) is a tetracycline derivative (a glycylcycline) for intravenous infusion. The chemical name of tigecycline is (4S,4aS,5aR,12aS)-9-[2-(tert-butylamino)acetamido]-4,7-bis(dimethylamino)-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-te...
Active IngredientTigecycline
Dosage FormInjectable
RouteIv (infusion)
Strength50mg/vial
Market StatusPrescription
CompanyPf Prism Cv

2 of 2  
Drug NameTygacil
PubMed HealthTigecycline (Injection)
Drug ClassesAntibiotic
Drug LabelTYGACIL (tigecycline) is a tetracycline derivative (a glycylcycline) for intravenous infusion. The chemical name of tigecycline is (4S,4aS,5aR,12aS)-9-[2-(tert-butylamino)acetamido]-4,7-bis(dimethylamino)-1,4,4a,5,5a,6,11,12a-octahydro-3,10,12,12a-te...
Active IngredientTigecycline
Dosage FormInjectable
RouteIv (infusion)
Strength50mg/vial
Market StatusPrescription
CompanyPf Prism Cv

4.2 Therapeutic Uses

Anti-Bacterial Agents

National Library of Medicine's Medical Subject Headings. Tigecycline. Online file (MeSH, 2014). Available from, as of January 30, 2014: https://www.nlm.nih.gov/mesh/2014/mesh_browser/MBrowser.html


Tygacil is a tetracycline-class antibacterial drug indicated for the treatment of infections caused by susceptible isolates of the designated microorganisms in the /following condition/ for patients 18 years of age and older: Complicated skin and skin structure infections caused by Escherichia coli, Enterococcus faecalis (vancomycin-susceptible isolates), Staphylococcus aureus (methicillin-susceptible and -resistant isolates), Streptococcus agalactiae, Streptococcus anginosus grp. (includes S. anginosus, S. intermedius, and S. constellatus), Streptococcus pyogenes, Enterobacter cloacae, Klebsiella pneumoniae, and Bacteroides fragilis. /Included in US product label/

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


Tygacil is a tetracycline-class antibacterial drug indicated for the treatment of infections caused by susceptible isolates of the designated microorganisms in the /following condition/ for patients 18 years of age and older: Complicated intra-abdominal infections caused by Citrobacter freundii, Enterobacter cloacae, Escherichia coli, Klebsiella oxytoca, Klebsiella pneumoniae, Enterococcus faecalis (vancomycin-susceptible isolates), Staphylococcus aureus (methicillin-susceptible and -resistant isolates), Streptococcus anginosus grp. (includes S. anginosus, S. intermedius, and S. constellatus), Bacteroides fragilis, Bacteroides thetaiotaomicron, Bacteroides uniformis, Bacteroides vulgatus, Clostridium perfringens, and Peptostreptococcus micros. /Included in US product label/

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


Tygacil is a tetracycline-class antibacterial drug indicated for the treatment of infections caused by susceptible isolates of the designated microorganisms in the /following condition/ for patients 18 years of age and older: Community-acquired bacterial pneumonia caused by Streptococcus pneumoniae (penicillin-susceptible isolates), including cases with concurrent bacteremia, Haemophilus influenzae (beta-lactamase negative isolates), and Legionella pneumophila. /Included in US product label/

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


4.3 Drug Warning

/BOXED WARNING/ WARNING: ALL-CAUSE MORTALITY: An increase in all-cause mortality has been observed in a meta-analysis of Phase 3 and 4 clinical trials in Tygacil-treated patients versus comparator. The cause of this mortality risk difference of 0.6% (95% CI 0.1, 1.2) has not been established. Tygacil should be reserved for use in situations when alternative treatments are not suitable.

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


Increased risk of all-cause mortality has been reported in a pooled analysis of over 7400 patients from 13 phase 3 and 4, active-controlled clinical trials evaluating tigecycline for the treatment of serious infections. Data indicate a 4% mortality rate in tigecycline-treated patients versus 3% in patients treated with comparator anti-infectives. The adjusted risk difference in all-cause mortality between patients receiving tigecycline and those receiving comparators was 0.6%.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 427


Acute pancreatitis, including fatalities, has been reported in patients receiving tigecycline. Some cases have been reported in patients with no known risk factors for pancreatitis. Improvement usually occurs after the drug is discontinued. A diagnosis of pancreatitis should be considered in any patient receiving tigecycline who develops symptoms, signs, or laboratory abnormalities suggestive of acute pancreatitis. In suspected cases of pancreatitis, consideration should be given to discontinuing tigecycline.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 427


May cause fetal harm; teratogenicity and embryolethality demonstrated in animals. Pregnancy should be avoided during therapy. If the patient becomes pregnant while receiving tigecycline, apprise of potential fetal hazard.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 427


For more Drug Warnings (Complete) data for Tigecycline (14 total), please visit the HSDB record page.


4.4 Drug Indication

For the treatment of infections caused by susceptible strains of the designated microorganisms in the following conditions: Complicated skin and skin structure infections caused by Escherichia coli, Enterococcus faecalis (vancomycin-susceptible isolates only), Staphylococcus aureus (methicillin-susceptible and -resistant isolates), Streptococcus agalactiae, Streptococcus anginosus grp. (includes S. anginosus, S. intermedius, and S. constellatus), Streptococcus pyogenes and Bacteroides fragilis. Complicated intra-abdominal infections caused by Citrobacter freundii, Enterobacter cloacae, Escherichia coli, Klebsiella oxytoca, Klebsiella pneumoniae, Enterococcus faecalis (vancomycin-susceptible isolates only), Staphylococcus aureus (methicillin-susceptible isolates only), Streptococcus anginosus grp. (includes S. anginosus, S. intermedius, and S. constellatus), Bacteroides fragilis, Bacteroides thetaiotaomicron, Bacteroides uniformis, Bacteroides vulgatus, Clostridium perfringens, and Peptostreptococcus micros.


FDA Label


Tygacil is indicated in adults and in children from the age of eight years for the treatment of the following infections:

- Complicated skin and soft tissue infections (cSSTI), excluding diabetic foot infections

- Complicated intra-abdominal infections (cIAI)

Tygacil should be used only in situations where other alternative antibiotics are not suitable.

Consideration should be given to official guidance on the appropriate use of antibacterial agents. appropriate use of antibacterial agents.


Treatment of complicated intra-abdominal infections, Treatment of complicated skin and soft-tissue infections


Tygecycline Accord is indicated in adults and in children from the age of eight years for the treatment of the following infections (see sections 4. 4 and 5. 1):

- Complicated skin and soft tissue infections (cSSTI), excluding diabetic foot infections (see section 4. 4)

- Complicated intra-abdominal infections (cIAI)

Tygecycline Accord should be used only in situations where other alternative antibiotics are not suitable (see sections 4. 4, 4. 8 and 5. 1).

Consideration should be given to official guidance on the appropriate use of antibacterial agents.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Tigecycline is the first clinically-available drug in a new class of antibiotics called the glycylcyclines. Glycylcyclines are a new class of antibiotics derived from tetracycline. These tetracycline analogues are specifically designed to overcome two common mechanisms of tetracycline resistance, namely resistance mediated by acquired efflux pumps and/or ribosomal protection. Glycylcycline antibiotics have a similar mechanism of action as tetracycline antibiotics. Both classes of antibiotics bind to the 30S ribosomal subunit to prevent the amino-acyl tRNA from binding to the A site of the ribosome. However, the glycylcyclines appear to bind more effectively than the tetracyclines.


5.2 MeSH Pharmacological Classification

Anti-Bacterial Agents

Substances that inhibit the growth or reproduction of BACTERIA. (See all compounds classified as Anti-Bacterial Agents.)


Protein Synthesis Inhibitors

Compounds which inhibit the synthesis of proteins. They are usually ANTI-BACTERIAL AGENTS or toxins. Mechanism of the action of inhibition includes the interruption of peptide-chain elongation, the blocking the A site of ribosomes, the misreading of the genetic code or the prevention of the attachment of oligosaccharide side chains to glycoproteins. (See all compounds classified as Protein Synthesis Inhibitors.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
TIGECYCLINE
5.3.2 FDA UNII
70JE2N95KR
5.3.3 Pharmacological Classes
Tetracyclines [CS]; Tetracycline-class Antibacterial [EPC]
5.4 ATC Code

J01AA12


J01AA12


J01AA12

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


J - Antiinfectives for systemic use

J01 - Antibacterials for systemic use

J01A - Tetracyclines

J01AA - Tetracyclines

J01AA12 - Tigecycline


5.5 Absorption, Distribution and Excretion

The recovery of total radioactivity in feces and urine following administration of (14)C-tigecycline indicates that 59% of the dose is eliminated by biliary/fecal excretion, and 33% is excreted in urine. Approximately 22% of the total dose is excreted as unchanged tigecycline in urine. Overall, the primary route of elimination for tigecycline is biliary excretion of unchanged tigecycline and its metabolites. Glucuronidation and renal excretion of unchanged tigecycline are secondary routes.

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


... The safety and tolerability of tigecycline administered as single or multiple doses or at various infusion rates were explored in three phase 1, randomized, double-blind, placebo-controlled studies in healthy subjects. Full pharmacokinetic profiles of tigecycline were determined in two of these studies. Subjects in the single-dose study received 12.5 to 300 mg of tigecycline, which differed with respect to the duration of infusion, subjects' feeding status, and ondansetron pretreatment. Subjects in the ascending multiple-dose study received 25 to 100-mg doses of tigecycline as a 1-hr infusion every 12 hr. The variable volume and infusion rate study consisted of administration of 100-mg loading dose of tigecycline, followed by 50 mg every 12 hr for 5 days. Serum samples were analyzed for tigecycline by validated high-pressure liquid chromatography or liquid chromatography/tandem mass spectrometry methods. Systemic clearance ranged from 0.2 to 0.3 liters/hr/kg, and the tigecycline half-life ranged from 37 to 67 hr. Tigecycline had a large volume of distribution (7 to 10 liters/kg), indicating extensive distribution into the tissues. Food increased the maximum tolerated single-dose from 100 to 200 mg, but the duration of infusion did not affect tolerability. ...

PMID:15616299 Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC538906 Muralidharan G et al; Antimicrob Agents Chemother 49 (1): 220-9 (2005)


In a single-dose study, tigecycline 100 mg was administered to subjects prior to undergoing elective surgery or medical procedure for tissue extraction. Concentrations at 4 hours after tigecycline administration were higher in gallbladder (38-fold, n=6), lung (3.7-fold, n=5), and colon (2.3-fold, n=6), and lower in synovial fluid (0.58-fold, n=5), and bone (0.35-fold, n=6) relative to serum. The concentration of tigecycline in these tissues after multiple doses has not been studied.

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


Results from animal studies using (14)C-labeled tigecycline indicate that tigecycline is excreted readily via the milk of lactating rats. Consistent with the limited oral bioavailability of tigecycline, there is little or no systemic exposure to tigecycline in nursing pups as a result of exposure via maternal milk.

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


For more Absorption, Distribution and Excretion (Complete) data for Tigecycline (6 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

Tigecycline is not extensively metabolized. In vitro studies with tigecycline using human liver microsomes, liver slices, and hepatocytes led to the formation of only trace amounts of metabolites. A glucuronide, an N-acetyl metabolite, and a tigecycline epimer (each at no more than 10% of the administered dose) are the primary metabolites.


Tigecycline is not extensively metabolized. In vitro studies with tigecycline using human liver microsomes, liver slices, and hepatocytes led to the formation of only trace amounts of metabolites. In healthy male volunteers receiving (14)C-tigecycline, tigecycline was the primary (14)C-labeled material recovered in urine and feces, but a glucuronide, an N-acetyl metabolite, and a tigecycline epimer (each at no more than 10% of the administered dose) were also present.

US Natl Inst Health; DailyMed. Current Medication Information for TYGACIL (tigecycline) injection, powder, lyophilized, for solution (October 2013). Available from, as of February 7, 2014: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=2ccdb48e-c14a-4eeb-348c-4920ccfd7465


Tigecycline was minimally metabolised in the animal species tested, consistent with that observed in humans. Consistent with rat and dog data, the 4-epimer of tigecycline (a non-enzymatic epimerization product) was also the most abundant tigecycline-derived component detected in human serum and urine. The major metabolic pathways for tigecycline in humans were glucuronidation (M7: tigecycline glucuronide metabolite, approximately 12%, and its epimer M6) and amide hydrolysis of the tbutylaminoacetylamino side chain (M9: N-acetyl-9- aminominocycline, approximately 3% and its epimer M8, approximately 10% of the administered tigecycline dose). Thehuman metabolites (M7 and M9), have not been observed in rats and dogs, but are present in mice and rabbits. Further studies showed that tigecycline and its epimer as well as M3, M7 and its epimer M6 were detected in both species, mice and rabbits, but M9 and its epimer M8 were only observed in rabbits,although quantitative information on the individual metabolites was not provided.

European Medicines Agency (EMA), Committee for Medicinal Products for Human Use (CHMP), European Public Assessment Report (EPAR): Tygacil, Scientific Discussion p.5 (2007). Available from, as of February 10, 2014: https://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000644/WC500044511.pdf


5.7 Biological Half-Life

27-43 hours


... The terminal elimination half-life is approximately 40 hr. ...

PMID:16080071 Meagher AK et al; Clin Infect Dis 41 (Suppl 5): S333-40 (2005)


5.8 Mechanism of Action

Tigecycline, a glycylcycline, inhibits protein translation in bacteria by binding to the 30S ribosomal subunit and blocking entry of amino-acyl tRNA molecules into the A site of the ribosome. This prevents incorporation of amino acid residues into elongating peptide chains. Tigecycline carries a glycylamido moiety attached to the 9-position of minocycline. The substitution pattern is not present in any naturally occurring or semisynthetic tetracycline and imparts certain microbiologic properties to tigecycline. Tigecycline is not affected by the two major tetracycline resistance mechanisms, ribosomal protection and efflux. Accordingly, tigecycline has demonstrated in vitro and in vivo activity against a broad spectrum of bacterial pathogens. There has been no cross resistance observed between tigecycline and other antibiotics. Tigecycline is not affected by resistance mechanisms such as beta-lactamases (including extended spectrum beta-lactamases), target site modifications, macrolide efflux pumps or enzyme target changes (e.g. gyrase/topoisomerase). In vitro studies have not demonstrated antagonism between tigecycline and other commonly used antibacterial drugs. In general, tigecycline is considered bacteriostatic.


Pro-inflammatory and pro-apoptotic mediators have been involved in the pathogenesis of neurodegenerative diseases. Tigecycline (Tig), a glycylcycline antibiotic and an analog of Minocycline, is shown to exert anti-inflammatory effects that are distinct from its anti-microbial activity. Its neuroprotective mechanism is unknown. In this study, we investigated the direct protective mechanisms of tigecycline against lipopolysaccharide (LPS)-induced Rat pheochromocytoma (PC12) cells. The results showed that tigecycline significantly attenuated the expression and the release of nuclear factor-kappa beta (NF-kappaB), tumor necrosis factor-alpha (TNF-a) and interleukin-1beta (IL-1beta), as well as nitric oxide (NO) levels in LPS-induced PC12 cells. In addition, tigecycline dose-dependently decreased cytochrome c release and caspase-3 activity. This later finding corroborated the results of decreased pro-apoptotic Bad, and increased anti-apoptotic Bcl-2 protein expression thus, confirming a neuroprotective effect of the drug in differentiated PC12 cells induced with LPS. The findings of /this/ study suggest new targets for tigecycline and support the potential for tigecycline to be investigated as a therapeutic agent for neurodegenerative disorders.

PMID:23200736 Yagnik RM, Benzeroual KE; Toxicol In Vitro 27 (2): 686-93 (2013)


Tigecycline is a glycylcycline antibiotic derived from the tetracycline group, that acts by inhibiting protein synthesis at the level of the bacterial ribosome. Tigecycline shows higher binding affinity than tetracyclines, being active against bacterial strains with either mechanism of tetracycline resistance (efflux and ribosomal protection). The fact that tigecycline overcomes most of the known tetracycline resistance mechanisms is interpreted as a result of steric hindrance due to the large substituent at position 9. Tigecycline showed a number of differences between the in vitro/in vivo antibacterial activity with respect to the tetracycline group that could be attributed to the specific interaction with a different region of the ribosomal A-site. Since mutational resistance to tetracyclines at the A-site is considered extremely rare, it is unlikely that mutational resistance to tigecycline will arise at the Asite. Tigecycline is able to inhibit mitochondrial protein synthesis in eukaryotic cells, which may have some toxicological relevance. However, in this respect tigecycline resembles classical tetracyclines and some other antimicrobial drugs inhibiting prokaryotic protein synthesis. In addition, the in vitro data show that tigecycline is active against microorganisms harbouring some tetracycline determinants of resistance.

European Medicines Agency (EMA), Committee for Medicinal Products for Human Use (CHMP), European Public Assessment Report (EPAR): Tygacil, Scientific Discussion p.4 (2007). Available from, as of February 10, 2014: https://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000644/WC500044511.pdf


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20-Jan-2021
21-Nov-2024
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