Details
Stereochemistry | RACEMIC |
Molecular Formula | C19H22FN3O4 |
Molecular Weight | 375.3941 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COC1=C(N2CCNC(C)C2)C(F)=CC3=C1N(C=C(C(O)=O)C3=O)C4CC4
InChI
InChIKey=XUBOMFCQGDBHNK-UHFFFAOYSA-N
InChI=1S/C19H22FN3O4/c1-10-8-22(6-5-21-10)16-14(20)7-12-15(18(16)27-2)23(11-3-4-11)9-13(17(12)24)19(25)26/h7,9-11,21H,3-6,8H2,1-2H3,(H,25,26)
Gatifloxacin is a recently developed antibacterial agent differing from earlier fluoroquinolones by the presence of a methoxy group at the C-8 position. The presence of the methoxy group has conferred improved antibacterial activity against both Gram-positive and Gram-negative organisms, making gatifloxacin a broad-spectrum antimicrobial agent applicable in many clinical settings. Gatifloxacin is sold under the brand Zymar and is indicated for the treatment of bacterial conjunctivitis caused by susceptible strains of the following organisms: Aerobic Gram-Positive Bacteria: Cornyebacterium propinquum, Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus mitis, Streptococcus pneumoniae and Aerobic Gram-Negative Bacteria: Haemophilus influenza. The antibacterial action depends on blocking of bacterial DNA replication by binding itself to an enzyme called DNA gyrase, which allows the untwisting required to replicate one DNA double helix into two. Notably the drug has 100 times higher affinity for bacterial DNA gyrase than for mammalian. In addition, Gatifloxacin inhibits bacterial topoisomerase IV. This enzyme is an enzyme known to play a key role in the partitioning of the chromosomal DNA during bacterial cell division. The mechanism of action of fluoroquinolones including gatifloxacin is different from that of aminoglycoside, macrolide, and tetracycline antibiotics. Therefore, gatifloxacin may be active against pathogens that are resistant to these antibiotics and these antibiotics may be active against pathogens that are resistant to gatifloxacin. There is no cross-resistance between gatifloxacin and the aforementioned classes of antibiotics. Cross-resistance has been observed between systemic gatifloxacin and some other fluoroquinolones.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19497321
Curator's Comment: Known to be CNS penetrant in rats. Human data not available
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2363033 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12019093 |
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Target ID: CHEMBL2311225 Sources: https://www.ncbi.nlm.nih.gov/pubmed/9925547 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Curative | ZYMAR Approved UseZYMAXID® (gatifloxacin ophthalmic solution) 0.5% solution is indicated for the treatment of bacterial conjunctivitis caused by susceptible strains of the following organisms: Aerobic Gram-Positive Bacteria: Staphylococcus aureus Staphylococcus epidermidis Streptococcus mitis group* Streptococcus oralis * Streptococcus pneumoniae Aerobic Gram-Negative Bacteria: Haemophilus influenzae *Efficacy for this organism was studied in fewer than 10 infections. ZYMAXID® ophthalmic solution is a topical fluoroquinolone anti-infective indicated for the treatment of bacterial conjunctivitis caused by susceptible strains of the following organisms: Haemophilus influenzae, Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus mitis group* , Streptococcus oralis * , Streptococcus pneumoniae *Efficacy for this organism was studied in fewer than 10 infections. (1) Launch Date2003 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.2 μg/mL |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
4.6 μg/mL |
400 mg 1 times / day steady-state, intravenous dose: 400 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
4.2 μg/mL |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
3.8 μg/mL |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
5.5 μg/mL |
400 mg single, intravenous dose: 400 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
34.4 μg × h/mL |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
35.4 μg × h/mL |
400 mg 1 times / day steady-state, intravenous dose: 400 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
51 μg × h/mL |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
33 μg × h/mL |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
35.1 μg × h/mL |
400 mg single, intravenous dose: 400 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
7.1 h |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
13.9 h |
400 mg 1 times / day steady-state, intravenous dose: 400 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
7.8 h |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
7.4 h |
400 mg single, intravenous dose: 400 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
80% |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
80% |
400 mg 1 times / day steady-state, intravenous dose: 400 mg route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
80% |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
80% |
400 mg single, intravenous dose: 400 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
GATIFLOXACIN serum | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
10 mg/kg 1 times / day steady, oral Recommended Dose: 10 mg/kg, 1 times / day Route: oral Route: steady Dose: 10 mg/kg, 1 times / day Sources: |
unhealthy, 6 - 48 months n = 160 Health Status: unhealthy Condition: acute otitis media Age Group: 6 - 48 months Sex: M Population Size: 160 Sources: |
Disc. AE: Vomiting, Diarrhea... AEs leading to discontinuation/dose reduction: Vomiting (15 patients) Sources: Diarrhea (3 patients) Dehydration (2 patients) Maculopapular rash (2 patients) |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Co-administed with:: glyburide(10 mg/day) Sources: |
unhealthy, 79 years n = 1 Health Status: unhealthy Condition: type 2 diabetes mellitus and pneumonia Age Group: 79 years Sex: M Population Size: 1 Sources: |
Disc. AE: Hyperglycemia... AEs leading to discontinuation/dose reduction: Hyperglycemia (1 patient) Sources: |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Co-administed with:: glyburide(5 mg/day) Sources: |
unhealthy, 84 years n = 1 Health Status: unhealthy Condition: type 2 diabetes mellitus and nonproductive cough Age Group: 84 years Sex: F Population Size: 1 Sources: |
Disc. AE: Hyperglycemia... AEs leading to discontinuation/dose reduction: Hyperglycemia (1 patient) Sources: |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Co-administed with:: metoprolol, diltiazem, subcutaneous heparin, ranitidine, vancomycin, piperacillin/tazobactam, and aspirin Sources: |
unhealthy, 86 years n = 1 Health Status: unhealthy Condition: small bowel obstruction and suspected pneumonia Age Group: 86 years Sex: M Population Size: 1 Sources: |
Disc. AE: Hyperglycemia... AEs leading to discontinuation/dose reduction: Hyperglycemia (1 patient) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Vomiting | 15 patients Disc. AE |
10 mg/kg 1 times / day steady, oral Recommended Dose: 10 mg/kg, 1 times / day Route: oral Route: steady Dose: 10 mg/kg, 1 times / day Sources: |
unhealthy, 6 - 48 months n = 160 Health Status: unhealthy Condition: acute otitis media Age Group: 6 - 48 months Sex: M Population Size: 160 Sources: |
Dehydration | 2 patients Disc. AE |
10 mg/kg 1 times / day steady, oral Recommended Dose: 10 mg/kg, 1 times / day Route: oral Route: steady Dose: 10 mg/kg, 1 times / day Sources: |
unhealthy, 6 - 48 months n = 160 Health Status: unhealthy Condition: acute otitis media Age Group: 6 - 48 months Sex: M Population Size: 160 Sources: |
Maculopapular rash | 2 patients Disc. AE |
10 mg/kg 1 times / day steady, oral Recommended Dose: 10 mg/kg, 1 times / day Route: oral Route: steady Dose: 10 mg/kg, 1 times / day Sources: |
unhealthy, 6 - 48 months n = 160 Health Status: unhealthy Condition: acute otitis media Age Group: 6 - 48 months Sex: M Population Size: 160 Sources: |
Diarrhea | 3 patients Disc. AE |
10 mg/kg 1 times / day steady, oral Recommended Dose: 10 mg/kg, 1 times / day Route: oral Route: steady Dose: 10 mg/kg, 1 times / day Sources: |
unhealthy, 6 - 48 months n = 160 Health Status: unhealthy Condition: acute otitis media Age Group: 6 - 48 months Sex: M Population Size: 160 Sources: |
Hyperglycemia | 1 patient Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Co-administed with:: glyburide(10 mg/day) Sources: |
unhealthy, 79 years n = 1 Health Status: unhealthy Condition: type 2 diabetes mellitus and pneumonia Age Group: 79 years Sex: M Population Size: 1 Sources: |
Hyperglycemia | 1 patient Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Co-administed with:: glyburide(5 mg/day) Sources: |
unhealthy, 84 years n = 1 Health Status: unhealthy Condition: type 2 diabetes mellitus and nonproductive cough Age Group: 84 years Sex: F Population Size: 1 Sources: |
Hyperglycemia | 1 patient Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Co-administed with:: metoprolol, diltiazem, subcutaneous heparin, ranitidine, vancomycin, piperacillin/tazobactam, and aspirin Sources: |
unhealthy, 86 years n = 1 Health Status: unhealthy Condition: small bowel obstruction and suspected pneumonia Age Group: 86 years Sex: M Population Size: 1 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/19026171/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10984329/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/19026171/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10984329/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10730688/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/18381565/ Page: - |
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/20573570/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/20573570/ Page: - |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/17274666/ Page: - |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/20573570/ Page: - |
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/11125032/ Page: - |
PubMed
Title | Date | PubMed |
---|---|---|
In vitro and in vivo antibacterial activities of AM-1155, a new 6-fluoro-8-methoxy quinolone. | 1992 Oct |
|
N-1-tert-butyl-substituted quinolones: in vitro anti-Mycobacterium avium activities and structure-activity relationship studies. | 1996 Nov |
|
Structure-activity relationships of quinolone agents against mycobacteria: effect of structural modifications at the 8 position. | 1996 Oct |
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[In vitro anti-MAC activities of new quinolones in focus (2)]. | 1996 Sep |
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[In vitro anti-MAC activities of new quinolones in focus (1)]. | 1996 Sep |
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The activity of the methylpiperazinyl fluoroquinolone CG 5501: a comparison with other fluoroquinolones. | 1997 Apr |
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Comparative in vitro antimicrobial activities of the newly synthesized quinolone HSR-903, sitafloxacin (DU-6859a), gatifloxacin (AM-1155), and levofloxacin against Mycobacterium tuberculosis and Mycobacterium avium complex. | 1999 Dec |
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Mutant prevention concentration as a measure of antibiotic potency: studies with clinical isolates of Mycobacterium tuberculosis. | 2000 Sep |
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Possible gatifloxacin-induced fulminant hepatic failure. | 2002 Jul-Aug |
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Synergic activity of fluoroquinolones and linezolid against Mycobacterium tuberculosis. | 2003 Apr |
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Gatifloxacin and ethionamide as the foundation for therapy of tuberculosis. | 2003 Aug |
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Rapid in vivo screening of experimental drugs for tuberculosis using gamma interferon gene-disrupted mice. | 2003 Feb |
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Sterilizing activities of fluoroquinolones against rifampin-tolerant populations of Mycobacterium tuberculosis. | 2003 Feb |
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Mycobacterium tuberculosis DNA gyrase: interaction with quinolones and correlation with antimycobacterial drug activity. | 2004 Apr |
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Torsades de pointes associated with fluoroquinolones: importance of concomitant risk factors. | 2004 Mar |
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Gatifloxacin-induced cholestatic hepatitis--a challenging diagnosis. | 2005 Mar |
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Serious adverse drug effects--seeing the trees through the forest. | 2006 Mar 30 |
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Antimycobacterial activities of novel 2-(sub)-3-fluoro/nitro-5,12-dihydro-5-oxobenzothiazolo[3,2-a]quinoline-6-carboxylic acid. | 2008 Mar 15 |
|
Synthesis and in-vitro antimycobacterial evaluation of 1-(cyclopropyl/2,4-difluorophenyl/tert-butyl)-1,4-dihydro- 8-methyl-6-nitro-4-oxo-7-(substituted secondary amino)quinoline-3-carboxylic acids. | 2009 Feb |
|
Antituberculosis activity of the molecular libraries screening center network library. | 2009 Sep |
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In vitro activities of DC-159a, a novel fluoroquinolone, against Mycobacterium species. | 2010 Jun |
|
A comparative analysis of chromosomal aberrations in cultured human lymphocytes due to fluoroquinolone drugs at different expression periods. | 2010 May |
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Safety profile of the fluoroquinolones: focus on levofloxacin. | 2010 May 1 |
|
Comparative in vitro and in vivo antimicrobial activities of sitafloxacin, gatifloxacin and moxifloxacin against Mycobacterium avium. | 2011 Apr |
|
Combined contributions of over-secreted glucagon-like peptide 1 and suppressed insulin secretion to hyperglycemia induced by gatifloxacin in rats. | 2013 Feb 1 |
Patents
Sample Use Guides
The recommended dosage regimen for the treatment of bacterial conjunctivitis is: Days 1 and 2: Instill one drop every two hours in the affected eye(s) while awake, up to 8 times daily. Days 3 through 7: Instill one drop up to four times daily while awake.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/12697632
Gatifloxacin was synergic with the beta-lactams piperacillin, cefepime and meropenem, and with gentamicin against some drug-resistant pathogens. It was investigated in vitro interaction of gatifloxacin in combination with these drugs against clinical isolates of Stenotrophomonas maltophilia, Pseudomonas aeruginosa, Burkholderia cepacia, extended-spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae, vancomycin-resistant Enterococcus faecium (VRE) and methicillin-resistant Staphylococcus aureus (MRSA). Synergy was demonstrated with the following combinations at achievable serum concentrations: gatifloxacin/piperacillin for 80% and gatifloxacin/cefepime for 60% of S. maltophilia; gatifloxacin/gentamicin for 60%, and gatifloxacin/cefepime for 50% of ESBL-producing K. pneumoniae, and in all drug combinations for 50-70% of P. aeruginosa. Indifference was noted for the majority of B. cepacia and VRE isolates. Antagonism at therapeutic serum levels was observed with gatifloxacin/piperacillin against a single isolate of B. Cepacia. MIC50 and MIC90 values represent the concentrations at which 50% and 90% of strains, respectively, were inhibited. The gatifloxacin MICs for S. maltophilia ranged from 0.5 to 4 mg/L, the lowest values of the agents tested. Gatifloxacin at 2 mg/L in combination with cefepime at 8 mg/L, and gatifloxacin at 2 mg/L in combination with piperacillin at 64 mg/L, resulted in at least a 2 log10 decrease in viable colonies, and by definition were synergic.
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Classification Tree | Code System | Code | ||
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WHO-ATC |
J01MA16
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WHO-ATC |
S01AX21
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NDF-RT |
N0000007606
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NDF-RT |
N0000175937
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LIVERTOX |
NBK547840
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7423
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SUB13952MIG
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DTXSID5045704
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758701
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DB01044
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81485Y3A9A
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81485Y3A9A
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1546025
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C175722
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5379
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100000090510
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m5679
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112811-59-3
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Gatifloxacin
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ACTIVE MOIETY
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)