Evidence map›Paper›PMID 40968127›Full record

ArticleNature communications2025

The bactericidal FabI inhibitor Debio 1453 clears antibiotic-resistant Neisseria gonorrhoeae infection in vivo.

Vincent Gerusz, Pierre Regenass, Quentin Rousseau, Victor Moraine, Justine Dao, Xavier Lavé, Shampa Das, Josée Hue Perron, Laurence Fajas Descamps, Juan Bravo and 21 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Vincent GeruszDebiopharm Research and Manufacturing SA, Martigny, Switzerland. vincent.gerusz@debiopharm.com.ORCID http://orcid.org/0009-0005-4583-8733
Pierre RegenassDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Quentin RousseauDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Victor MoraineDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Justine DaoDebiopharm International SA, Lausanne, Switzerland.
Xavier LavéDebiopharm International SA, Lausanne, Switzerland.ORCID http://orcid.org/0009-0008-9084-2696
Shampa DasAntimicrobial Pharmacodynamics and Therapeutics, Department of Pharmacology, University of Liverpool, Liverpool Health Partners, Liverpool, UK.
Josée Hue PerronDebiopharm International SA, Lausanne, Switzerland.ORCID http://orcid.org/0009-0004-2289-2545
Laurence Fajas DescampsDebiopharm International SA, Lausanne, Switzerland.
Juan BravoDebiopharm International SA, Lausanne, Switzerland.
Guennaëlle DieppoisDebiopharm International SA, Lausanne, Switzerland.
Nachum KaplanNobelex Biotech, Inc., Toronto, ON, Canada.
Matthew LefebreNobelex Biotech, Inc., Toronto, ON, Canada.
Deanna AltomariNobelex Biotech, Inc., Toronto, ON, Canada.
Vladimir RomanovNobelex Biotech, Inc., Toronto, ON, Canada.
Terry FinnDebiopharm International SA, Lausanne, Switzerland.
Pierre DaramDebiopharm International SA, Lausanne, Switzerland.
Francesca BernardiniDebiopharm International SA, Lausanne, Switzerland.
Michaël GrossDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Robert LysekDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Aurélien AdamDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Danig PohinDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Maurizio MaioDebiopharm Research and Manufacturing SA, Martigny, Switzerland.
Vasileios TatsisSygnature Discovery, Biocity, Nottingham, UK.
Mihiro SunoseSygnature Discovery, Biocity, Nottingham, UK.
Céline RoninNovalix, Strasbourg, France.ORCID http://orcid.org/0000-0002-0930-5316
Fabrice CiesielskiNovalix, Strasbourg, France.
Josefine AhlstrandWHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Department of Laboratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Susanne JacobssonWHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Department of Laboratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Magnus UnemoWHO Collaborating Centre for Gonorrhoea and Other STIs, National Reference Laboratory for STIs, Department of Laboratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID http://orcid.org/0000-0003-1710-2081
David R CameronDebiopharm International SA, Lausanne, Switzerland. david.cameron@debiopharm.com.ORCID http://orcid.org/0000-0003-3700-5625

Funding

Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) HHSN272201700020I/75N93023F00002NIEHS NIH HHS 27302C0028Wellcome Trust
6 · The paper itself

Abstract

Gonorrhoea is a prevalent sexually transmitted infection caused by the bacterial pathogen Neisseria gonorrhoeae. N. gonorrhoeae has demonstrated a remarkable capacity to evolve antibiotic resistance, with emerging strains that show resistance to all standard treatment options. The development of new antibiotics for gonorrhoea, especially those with novel targets and no pre-existing resistance, is critical. One such untapped antibacterial target in N. gonorrhoeae is FabI, an enoyl-acyl carrier protein reductase enzyme that is essential for fatty acid biosynthesis in this pathogen. In the current report, structure-based drug design using novel N. gonorrhoeae FabI inhibitor co-crystals guides medicinal chemistry toward increasing potency in the sub-nanomolar range and drives the discovery of Debio 1453. Debio 1453 is optimized for activity against N. gonorrhoeae and is highly active in vitro against diverse N. gonorrhoeae isolates including those resistant to the last remaining treatment options. Additionally, the compound presents a low propensity for selection of mutants with reduced susceptibility. Debio 1453 is efficacious in vivo against N. gonorrhoeae isolates with clinically relevant multi-drug resistance phenotypes in a murine vaginal gonorrhoea infection model underscoring Debio 1453 as a promising candidate for the treatment of gonorrhoea.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialEnoyl-(Acyl-Carrier-Protein) Reductase (NADH)Enzyme InhibitorsGonorrheaNeisseria gonorrhoeaeAnimalsBacterial ProteinsDisease Models, AnimalFemaleHumansMiceMicrobial Sensitivity TestsAnti-Bacterial AgentsBacterial ProteinsEnoyl-(Acyl-Carrier-Protein) Reductase (NADH)Enzyme Inhibitors

Identifiers

PMID40968127
PMCPMC12446476

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.