BAY 12-8039 is a new 8-methoxyquinolone with antibacterial activity ag
ainst gram-positive bacteria which is significantly better than those
of sparfloxacin or ciprofloxacin. The minimal inhibitory concentration
s (MICs) for 90% of methicillin-susceptible Staphylococcus aureus and
Staphylococcus epidermidis were 0.062 and 2 mg/l, respectively. The MI
C(90)s for ciprofloxacin-resistant, methicillin-susceptible and methic
illin-resistant S. aureus were 8 mg/l. Against the staphylococcal stra
ins tested sparfloxacin was 2-fold and ciprofloxacin greater than or e
qual to 10-fold less active. MIC(90)s for Streptococcus pneumoniae, St
reptococcus pyogenes and Streptococcus agalactiae were 0.125-0.5 mg/l,
irrespective of whether strains with diminished ciprofloxacin suscept
ibility or ciprofloxacin-susceptible strains were tested. Against the
streptococci sparfloxacin was 2- to 4- fold less active. Against gram-
negative bacteria BAY 12-8039 is almost as active as ciprofloxacin, ex
cept for Pseudomonas aeruginosa. Against Bacteroides fragilis, Bactero
ides spp. and Clostridium spp. BAY 12-8039 was as active as metronidaz
ole. The bactericidal activity against S. aureus and S. pneumoniae was
in contrast to that of the other quinolones tested, penicillin G, amo
xicillin +/- clavulanate, cefuroxime and clarithromycin, concentration
-dependent. As compared to ciprofloxacin, development of resistance wa
s less pronounced. The spontaneous mutation frequency towards BAY 12-8
039 resistance was 2.8 x 10(-8) in Escherichia coli, 7.06 x 10-8 in S.
aureus and <1.4 x 10(-9) in S. pneumoniae.