MINI REVIEW article

Front. Antibiot.

Sec. Antibiotic Resistance

Volume 4 - 2025 | doi: 10.3389/frabi.2025.1611588

An evaluation of antibiotic options for the treatment of biothreat pathogens

Provisionally accepted
  • 1U.S. Army Medical Research Institute of Infectious Diseases, Frederick, Maryland, United States
  • 2Defence Science and Technology Laboratory, Salisbury, United Kingdom

The final, formatted version of the article will be published soon.

The development of medical countermeasures against pathogens of biodefense concern remains critical to protecting military and public health. This review compares data detailing antibacterial activity and efficacy for a selection of antibiotics evaluated against potential bacterial biothreat pathogens. The human safety and tolerability of these formulations were also considered. This review includes finafloxacin, levofloxacin, delafloxacin, omadacycline, gepotidacin, tebipenem and sulopenem. The selection criteria of these antibiotics were 1) the availability of an oral formulation, 2) the regulatory status (licensed by a regulatory authority or in an advanced stage of development) and 3) the availability of publicly available information on the biodefence pathogens of concern. We hope to highlight approved or advanced clinical candidates that have significant and unique potential in the biodefense space which may be deployed to protect both the public and warfighter against these bacterial infections.

Keywords: antibiotics, Biodefence, Medical countermeasures, Antimicrobial susceptibility, Biocontainment

Received: 14 Apr 2025; Accepted: 12 Jun 2025.

Copyright: © 2025 Meinig, Nelson, Cote, Emmett and Harding. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
J Matthew Meinig, U.S. Army Medical Research Institute of Infectious Diseases, Frederick, 21702-5011, Maryland, United States
Sarah V Harding, Defence Science and Technology Laboratory, Salisbury, United Kingdom

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