Dual-action antibiotics for stubborn Gram-positive infections

Hybrid Antibiotics for Persistent Infections

['FUNDING_R01'] · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · NIH-11129892

New dual-action antibiotics are being developed to kill hard-to-treat Gram-positive infections like bloodstream infections, prosthetic joint infections, and endocarditis.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorST. JUDE CHILDREN'S RESEARCH HOSPITAL (nih funded)
Locations1 site (MEMPHIS, UNITED STATES)
Trial IDNIH-11129892 on ClinicalTrials.gov

What this research studies

Researchers are designing hybrid drugs that combine a urea depsipeptide (UDEP) with a rifamycin to attack bacteria in two different ways. The goal is to kill bacteria that hide in biofilms or enter a dormant, slow-growing state that makes standard antibiotics less effective. Scientists are using structure-based design and pharmacology testing to optimize how these hybrids work and how they behave in the body. Most work is currently lab-based and focused on preclinical tests to support possible future clinical trials.

Who could benefit from this research

Good fit: People with recurrent or hard-to-treat Gram-positive infections such as bacteremia, prosthetic joint infections, or infective endocarditis would be the ideal candidates for future trials.

Not a fit: Patients with infections caused by Gram-negative bacteria or those needing immediate standard-of-care antibiotics rather than experimental therapies may not benefit from this work.

Why it matters

Potential benefit: If successful, these drugs could more reliably clear persistent and biofilm-associated Gram-positive infections that often recur or resist current treatments.

How similar studies have performed: Rifampin is already used clinically and protease-activating approaches have shown promise in laboratory models, but the specific UDEP–rifamycin hybrid approach is novel and remains largely preclinical.

Where this research is happening

MEMPHIS, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.