Gut-targeted antibiotics for C. difficile infection

Development of Microbiome-Sparing Antibacterials for Clostridioides difficile Infection

NIH-funded research University of Tennessee Health Sci Ctr · NIH-11240315

Developing gut-targeted antibiotics to kill C. difficile while keeping healthy gut bacteria for people with recurrent C. difficile infections.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Tennessee Health Sci Ctr NIH-funded
Lab location1 site (Memphis, United States)
Project IDNIH-11240315 on NIH RePORTER

What this research studies

Researchers are designing drugs that hit a specific C. difficile enzyme (FabK) so the medicine focuses on the harmful bug. Their lead compounds worked in mice and stay mostly in the gut, which helps protect normal gut bacteria. The team will strengthen the best molecules, discover new chemical types that block FabK, and test top candidates in animal models to confirm narrow activity against C. difficile with minimal microbiome disruption. If those steps go well, the best drugs could advance toward human testing.

Who could benefit from this research

Good fit: Ideal candidates would be people with recurrent C. difficile infections or those at high risk for relapse.

Not a fit: People with non-C. difficile diarrheal illnesses or those needing systemic intravenous antibiotics for severe, life-threatening infections may not benefit from this gut-focused approach.

Why it matters

Potential benefit: If successful, this could provide treatments that lower relapse rates while preserving healthy gut bacteria.

How similar studies have performed: Related enzyme-targeting antibiotics (for example FabI inhibitors like isoniazid) have been effective against other bacteria, and these FabK inhibitors showed promising results in mouse studies but have not yet been tested in humans.

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.
Last reviewed 2026-06-13 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.