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Novel Therapeutics for Hard-to-Treat Lung Infections

Indole-based treatment of NTM infections

At a Glance

Researchers at Colorado State University, in collaboration with Creighton University, have developed patented compounds to treat non-tuberculous mycobacterial (NTM) lung infections. These drugs are designed to specifically target the bacteria causing pulmonary NTM, including highly resistant strains. Early studies suggest these compounds could offer a novel approach where existing antibiotics often fail. Their narrow-spectrum action may reduce side effects compared to broad-spectrum treatments.

Background

NTM infections of the lungs are increasing worldwide, particularly in patients with structural lung diseases such as cystic fibrosis (CF), chronic obstructive pulmonary disease, and non-CF bronchiectasis. Rapidly growing NTM species, especially those from the Mycobacterium abscessus group (MABS), cause severe, often life-threatening diseases. Current therapies have high failure rates, prolonged treatment times, and limited success, particularly for MABS. New treatments that are both effective and selective against these pathogens are urgently needed.

Overview

This technology consists of indole-2-carboxamide compounds that selectively target NTM species, including multidrug-resistant strains of MABS and the Mycobacterium avium complex (MAC). Preclinical studies in animal models demonstrate that these compounds can effectively inhibit infection by intrinsically drug-resistant NTM. Unlike current antibiotic therapies, which often require prolonged intravenous and inhaled regimens and carry significant side effects, these compounds offer a more focused approach with potential for oral delivery, improved efficacy and tolerability.

The compounds’ specificity for mycobacteria could reduce collateral damage to beneficial bacteria and minimize adverse effects associated with broad-spectrum antibiotics. By addressing pathogens with high rates of drug resistance, these indole-based therapeutics provide a promising option for patients who have limited treatment choices today.

Figure 1. Indole-based compounds disrupt the buildup of protective cell wall lipids in MABS. Treated bacteria show reduced formation and transfer of key outer-layer components compared to untreated cells, highlighting a promising mechanism for combating NTM infections.

Benefits

  • Specifically targets NTM species, including drug-resistant strains
  • Demonstrated efficacy in preclinical animal models
  • Potentially safer than broad-spectrum antibiotic regimens
  • May improve treatment outcomes where current therapies often fail
  • Narrow-spectrum activity could reduce side effects

Applications

  • Treatment of pulmonary NTM infections in patients with cystic fibrosis
  • Therapy for chronic lung disease caused by Mycobacterium abscessus
  • Post-lung-transplant infection management
  • Potential use in combination therapy with other antibiotics for resistant infections

Publications

ND Franz, et al. (2017) Design, Synthesis and Evaluation of Indole-2-Carboxamides with Pan Anti-Mycobacterial Activity. Bioorg Med Chem. doi: 10.1016/j.bmc.2017.05.015. 

Last Updated: March 2026
Illustration of healthy lungs
Opportunity

Available for Exclusive Licensing

IP Status

US 10383848

Inventors

Mary C Jackson
Jeffrey North

Reference Number
16-102
Licensing Manager

Jessy McGowan
Jessy.McGowan@colostate.edu
970-491-7100

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