Prodrugs or pharmaceutically acceptable salts, stereoisomers, solvates, or polymorphs thereof include a pharmaceutically and/or diagnostically active cationic steroidal antimicrobial (hereinafter “CSA”) compound or pharmaceutically acceptable salt, stereoisomer, solvate, or polymorph thereof, and one or more cleavable groups (C.G.). Some embodiments include a CSA compound prepared in an inactive or less active form and that is capable of conversion to a fully active form upon administration to a subject, upon preparation of a pharmaceutical formulation containing the CSA composition, and/or upon exposure to physiological conditions. Pharmaceutical compositions include the prodrug or pharmaceutically acceptable salt, stereoisomer, solvate, or polymorph thereof and one or more pharmaceutically acceptable excipients. Methods of treatment of bacterial infections in a patient in need utilize prodrugs or pharmaceutically acceptable salts, stereoisomers, solvates, polymorphs thereof and/or the pharmaceutical compositions described herein.
原药或其药学上可接受的盐、立体异构体、溶解物或多晶型物包括具有药学和/或诊断活性的阳离子类
固醇抗菌剂(以下简称 "CSA")化合物或其药学上可接受的盐、立体异构体、溶解物或多晶型物,以及一个或多个可裂解基团(C.G.)。一些实施方案包括以无活性或活性较低的形式制备的 CSA 化合物,该化合物在给受试者用药、制备含有 CSA 组合物的药物制剂和/或暴露于生理条件下时能够转化为完全活性的形式。药物组合物包括原药或其药学上可接受的盐、立体异构体、溶解物或多晶型,以及一种或多种药学上可接受的赋形剂。利用原药或其药学上可接受的盐、立体异构体、溶解物、多晶型物和/或本文所述的药物组合物治疗有需要的患者的细菌感染的方法。