“…Following these developments, there was a period with relatively few additions to the field of aminoglycosides followed by another period characterized by new approaches that took advantage of the deeper understanding of different aspects of the biology and structure of aminoglycoside modifying enzymes as well as the advances in synthetic chemistry. As a consequence, numerous new generation aminoglycosides, also known as neoglycosides, started to be synthesized [ 19 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ]. Of the several neoglycosides existing in the pipeline, plazomicin (ACHN-490) ( Figure 2 ), which has been granted Breakthrough Therapy designation by the FDA in May 2017, is the one closest to be approved for human use [ 59 , 60 , 61 , 62 ].…”