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Comparative molecular field analysis (CoMFA) and comparative molecular similarity indices analysis (CoMSIA) were performed on a series of ketolide derivatives as antibacterial agents. The 3D-QSAR models resulted from 42 molecules gave r2 cv values of 0.699 and 0.630, r2 values of 0.945 and 0.925. The predictive ability of CoMFA and CoMSIA, determined using a test set of 10 compounds, gave predictive correlation coefficients of 0.849 and 0.786, respectively. The results provided insight for predictive and diagnostic aspects of ketolide derivatives for better antibacterial activity.