Wikipedia
Linking: http://en.wikipedia.org/wiki/Doripenem
Doripenem belongs to a class of antibacterial agents called
carbapenems, which are useful in treating life-threatening infections caused by
Gram-negative(1) and Gram-positive(2) bacteria. The data supporting the NDA
showed doripenem was an effective treatment for hospital-acquired pneumonia. The
data also demonstrated the effectiveness of doripenem against infections caused
by Gram-negative bacteria, such as Pseudomonas aeruginosa
and Enterobacteriaceae, including strains of these
bacteria that are resistant to other therapies. Pseudomonas aeruginosa is one of the
leading causes of hospital-acquired infections and, because of increasing
multi-drug resistance, treatment options are limited. In general, there are few
antibiotics available or currently in development to treat the resistant
infections - which can be potentially life-threatening - associated with these
Gram-negative bacteria. (http://www.drugs.com/)
Doripenem is a parenteral carbapenem with in vitro microbiological activity
against a broad spectrum of clinically important Gram-positive and Gram-negative
pathogens. It is approved for complicated intra-abdominal and complicated urinary
tract infections (UTI) in the United States and in Europe, where it is also
approved for nosocomial pneumonia. All carbapenems (except for ertapenem) have
very similar pharmacokinetics, including half-life (1 hour), protein binding
(2-20%), distribution properties (0.23-0.35 L/kg), and temporal plasma profiles.
The value of dose individualization based on pharmacokinetic principles was
recognized early in doripenem’s development and was integral to its clinical
development. Using doripenem dosing regimens intended for clinical use, Bhavnani
et al. developed a population pharmacokinetic model from limited intensively
sampled data from a phase 1 study of 24 healthy volunteers with normal renal
function http://aac.asm.org/)
Doripenem, similar to other
carbapenems, display bactericidal activity by inhibiting bacterial cell wall
biosynthesis. More specifically,
carbapenems bind to penicillin binding proteins (PBPs) and inhibit
cross-linking of the peptidoglycan structure.
The binding affinity of the carbapenems to PBPs can vary among bacterial
species. In addition, individual
carbapenem antibiotics (e.g., doripenem vs. imipenem) demonstrate varying
affinities for PBPs and such differences may account for the more potent in
vitro activity of doripenem against P.
aeruginosa compared to imipenem. (http://www.pbm.va.gov/)
PENEMS
|
|
Product
|
CAS RN.
|
Phenethicillin potassium
|
132-93-4
|
Thienamycin
|
59995-64-1
|
N-Acetylthienamycin |
63701-32-6 |
Epithienamycin |
64090-99-9 |
Imipenem |
64221-86-9 |
1-Thia-thienamycin |
72888-55-2 |
Imipenem hydrate |
74431-23-5 |
8-Dehydroxythienamycin |
74806-75-0 |
delta(1)-Thienamycin |
77171-32-5 |
Northienamycin |
77550-86-8 |
6-(1-Hydroxyethyl)-2-ethylthiopenem-3-carboxylic acid |
77646-83-4 |
Epithienamycin E |
79057-46-8 |
Carbapenem-3-carboxylic acid |
82768-37-4 |
Carbapenem |
83200-96-8 |
6-alpha-Hydroxyethyl-2-acetoxymethyl-2-penem-3-carboxylic
acid |
83572-65-0 |
Ritipenem |
84845-57-8 |
Ritipenem
sodium |
84845-58-9 |
Tienam |
85960-17-4 |
Ritipenem Acoxil |
87238-52-6 |
Panipenem |
87726-17-8 |
2-(2-Fluoroethylthio)-6-(1-hydroxyethyl)penem-3-carboxylate |
91685-69-7 |
Cilastatin-Imipenem |
92309-29-0 |
2-Carbamoyloxyethylthio-6-(1-hydroxyethyl)penem-3-carboxylic acid |
95415-91-1 |
Meropenem
anhydrous |
96036-03-2 |
beta-Ritipenem Acoxil |
99376-22-4 |
C6-(N1-Methyl-1,2,3-trazolylmethylene)penem |
102209-75-6 |
Faropenem potassium |
106559-89-1 |
Faropenem |
106560-14-9 |
2-Methylthiocarbapenem |
118243-53-1 |
Meropenem
trihydrate |
119478-56-7 |
Biapenem |
120410-24-4 |
Sulopenem |
120788-07-0 |
Faropenem sodium |
122547-49-3 |
HM-1-Oxapenem |
132015-03-3 |
HP-1-Oxapenem |
132015-04-4 |
HI-1-Oxapenem |
132015-05-5 |
Panipenem-betamipron |
138240-65-0 |
Faropenem medoxomil |
141702-36-5 |
Doripenem |
148016-81-3 |
Lenapenem |
149951-16-6 |
Ertapenem sodium |
153773-82-1 |
Ertapenem disodium |
153832-38-3 |
Ertapenem |
153832-46-3 |
Tebipenem |
161715-24-8 |
Tacapenem |
193811-33-5 |
Tomopenem |
222400-20-6 |
Razupenem |
426253-04-5 |
|