Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C17H19NO8S |
Molecular Weight | 397.4 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 4 / 4 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@]12SC([C@H]3CCCO3)=C(N1C(=O)[C@]2([H])[C@@H](C)O)C(=O)OCC4=C(C)OC(=O)O4
InChI
InChIKey=JQBKWZPHJOEQAO-DVPVEWDBSA-N
InChI=1S/C17H19NO8S/c1-7(19)11-14(20)18-12(13(27-15(11)18)9-4-3-5-23-9)16(21)24-6-10-8(2)25-17(22)26-10/h7,9,11,15,19H,3-6H2,1-2H3/t7-,9-,11+,15-/m1/s1
Faropenem medoxomil is an ester prodrug derivative of the beta-lactam antibiotic faropenem. The prodrug form of faropenem offers dramatically improved oral bioavailability and leads to higher systemic concentrations of the drug. Faropenem medoxomil is a broad-spectrum antibiotic that is highly resistant to beta-lactamase degradation. It was under development for the treatment of acute bacterial sinusitis, community-acquired pneumonia, acute exacerbation of chronic bronchitis, and uncomplicated skin and skin structure infections.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: CHEMBL2354204 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12886052 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Curative | FAROPENEM MEDOXOMIL Approved UseUnknown |
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Curative | FAROPENEM MEDOXOMIL Approved UseUnknown |
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Curative | FAROPENEM MEDOXOMIL Approved UseUnknown |
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Curative | FAROPENEM MEDOXOMIL Approved UseUnknown |
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Curative | FAROPENEM MEDOXOMIL Approved UseUnknown |
Doses
Dose | Population | Adverse events |
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300 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 365 Health Status: unhealthy Condition: sinusitis Sex: M+F Food Status: UNKNOWN Population Size: 365 Sources: |
Disc. AE: Nausea, vomiting... AEs leading to discontinuation/dose reduction: Nausea (10 patients) Sources: vomiting (6 patients) vomiting (9 patients) |
AEs
AE | Significance | Dose | Population |
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Nausea | 10 patients Disc. AE |
300 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 365 Health Status: unhealthy Condition: sinusitis Sex: M+F Food Status: UNKNOWN Population Size: 365 Sources: |
vomiting | 6 patients Disc. AE |
300 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 365 Health Status: unhealthy Condition: sinusitis Sex: M+F Food Status: UNKNOWN Population Size: 365 Sources: |
vomiting | 9 patients Disc. AE |
300 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 365 Health Status: unhealthy Condition: sinusitis Sex: M+F Food Status: UNKNOWN Population Size: 365 Sources: |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18094341
Acute bacterial sinusitis: faropenem medoxomil 300 mg twice daily for 7-10 days.
Community-acquired pneumonia: faropenem medoxomil 300 mg twice daily for 10 days.
Acute exacerbation of chronic bronchitis: faropenem medoxomil 300 mg twice daily for 5 days.
Uncomplicated skin and skin structure infections: faropenem medoxomil 300 mg twice daily for 7 days.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18094341
The MIC90 values for faropenem were: ≤0.06-0.25 mg/L (Staphylococcus aureus, 53 isolates), 0.5-100 mg/L (Staphylococcus epidermidis, 219 isolates), >16->64 mg/L (Staphylococcus haemolyticus, 26 isolates).
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NCI_THESAURUS |
C260
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SUBSTANCE RECORD