U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C12H12N6O10S2.2Na
Molecular Weight 510.367
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 1
Charge 0

SHOW SMILES / InChI
Structure of CARUMONAM SODIUM

SMILES

[Na+].[Na+].NC(=O)OC[C@@H]1[C@H](NC(=O)C(=N/OCC([O-])=O)\C2=CSC(N)=N2)C(=O)N1S([O-])(=O)=O

InChI

InChIKey=BGGXRVPCJUKHTQ-AHCAJXDVSA-L
InChI=1S/C12H14N6O10S2.2Na/c13-11-15-4(3-29-11)7(17-28-2-6(19)20)9(21)16-8-5(1-27-12(14)23)18(10(8)22)30(24,25)26;;/h3,5,8H,1-2H2,(H2,13,15)(H2,14,23)(H,16,21)(H,19,20)(H,24,25,26);;/q;2*+1/p-2/b17-7-;;/t5-,8+;;/m1../s1

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including: https://www.ncbi.nlm.nih.gov/pubmed/4073864 | https://www.ncbi.nlm.nih.gov/pubmed/3065522 | https://www.ncbi.nlm.nih.gov/pubmed/3377459

Carumonam is a monobactam antibacterial agent. It was highly active in vitro against members of the family Enterobacteriaceae, Pseudomonas aeruginosa, and Haemophilus influenzae and weakly active against Streptococcus pneumoniae, but it was not active against Staphylococcus aureus. The excellent activity of carumonam against Gram-negative bacteria is related to its high affinity for their penicillin-binding proteins. It is indicated for the treatment of urinary tract infections, chronic respiratory infections, biliary tract infections, peritonitis, sepsis. Another factor that contributes to the excellent activity of carumonam against Gram-negative bacteria is its resistance to beta-lactamases. Adverse effects of the carumonam were limited to phlebitis at the intravenous infusion site; bloody diarrhea.

Originator

Curator's Comment: # Takeda Chemical Industries, Ltd. http://doi.org/10.1248/cpb.33.3798 | doi:10.7164/antibiotics.36.1421

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
Amasulin

Approved Use

It is indicated for the treatment of infections, caused by sensitive bacteria: urinary tract infections, chronic respiratory infections, biliary tract infections, peritonitis, sepsis.
Curative
Amasulin

Approved Use

It is indicated for the treatment of infections, caused by sensitive bacteria: urinary tract infections, chronic respiratory infections, biliary tract infections, peritonitis, sepsis.
Curative
Amasulin

Approved Use

It is indicated for the treatment of infections, caused by sensitive bacteria: urinary tract infections, chronic respiratory infections, biliary tract infections, peritonitis, sepsis.
Curative
Amasulin

Approved Use

It is indicated for the treatment of infections, caused by sensitive bacteria: urinary tract infections, chronic respiratory infections, biliary tract infections, peritonitis, sepsis.
Curative
Amasulin

Approved Use

It is indicated for the treatment of infections, caused by sensitive bacteria: urinary tract infections, chronic respiratory infections, biliary tract infections, peritonitis, sepsis.
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
175 μg/mL
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
192.2 μg/mL
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
300.7 μg/mL
2 g single, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
297.7 μg/mL
2 g 3 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
111 mg/L
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
105 mg/L
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
214 mg/L
2 g 3 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
208 mg/L
2 g 4 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
179 μg × h/mL
1020 mg single, intravenous
dose: 1020 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
493 μg × h/mL
1040 mg single, intravenous
dose: 1040 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
783 μg × h/mL
1040 mg single, intravenous
dose: 1040 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1302 μg × h/mL
1040 mg single, intravenous
dose: 1040 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
56.9 μg × h/mL
500 mg single, intravenous
dose: 500 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
113.4 μg × h/mL
1000 mg single, intravenous
dose: 1000 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
230.4 μg × h/mL
2000 mg single, intravenous
dose: 2000 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
107.4 μg × h/mL
1000 mg single, intravenous
dose: 1000 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered: PROBENECID
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
117 μg × h/mL
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
186 μg × h/mL
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
602 μg × h/mL
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
1112 μg × h/mL
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
186.7 μg × h/mL
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
156.4 μg × h/mL
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
330.6 μg × h/mL
2 g single, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
287.7 μg × h/mL
2 g 3 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
170 mg × h/L
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
147 mg × h/L
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
300 mg × h/L
2 g 3 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
293 mg × h/L
2 g 4 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.7 h
1020 mg single, intravenous
dose: 1020 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
4.5 h
1040 mg single, intravenous
dose: 1040 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
6.6 h
1040 mg single, intravenous
dose: 1040 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
11.3 h
1040 mg single, intravenous
dose: 1040 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.76 h
500 mg single, intravenous
dose: 500 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.77 h
1000 mg single, intravenous
dose: 1000 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.93 h
2000 mg single, intravenous
dose: 2000 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.99 h
1000 mg single, intravenous
dose: 1000 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered: PROBENECID
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.53 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
2 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
5.08 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
12.8 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM serum
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
1.3 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.5 h
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.4 h
2 g single, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.5 h
2 g 3 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.5 h
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.3 h
1 g 3 times / day multiple, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.4 h
2 g 3 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.3 h
2 g 4 times / day multiple, intravenous
dose: 2 g
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
0.82%
CARUMONAM plasma
Homo sapiens
72%
CARUMONAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status:
Doses

Doses

DosePopulationAdverse events​
2 g 3 times / day multiple, intravenous
Highest studied dose
Dose: 2 g, 3 times / day
Route: intravenous
Route: multiple
Dose: 2 g, 3 times / day
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M
Food Status: FASTED
Sources:
1 g 3 times / day multiple, parenteral
Studied dose
Dose: 1 g, 3 times / day
Route: parenteral
Route: multiple
Dose: 1 g, 3 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
PubMed

PubMed

TitleDatePubMed
Comparative epileptogenic properties of two monobactam derivatives in C57, Swiss and DBA/2 mice.
1996-09
Patents

Sample Use Guides

The usual dose is 1-2 g daily in two divided doses.
Route of Administration: Other
In Vitro Use Guide
Enterobacteriaceae were highly susceptible to carumonam, 90% of the isolates being inhibited at 0.5 ug/ml.
Name Type Language
CARUMONAM SODIUM
MART.   USAN   WHO-DD  
USAN  
Official Name English
AMASULIN
Preferred Name English
AMA 1080
Code English
RO-172301006
Code English
ACETIC ACID, (((2-((2-(((AMINOCARBONYL)OXY)METHYL)-4-OXO-1-SULFO-3-AZETIDINYL)AMINO)-1-(2-AMINO-4-THIAZOLYL)-2-OXOETHYLIDEN)AMINO)OXY)-, DISODIUM SALT, (2S-(2.ALPHA.,3.ALPHA.(Z)))-
Systematic Name English
CARUMONAM SODIUM [JAN]
Common Name English
CARUMONAM DISODIUM SALT
MI  
Common Name English
Carumonam sodium [WHO-DD]
Common Name English
AMA-1080
Code English
RO 17-2301/006
Code English
CARUMONAM SODIUM [USAN]
Common Name English
CARUMONAM DISODIUM SALT [MI]
Common Name English
RO-17-2301/006
Code English
CARUMONAM SODIUM [MART.]
Common Name English
(Z)-[[[(2-Amino-4-thiazolyl)[[(2S,3S)-2-(hydroxymethyl)-4-oxo-1-sulfo-3-azetidinyl]carbamoyl]methylene]amino]oxy]acetic acid, carbamate (ester), disodium salt
Systematic Name English
Classification Tree Code System Code
NCI_THESAURUS C260
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
Code System Code Type Description
PUBCHEM
9568618
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
SMS_ID
100000084877
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
ChEMBL
CHEMBL1614658
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
EPA CompTox
DTXSID1046712
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
USAN
U-111
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
NCI_THESAURUS
C79905
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
FDA UNII
B4J4M4939D
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
CAS
86832-68-0
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
CHEBI
31363
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
EVMPD
SUB01073MIG
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY
MERCK INDEX
m3141
Created by admin on Mon Mar 31 17:54:01 GMT 2025 , Edited by admin on Mon Mar 31 17:54:01 GMT 2025
PRIMARY Merck Index