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Details

Stereochemistry ACHIRAL
Molecular Formula C4H9NO5P.Na
Molecular Weight 205.0815
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of FOSMIDOMYCIN SODIUM

SMILES

[Na+].ON(CCCP(O)([O-])=O)C=O

InChI

InChIKey=ZZPUYRHMTGOTEU-UHFFFAOYSA-M
InChI=1S/C4H10NO5P.Na/c6-4-5(7)2-1-3-11(8,9)10;/h4,7H,1-3H2,(H2,8,9,10);/q;+1/p-1

HIDE SMILES / InChI

Description
Curator's Comment: The description was created based on several sources, including https://www.drugbank.ca/drugs/DB02948 | https://clinicaltrials.gov/ct2/show/NCT00214643 | https://clinicaltrials.gov/ct2/show/NCT00217451 | https://www.ncbi.nlm.nih.gov/pubmed/21866890

Fosmidomycin (3-(formylhydroxyamino)-propylphosphonic acid mono-sodium salt, 3-(N-formyl-N-hydroxyamino)-propylphosphonic acid mono-sodium salt, FR-31564) is a potent inhibitor of P. falciparum 1-deoxy-D-xylulose-5-phosphate reductoisomerase (PfDXR), developed by Albert Schweitzer Hospital for P. falciparum malaria treatment. Fosmidomycin was originally isolated as natural antibiotic from Streptomyces lavendulae. Fosmidomycin is active against a broad range of enterobacteria, but not against Gram-positive organisms or anaerobes. Fosmidomycin was developed as far as an early phase II study for the treatment of urinary tract infections by Fujisawa Pharmaceutical Company (Osaka, Japan) in the early eighties, but these trials have been discontinued. In recent clinical studies, it was shown that fosmidomycin is effective in curing uncomplicated Plasmodium falciparum malaria in humans. The treatment was well tolerated and resulted in a fast parasite and fever clearance. However, the high rate of recrudescence precludes the use of fosmidomycin as a monotherapy. In drug combination studies, the synergy of fosmidomycin with clindamycin was observed. Clinical studies with a fosmidomycin-clindamycin combination are currently ongoing.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: O96693
Gene ID: NA
Gene Symbol: DXR
Target Organism: Plasmodium falciparum (isolate HB3)
28.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
4.58 μg/mL
1200 mg 3 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
FOSMIDOMYCIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2.33 μg/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
11.1 μg/mL
7.5 mg/kg single, intramuscular
dose: 7.5 mg/kg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
27.67 μg × h/mL
1200 mg 3 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
FOSMIDOMYCIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
210 ng × h/mL
30 mg/kg single, intravenous
dose: 30 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
14 μg × h/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
42.2 μg × h/mL
7.5 mg/kg single, intramuscular
dose: 7.5 mg/kg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
0.5 h
1200 mg 3 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
FOSMIDOMYCIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.65 h
30 mg/kg single, intravenous
dose: 30 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.87 h
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1.58 h
7.5 mg/kg single, intramuscular
dose: 7.5 mg/kg
route of administration: Intramuscular
experiment type: SINGLE
co-administered:
FOSMIDOMYCIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
99%
1200 mg 3 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
FOSMIDOMYCIN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
PubMed

PubMed

TitleDatePubMed
Isoprene increases thermotolerance of fosmidomycin-fed leaves.
2001 Apr
On-line analysis of the (13)CO(2) labeling of leaf isoprene suggests multiple subcellular origins of isoprene precursors.
2002 Oct
The heat shock protein 90 of Plasmodium falciparum and antimalarial activity of its inhibitor, geldanamycin.
2003 Sep 15
Impact of ozone on monoterpene emissions and evidence for an isoprene-like antioxidant action of monoterpenes emitted by Quercus ilex leaves.
2004 Apr
1-Deoxy-D-xylulose 5-phosphate reductoisomerase: an overview.
2004 Dec
The methylerythritol phosphate pathway is functionally active in all intraerythrocytic stages of Plasmodium falciparum.
2004 Dec 10
Biosynthesis of camptothecin. In silico and in vivo tracer study from [1-13C]glucose.
2004 Jan
Fosmidomycin-clindamycin for the treatment of Plasmodium falciparum malaria.
2004 Nov 1
Bacterial genome adaptation to niches: divergence of the potential virulence genes in three Burkholderia species of different survival strategies.
2005 Dec 7
[Isoprenoid pigments in representatives of the family Microbacteriaceae].
2005 May-Jun
An alternative high-performance liquid chromatographic method for determination of clindamycin in plasma.
2006 Jan
An Escherichia coli undecaprenyl-pyrophosphate phosphatase implicated in undecaprenyl phosphate recycling.
2007 Aug
Towards new antimalarial drugs: synthesis of non-hydrolyzable phosphate mimics as feed for a predictive QSAR study on 1-deoxy-D-xylulose-5-phosphate reductoisomerase inhibitors.
2008 Apr
Patents

Sample Use Guides

Fosmidomycin-clindamycin (30 mg/kg and 10 mg/kg) given twice daily for three days
Route of Administration: Oral
Assay mixtures (total volume: 200 mL) contained 100 mm Tris hydrochloride (pH 7.6), 4 mm MnCl2, 0.5 mm dithiothreitol (DTT), 0.5 mm NADPH, 10–30 nm of recombinant IspC protein (P. falciparum) or 100 mm Tris hydrochloride (pH 8.0), 10 mm MgCl2, 1mm NADPH, 27 nm of recombinant IspC protein (E. coli). Dilution series (1:2) of inhibitor 1 (Fosmidomycin) covered the concentration range of 200 mm to 1 nm. The reaction was started by addition of 1-deoxyxylulose 5-phosphate to a final concentration of 1 mm. The reaction was monitored photometrically (room temperature for P. falciparum or 37C for E. coli) at 340 nm in a microplate reader
Name Type Language
FOSMIDOMYCIN SODIUM
Common Name English
PHOSPHONIC ACID, (3-(FORMYLHYDROXYAMINO)PROPYL)-, MONOSODIUM SALT
Common Name English
FOSMIDOMYCIN MONOSODIUM SALT [MI]
Common Name English
FR-31564
Common Name English
FOSMIDOMYCIN MONOSODIUM SALT
MI  
Common Name English
FOSMIDOMYCIN SODIUM [JAN]
Common Name English
Code System Code Type Description
PUBCHEM
171792
Created by admin on Fri Dec 15 15:36:53 GMT 2023 , Edited by admin on Fri Dec 15 15:36:53 GMT 2023
PRIMARY
CAS
66508-37-0
Created by admin on Fri Dec 15 15:36:53 GMT 2023 , Edited by admin on Fri Dec 15 15:36:53 GMT 2023
PRIMARY
DRUG BANK
DBSALT002936
Created by admin on Fri Dec 15 15:36:53 GMT 2023 , Edited by admin on Fri Dec 15 15:36:53 GMT 2023
PRIMARY
EPA CompTox
DTXSID10216711
Created by admin on Fri Dec 15 15:36:53 GMT 2023 , Edited by admin on Fri Dec 15 15:36:53 GMT 2023
PRIMARY
FDA UNII
IYI1EW66CX
Created by admin on Fri Dec 15 15:36:53 GMT 2023 , Edited by admin on Fri Dec 15 15:36:53 GMT 2023
PRIMARY
MERCK INDEX
m5554
Created by admin on Fri Dec 15 15:36:53 GMT 2023 , Edited by admin on Fri Dec 15 15:36:53 GMT 2023
PRIMARY Merck Index