U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
This repository is under review for potential modification in compliance with Administration directives.

Details

Stereochemistry ABSOLUTE
Molecular Formula C25H24N8O7S2
Molecular Weight 612.637
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CEFPIRAMIDE

SMILES

CN1N=NN=C1SCC2=C(N3[C@H](SC2)[C@H](NC(=O)[C@H](NC(=O)C4=CN=C(C)C=C4O)C5=CC=C(O)C=C5)C3=O)C(O)=O

InChI

InChIKey=PWAUCHMQEXVFJR-PMAPCBKXSA-N
InChI=1S/C25H24N8O7S2/c1-11-7-16(35)15(8-26-11)20(36)27-17(12-3-5-14(34)6-4-12)21(37)28-18-22(38)33-19(24(39)40)13(9-41-23(18)33)10-42-25-29-30-31-32(25)2/h3-8,17-18,23,34H,9-10H2,1-2H3,(H,26,35)(H,27,36)(H,28,37)(H,39,40)/t17-,18-,23-/m1/s1

HIDE SMILES / InChI

Description

Cefpiramide or SM-1652 (sodium 7-[D(-)-alpha-(4-hydroxy-6-methylpyridine-3-carboxamido)-alpha-(4-hydroxyphenyl)acetamido]-3-[(1-methyl-1H-tetrazol-5-yl) thiomethyl]-3-cephem-4-carboxylate) is a semisynthetic cephalosporin derivative with a broad spectrum of antibacterial activity. This antibiotic has been reported to have potent in vitro and in vivo antibacterial activities against gram-positive and -negative bacteria.

CNS Activity

Originator

Approval Year

Targets

Primary TargetPharmacologyConditionPotency

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
CEFPIRAMIDE SODIUM

AUC

ValueDoseCo-administeredAnalytePopulation
672 mg × h/L
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens
1598 mg × h/L
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens
672 mg × h/L
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens
1300 mg × h/L
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens

T1/2

ValueDoseCo-administeredAnalytePopulation
5.3 h
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens
13.8 h
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens
5.3 h
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens
12 h
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens

Funbound

ValueDoseCo-administeredAnalytePopulation
1.9%
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens
10.4%
1 g single, intravenous
CEFPIRAMIDE plasma
Homo sapiens

Doses

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Tox targets

PubMed

Sample Use Guides

In Vivo Use Guide
1-2 gm daily in 2 divided doses by inj.
Route of Administration: Parenteral
In Vitro Use Guide
As judged by the MIC50 and the MIC90 values, cefpiramide was one of the most active cephalosporins against Pseudomonas aeruginosa (MIC50 2.9 micrograms/ml, MIC90 64 micrograms/ml), staphylococci (MIC50 1.2 micrograms/ml, MIC90 10 micrograms/ml) and Enterococcus faecalis (MIC50 13 micrograms/ml, MIC90 43 micrograms/ml). Cefpiramide had moderate activity against Enterobacteriaceae (MIC50 4 micrograms/ml, MIC90 108 micrograms/ml), comparable to that of the older second-generation cephalosporins.