Alafosfalin is a phosphonodipeptide with significant activity as an antibacterial agent and as a potentiator of beta-lactam antibiotics. Alafosfalin shows good activity both in vitro and in vivo, particularly against Enterobacteriaceae. The compound acts by interfering with bacterial cell wall biosynthesis and also potentiates the activity of beta-lactam antibiotics. Alafosfalin was found to be highly active against Escherichia coli and moderately active against Serratia, Klebsiella, Enterobacter, and Citrobacter, but less active against gram-positive organisms than were beta-lactams such as cephazolin or ampicillin and inactive against indole-positive Proteus, Pseudomonas, and Acinetobacter.
Approval Year
PubMed
Title | Date | PubMed |
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Alafosfalin, a new inhibitor of cell wall biosynthesis: in vitro activity against urinary isolates in Japan and potentiation with beta-lactams. | 1979 Oct |
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Pharmacokinetics of alafosfalin, alone and in combination with cephalexin, in humans. | 1980 Jun |
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Activity of a peptidyl prodrug, alafosfalin, against anaerobic bacteria. | 1985 Jun |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/7406481
Studies in humans showed that oral doses of 50 to 2,500 mg were well absorbed, but some metabolic hydrolysis occurred before the drug reached the general circulation. Oral bioavailability was approximately 50% and was largely independent of dose.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/518073
E.coli were the most susceptible to alafosfalin among all species, among 144 isolates, 93 and 86% of the strains were inhibited by 12.5 and 1.56 ug/ml, respectively, whereas the MIC50 was 0.39 ug/ml.
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ACTIVE MOIETY