Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C5H5N3O |
| Molecular Weight | 123.1127 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
NC(=O)C1=CN=CC=N1
InChI
InChIKey=IPEHBUMCGVEMRF-UHFFFAOYSA-N
InChI=1S/C5H5N3O/c6-5(9)4-3-7-1-2-8-4/h1-3H,(H2,6,9)
| Molecular Formula | C5H5N3O |
| Molecular Weight | 123.1127 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=257bd8cf-74d7-45db-bf25-354a8d26634eCurator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB00339
https://en.wikipedia.org/wiki/Pyrazinamide
Sources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=257bd8cf-74d7-45db-bf25-354a8d26634e
Curator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB00339
https://en.wikipedia.org/wiki/Pyrazinamide
Pyrazinamide is indicated for the initial treatment of active tuberculosis in adults and children when combined with other antituberculous agents. (The current recommendation of the CDC for drug-susceptible disease is to use a six-month regimen for initial treatment of active tuberculosis, consisting of isoniazid, rifampin and pyrazinamide given for 2 months, followed by isoniazid and rifampin for 4 months. Pyrazinamide should only be used in conjunction with other effective antituberculous agents. Pyrazinamide diffuses into M. tuberculosis, where the enzyme pyrazinamidase converts pyrazinamide to the active form pyrazinoic acid. Under acidic conditions, the pyrazinoic acid that slowly leaks out converts to the protonated conjugate acid, which is thought to diffuse easily back into the bacilli and accumulate. The net effect is that more pyrazinoic acid accumulates inside the bacillus at acid pH than at neutral pH. Pyrazinoic acid was thought to inhibit the enzyme fatty acid synthase (FAS) I, which is required by the bacterium to synthesise fatty acids. However, this theory was thought to have been discounted. However, further studies reproduced the results of FAS I inhibition as the putative mechanism first in whole cell assay of replicating M. tuberculosis bacilli which have shown that pyrazinoic acid and its ester inhibit the synthesis of fatty acids . This study was followed by in vitro assay of tuberculous FAS I enzyme that tested the activity with pyrazinamide, pyrazinoic acid and several classes of pyrazinamide analogs. Pyrazinamide and its analogs inhibited the activity of purified FAS I. It has also been suggested that the accumulation of pyrazinoic acid disrupts membrane potential and interferes with energy production, necessary for survival of M. tuberculosis at an acidic site of infection. Pyrazinoic acid has also been shown to bind to the ribosomal protein S1 (RpsA) and inhibit trans-translation. This may explain the ability of the drug to kill dormant mycobacteria
CNS Activity
Curator's Comment: Drugs like isoniazid, pyrazinamide and cycloserine cross the blood brain barrier (BBB) freely, but the behavior of rifampicin, ethambutol and streptomycin is less predictable in the presence of inflamed meninges. The CSF concentration of these drugs is at least equal to or higher than those in the noninflamed meninges
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2011 Sources: http://www.drugbank.ca/drugs/DB00339 |
|||
Target ID: CHEMBL2363965 Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=21835980 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Curative | PYRAZINAMIDE Approved UsePyrazinamide Launch Date1971 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
38.2 mg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23629715 |
27.8 mg/kg bw 3 times / day steady-state, oral dose: 27.8 mg/kg bw route of administration: Oral experiment type: STEADY-STATE co-administered: Isoniazid | Rifampicin | Ethambutol |
PYRAZINAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
38.7 mg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/2737233 |
27 mg/kg bw single, oral dose: 27 mg/kg bw route of administration: Oral experiment type: SINGLE co-administered: |
PYRAZINAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
344 mg × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23629715 |
27.8 mg/kg bw 3 times / day steady-state, oral dose: 27.8 mg/kg bw route of administration: Oral experiment type: STEADY-STATE co-administered: Isoniazid | Rifampicin | Ethambutol |
PYRAZINAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
520 mg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/2737233 |
27 mg/kg bw single, oral dose: 27 mg/kg bw route of administration: Oral experiment type: SINGLE co-administered: |
PYRAZINAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
5.5 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/23629715 |
27.8 mg/kg bw 3 times / day steady-state, oral dose: 27.8 mg/kg bw route of administration: Oral experiment type: STEADY-STATE co-administered: Isoniazid | Rifampicin | Ethambutol |
PYRAZINAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
Disc. AE: Arthralgia, Distress gastrointestinal... AEs leading to discontinuation/dose reduction: Arthralgia (43.75%) Sources: Distress gastrointestinal (37.5%) Pruritus (25%) Fatigue (25%) Generalized maculopapular rash (18.8%) Insomnia (18.8%) Vertigo (12.5%) |
20 mg/kg 1 times / day multiple, oral Recommended Dose: 20 mg/kg, 1 times / day Route: oral Route: multiple Dose: 20 mg/kg, 1 times / day Sources: |
unhealthy |
Disc. AE: Hepatotoxicity... AEs leading to discontinuation/dose reduction: Hepatotoxicity (5.8%) Sources: |
30 mg/kg 1 times / day multiple, oral Recommended Dose: 30 mg/kg, 1 times / day Route: oral Route: multiple Dose: 30 mg/kg, 1 times / day Sources: |
unhealthy |
Disc. AE: Hepatotoxicity... AEs leading to discontinuation/dose reduction: Hepatotoxicity Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Vertigo | 12.5% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
| Generalized maculopapular rash | 18.8% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
| Insomnia | 18.8% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
| Fatigue | 25% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
| Pruritus | 25% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
| Distress gastrointestinal | 37.5% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
| Arthralgia | 43.75% Disc. AE |
1500 mg 1 times / day multiple, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: multiple Dose: 1500 mg, 1 times / day Sources: |
healthy |
| Hepatotoxicity | 5.8% Disc. AE |
20 mg/kg 1 times / day multiple, oral Recommended Dose: 20 mg/kg, 1 times / day Route: oral Route: multiple Dose: 20 mg/kg, 1 times / day Sources: |
unhealthy |
| Hepatotoxicity | Disc. AE | 30 mg/kg 1 times / day multiple, oral Recommended Dose: 30 mg/kg, 1 times / day Route: oral Route: multiple Dose: 30 mg/kg, 1 times / day Sources: |
unhealthy |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Tuberculoma of the conus medullaris: case report. | 2002-03 |
|
| Treatment of childhood tuberculosis with a six month directly observed regimen of only two weeks of daily therapy. | 2002-02 |
|
| Tuberculosis presenting as immune thrombocytopenic purpura. | 2002-02 |
|
| Liquid chromatographic determination of isoniazid, pyrazinamide and rifampicin from pharmaceutical preparations and blood. | 2002-01-25 |
|
| Therapeutic isoniazid monitoring using a simple high-performance liquid chromatographic method with ultraviolet detection. | 2002-01-05 |
|
| Pulmonary tuberculosis in Kumasi, Ghana: presentation, drug resistance, molecular epidemiology and outcome of treatment. | 2002-01-05 |
|
| Conditions that may affect the results of susceptibility testing of Mycobacterium tuberculosis to pyrazinamide. | 2002-01 |
|
| Susceptibility testing of Mycobacterium tuberculosis to pyrazinamide. | 2002-01 |
|
| High rates of tuberculosis in end-stage renal failure: the impact of international migration. | 2002-01 |
|
| Surveillance for antimicrobial resistance in Croatia. | 2002-01 |
|
| Rapidly progressive glomerulonephritis due to rifampicin therapy. | 2002-01 |
|
| Can serial qualitative polymerase chain reaction monitoring predict outcome of pulmonary tuberculosis treatment? | 2001-12 |
|
| [Treatment outcomes of multidrug-resistant tuberculosis--comparison between success and failure cases]. | 2001-12 |
|
| Isonicotinic acid hydrazide induced anagen effluvium and associated lichenoid eruption. | 2001-12 |
|
| Pyrazinamide use as a method of estimating under-reporting of tuberculosis. | 2001-12 |
|
| Side effects of antituberculosis treatment. | 2001-12 |
|
| Postantibiotic effects of antituberculosis agents alone and in combination. | 2001-12 |
|
| Crystal structure and mechanism of catalysis of a pyrazinamidase from Pyrococcus horikoshii. | 2001-11-27 |
|
| Pattern of some haematological indices in newly diagnosed pulmonary tuberculosis cases in Iwo, Nigeria: diagnostic and therapeutic implications. | 2001-11-14 |
|
| Duration of efficacy of treatment of latent tuberculosis infection in HIV-infected adults. | 2001-11-09 |
|
| Antimycobacterial plant terpenoids. | 2001-11 |
|
| Pyrazinamide induced photoallergy. | 2001-11 |
|
| Tuberculous meningitis: is a 6-month treatment regimen sufficient? | 2001-11 |
|
| Tuberculosis infection in Chinese patients undergoing continuous ambulatory peritoneal dialysis. | 2001-11 |
|
| Rapamycin and less immunosuppressive analogs are toxic to Candida albicans and Cryptococcus neoformans via FKBP12-dependent inhibition of TOR. | 2001-11 |
|
| Tuberculosis and HIV infection: epidemiology, immunology, and treatment. | 2001-10-09 |
|
| Antitubercular drugs (isoniazid, rifampin and pyrazinamide): hepatobiliary reactions. | 2001-10-02 |
|
| Hepatotoxicity from rifampin plus pyrazinamide: lessons for policymakers and messages for care providers. | 2001-10-01 |
|
| [Orchiectomy for tuberculous epididymitis: a report of two cases with intractable to antituberculosis treatment]. | 2001-10 |
|
| Characterization of pncA mutations of pyrazinamide-resistant Mycobacterium tuberculosis in Korea. | 2001-10 |
|
| Characterisation of the pncA gene in Mycobacterium tuberculosis isolates from Gauteng, South Africa. | 2001-10 |
|
| Treatment of tuberculosis in Haiti. | 2001-10 |
|
| From the Centers for Disease Control and Prevention. Update: Fatal and severe liver injuries associated with Rifampin and Pyrazinamide for latent tuberculosis infection, and revisions in American Thoracic Society/CDC recommendations--United States, 2001. | 2001-09-26 |
|
| Tuberculosis: guidelines changed for latent TB treatment. | 2001-09-21 |
|
| [Multiple intracranial tuberculomas in infancy]. | 2001-09-20 |
|
| [Functional role of the red nucleus in the cerebral cortex-cerebellum-spinal cord communication system]. | 2001-09-11 |
|
| US guidelines for treatment of latent tuberculosis revised. | 2001-09-08 |
|
| [Vesical uric acid lithiasis in a child with renal hypouricemia]. | 2001-09 |
|
| Safety of an ofloxacin-based antitubercular regimen for the treatment of tuberculosis in patients with underlying chronic liver disease: a preliminary report. | 2001-09 |
|
| Intramedullary tuberculoma of the conus medullaris: case report and review of the literature. | 2001-09 |
|
| Modulating effect of Liv.100, an ayurvedic formulation on antituberculosis drug-induced alterations in rat liver microsomes. | 2001-09 |
|
| Update: Fatal and severe liver injuries associated with rifampin and pyrazinamide for latent tuberculosis infection, and revisions in American Thoracic Society/CDC recommendations--United States, 2001. | 2001-08-31 |
|
| Renal handling of uric acid assessed by means of pharmacological tests in obese women. | 2001-08 |
|
| Rifampicin allergy confirmed by an intradermal test, but with a negative patch test. | 2001-08 |
|
| Reintroducing antituberculosis therapy after Stevens-Johnson syndrome in human immunodeficiency virus-infected patients with tuberculosis: role of desensitization. | 2001-07 |
|
| Pancreatic mass caused by Mycobacterium tuberculosis with reduced drug sensitivity. | 2001-04 |
|
| New mutations in pncA of in vitro selected pyrazinamide-resistant strains of Mycobacterium tuberculosis. | 2001 |
|
| Serial counts of Mycobacterium tuberculosis in sputum as surrogate markers of the sterilising activity of rifampicin and pyrazinamide in treating pulmonary tuberculosis. | 2001 |
|
| The molecular basis of resistance to isoniazid, rifampin, and pyrazinamide in Mycobacterium tuberculosis. | 2001 |
|
| [Effectiveness of chemotherapy of intrathoracic tuberculosis in children: late follow-up data]. | 2001 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=257bd8cf-74d7-45db-bf25-354a8d26634e
Curator's Comment: Three grams per day should not be exceeded. The CDC (Center for Disease Control ) recommendations do not exceed 2 g per day when given as a daily regimen
15 to 30 mg/kg once daily
Route of Administration:
Oral
| Substance Class |
Chemical
Created
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| Record UNII |
2KNI5N06TI
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Validated (UNII)
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| Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C280
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WHO-VATC |
QJ04AM05
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WHO-ESSENTIAL MEDICINES LIST |
6.2.4 (ISO/PYR/RIF)
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WHO-ATC |
J04AM06
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WHO-ATC |
J04AK01
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WHO-ATC |
J04AM05
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WHO-ESSENTIAL MEDICINES LIST |
6.2.4 (ETH/ISO/PYR/RIF)
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WHO-ESSENTIAL MEDICINES LIST |
6.2.4
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WHO-VATC |
QJ04AM06
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LIVERTOX |
NBK547856
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NDF-RT |
N0000175483
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WHO-VATC |
QJ04AK01
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FDA ORPHAN DRUG |
6585
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DTXSID9021215
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CHEMBL614
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2328
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Pyrazinamide
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PYRAZINAMIDE
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PYRAZINAMIDE
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PRIMARY | Description: A white or almost white, crystalline powder; odourless. Solubility: Sparingly soluble in water; slightly soluble in ethanol (~750 g/l) TS. Category: Antituberculosis drug. Storage: Pyrazinamide should be kept in a well-closed container. Definition: Pyrazinamide contains not less than 98.5% and not more than 101.0% of C5H5N3O, calculated with reference to the anhydrous substance. | ||
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202-717-6
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1046
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SUB10163MIG
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786
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7287
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D011718
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3576
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2KNI5N06TI
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14911
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45285
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100000080846
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DB00339
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98-96-4
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8987
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m9337
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1585006
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2KNI5N06TI
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C29395
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PARENT -> CONSTITUENT ALWAYS PRESENT |
MIC value of the in vitro growth of Mycobacterium Tuberculosis (H37RV strain) of the new anti-tuberculosis terpenoid derived agent tested was 20 ug/ml.
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Biological Half-life | PHARMACOKINETIC |
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Elimination PHARMACOKINETIC |
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