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Details

Stereochemistry EPIMERIC
Molecular Formula C17H16N2O6S.K.H
Molecular Weight 416.49
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CARBENICILLIN POTASSIUM

SMILES

[H+].[K+].[H][C@]12SC(C)(C)[C@@H](N1C(=O)[C@H]2NC(=O)C(C([O-])=O)C3=CC=CC=C3)C([O-])=O

InChI

InChIKey=DNAXYSPCMDEAQB-GJUCOGTPSA-M
InChI=1S/C17H18N2O6S.K/c1-17(2)11(16(24)25)19-13(21)10(14(19)26-17)18-12(20)9(15(22)23)8-6-4-3-5-7-8;/h3-7,9-11,14H,1-2H3,(H,18,20)(H,22,23)(H,24,25);/q;+1/p-1/t9?,10-,11+,14-;/m1./s1

HIDE SMILES / InChI

Molecular Formula H
Molecular Weight 1.0079
Charge 1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula K
Molecular Weight 39.0983
Charge 1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C17H16N2O6S
Molecular Weight 376.384
Charge -2
Count
Stereochemistry EPIMERIC
Additional Stereochemistry No
Defined Stereocenters 3 / 4
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including http://www.ncbi.nlm.nih.gov/pubmed/21771 and http://www.ncbi.nlm.nih.gov/pubmed/789326

Geocillin, a trade name is the sodium salt of the indanyl ester of carbenicillin disodium, which used to treat acute and chronic infections of the upper and lower urinary tract and in asymptomatic bacteriuria due to susceptible strains of bacteria. In addition, Geocillin was also indicated in the treatment of prostatitis due to susceptible strains of the following organisms: Escherichia coli; Enterococcus (S. faecalis); Proteus mirabilis; Enterobacter sp. Free carbenicillin is the predominant pharmacologically active fraction of Geocillin. After absorption, Geocillin is rapidly converted to carbenicillin by hydrolysis of the ester linkage. Carbenicillin exerts its antibacterial activity by interference with final cell wall synthesis of susceptible bacteria. Penicillins acylate the penicillin-sensitive transpeptidase C-terminal domain by opening the lactam ring. This inactivation of the enzyme prevents the formation of a cross-link of two linear peptidoglycan strands, inhibiting the third and last stage of bacterial cell wall synthesis. In 2008 Pfizer has decided to discontinue the manufacturing of Geocillin (carbenicillin indanyl sodium)

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
0.18 µM [Ki]
Target ID: Escherichia coli growth
Target ID: Staphylococcus aureus growth
Target ID: Streptococcus pneumoniae growth
Target ID: Pseudomonas aeruginosa growth
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
Uticillin

Approved Use

Indications: urinary tract infections
Curative
GEOCILLIN

Approved Use

Geocillin (carbenicillin indanyl sodium) is indicated in the treatment of acute and chronic infections of the upper and lower urinary tract and in asymptomatic bacteriuria due to susceptible strains of the following organisms: Escherichia coli; Proteus mirabilis; Morganella morganii (formerly Proteus morganii); Providencia rettgeri (formerly Proteus rettgeri); Proteus vulgaris; Pseudomonas Enterobacter; Enterococci. Geocillin is also indicated in the treatment of prostatitis due to susceptible strains of the following organisms: Escherichia coli; Enterococcus (S. faecalis); Proteus mirabilis; Enterobacter sp. WHEN HIGH AND RAPID BLOOD AND URINE LEVELS OF ANTIBIOTIC ARE INDICATED, THERAPY WITH GEOPEN (CARBENICILLIN DISODIUM) SHOULD BE INITIATED BY PARENTERAL ADMINISTRATION FOLLOWED, AT THE PHYSICIAN’S DISCRETION, BY ORAL THERAPY. To reduce the development of drug-resistant bacteria and maintain effectiveness of Geocillin and other antibacterial drugs, Geocillin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1972
Curative
GEOCILLIN

Approved Use

Geocillin (carbenicillin indanyl sodium) is indicated in the treatment of acute and chronic infections of the upper and lower urinary tract and in asymptomatic bacteriuria due to susceptible strains of the following organisms: Escherichia coli; Proteus mirabilis; Morganella morganii (formerly Proteus morganii); Providencia rettgeri (formerly Proteus rettgeri); Proteus vulgaris; Pseudomonas Enterobacter; Enterococci. Geocillin is also indicated in the treatment of prostatitis due to susceptible strains of the following organisms: Escherichia coli; Enterococcus (S. faecalis); Proteus mirabilis; Enterobacter sp. WHEN HIGH AND RAPID BLOOD AND URINE LEVELS OF ANTIBIOTIC ARE INDICATED, THERAPY WITH GEOPEN (CARBENICILLIN DISODIUM) SHOULD BE INITIATED BY PARENTERAL ADMINISTRATION FOLLOWED, AT THE PHYSICIAN’S DISCRETION, BY ORAL THERAPY. To reduce the development of drug-resistant bacteria and maintain effectiveness of Geocillin and other antibacterial drugs, Geocillin should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Launch Date

1972
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
6.5 μg/mL
382 mg single, oral
dose: 382 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CARBENICILLIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
16 μg × h/mL
382 mg single, oral
dose: 382 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CARBENICILLIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2 h
382 mg single, oral
dose: 382 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CARBENICILLIN serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
5 g 4 times / day steady, intravenous
Dose: 5 g, 4 times / day
Route: intravenous
Route: steady
Dose: 5 g, 4 times / day
Sources:
unhealthy, 57 years
Health Status: unhealthy
Condition: interstitial nephritis
Age Group: 57 years
Sex: M
Sources:
Other AEs: Nephrotoxicity...
Other AEs:
Nephrotoxicity (1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
Nephrotoxicity 1 patient
5 g 4 times / day steady, intravenous
Dose: 5 g, 4 times / day
Route: intravenous
Route: steady
Dose: 5 g, 4 times / day
Sources:
unhealthy, 57 years
Health Status: unhealthy
Condition: interstitial nephritis
Age Group: 57 years
Sex: M
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
yes (co-administration study)
Comment: When coadministrated with Probenecid (OAT inhibitor), Carbenicillin CLr was significantlly reduced.
PubMed

PubMed

TitleDatePubMed
Carbenicillin prodrugs: stability kinetics of alpha-phenyl and alpha-indanyl esters in aqueous solution.
1979 Oct
Val-237 for Ala substitution in the TEM-2 beta-lactamase dramatically alters the catalytic efficiencies towards carbenicillin and ticarcillin.
1994 Apr 15
[Optimization of T-dNA insertional mutagenesis and analysis of mutants of Magnaporthe grisea].
2003 Jul
Antimicrobial susceptibility pattern of clinical isolates of non-fermentative bacteria.
2003 Jul
Intravenous colistin in the treatment of sepsis from multiresistant Gram-negative bacilli in critically ill patients.
2003 Oct
The susceptibility of ionophore-resistant Clostridium aminophilum F to other antibiotics.
2003 Oct
Shewanella waksmanii sp. nov., isolated from a sipuncula (Phascolosoma japonicum).
2003 Sep
Serovar determination, drug resistance patterns and plasmid profiles of Pseudomonas aeruginosa isolated from burn patients at two hospitals of Tehran (IRAN).
2003 Sep
Thermophile-specific proteins: the gene product of aq_1292 from Aquifex aeolicus is an NTPase.
2003 Sep 23
Evaluation of a simple carrier molecule to enhance drug penetration of dermal layers by utilizing multivariate methods, structure property correlations, and continuous system modeling.
2004
[Pseudomonas aeruginosa--a significant hospital pathogen and resistance to carbapenem].
2004
Genome-wide mutagenesis of Zea mays L. using RescueMu transposons.
2004
Investigation of Burkholderia cepacia nosocomial outbreak with high fatality in patients suffering from diseases other than cystic fibrosis.
2004
Self-transmissible antibiotic resistance to ampicillin, streptomycin, and tetracyclin found in Escherichia coli isolates from contaminated drinking water.
2004
Penicillin derivatives induce chemical structure-dependent root development, and application for plant transformation.
2004 Apr
Vibrio vulnificus in Taiwan.
2004 Aug
Interaction studies on proteins encoded by the phthiocerol dimycocerosate locus of Mycobacterium tuberculosis.
2004 Dec
Distribution and characterization of Campylobacter spp. from Russian poultry.
2004 Feb
Staphylococcus aureus and Escherichia hermanii in diabetes patient.
2004 Jul
Molecular dissection of the human antibody response to the structural repeat epitope of Plasmodium falciparum sporozoite from a protected donor.
2004 Jul 29
Prevalence, antibiotic susceptibility, and virulence factors of Yersinia enterocolitica and related species from ready-to-eat vegetables available in Korea.
2004 Jun
Serratia marcescens internalization and replication in human bladder epithelial cells.
2004 Jun 9
Bacterial variations on the methionine salvage pathway.
2004 Mar 4
Xylella fastidiosa subspecies: X. fastidiosa subsp. [correction] fastidiosa [correction] subsp. nov., X. fastidiosa subsp. multiplex subsp. nov., and X. fastidiosa subsp. pauca subsp. nov.
2004 May
Symbiotic innovation in the oxymonad Streblomastix strix.
2004 May-Jun
Dictyostelium myosin bipolar thick filament formation: importance of charge and specific domains of the myosin rod.
2004 Nov
Mycobacterium tuberculosis from chronic murine infections that grows in liquid but not on solid medium.
2004 Nov 17
Functional characterization in Caenorhabditis elegans of transmembrane worm-human orthologs.
2004 Nov 8
Resistance to beta-lactam antibiotics in Aeromonas hydrophila isolated from rainbow trout (Oncorhynchus mykiss).
2004 Sep
Incorporation of different antibiotics into carbonated hydroxyapatite coatings on titanium implants, release and antibiotic efficacy.
2004 Sep 14
Early detection of breast cancer based on gene-expression patterns in peripheral blood cells.
2005
Common antimicrobial resistance patterns, biotypes and serotypes found among Pseudomonas aeruginosa isolates from patient's stools and drinking water sources in Jordan.
2005 Apr
Efficient genetic transformation of Sorghum using a visual screening marker.
2005 Apr
Nuclear hormone receptor NHR-49 controls fat consumption and fatty acid composition in C. elegans.
2005 Feb
New genes tied to endocrine, metabolic, and dietary regulation of lifespan from a Caenorhabditis elegans genomic RNAi screen.
2005 Jul
Characterization of Pseudomonas aeruginosa isolated from chronically infected children with cystic fibrosis in India.
2005 Jul 21
Development of ERK Activity Sensor, an in vitro, FRET-based sensor of Extracellular Regulated Kinase activity.
2005 Jul 5
Epidemic strain Shigella dysenteriae Type 1 Dt66 encodes several drug resistances by chromosome.
2005 Jul-Aug
Cognate peptide-receptor ligand mapping by directed phage display.
2005 Jun 17
Selectivity of ertapenem for Pseudomonas aeruginosa mutants cross-resistant to other carbapenems.
2005 Mar
[Antibiotic resistance of shigellae and rationale for etiotropic therapy of Shigella infections].
2005 Mar-Apr
Antimicrobial responses of Yersinia enterocolitica isolates in comparison to other commonly encountered bacteria that causes diarrhoea.
2005 May
Infrared and Raman microspectroscopy of foreign materials in tissue specimens.
2005 May
Characterization of antimicrobial resistance and class 1 integrons found in Escherichia coli isolates from humans and animals in Korea.
2005 May
Occurrence of antibiotic and metal resistance in bacteria from organs of river fish.
2005 May
An improved method for rapid generation of unmarked Pseudomonas aeruginosa deletion mutants.
2005 May 23
A combined approach exploring gene function based on worm-human orthology.
2005 May 6
Functional genomic analysis of C. elegans molting.
2005 Oct
Uncoupling of longevity and telomere length in C. elegans.
2005 Sep
Changes in patterns of antimicrobial susceptibility and class 1 integron carriage among Escherichia coli isolates.
2005 Sep
Patents

Sample Use Guides

In Vivo Use Guide
500 mg every 8 h for 7 days .
Route of Administration: Oral
In Vitro Use Guide
Carfecillin inhibited Staphylococcus aureus growth with MIC 0.25 ug/ml
Substance Class Chemical
Created
by admin
on Fri Dec 15 14:59:55 GMT 2023
Edited
by admin
on Fri Dec 15 14:59:55 GMT 2023
Record UNII
3UX6B304L3
Record Status Validated (UNII)
Record Version
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Name Type Language
CARBENICILLIN POTASSIUM
USAN  
USAN  
Official Name English
GS-3159
Code English
N-(2-Carboxy-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]hept-6-yl)-2-phenylmalonamic acid 2-(potassium salt)
Systematic Name English
CARBENICILLIN POTASSIUM [USAN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C1500
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
Code System Code Type Description
FDA UNII
3UX6B304L3
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
PRIMARY
PUBCHEM
23684326
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
PRIMARY
NCI_THESAURUS
C76220
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
PRIMARY
EPA CompTox
DTXSID70938124
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
PRIMARY
ChEMBL
CHEMBL1214
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
PRIMARY
CAS
17230-86-3
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
PRIMARY
ECHA (EC/EINECS)
241-269-6
Created by admin on Fri Dec 15 14:59:55 GMT 2023 , Edited by admin on Fri Dec 15 14:59:55 GMT 2023
PRIMARY
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