Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | 2C7H6NO3.Ca.3H2O |
| Molecular Weight | 398.379 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
O.O.O.[Ca++].NC1=CC=C(C([O-])=O)C(O)=C1.NC2=CC=C(C([O-])=O)C(O)=C2
InChI
InChIKey=IPLQYSPEGHNJCQ-UHFFFAOYSA-L
InChI=1S/2C7H7NO3.Ca.3H2O/c2*8-4-1-2-5(7(10)11)6(9)3-4;;;;/h2*1-3,9H,8H2,(H,10,11);;3*1H2/q;;+2;;;/p-2
| Molecular Formula | H2O |
| Molecular Weight | 18.0153 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C7H6NO3 |
| Molecular Weight | 152.1274 |
| Charge | -1 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | Ca |
| Molecular Weight | 40.078 |
| Charge | 2 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: http://www.drugbank.ca/drugs/DB00233Curator's Comment: Description was created based on several sources, including http://www.rxlist.com/paser-drug.htm
Sources: http://www.drugbank.ca/drugs/DB00233
Curator's Comment: Description was created based on several sources, including http://www.rxlist.com/paser-drug.htm
4-AMINOSALICYLIC ACID (Paser) is an anti-tuberculosis drug used to treat tuberculosis in combination with other active agents. 4-AMINOSALICYLIC ACID (Paser) is most commonly used in patients with Multi-drug Resistant TB (MDR-TB) or when isoniazid and rifampin use is not possible due to a combination of resistance and/or intolerance. There are two mechanisms responsible for aminosalicylic acid's bacteriostatic action against Mycobacterium tuberculosis. Firstly, aminosalicylic acid inhibits folic acid synthesis (without potentiation with antifolic compounds). The binding of para-aminobenzoic acid to pteridine synthetase acts as the first step in the folic acid synthesis. Aminosalicylic acid binds pteridine synthetase with greater affinity than para-aminobenzoic acid, effectively inhibiting the synthesis of folic acid. As bacteria are unable to use external sources of folic acid, cell growth and multiplication slow. Secondly, the aminosalicylic acid may inhibit the synthesis of the cell wall component, mycobactin, thus reducing iron uptake by M. tuberculosis.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL6065 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
Sources: http://www.rxlist.com/paser-drug.htm |
Primary | PASER Approved UseTuberculosis Launch Date1994 |
||
| Primary | PASER Approved UseUnknown Launch Date1994 |
|||
| Primary | Unknown Approved UseUnknown |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
82.69 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
8 g 1 times / day multiple, oral dose: 8 g route of administration: Oral experiment type: MULTIPLE co-administered: |
AMINOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
53.63 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
4 g 2 times / day multiple, oral dose: 4 g route of administration: Oral experiment type: MULTIPLE co-administered: |
AMINOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
16.36 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
8 g 1 times / day multiple, oral dose: 8 g route of administration: Oral experiment type: MULTIPLE co-administered: |
4-ACETAMIDOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
14.59 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
4 g 2 times / day multiple, oral dose: 4 g route of administration: Oral experiment type: MULTIPLE co-administered: |
4-ACETAMIDOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
20 μg/mL |
4 g single, oral dose: 4 g route of administration: Oral experiment type: SINGLE co-administered: |
AMINOSALICYLIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
690.35 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
8 g 1 times / day multiple, oral dose: 8 g route of administration: Oral experiment type: MULTIPLE co-administered: |
AMINOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
414.07 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
4 g 2 times / day multiple, oral dose: 4 g route of administration: Oral experiment type: MULTIPLE co-administered: |
AMINOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
142.49 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
8 g 1 times / day multiple, oral dose: 8 g route of administration: Oral experiment type: MULTIPLE co-administered: |
4-ACETAMIDOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
145.02 mg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31682027/ |
4 g 2 times / day multiple, oral dose: 4 g route of administration: Oral experiment type: MULTIPLE co-administered: |
4-ACETAMIDOSALICYLIC ACID plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1.62 h |
4 g single, oral dose: 4 g route of administration: Oral experiment type: SINGLE co-administered: |
AMINOSALICYLIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
45% |
4 g single, oral dose: 4 g route of administration: Oral experiment type: SINGLE co-administered: |
AMINOSALICYLIC ACID plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
3 g 2 times / day multiple, oral Highest studied dose Dose: 3 g, 2 times / day Route: oral Route: multiple Dose: 3 g, 2 times / day Sources: |
unhealthy, 45.5 |
Disc. AE: Dyspepsia, Lipase increased... AEs leading to discontinuation/dose reduction: Dyspepsia (severe, 4.3%) Sources: Lipase increased (4.3%) Aspartate aminotransferase abnormal (4.3%) |
4 g 3 times / day multiple, oral Recommended Dose: 4 g, 3 times / day Route: oral Route: multiple Dose: 4 g, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M+F Sources: |
Disc. AE: Drug-induced hepatitis... AEs leading to discontinuation/dose reduction: Drug-induced hepatitis (0.5%) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Aspartate aminotransferase abnormal | 4.3% Disc. AE |
3 g 2 times / day multiple, oral Highest studied dose Dose: 3 g, 2 times / day Route: oral Route: multiple Dose: 3 g, 2 times / day Sources: |
unhealthy, 45.5 |
| Lipase increased | 4.3% Disc. AE |
3 g 2 times / day multiple, oral Highest studied dose Dose: 3 g, 2 times / day Route: oral Route: multiple Dose: 3 g, 2 times / day Sources: |
unhealthy, 45.5 |
| Dyspepsia | severe, 4.3% Disc. AE |
3 g 2 times / day multiple, oral Highest studied dose Dose: 3 g, 2 times / day Route: oral Route: multiple Dose: 3 g, 2 times / day Sources: |
unhealthy, 45.5 |
| Drug-induced hepatitis | 0.5% Disc. AE |
4 g 3 times / day multiple, oral Recommended Dose: 4 g, 3 times / day Route: oral Route: multiple Dose: 4 g, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M+F Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Colon-specific prodrugs of 4-aminosalicylic acid for inflammatory bowel disease. | 2014-04-07 |
|
| Tolerance of 4-aminosalicylic acid enemas in patients with inflammatory bowel disease and 5-aminosalicylic-induced acute pancreatitis. | 2004-05 |
|
| Oral 4-aminosalicylic acid versus 5-aminosalicylic acid slow release tablets. Double blind, controlled pilot study in the maintenance treatment of Crohn's ileocolitis. | 1994-08 |
|
| Double blind, controlled trial of 4-aminosalicylic acid and prednisolone enemas in distal ulcerative colitis. | 1992-07 |
|
| A prospective randomized double blind trial comparing prednisolone and 4-aminosalicylic acid enemas in acute distal ulcerative colitis. | 1992-03-01 |
|
| Luminal concentrations of orally ingested 4-aminosalicylic acid as determined by in-vivo equilibrium dialysis. | 1990-12 |
|
| 4-Aminosalicylic acid enemas for ulcerative colitis. | 1989-02-25 |
|
| Experience with topical administration of 4-aminosalicylic acid in ulcerative colitis. | 1989-02 |
|
| [Inhibition of intestinal leukotriene formation as a possible mechanism of action of sulfasalazine, 5-aminosalicylic acid and 4-aminosalicylic acid]. | 1988-11-15 |
|
| Treatment of left-sided ulcerative colitis with 4-aminosalicylic acid enemas. A double-blind, placebo-controlled trial. | 1988-02 |
|
| 4-Aminosalicylic acid retention enemas in treatment of distal colitis. | 1987-07 |
|
| A double-blind clinical trial to compare the effects of 4-aminosalicylic acid to 5-aminosalicylic acid in topical treatment of ulcerative colitis. | 1984 |
|
| [Ethers of 4-aminosalicylic acid]. | 1953-05 |
|
| A procedure for the determination of 4-aminosalicylic acid (p-aminosalicylic acid) in blood and in urine. | 1949-02 |
|
| Tuberculostatic derivatives of rho-aminobenzoic acid; esters and amides of 4-aminosalicylic acid. | 1948 |
Patents
Sample Use Guides
The adult dosage of four grams (one packet) three times per day or correspondingly smaller doses in children.
Route of Administration:
Oral
In Vitro Use Guide
Curator's Comment: The developed nanodelivery formulation based on para-aminosalicylic acid (PAS) and zinc layered hydroxide has a fourfold higher efficacy of PAS against mycobacterium tuberculosis with a minimum inhibitory concentration (MIC) found to be at 1.40 ug/mL compared to the free drug PAS with a MIC of 5.0 ug/mL.
5.0 ug/mL MIC against mycobacterium tuberculosis.
| Substance Class |
Chemical
Created
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admin
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Edited
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| Record UNII |
9VF16M7FWU
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| Record Status |
Validated (UNII)
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| Record Version |
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NCI_THESAURUS |
C280
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WHO-ATC |
J04AA03
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QJ04AA03
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CHEMBL1169
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C76468
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SUB12859MIG
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DBSALT001939
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71586857
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ANHYDROUS->SOLVATE | |||
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PARENT -> SALT/SOLVATE |
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ACTIVE MOIETY |
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