U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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

[H][C@]12SCC(CSC3=NN=NN3C)=C(N1C(=O)[C@H]2NC(=O)[C@H](NC(=O)C4=CN=C(C)C=C4O)C5=CC=C(O)C=C5)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

Molecular Formula C25H24N8O7S2
Molecular Weight 612.637
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

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

Curator's Comment: Radiolabeled cefpiramide was distributed rapidly and widely after intravenous administration in rats with the highest concentration in the kidney and the lowest in the brain. No human data available.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
CEFPIRAMIDE SODIUM

Approved Use

This medication may be used in susceptible infections.

Launch Date

1989
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1300 mg × h/L
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1598 mg × h/L
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
672 mg × h/L
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
672 mg × h/L
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
12 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
13.8 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
5.3 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
5.3 h
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
10.4%
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.9%
1 g single, intravenous
dose: 1 g
route of administration: Intravenous
experiment type: SINGLE
co-administered:
CEFPIRAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
2 g single, intravenous
Highest studied dose
Dose: 2 g
Route: intravenous
Route: single
Dose: 2 g
Sources:
unhealthy, 42 years (range: 18 to 62 years)
n = 30
Health Status: unhealthy
Age Group: 42 years (range: 18 to 62 years)
Sex: M+F
Population Size: 30
Sources:
500 mg 2 times / day multiple, intramuscular
Highest studied dose
Dose: 500 mg, 2 times / day
Route: intramuscular
Route: multiple
Dose: 500 mg, 2 times / day
Sources:
unhealthy
n = 8
Health Status: unhealthy
Population Size: 8
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
likely
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
[Comparative study of cefpiramide + amikacin versus piperacillin + amikacin in granulocytopenic patients: a randomized, prospective study].
1992 Aug
[Cefpiramide (Tamicin) in the treatment of purulent complications of abdominal surgery].
1995 Sep
In-vitro antibacterial activities of cefpiramide and other broad-spectrum antibiotics against 440 clinical isolates in China.
2000 Jun
Quantitative evaluation of capacity-limited hepatobiliary transport based on hepatocellular diffusion model by MULTI(FEM).
2001 Oct
Biliary excretion of tauroursodeoxycholate-3-sulfate in the rat.
2001 Sep
Biliary excretion of olmesartan, an anigotensin II receptor antagonist, in the rat.
2005 May
Inflammatory pseudotumor of the liver treated by hepatic resection: a case report.
2006 Feb 28
Long level (t4-l1) spinal epidural abscess in a diabetic patient - a case report -.
2008 Jun
Involvement of multidrug resistance-associated protein 2 (Abcc2) in molecular weight-dependent biliary excretion of beta-lactam antibiotics.
2008 Jun
The efficacy of postoperative prophylactic antibiotics in orthognathic surgery: a prospective study in Le Fort I osteotomy and bilateral intraoral vertical ramus osteotomy.
2009 Feb 28
Antibiotic and synergistic effect of Leu-Lys rich peptide against antibiotic resistant microorganisms isolated from patients with cholelithiasis.
2010 Sep 3
Patents

Sample Use Guides

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.
Substance Class Chemical
Created
by admin
on Fri Dec 15 16:22:30 GMT 2023
Edited
by admin
on Fri Dec 15 16:22:30 GMT 2023
Record UNII
P936YA152N
Record Status Validated (UNII)
Record Version
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Name Type Language
CEFPIRAMIDE
INN   MART.   MI   USAN   USP   USP-RS   WHO-DD  
USAN   INN  
Official Name English
cefpiramide [INN]
Common Name English
WY-44,635
Code English
CEFPIRAMIDE [USP IMPURITY]
Common Name English
CEFPIRAMIDE [MI]
Common Name English
CEFPIRAMIDE [USP-RS]
Common Name English
WY-44635
Code English
Cefpiramide [WHO-DD]
Common Name English
CEFPIRAMIDE [USAN]
Common Name English
NSC-759869
Code English
CEFPIRAMIDE [MART.]
Common Name English
Classification Tree Code System Code
WHO-ATC J01DD11
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
NCI_THESAURUS C357
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
WHO-VATC QJ01DD11
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
Code System Code Type Description
NCI_THESAURUS
C65303
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
EPA CompTox
DTXSID6046630
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PRIMARY
DRUG BANK
DB00430
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
WIKIPEDIA
CEFPIRAMIDE
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
ChEMBL
CHEMBL1201204
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
EVMPD
SUB07412MIG
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
USAN
Y-35
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
DRUG CENTRAL
552
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PRIMARY
CAS
70797-11-4
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
MERCK INDEX
m3210
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY Merck Index
PUBCHEM
636405
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
INN
5152
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
MESH
C036666
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
RS_ITEM_NUM
1098118
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
NSC
759869
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
SMS_ID
100000081828
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
CHEBI
59213
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
FDA UNII
P936YA152N
Created by admin on Fri Dec 15 16:22:30 GMT 2023 , Edited by admin on Fri Dec 15 16:22:30 GMT 2023
PRIMARY
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