1000296-70-7CCC(CC)C(=O)OCOC(=O)C1=C(S[C@H]2CC[S@@](=O)C2)S[C@@H]2[C@@H]([C@@H](C)O)C(=O)N12NBPVNGWRLGHULH-CSOWVJSESA-NSulopenem etzadroxil is a prodrug of the penem antibacterial [sulopenem]. Like other beta-lactam antibacterials, it is a time-dependent inhibitor of bacterial cell wall synthesis. Sulopenem etzadroxil was approved by the FDA in October 2024 for the treatment of uncomplicated urinary tract infections. It is administered in combination with [probenecid] in order to increase antibiotic exposure.
FDA approved drugs -> Active ingredient
FDA approved drugs -> Active ingredient
Sulopenem, similar to other beta-lactam antibacterials, exhibits time-dependent bacterial inhibition. The percentage of time that unbound plasma concentrations of sulopenem exceed the sulopenem minimum inhibitory concentration (MIC) against the infecting organism has been shown to best correlate with efficacy in _in vitro_ models of infection. In E. coli_, sulopenem demonstrated binding affinity for PBPs in the following order: PBP2 > PBP1A > PBP1B > PBP4 > PBP3 > PBP5/6.
Sulopenem has _in vitro_ activity against gram-positive and gram-negative aerobic and anaerobic bacteria. The bactericidal activity of sulopenem results from the inhibition of cell wall synthesis and is mediated through sulopenem binding to penicillin binding proteins (PBPs). Sulopenem's β-lactam ring alkylates the serine residues of PBPs, ultimately inhibiting peptidoglycan cross-linking.
After oral administration, sulopenem etzadroxil is hydrolyzed via esterases to the active [sulopenem], which is further metabolized via hydrolysis and then dehydrogenation. Two inactive metabolites of sulopenem have been identified - M1a and M1b - which accounted for 21.8% and 43.6%, respectively, of circulating radioactivity following the administration of a radiolabeled dose.
Following rapid conversion into the active moiety, sulopenem bioavailability is approximately 40% in the fasted state, increasing to 64% when administered with a meal.
Following a single oral dose of radiolabeled sulopenem etzadroxil in healthy adult subjects, 44.3% of radioactive product was recovered in the feces (26.9% as unchanged sulopenem) and 40.8% was recovered in the urine (3.1% as unchanged sulopenem).
Wird geladen…
1000296-70-7DTXSID80635293CHEMBL4594246In the fasted state, the apparent volume of distribution of sulopenem is 134 liters. When administered with a high-fat meal, the apparent volume of distribution is 92.09 liters.
In the fasted state, the apparent clearance of sulopenem is 77.6 L/h. When administered with a high-fat meal, the apparent clearance is 50.55 L/h.