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Clavulanic Acid

HCID 5280980
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Basic information

CAS
58001-44-8
Standard SMILES
O=C(O)[C@H]1/C(=C/CO)O[C@@H]2CC(=O)N21
InChIKey
HZZVJAQRINQKSD-PBFISZAISA-N
Molecular formula
C8H9NO5
Average molar mass
199.16 g/mol
Monoisotopic mass
199.04807239

Names & identifiers

Preferred name
Clavulanic Acid
IUPAC
(2R,3Z,5R)-3-(2-hydroxyethylidene)-7-oxo-4-oxa-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
English name
Clavulanic acid
Molecular formula
C8H9NO5
Molecular weight
199.16

Names & synonyms

CLAVULANIC ACID58001-44-8Acido clavulanicoAcide clavulaniqueAntibiotic MM 14151acidum clavulanicumClavulansaeure(2R,3Z,5R)-3-(2-hydroxyethylidene)-7-oxo-4-oxa-1-azabicyclo[3.2.0]heptane-2-carboxylic acidMM 14151BRL-14151SerdaxinBRL 14151
Show more names
Clavulanate acid3008-bC06662MM-14151antibioticmm14151Clavulanate MonomerClavulanic acid USP/EP/BP
rx-10100(Z)-(2R,5R)-3-(2-Hydroxyethylidene)-7-oxo-4-oxa-1-azabicyclo(3.2.0)heptane-2-carboxylic acidCHEBI:4894723521W1S24DTXSID2022830BRL14151(2R,3Z,5R)-3-(2-HYDROXYETHYLIDENE)-7-OXO-4-OXA-1-AZABICYCLO(3.2.0)HEPTANE-2-CARBOXYLIC ACIDClavulanate, Sodium

Database identifiers

CAS
58001-44-8
PubChem CID
5280980
DTXSID
DTXSID2022830
ChEMBL
CHEMBL777
ChEBI
CHEBI:48947
UNII
23521W1S24
EC Number
261-069-2
Nikkaji
J14.640D

Properties

Computed structural propertiesFilling in

XLogP
-1.2
Topological polar surface area
87.1 Ų
Hydrogen bond donors
2
Hydrogen bond acceptors
5
Rotatable bonds
2
Heavy atoms
14
Formal charge
0
Complexity
324

Experimental & physicochemical properties

LogP · 2 items

-2.3

-1.5

LogS0.23
Solubility3.37e+02 g/L
Boiling Point545.8
Melting Point · 2 items

117.5-118

117.5 - 118 °C

Physical DescriptionSolid
Dissociation Constants2.7

Physicochemical properties

Boiling point
545.8 · 545.8±50.0 °C(Predicted)
Density
1.65 · 1.65±0.1 g/cm3(Predicted)
storage temp.
4 °C, · 4°C, protect from light, stored under nitrogen
solubility

Safety & regulation

Safety information is for reference only and does not replace the supplier’s Safety Data Sheet (SDS), applicable regulations, or professional assessment.

Hazard information

Regulatory InformationClavulanic acid: Does not have an individual approval but may be used as a component in a product covered by a group standard. It is not approved for use as a chemical in its own right.

Toxicology

Adverse Effects · 1 item

Clavulanic acid, when administered with amoxicillin, can cause some mild gastrointestinal adverse effects. These include vomiting, nausea, loose stools, and discomfort. Antibiotic-associated diarrhea due to amoxicillin-clavulanic acid treatment is the most common adverse effect. There is a higher incidence of diarrhea when clavulanic acid is added to amoxicillin compared to amoxicillin alone. Diarrhea is more common in those taking a high dose of the extended-release form of clavulanic acid and amoxicillin. Drug-induced pancreatitis from clavulanic acid and amoxicillin has occurred in a few cases.;When used for the treatment of urinary tract infections, this drug combination can cause candida vaginitis. Amoxicillin, in conjunction with clavulanic acid, is the most common cause of idiosyncratic drug-induced injury, specifically cholestatic liver injury, and this can lead to an increase in alkaline phosphatase and bilirubin levels. Since clavulanic acid administration is always in conjunction with amoxicillin, it is important to consider the adverse effects of amoxicillin alone as well. Hypersensitivity reactions to this drug combination, usually due to amoxicillin, can occur and result in dermatological reactions. Still, none of these allergic reactions are known to be due to clavulanic acid alone.

Toxicity Summary · 1 item

The toxicity of clavulanic acid alone is unknown. However, the toxic effects of amoxicillin/clavulanate have been reported. The most common toxic effect is an idiosyncratic drug-induced hepatic injury which leads to a mixed hepatocellular-cholestatic injury, and it is more common in older men. Amoxicillin-clavulanic acid is the most common cause of idiosyncratic drug-induced hepatic injury. Risk factors for hepatic injury include sex, cytochrome P450, and genetic polymorphisms. These risk factors should be examined before administering amoxicillin/clavulanate to reduce the risk of toxic and adverse effects. In addition to early diagnosis and discontinuation of the drug, N-acetylcysteine can be administered to minimize damage. Additionally, steroids can be given to decrease the time it takes to return hepatic enzymes and bilirubin levels to normal. Liver failure is also a rare but possible toxic effect of amoxicillin-clavulanic acid.

Chemistry & industry

Pharmacology

Protein BindingThe plasma protein binding of amoxicillin is about 25%.
Pharmacodynamics · 1 item

Clavulanic acid inactivates some beta-lactamase enzymes that are produced by bacteria, therefore preventing enzymatic destruction of amoxicillin. This helps to treat a variety of bacterial infections which would otherwise be resistant to antibiotics without the addition of clavulanic acid.

Mechanism of Action · 1 item

Clavulanic acid contains a beta-lactam ring in its structure that binds in an irreversible fashion to beta-lactamases, preventing them from inactivating certain beta-lactam antibiotics, with efficacy in treating susceptible gram-positive and gram-negative infections.

Biological Half-LifeThe half-life of clavulanic acid is reported to be similar to amoxicillin, and last 45-90 minutes. A study of radiolabeled clavulanic acid administered to 4 healthy volunteers determined a half-life of 0.8 h.
Metabolism/Metabolites · 1 item

Clavulanic acid is heavily metabolized to form the metabolites 2,5-dihydro-4-(2- hydroxyethyl)-5-oxo-1H-pyrrole-3-carboxylic acid and 1-amino-4-hydroxy-butan-2-one. The first metabolite was found to account for 15.6% of the dose while the second metabolite was reported to account for 8.8% of the dose in one pharmacokinetic study.

FDA Pharmacological Classification · 5 items

23521W1S24

CLAVULANIC ACID

Established Pharmacologic Class [EPC] - beta Lactamase Inhibitor

Mechanisms of Action [MoA] - beta Lactamase Inhibitors

Clavulanic acid is a beta Lactamase Inhibitor. The mechanism of action of clavulanic acid is as a beta Lactamase Inhibitor.

MeSH Pharmacological ClassificationEndogenous substances and drugs that inhibit or block the activity of BETA-LACTAMASES.
Absorption, Distribution and Excretion

Related reactions

68 records
New reaction record
HRID 3626 reaction equation
HRID 3626As reactantuspto-grants-1998_03
HRID 127153 reaction equation
HRID 127153As reactantuspto-grants-1981_03
HRID 324260 reaction equation
HRID 324260As productuspto-grants-2001_04
HRID 324261 reaction equation
HRID 324261As productuspto-grants-2001_04
HRID 324262 reaction equation
HRID 324262As productuspto-grants-2001_04
HRID 342856 reaction equation
HRID 342856As reactantuspto-grants-1999_01
HRID 368551 reaction equation
HRID 368551As reactantuspto-grants-2000_10
HRID 370438 reaction equation
HRID 370438As productuspto-grants-1985_07
Page 1 of 9

Compound notes

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On this pageBasic informationNames & identifiersPropertiesSafety & regulationChemistry & industryRelated reactionsCompound notes
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2 O · H2O : 50 mg/mL (251.05 mM; Need ultrasonic)
form
Solid
pka
3.68 · 3.68±0.20(Predicted)
color
Off-white to light yellow
FDA UNII
23521 W1S24 · 23521W1S24
Symbol(GHS)
7 · GHS07
Signal word
Warning
Hazard statements
302 · H302-H315-H319-H335
Precautionary statements
261 · P261-P305+P351+P338

Regulatory information

Regulatory InformationClavulanic acid: Does not have an individual approval but may be used as a component in a product covered by a group standard. It is not approved for use as a chemical in its own right.

Safety data

Signal word
Warning
Symbol(GHS)
GHS07
Hazard statements
H302-H315-H319-H335
Precautionary statements
P261-P305+P351+P338
· 4 items

Clavulanic acid, when taken orally, is well absorbed in the gastrointestinal tract. After administration of radiolabeled clavulanic acid to four human subjects, a minimum of 73% absorption and the average absolute bioavailability was calculated at 64%. The mean Cmax in a group of 8 healthy research volunteers was 2.098 ± 0.441 micrograms/ml in a pharmacokinetic study. The same study reported a mean Tmax of 1.042 ± 0.80 hours. Tmax is reported to be 40-120 minutes according to another pharmacokinetic study.

About 40 to 65% of the clavulanic acid is excreted as unchanged drug in urine during the first 6 hours following ingestion. The metabolites of clavulanic acid are found to be excreted in the urine and feces and as carbon dioxide in expired air. Clavulanate is cleared by both renal and non-renal processes. About 17% of radiolabeled dose of clavulanic acid was found to be exhaled in expired air and 8% of a dose was found to be excreted in the feces.

A study in 4 healthy volunteers administered a radiolabeled dose of clavulanic acid determined a volume of distribution of 12L.Clavulanic acid is distributed to various tissues and interstitial fluid. Clinically significant concentrations have been measured in the gallbladder, abdomen, skin, fat, and muscle tissues. Bile, pus, synovial and peritoneal fluids are also found to have therapeutic concentrations of clavulanic acid. Studies of animals have demonstrated that clavulanic crosses the placenta.

The clearance of clavulanic acid in a pharmacokinetic study of 4 healthy volunteers administered a radiolabeled dose of clavulanic acid was 0.21 l/min. Another resource indicates the average clearance of clavulanic acid is 12.20 liters/h/70 kg. Dose adjustments may be required in patients with renal failure.

Uses & manufacturing

Uses · 1 item

Use (kg) in Switzerland (2009): >2500;Use (kg; approx.) in Germany (2009): >2500;Use (kg) in USA (2002): 102000;Use (kg) in France (2004): 22699;Consumption (g per capita) in Switzerland (2009): 0.32;Consumption (g per capita; approx.) in Germany (2009): 0.031;Consumption (g per capita) in the USA (2002): 0.36;Consumption (g per capita) in France (2004): 0.38;Excretion rate: 0.525;Calculated removal (%): 92.1

Use ClassificationPharmaceuticals
Applications · 3 items

DescriptionClavulanic acid is a mold product with only weak intrinsic antibacterial activity, but it is an excellent irreversible inhibitor of most β-lactamases. It is believed to acylate the active site serine by mimicking the normal substrate. Hydrolysis occurs with some β-lactamases, but in many cases, subsequent reactions occur that inhibit the enzyme irreversibly. This leads to its classification as a mechanism-based inhibitor (or so-called suicide substrate). The precise chemistry is not well understood, but when clavulanic acid is added to ampicillin and amoxicillin preparations, the potency against β-lactamase–producing strains is markedly enhanced.

Usesbeta-lactamase inhibitor

General DescriptionClavulanic acid was found in the culture broth of Streptomyces clavuligerus by Beecham Research Laboratories in 1976. It was the first β-lactamase inhibitor. This antibiotic shows weak antibacterial activity against grampositive and gram-negative organisms but strong inhibitory activity against the β-lactamase produced by ampicillin-resistant bacteria. Clavulanic acid is used orally in combination with amoxicillin and with ticarcillin by injection to enhance the activities of these antibiotics against resistant infections.

Upstream & downstream products

Upstream raw materials

D(+)-GlucoseSOYBEAN MEALDextrinSoybean Flour

Downstream products

Clavulanic Acid 2-AMino-2,4,4-triMethylpentane Salt

Additional notes

DefinitionChEBI: Antibiotic isolated from Streptomyces clavuligerus. It acts as a suicide inhibitor of bacterial beta-lactamase enzymes.