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Identification
Name Pivmecillinam
Accession Number DB01605
Type small molecule
Groups approved
Description

Pivmecillinam is a mecillinam prodrug, a pivaloyloxymethyl ester of amdinocillin that is well absorbed orally, but broken down to amdinocillin in the intestinal mucosa. It is active against gram-negative organisms and used as for amdinocillin. [PubChem]

Structure Thumb
Download: MOL | SDF | SMILES | InChI
Display: 2D Structure | 3D Structure
Synonyms
  • Amdinocillin pivoxil
  • Pivmecilinamo [inn-spanish]
  • Pivmecillinamum [inn-latin]
Brand names
  • Coactabs
  • Selexid
Brand name mixtures Not Available
Categories
  • Anti-Bacterial Agents
  • Penicillins
  • Anti-Infective Agents, Urinary
CAS number 32886-97-8
Weight Average: 439.569
Monoisotopic: 439.214091871
Chemical Formula C21H33N3O5S
InChI Key InChIKey=NPGNOVNWUSPMDP-LRKSUFLFSA-N
InChI
InChI=1S/C21H33N3O5S/c1-20(2,3)19(27)29-13-28-18(26)15-21(4,5)30-17-14(16(25)24(15)17)22-12-23-10-8-6-7-9-11-23/h12,14-15,17H,6-11,13H2,1-5H3/b22-12+/t14-,15?,17-/m1/s1
Plain Text
IUPAC Name
{[(5R,6R)-6-[(E)-(azepan-1-ylmethylidene)amino]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptan-2-yl]carbonyloxy}methyl 2,2-dimethylpropanoate
SMILES
[H][C@]12SC(C)(C)C(N1C(=O)[C@H]2\N=C\N1CCCCCC1)C(=O)OCOC(=O)C(C)(C)C
Plain Text
Mass Spec Not Available
Taxonomy
Kingdom Organic
Classes Not Available
Substructures
  • Carbonyl Compounds
  • Carboxylic Acids and Derivatives
  • Acetates
  • Amino Ketones
  • Ethers
  • Aliphatic and Aryl Amines
  • Beta Lactams
  • Thiazoles
  • Heterocyclic compounds
  • Carboxamides and Derivatives
  • Lactams
  • Azetidines
  • Thiazolidines
  • Penicillins
Pharmacology
Indication Used to treat infections due to mecillinam-sensitive organisms such as urinary tract infections, salmonellosis and typhoid fever.
Pharmacodynamics Pivmecillinam is a pivaloyloxymethyl ester of amdinocillin that is well absorbed orally, but broken down to amdinocillin in the intestinal mucosa. It is active against gram-negative organisms and used as for amdinocillin.
Mechanism of action Pivmecillinam interferes with the biosynthesis of the bacterial cell wall however its activity is slightly different from that of other penicillins and cephalosporins
Absorption Well absorbed following oral administration.
Volume of distribution Not Available
Protein binding Not Available
Metabolism
Route of elimination Not Available
Half life Not Available
Clearance Not Available
Toxicity Not Available
Affected organisms
  • Enteric bacteria and other eubacteria
Pathways Not Available
Pharmacoeconomics
Manufacturers Not Available
Packagers Not Available
Dosage forms Not Available
Prices Not Available
Patents Not Available
Properties
State solid
Melting point 119 oC
Experimental Properties Not Available
Predicted Properties
Property Value Source
water solubility 5.26e-02 g/l ALOGPS
logP 3.23 ALOGPS
logP 2.91 ChemAxon Molconvert
logS -3.92 ALOGPS
pKa ChemAxon Molconvert
hydrogen acceptor count 5 ChemAxon Molconvert
hydrogen donor count 0 ChemAxon Molconvert
polar surface area 88.51 ChemAxon Molconvert
rotatable bond count 7 ChemAxon Molconvert
refractivity 113.03 ChemAxon Molconvert
polarizability 47.15 ChemAxon Molconvert
References
Synthesis Reference Not Available
General Reference
  1. Sjovall J, Huitfeldt B, Magni L, Nord CE: Effect of beta-lactam prodrugs on human intestinal microflora. Scand J Infect Dis Suppl. 1986;49:73-84. Pubmed
  2. Graninger W: Pivmecillinam—therapy of choice for lower urinary tract infection. Int J Antimicrob Agents. 2003 Oct;22 Suppl 2:73-8. Pubmed
  3. Pivmecillinam (selexid). Drug Ther Bull. 1978 Dec 22;16(26):103-4. Pubmed
External Links
Resource Link
KEGG Drug D02889 Link_out
PubChem Compound 36272 Link_out
PubChem Substance 46506880 Link_out
ChemSpider 33356 Link_out
ChEBI 51210 Link_out
ChEMBL 51210 Link_out
Therapeutic Targets Database DAP001174 Link_out
PharmGKB PA10160 Link_out
Drug Product Database 657212 Link_out
ATC Codes Not Available
AHFS Codes Not Available
PDB Entries Not Available
FDA label Not Available
MSDS Not Available
Interactions
Drug Interactions Not Available
Food Interactions
  • Take without regard to meals.
Targets

1. Penicillin-binding proteins 1A/1B

Pharmacological action: yes
Actions: inhibitor
Organism class: bacterial
UniProt ID: Q8XJ01 Link_out
Gene: pbpA
Protein Sequence: FASTA
Gene Sequence: FASTA
SNPs: SNPJam Report Link_out

References:
  1. Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. Pubmed
  2. Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. Pubmed
  3. Graninger W: Pivmecillinam—therapy of choice for lower urinary tract infection. Int J Antimicrob Agents. 2003 Oct;22 Suppl 2:73-8. Pubmed

Comments
Drug created on August 29, 2007 12:48 / Updated on April 19, 2011 15:10

This project is supported by Genome Alberta & Genome Canada, a not-for-profit organization that is leading Canada's national genomics strategy with $600 million in funding from the federal government. This project is also supported in part by GenomeQuest, Inc., an enterprise genomic information company serving the life science community.