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Chemistry

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Also known as: 148016-81-3, Doribax, S-4661, Finibax, Bhv525jobh, (4r,5s,6s)-6-[(1r)-1-hydroxyethyl]-4-methyl-7-oxo-3-[(3s,5s)-5-[(sulfamoylamino)methyl]pyrrolidin-3-yl]sulfanyl-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid
Molecular Formula
C15H24N4O6S2
Molecular Weight
420.5  g/mol
InChI Key
AVAACINZEOAHHE-VFZPANTDSA-N
FDA UNII
BHV525JOBH

Doripenem
A carbapenem derivative antibacterial agent that is more stable to renal dehydropeptidase I than IMIPENEM, but does not need to be given with an enzyme inhibitor such as CILASTATIN. It is used in the treatment of infections such as HOSPITAL-ACQUIRED PNEUMONIA, and complicated intra-abdominal or urinary-tract infections, including PYELONEPHRITIS.
Doripenem is a Penem Antibacterial.
1 2D Structure

Doripenem

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(4R,5S,6S)-6-[(1R)-1-hydroxyethyl]-4-methyl-7-oxo-3-[(3S,5S)-5-[(sulfamoylamino)methyl]pyrrolidin-3-yl]sulfanyl-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid
2.1.2 InChI
InChI=1S/C15H24N4O6S2/c1-6-11-10(7(2)20)14(21)19(11)12(15(22)23)13(6)26-9-3-8(17-5-9)4-18-27(16,24)25/h6-11,17-18,20H,3-5H2,1-2H3,(H,22,23)(H2,16,24,25)/t6-,7-,8+,9+,10-,11-/m1/s1
2.1.3 InChI Key
AVAACINZEOAHHE-VFZPANTDSA-N
2.1.4 Canonical SMILES
CC1C2C(C(=O)N2C(=C1SC3CC(NC3)CNS(=O)(=O)N)C(=O)O)C(C)O
2.1.5 Isomeric SMILES
C[C@@H]1[C@@H]2[C@H](C(=O)N2C(=C1S[C@H]3C[C@H](NC3)CNS(=O)(=O)N)C(=O)O)[C@@H](C)O
2.2 Other Identifiers
2.2.1 UNII
BHV525JOBH
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 2-(5-sulfamoylaminomethylpyrrolidin-3-ylthio)-6-(1-hydroxyethyl)-1-methylcarbapen-2-em-3-carboxylic Acid

2. S 4661

3. S-4661

4. S4661

2.3.2 Depositor-Supplied Synonyms

1. 148016-81-3

2. Doribax

3. S-4661

4. Finibax

5. Bhv525jobh

6. (4r,5s,6s)-6-[(1r)-1-hydroxyethyl]-4-methyl-7-oxo-3-[(3s,5s)-5-[(sulfamoylamino)methyl]pyrrolidin-3-yl]sulfanyl-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic Acid

7. S 4661

8. (4r,5s,6s)-6-((r)-1-hydroxyethyl)-4-methyl-7-oxo-3-(((3s,5s)-5-((sulfamoylamino)methyl)pyrrolidin-3-yl)thio)-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic Acid

9. Ncgc00167510-01

10. Drpm

11. Dsstox_cid_26678

12. Dsstox_rid_81814

13. Dsstox_gsid_46678

14. 1-azabicyclo(3.2.0)hept-2-ene-2-carboxylic Acid, 3-(((3s,5s)-5-(((aminosulfonyl)amino)methyl)-3-pyrrolidinyl)thio)-6-((1r)-1-hydroxyethyl)-4-methyl-7-oxo-, (4r,5s,6s)-

15. Doripenem [inn]

16. (+)-(4r,5s,6s)-6-((1r)-1-hydroxyethyl)-4-methyl-7-oxo-3-(((3s,5s)-5-((sulfamoylamino)methyl)-3-pyrrolidinyl)thio)-1-azabicyclo(3.2.0)hept-2-ene-2-carboxylic Acid

17. Cas-148016-81-3

18. Doripenem (usan/inn)

19. Doripenem [usan:inn]

20. Unii-bhv525jobh

21. (4r,5s,6s)-6-[(1r)-1-hydroxyethyl]-4-methyl-7-oxo-3-({(3s,5s)-5-[(sulfamoylamino)methyl]pyrrolidin-3-yl}sulfanyl)-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic Acid

22. (4r,5s,6s)-6-[(1r)-1-hydroxyethyl]-4-methyl-7-oxo-3-{[(3s,5s)-5-[(sulfamoylamino)methyl]pyrrolidin-3-yl]sulfanyl}-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic Acid

23. Doripenem [mi]

24. Doripenem [usan]

25. (4r,5s,6s)-6-((r)-1-hydroxyethyl)-4-methyl-7-oxo-3-((3s,5s)-5-((sulfamoylamino)methyl)pyrrolidin-3-ylthio)-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic Acid

26. Doripenem [vandf]

27. Doripenem [mart.]

28. Doripenem [who-dd]

29. Schembl37471

30. Doripenem [ema Epar]

31. Chembl491571

32. Doripenem [orange Book]

33. Dtxsid2046678

34. Gtpl12183

35. Chebi:135928

36. Bcpp000252

37. Hy-b0187

38. Zinc3922770

39. Tox21_112508

40. Bdbm50088382

41. Mfcd02092739

42. S5531

43. Akos015918362

44. Compound 1m [pmid: 8621362]

45. Tox21_112508_1

46. Am84446

47. Bcp9000623

48. Ccg-268891

49. Cs-2075

50. Db06211

51. Ncgc00167510-02

52. D5249

53. D03895

54. 016d813

55. Q411552

56. Sr-01000872589

57. Sr-01000872589-1

58. (4r,5s,6s)-3-[[(3s,5s)-5-[[(aminosulfonyl)amino]methyl]-3-pyrrolidinyl]thio]-6-[(1r)-1-hydroxyethyl]-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic Acid

59. (4r,5s,6s)-6-((r)-1-hydroxyethyl)-4-methyl-7-oxo-3-(((3s,5s)-5-((sulfamoylamino)methyl)pyrrolidin-3-yl)thio)-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylicacid

60. 1-azabicyclo(3.2.0)hept-2-ene-2-carboxylic Acid, 3-((5-(((aminosulfonyl)amino)methyl)-3-pyrrolidinyl)thio)-6-(1-hydroxyethyl)-4-methyl-7-oxo-, (4r-(3(3s*,5s*),4alpha,5beta,6beta(r*)))-

61. O6p

2.4 Create Date
2005-06-24
3 Chemical and Physical Properties
Molecular Weight 420.5 g/mol
Molecular Formula C15H24N4O6S2
XLogP3-3.4
Hydrogen Bond Donor Count5
Hydrogen Bond Acceptor Count10
Rotatable Bond Count7
Exact Mass420.11372685 g/mol
Monoisotopic Mass420.11372685 g/mol
Topological Polar Surface Area196 Ų
Heavy Atom Count27
Formal Charge0
Complexity780
Isotope Atom Count0
Defined Atom Stereocenter Count6
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameDoribax
PubMed HealthDoripenem (Injection)
Drug ClassesAntibiotic
Drug LabelDORIBAX, doripenem monohydrate for injection vials contain 500 mg of doripenem on an anhydrous basis, a white to slightly-yellowish off-white sterile crystalline powder. All references to doripenem activity are expressed in terms of the active dori...
Active IngredientDoripenem
Dosage FormInjectable
RouteIv (infusion)
Strength500mg/vial; 250mg/vial
Market StatusPrescription
CompanyShionogi

2 of 2  
Drug NameDoribax
PubMed HealthDoripenem (Injection)
Drug ClassesAntibiotic
Drug LabelDORIBAX, doripenem monohydrate for injection vials contain 500 mg of doripenem on an anhydrous basis, a white to slightly-yellowish off-white sterile crystalline powder. All references to doripenem activity are expressed in terms of the active dori...
Active IngredientDoripenem
Dosage FormInjectable
RouteIv (infusion)
Strength500mg/vial; 250mg/vial
Market StatusPrescription
CompanyShionogi

4.2 Drug Indication

Doripenem is indicated in the treatment of complicated intra-abdominal infections and complicated urinary tract infections, including pyelonephritis, caused by designated susceptible bacteria.


FDA Label


Doribax is indicated for the treatment of the following infections in adults:

- nosocomial pneumonia (including ventilator-associated pneumonia);

- complicated intra-abdominal infections;

- complicated urinary tract infections.

Consideration should be given to official guidance on the appropriate use of antibacterial agents.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Similar to other beta-lactam antimicrobial agents, the time that unbound plasma concentration of doripenem exceeds the MIC (T>MIC) of the infecting organism has been shown to best correlate with efficacy in animal models of infection.


5.2 MeSH Pharmacological Classification

Anti-Bacterial Agents

Substances that inhibit the growth or reproduction of BACTERIA. (See all compounds classified as Anti-Bacterial Agents.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
DORIPENEM
5.3.2 FDA UNII
BHV525JOBH
5.3.3 Pharmacological Classes
Established Pharmacologic Class [EPC] - Penem Antibacterial
5.4 ATC Code

J01DH04


J - Antiinfectives for systemic use

J01 - Antibacterials for systemic use

J01D - Other beta-lactam antibacterials

J01DH - Carbapenems

J01DH04 - Doripenem


5.5 Absorption, Distribution and Excretion

Absorption

Doripenem is administered intravenously as an infusion. There was no accumulation of doripenem following mulitiple infusions of either 500mg or 1g administered every 8 hours for 7-10 days in subjects with normal renal function.


Route of Elimination

Doripenem is primarily eliminated unchanged by the kidneys and undergoes glomerular filtration and active tubular secretion. A mean of 71% and 15% of the dose was recovered in urine as unchanged drug and the ring-opened metabolite, respectively, within 48 hours of 500 mg dose in healthy adults. Following the administration of a single 500 mg dose of radiolabeled doripenem to healthy adults, less than 1% of the total radioactivity was recovered in feces after one week.


Volume of Distribution

The average Vd is 16.8 L (8.09-55.5 L) at steady-state in healthy subjects. Doripenem penetrates into many tissues and fluids, including potential sites of approved indication infections.


Clearance

10.3 L/hour.


5.6 Metabolism/Metabolites

Metabolism of doripenem is via dehydropeptidase-I (also called dipeptidase-1) into a microbiologically inactive ring-opened metabolite, doripenem-M1. Doripenem does not appear to be a substrate of the hepatic CYP450 enzymes.


5.7 Biological Half-Life

1 hour, in healthy non-elderly adults.


5.8 Mechanism of Action

Doripenem is a broad-spectrum carbapenem antibiotic with activity against many gram-positive and gram-negative aerobic bacteria, as well as a variety of anaerobes. Like other beta-lactam antibiotics, doripenem's bactericidal mechanism of action is mostly due to cell death after inhibition of bacterial enzymes called penicillin-bindng proteins (PBPs), which are responsible for peptidoglycan cross-linking during the synthesis of the bacterial cell wall. Carbapenems mainly have high affinity for PBPs 1a, 1b, 2 and 3. Inhibition of each PBP usually results in a different inactivating mechanism. Inhibition of PBPs 1a and 1b results in fast bacterial killing through the formation of spheroplasts, inhibition of PBP 2 results in rod-shaped bacteria to become spherical, and inhibition of PBP 3 results in filamentous-shaped organisms. The PBPs preferentially bound by different carbapenems depend on the organism. In E.coli and P.aeruginosa, doripenem binds to PBP 2, which is involved in the maintenance of cell shape, as well as to PBPs 3 and 4. Doripenem has a 1-beta-methyl side chain, which allows it to be relatively resistant to dehydropeptidase, as well as a trans-alpha-1-hydroxyethyl group at position 6 which provides beta-lactamase resistance. Like other carbapenems, doripenem is different from most beta-lactams due to its stability against hydrolysis by most beta-lactamases, including penicillinases, cephalosporinases, ESBL, and Amp-C producing enterobacteriaceae.


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05-Jan-2021
18-Oct-2024
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DRUG PRODUCT COMPOSITIONS

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DOSAGE - INJECTABLE;INTRAVENOUS - 250MG/VIAL ...DOSAGE - INJECTABLE;INTRAVENOUS - 250MG/VIAL **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 22106

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DOSAGE - INJECTABLE;INTRAVENOUS - 500MG/VIAL ...DOSAGE - INJECTABLE;INTRAVENOUS - 500MG/VIAL **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 22106

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ABOUT THIS PAGE

Doripenem Manufacturers

A Doripenem manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Doripenem, including repackagers and relabelers. The FDA regulates Doripenem manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Doripenem API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Doripenem manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Doripenem Suppliers

A Doripenem supplier is an individual or a company that provides Doripenem active pharmaceutical ingredient (API) or Doripenem finished formulations upon request. The Doripenem suppliers may include Doripenem API manufacturers, exporters, distributors and traders.

click here to find a list of Doripenem suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Doripenem USDMF

A Doripenem DMF (Drug Master File) is a document detailing the whole manufacturing process of Doripenem active pharmaceutical ingredient (API) in detail. Different forms of Doripenem DMFs exist exist since differing nations have different regulations, such as Doripenem USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Doripenem DMF submitted to regulatory agencies in the US is known as a USDMF. Doripenem USDMF includes data on Doripenem's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Doripenem USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Doripenem suppliers with USDMF on PharmaCompass.

Doripenem KDMF

In Korea, the Ministry of Food and Drug Safety (MFDS) is in charge of regulating pharmaceutical products and services.

Pharmaceutical companies submit a Doripenem Drug Master File in Korea (Doripenem KDMF) to the MFDS, which includes comprehensive information about the production, processing, facilities, materials, packaging, and testing of Doripenem. The MFDS reviews the Doripenem KDMF as part of the drug registration process and uses the information provided in the Doripenem KDMF to evaluate the safety and efficacy of the drug.

After submitting a Doripenem KDMF to the MFDS, the registered manufacturer can provide importers or distributors with the registration number without revealing confidential information to Korean business partners. Applicants seeking to register their Doripenem API can apply through the Korea Drug Master File (KDMF).

click here to find a list of Doripenem suppliers with KDMF on PharmaCompass.

Doripenem GMP

Doripenem Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Doripenem GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Doripenem GMP manufacturer or Doripenem GMP API supplier for your needs.

Doripenem CoA

A Doripenem CoA (Certificate of Analysis) is a formal document that attests to Doripenem's compliance with Doripenem specifications and serves as a tool for batch-level quality control.

Doripenem CoA mostly includes findings from lab analyses of a specific batch. For each Doripenem CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Doripenem may be tested according to a variety of international standards, such as European Pharmacopoeia (Doripenem EP), Doripenem JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Doripenem USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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