pivmecillinam   Click here for help

GtoPdb Ligand ID: 10922

Synonyms: amdinocillin pivoxil | pivmecillinam hydrochloride | Pivya® | RO-10-9071 | RO-109071 | Selexid®
Approved drug
pivmecillinam is an approved drug (UK (1977), FDA (2024))
Compound class: Synthetic organic
Comment: Pivmecillinam is a penicillanic acid ester prodrug of mecillinam, and is a semisynthetic, broad spectrum β-lactam penicillin antibacterial. It is considered to be active only against Gram-negative bacteria.
2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 8
Hydrogen bond donors 0
Rotatable bonds 8
Topological polar surface area 113.81
Molecular weight 439.21
XLogP 2.67
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES O=C([C@@H]1N2C(=O)[C@H]([C@H]2SC1(C)C)N=CN1CCCCCC1)OCOC(=O)C(C)(C)C
Isomeric SMILES O=C([C@@H]1N2C(=O)[C@H]([C@H]2SC1(C)C)N=CN1CCCCCC1)OCOC(=O)C(C)(C)C
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/t14-,15+,17-/m1/s1
InChI Key NPGNOVNWUSPMDP-HLLBOEOZSA-N
No information available.
Summary of Clinical Use Click here for help
In the UK, pivmecillinam is indicated for the treatment of infections due to mecillinam sensitive organisms, principally urinary tract infections [1] and salmonellosis. In April 2024, the US FDA approved pivmecillinam (tablet form, trade name Pivya®) for the treatment of female adults with uncomplicated urinary tract infections (UTIs) caused by susceptible strains of Escherichia coli, Proteus mirabilis and Staphylococcus saprophyticus. The drug may be a useful alternative antibacterial in the treatment of acute typhoid fever and shigellosis [2].
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