Cefepime

Last updated

Cefepime
Cefepime2DCSD.svg
Cefepime ball-and-stick.png
Clinical data
Pronunciation /ˈsɛfɪpm/ or /ˈkɛfɪpm/
Trade names Maxipime, Voco
AHFS/Drugs.com Monograph
MedlinePlus a698021
Pregnancy
category
  • AU:B1
Routes of
administration
Intravenous, intramuscular
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability 100% (IM)
Metabolism Hepatic 15%
Elimination half-life 2 hours
Excretion Renal 70–99%
Identifiers
  • (6R,7R,Z)-
    7-(2-(2-aminothiazol-4-yl)-2-(methoxyimino)acetamido)-
    3-((1-methylpyrrolidinium-1-yl)methyl)-8-oxo-5-thia-
    1-aza-bicyclo[4.2.0]oct-2-ene-2-carboxylate
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard 100.171.025 OOjs UI icon edit-ltr-progressive.svg
Chemical and physical data
Formula C19H24N6O5S2
Molar mass 480.56 g·mol−1
3D model (JSmol)
Melting point 150 °C (302 °F) (dec.)
  • O=C2N1/C(=C(\CS[C@@H]1[C@@H]2NC(=O)C(=N\OC)/c3nc(sc3)N)C[N+]4(C)CCCC4)C([O-])=O
  • InChI=1S/C19H24N6O5S2/c1-25(5-3-4-6-25)7-10-8-31-17-13(16(27)24(17)14(10)18(28)29)22-15(26)12(23-30-2)11-9-32-19(20)21-11/h9,13,17H,3-8H2,1-2H3,(H3-,20,21,22,26,28,29)/b23-12-/t13-,17-/m1/s1 Yes check.svgY
  • Key:HVFLCNVBZFFHBT-ZKDACBOMSA-N Yes check.svgY
   (verify)

Cefepime is a fourth-generation cephalosporin antibiotic. Cefepime has an extended spectrum of activity against Gram-positive and Gram-negative bacteria, with greater activity against both types of organism than third-generation agents. A 2007 meta-analysis suggested when data of trials were combined, mortality was increased in people treated with cefepime compared with other β-lactam antibiotics. [1] In response, the U.S. Food and Drug Administration (FDA) performed their own meta-analysis which found no mortality difference. [2]

Contents

Cefepime was patented in 1982 by Bristol-Myers Squibb and approved for medical use in 1994. [3] It is available as a generic drug and sold under a variety of trade names worldwide.[ citation needed ] [4]

It was removed from the World Health Organization's List of Essential Medicines in 2019. [5]

Medical use

Cefepime is usually reserved to treat moderate to severe nosocomial pneumonia, infections caused by multiple drug-resistant microorganisms (e.g. Pseudomonas aeruginosa ) and empirical treatment of febrile neutropenia. [6]

Cefepime has good activity against important pathogens including Pseudomonas aeruginosa, Staphylococcus aureus , and multiple drug-resistant Streptococcus pneumoniae . A particular strength is its activity against Enterobacteriaceae. Whereas other cephalosporins are degraded by many plasmid- and chromosome-mediated beta-lactamases, cefepime is stable and is a front-line agent when infection with Enterobacteriaceae is known or suspected.[ medical citation needed ]

Spectrum of bacterial susceptibility

Cefepime is a broad-spectrum cephalosporin antibiotic and has been used to treat bacteria responsible for causing pneumonia and infections of the skin and urinary tract. Some of these bacteria include Pseudomonas, Escherichia, and Streptococcus species. The following represents MIC susceptibility data for a few medically significant microorganisms: [7]

Chemistry

The combination of the syn-configuration of the methoxy imino moiety and the aminothiazole moiety confers extra stability to β-lactamase enzymes produced by many bacteria. The N-methyl pyrrolidine moiety increases penetration into Gram-negative bacteria. These factors increase the activity of cefepime against otherwise resistant organisms including Pseudomonas aeruginosa and Staphylococcus aureus.

Trade names

Following expiration of the Bristol-Myers Squibb patent,[ when? ] cefepime became available as a generic and is now[ when? ] marketed by numerous companies worldwide under tradenames including Neopime (Neomed), Maxipime, Cepimax, Cepimex, and Axepim.

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References

  1. Yahav D, Paul M, Fraser A, Sarid N, Leibovici L (2007). "Efficacy and safety of cefepime: a systematic review and meta-analysis". Lancet Infect Dis. 7 (5): 338–48. doi:10.1016/S1473-3099(07)70109-3. PMID   17448937.
  2. "Information for Healthcare Professionals: Cefepime (marketed as Maxipime)". Food and Drug Administration . Archived from the original on 2 November 2017. Retrieved 2 August 2009.
  3. Fischer, Jnos; Ganellin, C. Robin (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 496. ISBN   9783527607495. Archived from the original on 19 June 2021. Retrieved 19 September 2020.
  4. "Cefepime (maxipime), large spectrum 4th generation cephalosporin, resistant to beta-lactamases]".
  5. World Health Organization (2019). Executive summary: the selection and use of essential medicines 2019: report of the 22nd WHO Expert Committee on the selection and use of essential medicines. Geneva: World Health Organization. hdl: 10665/325773 . WHO/MVP/EMP/IAU/2019.05. License: CC BY-NC-SA 3.0 IGO.
  6. Chapman TM, Perry CM (2003). "Cefepime: a review of its use in the management of hospitalized patients with pneumonia". Am J Respir Med. 2 (1): 75–107. doi:10.1007/bf03256641. PMID   14720024.
  7. http://www.toku-e.com/Assets/MIC/Cefepime.pdf Archived 1 November 2018 at the Wayback Machine [ bare URL PDF ]