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Brand Name :
N/A
Synonyms :
upleganan
Class :
Antibiotic, Anti-Microbial
Dosage Forms & Strengths
Injectable solution (IV/SC)
0.125 mg/kg
Pseudomonas aeruginosa infection and Enterobacteriaceae infection (off-label)
This intravenous (IV) drug (dose studied: 0.125 mg/kg) is undergoing phase I trial study where it is being investigated for the treatment of infections caused due to Pseudomonas aeruginosa and Enterobacteriaceae (gram -ve infections, bacteria)
:
Dose Adjustments
Limited data is available
Safety and efficacy are not established.
Refer to the adult dosing
Actions and Spectrum:
Actions:
Upleganan fights multidrug-resistant Gram-negative bacteria effectively. The minimum inhibitory concentration of the drug against Acinetobacter baumannii and Pseudomonas aeruginosa is determined to be 0.125 mg/L.
Spectrum:
Upleganan shows potent antimicrobial effects on Gram-negative bacteria.
Limited data is available
Black box warning
Limited data is available
Contraindication/Caution:
Contraindications
Hypersensitivity
Cautions
Renal impairment
Hepatic impairment
Pregnancy & breastfeeding
Pregnancy consideration:
No data is available regarding the administration of the drug during pregnancy.
Breastfeeding warnings:
No data is available regarding the excretion of drug in breast milk.
Pregnancy category:
Category A: well-controlled and satisfactory studies show no risk to the fetus in the first or later trimester.
Category B: There was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.
Category C: There was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.
Category D: Adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.
Category N: No data is available for the drug under this category.
Pharmacology:
Pfizer is testing upleganan in Phase I for Enterobacteriaceae infections. The Phase II entry guideline is a 70% Phase I success rate for such medicines.
Pharmacodynamics:
Upleganan treatment reduces Pa14 and NCTC13301 load in lung tissue and thigh model of neutropenic mice.
Pharmacokinetics:
Limited data is available
Administration:
The route of administration is Intravenous & subcutaneous.
Patient information leaflet
Generic Name: upleganan
Why do we use upleganan?
Upleganan targets gram-negative bacterial infections like Pseudomonas aeruginosa, Acinetobacter baumanii, & carbapenem-resistant Enterobacteriaceae.