Primaxin, Recarbrio(imipenem)
Cilastatin / Imipenem, Primaxin, Recarbrio (imipenem) is a small molecule pharmaceutical. Imipenem was first approved as Primaxin on 1985-11-26. It is used to treat bacterial endocarditis, bacterial infections, enterobacteriaceae infections, infectious bone diseases, and intraabdominal infections amongst others in the USA. It has been approved in Europe to treat gram-negative bacterial infections.
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Commercial
Therapeutic Areas
Trade Name
FDA
EMA
Combinations
Primaxin, Recarbrio (generic drugs available since 2011-12-21)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Cilastatin sodium
+
Imipenem
Tradename | Company | Number | Date | Products |
|---|---|---|---|---|
| PRIMAXIN | Merck KGaA | N-050587 RX | 1985-11-26 | 1 products, RLD, RS |
Show 2 discontinued
Cilastatin sodium
+
Imipenem
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Relebactam
Tradename | Company | Number | Date | Products |
|---|---|---|---|---|
| RECARBRIO | Merck & Co | N-212819 RX | 2019-07-16 | 1 products, RLD, RS |
Labels
FDA
EMA
Brand Name | Status | Last Update |
|---|---|---|
| imipenem and cilastatin | ANDA | 2022-10-06 |
| imipenem and cilastatin imipenem and cilastatin | ANDA | 2022-10-11 |
| primaxin | ANDA, New Drug Application | 2023-12-01 |
| recarbrio | New Drug Application | 2023-07-26 |
Indications
FDA
EMA
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Agency Specific
FDA
EMA
Expiration | Code | ||
|---|---|---|---|
CILASTATIN SODIUM / IMIPENEM / RELEBACTAM, RECARBRIO, MSD MERCK CO | |||
| 2029-07-16 | GAIN | ||
| 2024-07-16 | NCE | ||
Patent Expiration
Patent | Expires | Flag | FDA Information |
|---|---|---|---|
| Cilastatin Sodium / Imipenem / Relebactam, Recarbrio, Msd Merck Co | |||
| 8487093 | 2029-11-19 | DS, DP | U-2586, U-2587, U-2840 |
Clinical
Clinical Trials
105 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Ventilator-associated pneumonia | D053717 | EFO_1001865 | J95.851 | — | 1 | 4 | 4 | 1 | 10 |
| Urinary tract infections | D014552 | EFO_0003103 | N39.0 | — | 5 | 3 | 1 | — | 9 |
| Critical illness | D016638 | — | — | — | — | 1 | 2 | 4 | 7 |
| Sepsis | D018805 | HP_0100806 | A41.9 | 3 | 1 | — | 1 | 3 | 7 |
| Pneumonia | D011014 | EFO_0003106 | — | 1 | 1 | — | 2 | 2 | 6 |
| Infections | D007239 | EFO_0000544 | — | 1 | — | 1 | 3 | — | 5 |
| Bacterial pneumonia | D018410 | EFO_1001272 | J15.9 | — | 2 | 2 | 1 | — | 5 |
| Intraabdominal infections | D059413 | — | — | — | 1 | 1 | 1 | — | 3 |
| Pancreatitis | D010195 | HP_0001733 | K85 | — | — | — | 1 | 1 | 2 |
| Hematologic neoplasms | D019337 | — | — | — | 1 | 1 | 1 | — | 2 |
Show 9 more
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Bacterial infections | D001424 | — | A49 | 6 | 3 | 2 | — | 3 | 12 |
| Enterobacteriaceae infections | D004756 | EFO_1001313 | — | — | — | 1 | — | 1 | 2 |
| Iatrogenic disease | D007049 | — | — | — | — | 2 | — | — | 2 |
| Bacteremia | D016470 | EFO_0003033 | R78.81 | — | — | 1 | — | 1 | 2 |
| Abdominal abscess | D018784 | EFO_1001753 | — | — | 1 | 1 | — | — | 2 |
| Lung diseases | D008171 | HP_0002088 | J98.4 | — | 1 | 1 | — | — | 1 |
| Cross infection | D003428 | — | — | — | — | 1 | — | — | 1 |
| Gram-positive bacterial infections | D016908 | — | — | — | — | 1 | — | — | 1 |
| Sinusitis | D012852 | EFO_0007486 | J32 | — | — | 1 | — | — | 1 |
| Abscess | D000038 | EFO_0003030 | — | — | — | 1 | — | — | 1 |
Show 4 more
Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Pyelonephritis | D011704 | EFO_1001141 | N10-N16 | — | 2 | — | — | — | 2 |
Indications Phases 1
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Osteomyelitis | D010019 | EFO_0003102 | M86 | 1 | — | — | — | — | 1 |
| Communicable diseases | D003141 | — | — | 1 | — | — | — | — | 1 |
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Acute kidney injury | D058186 | HP_0001919 | N17 | — | — | — | — | 2 | 2 |
| Inappropriate prescribing | D057970 | — | — | — | — | — | — | 1 | 1 |
| Peritonitis | D010538 | EFO_0008588 | K65 | — | — | — | — | 1 | 1 |
| Continuous renal replacement therapy | D000079664 | — | — | — | — | — | — | 1 | 1 |
| Drug monitoring | D016903 | — | — | — | — | — | — | 1 | 1 |
| Neutropenia | D009503 | — | D70 | — | — | — | — | 1 | 1 |
| Hematopoietic stem cell transplantation | D018380 | — | — | — | — | — | — | 1 | 1 |
| Tuberculosis | D014376 | EFO_0000774 | A15-A19 | — | — | — | — | 1 | 1 |
| Septic shock | D012772 | — | A48.3 | — | — | — | — | 1 | 1 |
| Chronic obstructive pulmonary disease | D029424 | EFO_0000341 | J44.9 | — | — | — | — | 1 | 1 |
Show 3 more
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
| Drug common name | Imipenem |
| INN | imipenem |
| Description | Imipenem is a broad-spectrum, intravenous beta-lactam antibiotic of the carbapenem subgroup. It has a role as an antibacterial drug. It is a beta-lactam antibiotic allergen and a member of carbapenems. It is a tautomer of an imipenem zwitterion. |
| Classification | Small molecule |
| Drug class | antibacterial antibiotics, carbapenem derivatives |
| Image (chem structure or protein) |  |
| Structure (InChI/SMILES or Protein Sequence) | C[C@@H](O)[C@H]1C(=O)N2C(C(=O)O)=C(SCCNC=N)C[C@H]12 |
Identifiers
| PDB | — |
| CAS-ID | 64221-86-9 |
| RxCUI | — |
| ChEMBL ID | CHEMBL148 |
| ChEBI ID | 471744 |
| PubChem CID | 104838 |
| DrugBank | DB01598 |
| UNII ID | Q20IM7HE75 (ChemIDplus, GSRS) |
Target
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Variants
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Financial
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Primaxin – Merck & Co
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Estimated US medical usage
Imipenem
+
Cilastatin
Total medical expenditures per year (USD, in millions)
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Number of persons purchased
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Number of purchases
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Trends
PubMed Central
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Additional graphs summarizing 36,195 documents
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Safety
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Adverse Events
Top Adverse Reactions
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6,229 adverse events reported
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