oxacillin
Trade name: pathocil
Approved
May 9, 1968
Oxacillin is a penicillin beta-lactam antibiotic used in the treatment of bacterial infections caused by susceptible, usually gram-positive, organisms. The name "penicillin" can either refer to several variants of penicillin available, or to the group of antibiotics derived from the penicillins. Oxacillin has in vitro activity against gram-positive and gram-negative aerobic and anaerobic bacteria. The bactericidal activity of Oxacillin results from the inhibition of cell wall synthesis and is mediated through Oxacillin binding to penicillin binding proteins (PBPs). Oxacillin is stable against hydrolysis by a variety of beta-lactamases, including penicillinases, and cephalosporinases and extended spectrum beta-lactamases. By binding to specific penicillin-binding proteins (PBPs) located inside the bacterial cell wall, Oxacillin inhibits the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins; it is possible that Oxacillin interferes with an autolysin inhibitor. Oxacillin is used in the treatment of resistant staphylococci infections. Oxacillin sodium was marketed under the trade name Bactocill. — NCATS
Clinical trial activity
11 trials · 12 clinical orgs · 23 marketing orgs
Earliest trial started Apr 1, 2002 (NCT00037050)
Timeline
1960s
- May 9, 1968
American Home Products — Earliest FDA Approval
- May 9, 1968
American Home Products — NDA Organization
1970s
- Apr 8, 1971
Sandoz — Marketing Organization
- Jul 27, 1973
GlaxoSmithKline — Marketing Organization
1980s
- Mar 10, 1980
Ani Pharmaceuticals — Marketing Organization
- May 15, 1980
Teva — Marketing Organization
- Sep 29, 1988
Watson Pharmaceuticals — Marketing Organization
- Oct 26, 1989
Baxalta — NDA Secondary Org
- Oct 26, 1989
Baxter — NDA Secondary Org
1990s
- Dec 11, 1995
Istituto Bio Ita Spa — Marketing Organization
2010s
- Mar 30, 2012
Sagent Pharmaceuticals, Inc. — Marketing Organization
- Jan 18, 2013
Aurobindo Pharma — Marketing Organization
- Jan 18, 2013
Eugia Pharma — Marketing Organization
- Aug 25, 2014
Mylan — Marketing Organization
- Aug 25, 2014
STERISCIENCE — Marketing Organization
- Aug 25, 2014
ONESOURCE SPECIALTY — Marketing Organization
- Dec 11, 2015
Hospira — Marketing Organization
- Dec 11, 2015
Pfizer — Marketing Organization
- Jul 31, 2017
Wockhardt — Marketing Organization
- Sep 11, 2017
Renaissance Pharma — Marketing Organization
- Sep 11, 2017
Piramal — Marketing Organization
Indications
Studied for
- Bacteremia · Phase 3
- Bacterial Infections · Phase 3
- Community-Acquired Infections · Phase 4
- Dermatology · Phase 4
- Endocarditis · Phase 4
- Gram-Positive Bacterial Infections · Phase 3
- Kidney Failure, Chronic · Phase 4
- Osteomyelitis · Phase 3
- Staphylococcal Infections · Phase 2
- Staphylococcus aureus · Phase 4
- Vaginosis, Bacterial · Phase 1
Mechanism of action
- Penicillin-binding proteinINHIBITOR
Penicillin-binding protein inhibitor
- Penicillin-binding protein 4 (pbp4) ↗
- Cell division protein FtsI [Peptidoglycan synthetase] / Transpeptidase, Penicillin binding protein transpeptidase domain, Penicillin-binding protein 3 (pbpF) ↗
- MecA PBP2' (penicillin binding protein 2') (Q53707) ↗
- Penicillin-binding protein 2 (Q53729) ↗
- Cell division protein FtsI (Peptidoglycan synthetase) (pbpA) ↗
Approval history
- approvedMay 9, 1968
Chemistry & pharmacology
SMILES
Cc1onc(-c2ccccc2)c1C(=O)N[C@@H]1C(=O)N2[C@@H]1SC(C)(C)[C@@H]2C(=O)[O-].O.[Na+]- Mol. weight
- 441.44 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL3989567 ↗
- WikipediaOxacillin ↗
- NCATSUH95VD7V76 ↗
- ChEMBLCHEMBL819 ↗
- ChEMBLCHEMBL693 ↗
Also known as
- (2s,5r,6r)-3,3-dimethyl-6-{[(5-methyl-3-phenylisoxazol-4-yl)carbonyl]amino}-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
- (2s,5r,6r)-3,3-dimethyl-6-{[(5-methyl-3-phenylisoxazol-4-yl)carbonyl]amino}-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
- (5-methyl-3-phenyl-4-isoxazolyl)penicillin
- (5-methyl-3-phenyl-4-isoxazolyl)penicillin
- 5-methyl-3-phenyl-4-isoxazolyl-penicillin
- 5-methyl-3-phenyl-4-isoxazolyl-penicillin
- 6beta-(5-methyl-3-phenylisoxazol-4-yl)penicillanic acid
- 6beta-(5-methyl-3-phenylisoxazol-4-yl)penicillanic acid
- bactocill
- bactocill
- cryptocillin
- cryptocillin
- oxacilina
- oxacilina
- oxacillin
- oxacillin
- oxacillin
- oxacillin
- oxacillin
- oxacillin
- oxacillin
- oxacillin
- oxacilline
- oxacilline
- oxacillin sodium
- oxacillin sodium
- oxacillin sodium
- oxacillin sodium
- oxacillin sodium hydrate
- oxacillin sodium hydrate
- oxacillin sodium hydrate
- oxacillin sodium hydrate
- oxacillin sodium hydrate
- oxacillin sodium hydrate
- oxacillinum
- oxacillinum
- oxazocillin
- oxazocillin
- oxazocillin
- oxazocilline
- oxazocilline
- oxazocilline
- p-12
- p-12
- prostaphlin
- prostaphlin
- prostaphlin
- so 16423
- so 16423
- sq-16423
- sq-16423
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06616168 | Phase 1 | Sep 1, 2023 | Lviv National Medical University |
| NCT05156437 | Phase 4 | Dec 20, 2021 | West Virginia University |
| NCT04775953 | Phase 2 | Apr 22, 2021 | National Institute of Allergy and Infectious Diseases (NIAID) |
| NCT02344511 | Phase 3 | Mar 1, 2016 | Actavis, Allergan |
| NCT02701595 | Phase 3 | Mar 1, 2016 | François Rabelais University, University of Toulouse |
| NCT02701608 | Phase 3 | Mar 1, 2016 | François Rabelais University, University of Toulouse |
| NCT01104662 | Phase 4 | Apr 1, 2010 | Cubist |
| NCT00428844 | Phase 2 | Jan 1, 2007 | Cubist |
| NCT01166932 | Phase 4 | Apr 1, 2005 | Sao Paulo State University |
| NCT00062647 | Phase 2 | Aug 1, 2003 | Duke University, Theravance |
| NCT00037050 | Phase 3 | Apr 1, 2002 | Pfizer |
Organizations
Research & Development (12)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Cubist | For profit | 2 | 2 | 2 | 2007 |
| François Rabelais University | Academic/Hospital | 2 | 0 | 1 | 2016 |
| University of Toulouse | Academic/Hospital | 2 | 2 | 1 | 2016 |
| Actavis | For profit | 1 | 1 | 1 | 2016 |
| Allergan | For profit | 1 | 0 | 1 | 2016 |
| Duke University | Academic/Hospital | 1 | 0 | 1 | 2003 |
| Lviv National Medical University | Academic/Hospital | 1 | 1 | 1 | 2023 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 1 | 1 | 1 | 2021 |
| Pfizer | For profit | 1 | 1 | 1 | 2002 |
| Sao Paulo State University | Academic/Hospital | 1 | 1 | 1 | 2005 |
| Theravance | For profit | 1 | 1 | 1 | 2003 |
| West Virginia University | Academic/Hospital | 1 | 1 | 1 | 2021 |
Marketing (27)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| American Home Products | For profit | NDA | May 9, 1968 |
| Ani Pharmaceuticals | For profit | MKTG | Mar 10, 1980 |
| Ani Pharmaceuticals | For profit | SYN | Mar 10, 1980 |
| Apothecon | For profit | NDA2 | — |
| Apothecon | For profit | MKTG | — |
| Aurobindo Pharma | For profit | MKTG | Jan 18, 2013 |
| Baxalta | For profit | NDA2 | Oct 26, 1989 |
| Baxter | For profit | NDA2 | Oct 26, 1989 |
| Elkins Sinn | For profit | MKTG | — |
| Eugia Pharma | For profit | MKTG | Jan 18, 2013 |
| Fresenius | For profit | MKTG | Jul 20, 2020 |
| GlaxoSmithKline | For profit | MKTG | Jul 27, 1973 |
| Hospira | For profit | MKTG | Dec 11, 2015 |
| Hospira | For profit | SYN | Dec 11, 2015 |
| Istituto Bio Ita Spa | For profit | MKTG | Dec 11, 1995 |
| Mylan | For profit | MKTG | Aug 25, 2014 |
| ONESOURCE SPECIALTY | For profit | MKTG | Aug 25, 2014 |
| Pfizer | For profit | MKTG | Dec 11, 2015 |
| Piramal | For profit | MKTG | Sep 11, 2017 |
| Renaissance Pharma | For profit | MKTG | Sep 11, 2017 |
| STERISCIENCE | For profit | MKTG | Aug 25, 2014 |
| STERISCIENCE | For profit | SYN | Aug 25, 2014 |
| Sagent Pharmaceuticals, Inc. | For profit | MKTG | Mar 30, 2012 |
| Sandoz | For profit | MKTG | Apr 8, 1971 |
| Teva | For profit | MKTG | May 15, 1980 |
| Watson Pharmaceuticals | For profit | MKTG | Sep 29, 1988 |
| Wockhardt | For profit | MKTG | Jul 31, 2017 |