paromomycin
Trade name: humatin
Approved
Mar 24, 1969
Paromomycin is a broad spectrum aminoglycoside antibiotic produced by by Streptomyces rimosus var. paromomycinus and used to treat intestinal infections such as cryptosporidiosis and amoebiasis, and other diseases such as leishmaniasis. Paromomycin is also used for the management of hepatic coma as adjunctive therapy. Paromomycin inhibits protein synthesis by binding to bacterial or protozoal 16S ribosomal RNA which causes defective polypeptide chains to be produced. Continuous production of defective proteins eventually leads to bacterial death. Gastrointestinal side effects include nausea, vomiting, diarrhea, and abdominal discomfort. — NCATS
Clinical trial activity
34 trials · 41 clinical orgs · 4 marketing orgs
Earliest trial started Nov 1, 1994 (NCT00004444)
Timeline
1960s
- Mar 24, 1969
Parke-Davis — Earliest FDA Approval
- Mar 24, 1969
Parke-Davis — Marketing Organization
- Mar 24, 1969
Parke-Davis — NDA Organization
1980s
- Jan 5, 1981
Pfizer — Marketing Organization
1990s
- Jun 30, 1997
Sun Pharmaceuticals — Marketing Organization
- Jan 1, 1999
Earliest Phase 2 Sponsor(trial)
2000s
- Jan 1, 2003
Earliest Phase 3 Sponsor(trial)
- Dec 14, 2007
Heritage Pharma — Marketing Organization
2010s
- Jan 1, 2011
Earliest Phase 1 Sponsor(trial)
Indications
Mechanism of action
- Bacterial 70S ribosomeINHIBITOR
Bacterial 70S ribosome inhibitor
16s RRNA
- 30S ribosomal protein S2 (rpsB) ↗
- 50S ribosomal protein L4 (rplD) ↗
- 30S ribosomal protein S15 (rpsO) ↗
- 30S ribosomal protein S16 (rpsP) ↗
- 30S ribosomal protein S17 (rpsQ) ↗
- 30S ribosomal protein S18 (rpsR) ↗
- 30S ribosomal protein S19 (rpsS) ↗
- 30S ribosomal protein S20 (rpsT) ↗
- 30S ribosomal protein S21 (rpsU) ↗
- 30S ribosomal protein S3 (rpsC) ↗
- 30S ribosomal protein S4 (rpsD) ↗
- 30S ribosomal protein S5 (rpsE) ↗
- 30S ribosomal protein S6 (rpsF) ↗
- 30S ribosomal protein S7 (rpsG) ↗
- 30S ribosomal protein S8 (rpsH) ↗
- 30S ribosomal protein S9 (rpsI) ↗
- 50S ribosomal protein L35 (rpmI) ↗
- 50S ribosomal protein L36 2 (ykgO) ↗
- 50S ribosomal protein L36 (rpmJ) ↗
- 50S ribosomal protein L3 (rplC) ↗
- 50S ribosomal protein L5 (rplE) ↗
- 50S ribosomal protein L6 (rplF) ↗
- 50S ribosomal protein L7/L12 (rplL) ↗
- 30S ribosomal protein S1 (rpsA) ↗
- 30S ribosomal protein S10 (rpsJ) ↗
- 30S ribosomal protein S11 (rpsK) ↗
- 30S ribosomal protein S12 (rpsL) ↗
- 30S ribosomal protein S13 (rpsM) ↗
- 30S ribosomal protein S14 (rpsN) ↗
- 50S ribosomal protein L10 (rplJ) ↗
- 50S ribosomal protein L11 (rplK) ↗
- 50S ribosomal protein L13 (rplM) ↗
- 50S ribosomal protein L14 (rplN) ↗
- 50S ribosomal protein L15 (rplO) ↗
- 50S ribosomal protein L16 (rplP) ↗
- 50S ribosomal protein L17 (rplQ) ↗
- 50S ribosomal protein L18 (rplR) ↗
- 50S ribosomal protein L19 (rplS) ↗
- 50S ribosomal protein L1 (rplA) ↗
- 50S ribosomal protein L20 (rplT) ↗
- 50S ribosomal protein L21 (rplU) ↗
- 50S ribosomal protein L22 (rplV) ↗
- 50S ribosomal protein L23 (rplW) ↗
- 50S ribosomal protein L24 (rplX) ↗
- 50S ribosomal protein L25 (rplY) ↗
- 50S ribosomal protein L27 (rpmA) ↗
- 50S ribosomal protein L28 (rpmB) ↗
- 50S ribosomal protein L29 (rpmC) ↗
- 50S ribosomal protein L2 (rplB) ↗
- 50S ribosomal protein L30 (rpmD) ↗
- 50S ribosomal protein L31 type B (ykgM) ↗
- 50S ribosomal protein L31 (rpmE) ↗
- 50S ribosomal protein L32 (rpmF) ↗
- 50S ribosomal protein L33 (rpmG) ↗
- 50S ribosomal protein L34 (rpmH) ↗
Approval history
- approvedMar 24, 1969
Chemistry & pharmacology
SMILES
NC[C@@H]1O[C@H](O[C@H]2[C@@H](O)[C@H](O[C@@H]3[C@@H](O)[C@H](N)C[C@H](N)[C@H]3O[C@H]3O[C@H](CO)[C@@H](O)[C@H](O)[C@H]3N)O[C@@H]2CO)[C@H](N)[C@@H](O)[C@@H]1O- Mol. weight
- 615.63 g/mol
- Lipinski Ro5
- 3 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL370143 ↗
- WikipediaParomomycin ↗
- NCATS61JJC8N5ZK ↗
- ChEMBLCHEMBL2206196 ↗
Also known as
- (1r,2r,3s,4r,6s)-4,6-diamino-2-{[3-o-(2,6-diamino-2,6-dideoxy-beta-l-idopyranosyl)-beta-d-ribofuranosyl]oxy}-3-hydroxycyclohexyl 2-amino-2-deoxy-alpha-d-glucopyranoside
- (1r,2r,3s,4r,6s)-4,6-diamino-2-{[3-o-(2,6-diamino-2,6-dideoxy-beta-l-idopyranosyl)-beta-d-ribofuranosyl]oxy}-3-hydroxycyclohexyl 2-amino-2-deoxy-alpha-d-glucopyranoside
- ameparomo
- ameparomo
- ameparomo
- ameparomo
- ameparomo
- ameparomo
- aminosidin
- aminosidin
- aminosidin
- aminosidine
- aminosidine
- aminosidine
- aminosidine
- aminosidine sulfate
- aminosidine sulfate
- catenulin
- catenulin
- catenulin
- crestomycin
- crestomycin
- crestomycin
- crestomycin sulfate
- crestomycin sulfate
- estomycin
- estomycin
- estomycin sulfate
- estomycin sulfate
- gabbroral
- gabbroral
- gentamicin sulfate mixture with paromomycin sulfate
- humatin
- humatin
- humatin
- hydroxymycin
- hydroxymycin
- liposomal paromomycin
- monomycin
- monomycin
- monomycin a
- monomycin a
- neomycin e
- neomycin e
- neosporin
- neosporin
- neosporin
- paramomycin
- paramomycin
- parmomycin
- paromomicina
- paromomicina
- paromomycin
- paromomycin
- paromomycin
- paromomycin
- paromomycin
- paromomycin
- paromomycin
- paromomycin
- paromomycine
- paromomycine
- paromomycine
- paromomycin i
- paromomycin i
- paromomycin sulfate
- paromomycin sulfate
- paromomycin sulfate
- paromomycin sulfate
- paromomycin sulfate
- paromomycin sulphate
- paromomycin sulphate
- paromomycin sulphate
- paromomycinum
- paromomycinum
- paromycin
- paucimycin
- paucimycin
- paucimycin
- paucimycinum
- paucimycinum
- polysporin
- polysporin
- polysporin
- wr279,396
- zygomycin a1
- zygomycin a1
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05957978 | Phase 2 | Jan 31, 2024 | Drugs for Neglected Diseases Initiative, Novartis, University of Gondar |
| NCT06907498 | N/A | Jan 22, 2024 | Tel Aviv University |
| NCT03829917 | Phase 2/Phase 3 (Phase 3) | Feb 28, 2019 | Fundacion Nacional de Dermatologia, Government of Bolivia, Hospital Dermatológico de Jorochito, The Alfred Berman Foundation for Medical Research |
| NCT03399955 | Phase 2 | May 9, 2018 | Drugs for Neglected Diseases Initiative |
| NCT03129646 | Phase 3 | Aug 1, 2017 | Drugs for Neglected Diseases Initiative, Institute of Endemic Diseases, Sudan, Kenya Medical Research Institute, Makerere University, Netherlands Cancer Institute, University of Gondar, University of Khartoum |
| NCT03096457 | Phase 2/Phase 3 (Phase 3) | Apr 15, 2017 | Fundacion Nacional de Dermatologia |
| NCT02730117 | N/A | Mar 1, 2016 | Chulalongkorn University |
| NCT01140191 | Phase 2 | Sep 1, 2013 | United States Army |
| NCT01988909 | Phase 2 | Sep 1, 2013 | United States Army, University of Paris |
| NCT01790659 | Phase 3 | May 1, 2013 | Instituto Conmemorativo Gorgas de Estudios de la Salud, United States Army |
| NCT01780909 | N/A | Feb 1, 2013 | Katholieke Universiteit Leuven |
| NCT01641796 | N/A | Jun 18, 2012 | Uniformed Services University of the Health Sciences, United States Army |
| NCT01672593 | N/A | May 1, 2012 | Jinlin University |
| NCT01494350 | Phase 2 | Dec 1, 2011 | Institut Pasteur, United States Army |
| NCT02366884 | Phase 2 | Jul 1, 2011 | Dr. Frank Arguello Cancer Clinic, Instituto de Ciencia y Medicina Genomica |
| NCT01050777 | Early Phase 1 (Phase 1) | Mar 1, 2011 | Isfahan University, Mashhad University of Medical Sciences, University of Tehran |
| NCT01328457 | N/A | Jan 1, 2011 | GVK Biosciences Pvt. Ltd, International Center for Diarrheal Disease Research, PATH, Shaheed Suhrawardy Medical College |
| NCT01122771 | Phase 3 | May 1, 2010 | Drugs for Neglected Diseases Initiative, International Center for Diarrheal Disease Research, Shaheed Suhrawardy Medical College |
| NCT01083576 | Phase 2 | Mar 1, 2010 | Instituto Conmemorativo Gorgas de Estudios de la Salud, United States Army |
| NCT01032382 | Phase 2 | Jan 1, 2010 | Cayetano Heredia University, United States Army |
Organizations
Research & Development (41)
Marketing (7)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Heritage Pharma | For profit | MKTG | Dec 14, 2007 |
| Heritage Pharma | For profit | SYN | Dec 14, 2007 |
| Heritage Pharma | For profit | SYN | Dec 14, 2007 |
| Parke-Davis | For profit | MKTG | Mar 24, 1969 |
| Parke-Davis | For profit | NDA | Mar 24, 1969 |
| Pfizer | For profit | MKTG | Jan 5, 1981 |
| Sun Pharmaceuticals | For profit | MKTG | Jun 30, 1997 |