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Cefotaksim
Cefotaksim
Cefotaksim
1 Description 140
1.1 Nomenclature 140
1.2 Formulae 140
1.3 Molecular Weight 142
1.4 ElementalComposition 142
1.5 Appearance, Color, Odor, and Taste 142
2. Physical Properties 142
2.1 Solubility 142
2.2 Moisture Content 142
2.3 pH Range 142
2.4 Optical Rotation 142
2.5 Spectral Properties 142
3. Synthesis of Cefotaxime 152
4. Metabolism 152
5. Pharmacokinetics 156
6. Microbiological Activity 156
7. Methods of Analysis 159
7.1 Identification Tests 159
7.2 Non-Aqueous Titration 159
7.3 Chromatography 159
7.4 Spectrophotometry 165
7.5 Microbiological Assay 166
8. References 167
1. Description
1.1. Nomenclature
1.1.3 P r o p r i e t a r y Names
C l a f o r a n ; Primafen; Z a r i v i z ; T a r i v i d .
1.2. Formula
1 . 2 . 1 Empirical C16H16N507S2Na
1.2.2 Structural
m
?2
V
I
0 =. v
I
0
I
hl
X
V
142 FARID J . MUHTADI AND MAHMOUD M. A. HASSAN
1 . 2 . 3 CAS no.
1.3. M o l e c u l a r Weight
477.23
1.4. E l e m e n t a l Composition
C, 40.23;; H , 3.38%; N , 14.67%;
0, 23.47%; S , 13.44%; Ma 4.82%.
1.5. Appearance, C o l o r , Odor and T a s t e :
White t o creamy w h i t e c r y s t a l l i n e powder,
o d o r l e s s and h a s a s a l t y t a s t e a t the b e g i n n i n g ,
f o l l o w e d by b i t t e r n e s s.
2. Physical Properties
2.1. Solubility
F r e e l y s o l u b l e i n water ( 0 . 5 g s o l u b l e i n 5 ml) ( 3 ) ,
s l i g h t l y s o l u b l e i n alcohol ( a b s o l u t e , 95%),
i n s o l u b l e i n chloroform (4)
2.2. M o i s t u r e C o n t e n t
Not more t h a n 6 p e r c e n t , d e t e r m i n e d by t h e Karl
F i s c h e r method, u s i n g a 0.2 g sample d i s s o l v e d
i n 2 m l methanol ( 3 ) .
0
Loss on d r y i n g a t 60 C u n d e r vacuum i n t h e
p r e s e n c e o f phosphorus p e n t o x i d e f o r 4 h r .
s h o u l d n o t exceed 6 % ( 3 ) .
2.3. pH r a n g e
The pH of c e f o t a x i m e a s a 10%a q u e o u s s o l u t i o n
i s 4 . 5 t o 6.5 d e t e r m i n e d p o t e n t i o m e t r i c a l l y ( 3 ) .
2.4. O p t i c a l R o t a t i o n
0
[ a]D ( c = l % aqueous s o l u t i o n ) + 58 t o + 64
(on d r i e d b ases) (3).
The o p t i c a l r o t a t i o n of c e f o t a x i m e ( c = l %
aqueous s o l u t i o n ) was d e t e r m i n e d u s i n g a
P e r k i n E l m e r 2 4 1 MC P o l a r m a t i c and found t o be:
[ a~D240 + 59.30.
CEFOTAXIME 143
3420 -NH2
3340 (broad) -NH, -NH2
2940 -S-CH2
1 7 60 -C=O lactam 0
II
1730 -C=O e a r b o x y l i c , O-C-CH3
0
11
1650 -C-NH
0
1620 -C-NH,-C=N-,-C=C-
0
1540 -C-N-
1385-13 55 -0-CO-CH3
1180 C=O i n e s t e r
1050 C-0 stretching
230
240
250
304
350
400
200
210
250
2 60
270
300
350
400
144
3.0 40 5.0 MICRONS 6.0 70 8.0 9.0 10 12 14
I
4000 3500 3000 2500 2000 1800 1600 1400 1200 1000 1)oo
8
CD
0
0
a0
0
0
0
4
0
0
2
0
0
$
0
0
'0,
0
0
2
0
0
0
cu
0
0
v)
cy
a
0
0
c3
0
0
In
rn
CEFOTAXIME 147
The PMR s p e c t r a of c e f o t a x i m e i n
d e u t e r a t e d d i m e t h y l s u l f o x i d e (DMSOD6) and
d e u t e r i u m o x i d e w e r e r e c o r d e d on a v a r i a n
T-60A, 60-MHZ NMR s p e c t r o m e t e r u s i n g sodium -2,
2-dimethyl-2-silapentane-5-sulfonate (DSS) a s a n
i n t e r n a l r e f e r e n c e . These a r e shown i n F i g . 5
and F i g . 6 r e s p e c t i v e l y .
The f o l l o w i n g s t r u c t u r e a s s i g n m e n t s h a v e been
made ( T a b l e 3 ) ( 6 ) .
T a b l e 3. PMR c h a r a c t e r i s t i c s of c e f o t a x i m e
Group Chemical Sh Et ( P P )
DMSQD6
D2°
s = s i n g l e t , d=doublet, q = q u a r t e t , 2d=doublet
of d o u b l e t s , bs=broad s i n g l e t .
13
2.5.3.2 C-NMR
13
C-NMR c o m p l e t e l y d e c o u p l e d and o f f r e s o n a n c e
s p e c t r a a r e p r e s e n t e d i n F i g . 7 and F i g . 8
respectively. Both were r e c o r d e d o v e r 5000 H,
r a n g e i n d e u t e r i u m o x i d e ( c o n c . 100 m g / l m l D20)
148
0
149
150 FARID J. MUHTADI AND MAHMOUD M . A. HASSAN
4 a
1
I
'I
I I II
12
NOCH3
H2N !?1 6
OCCH3
15
COONa
13
T a b l e 4. Carbon Chemical s h i f t s o f c e f o t a x i m e
3. S y n t h e s i s of Cefotaxime
Cefotaxime i s a s e m i - s y n t h e t i c c e p h a l o s p o r i n . The
s t a r t i n g material f o r s u c h c e p h a l o s p o r i n s i s 7-aminoceph-
a l o s p o r a n i c a c i d (7-ACA) which o b t a i n e d e i t h e r by mild
a c i d o r enzymatic h y d r o l y s i s of c e p h a l o s p o r i n C . ( 7 , 8 , 9 , 1 0 )
P r e p a r a t i o n of t h e S i d e Chain: (5)
The s t a r t i n g m a t e r i a l e t h y l a c e t o a c e t a t e [ l ] w a s o x i -
mated t o produce oximinoethylacetoacetate [ 21. Methyla-
t i o n of [ 21 followed by bromination y i e l d e d syn-methoxy-
iminobromoketone [ 3 ] . Condensation of [ 3 ] w i t h t h i o u r e a
[ 4 ] i n aqueous medium and a t a low t e m p e r a t u r e gave syn-
a m i n o t h i a z o l y l d e r i v a t i v e [ 51. The a m i n o t h i a z o l y l r i n g
w a s p r o t e c t e d by t r i t y l a t i o n t o g i v e t h e N - t r i t y l d e r i v a -
t i v e [6]. S a p o n i f i c a t i o n of t h e l a t t e r by b o i l i n g w i t h
NaOH s o l u t i o n a f f o r d e d t h e c o r r e s p o n d i n g a c i d [ 7 ] . Acy-
l a t i o n of t h e amino group of 7-ACA w i t h t h e r e s u l t i n g
a c i d [ 7 ] proved d i f f i c u l t . T h i s h a s been overcome by t h e
u s e of symmetrical a n h y d r i d e [ 8 ] , which w a s o b t a i n e d by
condensing two m o l e c u l e s of [ 7 ] i n t h e p r e s e n c e of d i c y -
c l o h e x y l c a r b o d i i m i d e [ a ] . 7-ACA w a s a c y l a t e d by compound
[8] t o g i v e [ 91. Removal of t h e t r i t y l r e s i d u e under
a c i d i c c o n d i t i o n gave t h e f r e e a c i d form (R=H) of c e f o -
taxime [ l o ] .
P r e p a r a t i o n of a S t a b l e Sodium S a l t :
T h i s w a s prepared by adding t h e s o l i d f r e e a c i d t o
a n aqueous a l c o h o l i c s o l u t i o n of a n o r g a n i c sodium s a l t
t o g i v e t h e s t a b l e a c t i v e D-form. (5)
The s y n t h e s i s of c e f o t a x i m e i s p r e s e n t e d i n Scheme 1.
I t i s i n t e r e s t i n g t o n o t e t h a t t h e syn-isomer of
cefotaxime i s u p t o 100 times more a c t i v e a g a i n s t c e r t a i n
organisms t h a n t h e a n t i - i s o m e r .
4. Metabolism
OH
Scheme 1: S y n t h e s i s of Cefotaxime N’
methylation
bromination
then I
N,0CH3
H2N<NH2 + ‘OC2H5
S CH*
/
[41 Br [31
condensation
i
H2N -(syl:*5
s
[ 51
tr i t y l a t ion
154 FARID J . MUHTADI AND MAHMOUD M. A. HASSAN
condensation
C 6H 1 1 N=C=NC6H1
[a1
/
N
H C-0
3
+ symmetrical anhydride
[81
COOH
7- A M
1 Acylation
155
CEFOTAXIME
Tr,n
H /
<N),/)[;'j
S
0-CH
3
0'
(4 CH 20Ac
C02H
1
acidification
0 -CH
3
N'
H 2N ~R=H acid
C02R ~
cH20Ac
R=Na Cefotaxime
[lo1
156 FARID J . MUHTADI AND MAHMOUD M. A. HASSAN
The f o r m a t i o n of b o t h UP m e t a b o l i t e s i s r e l a t e d t o
t h e r a t e of r e n a l e l i m i n a t i o n of d e s a c e t y l c e f o t a x i m e
( 11) *
5. P harmacokine t i c s
The p h a r m a c o k i n e t i c s of c e f o t a x i m e w a s r e p o r t e d t o
be d o s e independent f o r d o s e s up t o 2.0 g ( 1 2 ) . Following
t h e i n t r a m u s c u l a r (i.m.) i n j e c t i o n of a 0 . 5 g (13) and
1 . 0 g d o s e s ( 1 2 ) , t h e mean peak serum l e v e l of 11.7 \ig/ml
and 22 ug/ml a t 0.5 h were o b t a i n e d r e s p e c t i v e l y . A f t e r
i n t r a v e n o u s ( i . v . ) p o l u s i n j e c t i o n of 1 . 0 g c e f o t a x i m e ,
t h e mean peak l e v e l w a s 105 ug/ml and an a p p a r e n t volume
of d i s t r i b u t i o n of 25 l i t r e s w a s e s t i m a t e d ( 1 2 ) . Values
of 32 and 37 l i t r e s f o r t h e volume of d i s t r i b u t i o n were
a l s o r e p o r t e d ( 1 3 ) . Cefotaxime i s mainly e l i m i n a t e d by
r e n a l e x c r e t i o n and s e r u m - h a l f - l i f e ranged from 0.92 t o
1.35 h a f t e r 1 g -i.m. i n j e c t i o n , and from 0.84 t o 1 . 2 5 h
a f t e r i . v . a d m i n i s t r a t i o n ( 1 2 ) . The m a j o r i t y of t h e d o s e
being e x c r e t e d unchanged i n t h e u r i n e (-51% w i t h i n 8 h)
(12). I n a n o t h e r s t u d y (13) t h e serum c l e a r a n c e of 341
mlfmin. per 1.73 m2 and r e n a l c l e a r a n c e of 130 mlfmin p e r
1.73 m2 were o b t a i n e d . P r o t e i n b i n d i n g of c e f o t a x i m e
ranged from 35 t o 45%.
6. Microbiological Activity
Cefotaxime p o s s e s s e s a n e x t r e m e l y broad a n t i b a c t e r i a l
spectrum and i s v e r y a c t i v e a g a i n s t C positive bacteria
e s p e c i a l l y on E n t e r o b a c t e r i a c e a e , Haemophilus i n f l u e n z a e
o r Neisseria gonorrhoeae. I t is a l s o a c t i v e on Bacteroides
f r a g i l i s and Pseudomonas a e r a g i n o s a ( 1 4 ) . Cefotaxime
p e n e t r a t e s w e l l through t h e c e l l w a l l s , showing h i g h 6-
l a c t a m a s e s t a b i l i t y and s t r o n g a f f i n i t y t o t h e i m p o r t a n t
t a r g e t enzymes ( 1 4 ) .
CEFOTAXIME 157
co-
Cefotaxime
Deacetylation
OCH3
'N
2
-<: D;k"oE(A
Desacetyl
NH
cefotaxime
co- CH OH
Desacetyl
cef o t a x ime l a c t o n e
ELo
09 0
158 FARID J. MUHTADI AND MAHMOUD M. A. HASSAN
OCH3
N’ H H
UP 2
CEFOTAXIME 159
7. Methods of A n a l y s i s
7 . 1 . I d e n t i f i c a t i o n Tests
The f o l l o w i n g i d e n t i f i c a t i o n t e s t s are
mentioned under c e p h a l e x i n i n t h e B.P. 1980
(15) :-
C) Mix 20 mg w i t h 5 d r o p s of a 1 % V/V s o l u t i o n of
g l a c i a l a c e t i c a c i d and add 2 d r o p s of a 1 % W/V
s o l u t i o n of copper s u l f a t e and d r o p of 2M sodium
hydroxide; an o l i v e - g r e e n c o l o r i s produced.
1 m l of 0.1 N p e r c h l o r i c a c i d c o r r e s p o n d s t o
23.87 mg of c e f o t a x i m e ( 3 ) .
7.3. Chromatography
TLC of c e f o t a x i m e i s perforlned on s i l i c a
g e l c o a t e d , s e l f - i n d i c a t i n g chroma t o g r a p h i c
p l a t e s (60 F 2 5 4 , Merck).
Ethylacetate/Ethanol/Water/Formic a c i d
(60 : 25 : 1 5 : 1) by volume.
Development i s c a r r i e d o u t i n a l i n e d t a n k ,
and t h e s o l v e n t i s allowed t o m i g r a t e a b o u t
1 5 cm from t h e s t a r t i n g p o i n t s .
The p l a t e s are v i s u l i z e d by examining under
u l t r a v i o l e t l i g h t a t 254 nm ( 3 ) .
160 FARID J. MUHTADI AND MAHMOUD M. A. HASSAN
A 2 % s o l u t i o n of t h e sample t o be
determined i s d i s s o l v e d i n a m i x t u r e of
8 v o l . a c e t o n e and 2 v o l . water.
Cefotaxime r e f e r e n c e s u b s t a n c e (HR 756
s t a n d a r d ) i s d i s s o l v e d i n t h e same m i x t u r e t o
produce 0.02 %, 0.04 % and 0.08 % s o l u t i o n s .
A 0.01 m l of e a c h s t a n d a r d s o l u t i o n is
a l s o applied t o t h e chromatoplate represent-
ing 2 , 4 , 8 p g r e s p e c t i v e l y .
The p l a t e i s developed a s above.
The t o t a l i m p u r i t y c o n t e n t should n o t
exceed 5 %.
A s o l u t i o n of c e f o t a x i m e i s a p p l i e d i n t o
a s i l i c a g e l G c h r o m a t o p l a t e . The p l a t e i s
developed i n t h e s o l v e n t Methanol : Ammonia
(100 : 1 . 5 ) . A f t e r development, t h e p l a t e
i s a i r d r i e d , sprayed w i t h 0.5 % i o d i n e i n
chloroform. Cefotaxime developed a d a r k
brown s p o t which has Rf v a l u e of 0.83 ( 4 )
A GLC method f o r t h e d e t e r m i n a t i o n of
cefotaxime h a s been adopted i n our l a b o r a t o r y
CEFOTAXIME 161
F i g 9. GLC of c e f o t a x i m e
A = cefotaxime
S e v e r a l HPLC s y s t e m s f o r t h e i d e n t i f i c a t i o n
and s e p a r a t i o n of c e f o t a x i m e and i t s metabo-
l i t e s have been r e p o r t e d . These s y s t e m s a r e
g i v e n i n T a b l e 5.
HPLC o f c e f o t a x i m e and i t s m e t a b o l i t e s
u s i n g system 1 (11) i s p r e s e n t e d i n F i g . 10.
T a b l e 5. HPLC Systems of Cefotaxime
2. A Microbondapak, wa t er-me t h a n o l
C18 corasil (39 : 7 ) c o n t a i n i n g 30 .O 254 nm
0.005 M h e p t a n e
guard column
sulfonic acid
A
I D
13
R e t e n t i o n time (min)
F i g . 1 0 HPLC of C e f o t a x i m e and i t s M e t a b o l i t e s
A , D e s a c e t y l c e f o t a x i m e ; B , UP1; C , UP2;
D, Desacetyl cefotaxime l a c t o n e ; E , cefotaxime.
7.4 Spectrophotometry
A PMR method f o r q u a n t i t a t i v e d e t e r m i n a t i o n
of c e f o t a x i m e and o t h e r c e p h a l o s p o r i n s i n b u l k
d r u g s and v a r i o u s d o s a g e f o r m s i s r e p o r t e d ( 2 0 ) .
The d e t e r m i n a t i o n i s based on t h e i n t e g r a t i o n
of t h e 6-H and 1 o r 7-H of t h e @-lactam r i n g
system r e l a t i v e t o t h a t of t h e n i n e p r o t o n s of
t-butanol. The method i s r a p i d , a c c u r a t e and
precise, with an average standard deviations
of 2 1 . 5 1 i n s t a n d a r d m i x t u r e s and k 1 . 1 5 i n
p h a r m a c e u t i c a l f o r m u l a t i o n s . The p r o c e d u r e
f u r n i s h e s a s p e c i f i c means o f i d e n t i f i c a t i o n
of e a c h i n d i v i d u a l c e p h a l o s p o r i n a s w e l l a s
d e t e c t i o n of t h e commonly e n c o u n t e r e d i m p u r i t i e s .
Procedure:
Weigh a c c u r a t e l y a p o r t i o n of t h e powder
e q u i v a l e n t t o 100 mg of t h e c e p h a l o s p o r i n i n t o
a g l a s s s t o p p e r e d sample t u b e . Add 1.0 m l
a c c u r a t e l y measured D20 c o n t a i n i n g a n a c c u r a t e
w e i g h t of t - b u t a n o l , s t o p p e r and s h a k e f o r 3 min.
T r a n s f e r a b o u t 0 . 5 m l of t h e r e s u l t i n g s o l u t i o n
i n t o a NMR t u b e and r e c o r d t h e s p e c t r u m , a d j u s t i n g
t h e s p i n r a t e t o r e d u c e t h e s p i n n i n g s i d e bands a s
166 FARID J . MUHTADI AND MAHMOUD M. A. HASSAN
much a s p o s s i b l e . I n t e g r a t e t h e peaks of i n t e r e s t
(The 6- o r 7-H of t h e B-lactam r i n g a p p e a r i n g a t
4.86 - 5.80 ppm and t h e 9 p r o t o n s of t - b u t a n o l
a p p e a r i n g a t 1.23 ppm) a t l e a s t t h r e e times and
determine t h e average i n t e g r a l s .
The amount of c e p h a l o s p o r i n i s t h e n c a l c u l a t e d
as follows:-
Where Ac i s t h e i n t e g r a l v a l u e of t h e c e p h a l o s p o r i n
signal, % t h a t of t h e t - b u t a n o l s f g n a l , E.Wc is t h e
m o l e c u l a r weight of c e p h a l o s p o r i n and E.W is one
b
n i n t h of t h e m o l e c u l a r weight of t - b u t a n o l (= 8 . 2 4 ) .
7.5 M i c r o b i o l o g i c a l Assay
C e f otaxime i s m i c r o b i o l o g i c a l l y assayed by t h e
a g a r w e l l d i f f u s i o n method of Grove and R a n d a l l (21)
a s modified by Chabbert and Boulinger ( 2 2 ) .
8. References
4. S . Khawaja, U n i v e r s i t y of Riyadh, S a u d i A r a b i a
" P e r s o n a l Communication''.
9. B. F e c h t i g , H. P e t e r , H. B i c k e l and E . V i s c h e r ,
Helv. Chim A c t a , 2, 1108 (1968).
1 2 . F. Esmieu, J. G u i b e r t , H . C . R o s e n k i l d e , I. Ho and A.
L e Go, J . A n t i m i c r o b i a l Chemotherapy, - 6 , Suppl. A,
p. 83, ( 1 9 8 0 ) .
1 4 . E. S c h r i n n e r , M. L i m b e r t , L. P e n a s s e and A. Lutz
J. A n t i m i c r o b i a l Chemotherapy, -
6 , Suppl. A , p. 25, (1980).
Acknowledgment
The a u t h o r s would l i k e t o t h a n k R o u s s e l - U c l a f ,
P a r i s , France f o r kindly providing cefotaxime
sample.