Vancomycin

别名: Vancocin;Vancoled; Vancomicina; Vancomycine; Vancomycinum; VANCOR 万古霉素;凡古霉素;凡可霉素;盐酸万古霉素
目录号: V32969 纯度: ≥98%
万古霉素(Lyphocin)是一种窄谱两性糖肽抗菌药物,用于治疗多种细菌感染。
Vancomycin CAS号: 1404-90-6
产品类别: Bacterial
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
5mg
10mg
25mg
50mg
100mg
250mg
500mg
1g
5g
10g
Other Sizes

Other Forms of Vancomycin:

  • 盐酸万古霉素
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InvivoChem产品被CNS等顶刊论文引用
顾客使用InvivoChem 产品万古霉素发表2篇科研文献
纯度/质量控制文件

纯度: ≥98%

纯度: ≥98%

纯度: ≥98%

产品描述
万古霉素(Lyphocin)是一种窄谱两性糖肽抗菌药物,用于治疗多种细菌感染。它通过与肽聚糖结合来抑制细菌细胞壁的合成。万古霉素推荐静脉注射,用于治疗由耐甲氧西林金黄色葡萄球菌引起的复杂皮肤感染、血流感染、心内膜炎、骨和关节感染以及脑膜炎。可以测量血液水平以确定正确的剂量。万古霉素也被推荐口服用于治疗严重的艰难梭菌结肠炎。当口服时,其吸收非常差。万古霉素通过抑制革兰氏阳性细菌中适当的细胞壁合成起作用。由于革兰氏阴性菌产生细胞壁的机制不同,以及与进入革兰氏阴性菌外膜相关的各种因素,万古霉素对它们没有活性(奈瑟氏菌的一些非淋菌种除外)。
生物活性&实验参考方法
靶点
Glycopeptide
体外研究 (In Vitro)
体外活性:万古霉素是一种大糖肽化合物,分子量为1450 Da。万古霉素是一种独特的糖肽,在结构上与任何目前可用的抗生素无关。它还具有独特的作用方式,抑制敏感细菌细胞壁合成的第二阶段。万古霉素对多种革兰氏阳性菌具有活性,例如金黄色葡萄球菌、葡萄球菌。表皮,Str。无乳链,Str。博维斯海峡变形链球菌、草绿色链球菌、肠球菌。
体内研究 (In Vivo)
万古霉素通过静脉注射,标准输注时间至少为 1 小时,以尽量减少输注相关的不良反应。对于肌酐清除率正常的受试者,万古霉素的 α-分布期为 30 分钟至 1 小时,β-消除半衰期为 6-12 小时。分布容积为0.4-1 L/kg。万古霉素与蛋白质的结合率为 10% 至 50%。影响万古霉素整体活性的因素包括其组织分布、接种量和蛋白质结合效应。万古霉素对感染小鼠的治疗与临床、腹泻和组织病理学评分以及治疗期间生存率的改善有关。
酶活实验
万古霉素是一种独特的糖肽,在结构上与目前可用的任何抗生素都无关。它还有一种独特的作用模式,可以抑制易感细菌细胞壁合成的第二阶段。还有证据表明,万古霉素改变了细胞膜的通透性,并选择性地抑制核糖核酸的合成。用万古霉素从易感生物体中诱导细菌L相变体是极其困难的,并且这种变体是不稳定的。由其他药物诱导的稳定L相变体对万古霉素敏感。万古霉素对大量革兰氏阳性菌具有活性,如金黄色葡萄球菌(包括耐甲氧西林菌株)、葡萄球菌。表皮葡萄球菌(包括多重耐药菌株)、肺炎链球菌(包括多重耐药性菌株)、化脓性链球菌、无乳链球菌、牛链球菌、变形链球菌、绿色链球菌、肠球菌、梭菌属、白喉杆菌、单核细胞增生李斯特菌、放线菌属和乳杆菌属。在过去的三十年里,对万古霉素的耐药性没有增加。万古霉素和一种氨基糖苷类药物联合对抗葡萄球菌的抗菌活性得到了增强。金黄色葡萄球菌、牛链球菌、肠球菌和绿色链球菌。万古霉素和利福平的组合对大多数葡萄球菌菌株具有拮抗作用。金黄色葡萄球菌,虽然表现出冷漠和偶尔的协同作用,但对葡萄球菌菌株具有协同作用。表皮病。它显示出对肠球菌的漠不关心。万古霉素和fusidic酸对葡萄球菌无明显作用。金黄色葡萄球菌[2]。
细胞实验
C.艰难梭菌毒素测定。艰难梭菌毒素A和B使用Tech Lab毒素A/B II ELISA试剂盒的改良方案进行检测。对每个粪便样品进行称重,并将每个样品的稀释剂量标准化,以提供每个样品相同的粪便质量与稀释剂的比例。通过研磨和涡流将稀释剂-样品混合物均化,并对样品进行1:10、1:100和1:1000系列稀释。将每个样品的1:1000稀释液总计150μl添加到试剂盒中提供的预涂孔中。阴性对照由150μl稀释剂组成,阳性对照由135μl稀释剂加3滴试剂盒中提供的阳性对照毒素A-B混合物组成。向每个孔中加入一滴缀合物,并将平板在37°C下孵育50分钟。用试剂盒中提供的150μl 1倍稀释液洗涤每个孔三次。向每个孔中加入两滴基质。10分钟后,向每个孔中加入1滴停止溶液。在ELISA读取器中读取之前,将板放置2分钟[3]。
动物实验
小鼠:在一系列研究中,感染小鼠分别接受以下两种治疗:每日一次给予万古霉素(20 mg/kg),持续 5 天或 10 天,并在感染后监测 15 天;或每日一次给予万古霉素(50 mg/kg),持续 1 天、2 天、3 天或 5 天,并在感染后监测 21 天[3]。
艰难梭菌感染和治疗的小鼠模型。[3]
该感染模型是对 Chen 等人发表的方案的改进。该方案已获得弗吉尼亚大学比较医学中心的批准。本研究使用 8 周龄雄性 C57BL/6 小鼠。在感染前 4 至 6 天,小鼠饮用水中添加含有万古霉素(0.0045 mg/g)、粘菌素(0.0042 mg/g)、庆大霉素(0.0035 mg/g)和甲硝唑(0.0215 mg/g)的抗生素混合物。感染前一天,皮下注射克林霉素(32 mg/kg 体重)。小鼠分为以下几组:未感染对照组、感染对照组、感染后接受万古霉素(20 mg/kg)治疗组以及感染后接受对照药物(硝唑尼特、非达霉素和甲硝唑,所有药物剂量均为 20 mg/kg/天)治疗组。小鼠可自由摄取食物和水。虽然每只小鼠或每个治疗组分别饲养在单独的笼子中,但所有小鼠都饲养在动物房的同一隔间内。感染采用 VPI 10463(ATCC)菌株,接种量为 10⁴ 或 10⁵,通过灌胃法给药。该菌株可产生艰难梭菌毒素 A (TcdA) 和 B (TcdB)。感染后一天,接受治疗的小鼠分别以20 mg/kg的剂量每日灌胃给予万古霉素或硝唑尼特,连续5天,并在感染后监测1周或2周。另一组实验中,感染小鼠每日接受万古霉素(50 mg/kg)治疗1、2、3或5天,并在感染后观察21天;或每日接受万古霉素(20 mg/kg)治疗5或10天,并在感染后监测15天。在另一项实验中,接受上述感染前抗生素治疗方案的小鼠,分别以20 mg/kg/天的剂量每日接受万古霉素、非达霉素或甲硝唑治疗5天,并在5天后再次感染。除非另有说明,所有对照药物均采用相同剂量(20 mg/kg/天,连续5天)给药,以便如前所述,公平地比较各治疗组的疗效、结果以及对特定肠道菌群的影响。另一项研究中,一组对照小鼠接受了万古霉素治疗,但并未感染。研究人员根据体重减轻、腹泻、活动水平以及眼睛和毛发状况建立了一套临床评分系统(每个参数的评分范围为0至3分,0分代表正常,3分代表最差;最高分为20分)。每日收集粪便样本。腹泻评分标准如下:1分表示粪便软化或颜色改变(黄色),2分表示尾巴湿润或呈黏液状,3分表示出现液状粪便或无粪便(肠梗阻)。在任何一天,临床评分超过14分的濒死小鼠以及实验结束时所有存活的小鼠均被处死,并按照下述方法收集肠道组织和盲肠内容物。为了追踪研究不同时间点的变化,我们进行了另一组实验,分别在感染后第3、6、9和12至13天采集盲肠内容物,检测梭菌及其毒素的载量。
组织病理学。安乐死后,将盲肠和结肠组织固定于10%锌福尔马林溶液中过夜,然后置于10%乙醇中,之后送至弗吉尼亚大学组织学研究中心进行石蜡包埋和苏木精-伊红(H&E)染色。组织病理学评分采用编码(CAW和MSR)。H&E染色组织根据黏膜破坏、黏膜肥大、炎症、血管充血和渗出物以及黏膜下水肿进行评分(每个参数的评分范围为0至3分,0分代表正常,3分代表最差;最高分为15分),具体方法我们之前已详细描述。
药代性质 (ADME/PK)
吸收、分布和排泄
万古霉素在胃肠道吸收不良,但腹腔注射后可发生全身吸收(高达 60%)。
给药后 24 小时内,约 75-80% 的万古霉素剂量通过肾小球滤过从尿液中排出。
如文献所述,其分布容积在 0.4-1 L/kg 之间。
万古霉素的平均血浆清除率约为 0.058 L/kg/h。
大多数患者胃肠道对盐酸万古霉素的吸收甚微,因此必须通过肠外途径给药以治疗全身感染。口服生物利用度通常低于 5%。然而,有限的数据表明,在某些结肠炎患者和/或肾功能不全患者中,经肠内或口服给药万古霉素后,可能会出现具有临床意义的血清药物浓度。
肾功能正常的成年人在1小时内多次静脉输注1克万古霉素(15毫克/公斤)后,输注结束后即刻的平均血浆浓度约为63微克/毫升,2小时和11小时后的平均血浆浓度分别约为23微克/毫升和8微克/毫升。当在30分钟内多次静脉输注500毫克剂量时,输注结束后即刻的平均血浆浓度约为49微克/毫升,输注后6小时约为10微克/毫升。
静脉给药后,万古霉素会分布到乳汁中。口服万古霉素的全身吸收率极低,尚不清楚口服后该药物是否会分布到人乳中。
万古霉素易透过胎盘并分布到脐带血中。
在血清万古霉素浓度为10至100微克/毫升时,通过超滤法测得万古霉素的血清蛋白结合率约为55%。静脉注射盐酸万古霉素后,胸腔积液、心包积液、腹水和滑液、尿液、腹膜透析液以及心耳组织中均存在抑制浓度。盐酸万古霉素不易透过正常脑膜扩散到脑脊液中。但是,当脑膜发炎时,药物会渗入脊髓液。
代谢/代谢物
由于给药后24小时内,约75-80%的药物以原形经尿液排出,因此该药物似乎没有明显的代谢。据报道,给药24小时后,肝组织和胆汁中万古霉素的浓度也处于或低于检测限。
游离毒素可通过网状内皮系统(主要在肝脏和肾脏)的调理作用清除,也可通过溶酶体的细胞内吞作用降解。溶酶体是膜包裹的细胞器,含有多种消化酶,包括几种蛋白酶。
消除途径:给药后24小时内,约75%的万古霉素剂量通过肾小球滤过从尿液中排出。
半衰期:肾功能正常的患者的半衰期约为6小时(范围4至11小时)。给药后24小时内,约75%的万古霉素剂量通过肾小球滤过从尿液中排出。无肾患者的消除半衰期平均为7.5天。
生物半衰期
肾功能正常的患者的半衰期约为6小时(范围4至11小时)。在无肾患者中,万古霉素的平均消除半衰期为7.5天。
在肾功能正常的受试者中,万古霉素从血浆中的平均消除半衰期为4至6小时。
在无肾患者中,万古霉素的平均消除半衰期为7.5天。
毒性/毒理 (Toxicokinetics/TK)
毒性概述
万古霉素的杀菌作用主要源于其对细胞壁生物合成的抑制。具体而言,万古霉素可阻止N-乙酰胞壁酸(NAM)和N-乙酰氨基葡萄糖(NAG)肽亚基整合到肽聚糖基质中;肽聚糖基质是革兰氏阳性菌细胞壁的主要结构成分。这种大分子亲水剂能够与NAM/NAG肽末端的D-丙氨酰-D-丙氨酸残基形成氢键相互作用。通常情况下,这种相互作用是五点氢键。万古霉素与D-丙氨酰-D-丙氨酸残基的结合阻止了NAM/NAG肽亚基整合到肽聚糖基质中。此外,万古霉素还会改变细菌细胞膜的通透性和RNA合成。万古霉素与其他抗生素之间不存在交叉耐药性。万古霉素在体外对革兰氏阴性杆菌、分枝杆菌或真菌无活性。
毒性数据
LD50:5000 mg/kg(口服,小鼠)(A308)
LD50:319 mg/kg(静脉注射,大鼠)(A308)
LD50:400 mg/kg(静脉注射,小鼠)(A308)
相互作用
万古霉素与麻醉剂合用与过敏样反应和输注反应(例如,低血压、潮红、红斑、荨麻疹、瘙痒)发生率增加有关。儿童患者同时接受万古霉素和麻醉剂治疗时,曾出现红斑和组胺样潮红。若在麻醉诱导前以1小时静脉输注万古霉素,可最大程度降低输注相关不良反应的风险。
体外研究表明,万古霉素和氨基糖苷类抗生素对多种金黄色葡萄球菌、非肠球菌D组链球菌(牛链球菌)、肠球菌(粪肠球菌)和草绿色链球菌具有协同抗菌作用。然而,万古霉素与氨基糖苷类抗生素合用会增加耳毒性和/或肾毒性的风险。
由于可能存在毒性叠加,同时或先后全身或局部使用其他耳毒性和/或肾毒性药物(例如氨基糖苷类、两性霉素B、杆菌肽、顺铂、粘菌素、多粘菌素B)和万古霉素时,需要密切监测肾功能和听力。接受万古霉素治疗的患者应谨慎使用这些药物。
两名接受富马酸替诺福韦酯作为抗逆转录病毒治疗方案一部分的患者,在长期接受万古霉素治疗后出现肾功能衰竭。替诺福韦因其对近端肾小管的影响,与范可尼综合征和肾功能不全的发生有关。万古霉素肾毒性不常见,但可能由与肾毒性药物合用引起。临床医生应注意,长期服用万古霉素期间,替诺福韦可能会增加肾衰竭的风险。
有关万古霉素的更多药物相互作用(完整)数据(共 6 项),请访问 HSDB 记录页面。
非人类毒性值
小鼠口服 LD50 5000 mg/kg /盐酸盐/
小鼠腹腔注射 LD50 1734 mg/kg
小鼠静脉注射 LD50 430 mg/kg
小鼠皮下注射 LD50 5000 mg/kg
大鼠静脉注射 LD50 319 mg/kg
参考文献

[1]. The pharmacokinetic and pharmacodynamic properties of vancomycin. Clin Infect Dis. 2006 Jan 1;42 Suppl 1:S35-9.

[2]. Mode of action and in-vitro activity of vancomycin. J Antimicrob Chemother. 1984 Dec;14 Suppl D:7-18.

[3]. Vancomycin treatment's association with delayed intestinal tissue injury, clostridial overgrowth, and recurrence of Clostridium difficile infection in mice. Antimicrob Agents Chemother. 2013 Feb;57(2):689-96.

其他信息
治疗用途
抗生素,糖肽类
盐酸万古霉素适用于治疗由对万古霉素敏感的耐甲氧西林(β-内酰胺类耐药)葡萄球菌引起的严重或重度感染。它适用于对青霉素过敏的患者,以及无法接受或对其他药物(包括青霉素类或头孢菌素类)治疗无效的患者,以及由对万古霉素敏感但对其他抗菌药物耐药的细菌引起的感染。当怀疑存在耐甲氧西林葡萄球菌感染时,盐酸万古霉素可用于初始治疗,但在获得药敏试验结果后,应根据结果调整治疗方案。/美国产品标签内容/
盐酸万古霉素可有效治疗葡萄球菌性心内膜炎。其疗效已在其他葡萄球菌感染中得到证实,包括败血症、骨感染、下呼吸道感染、皮肤及皮肤软组织感染。当葡萄球菌感染局限于局部且化脓时,抗生素可作为辅助治疗手段,配合适当的外科手术。/美国产品标签内容/
盐酸万古霉素注射剂可口服用于治疗艰难梭菌引起的抗生素相关性假膜性肠炎和葡萄球菌性肠炎。单独使用盐酸万古霉素注射剂治疗这些适应症的疗效尚未得到证实。盐酸万古霉素口服对其他类型的感染无效。 /包含于美国产品标签/
有关万古霉素(共12种)的更多治疗用途(完整)数据,请访问HSDB记录页面。
药物警告
耳毒性和肾毒性是肠外万古霉素治疗最严重的不良反应。耳毒性和肾毒性的发生率尚未完全确定,但迄今为止的临床经验表明,这些不良反应发生率相对较低。肾功能不全患者、接受高剂量或长期静脉注射万古霉素的患者,以及正在接受其他耳毒性和/或肾毒性药物的患者最容易发生耳毒性和肾毒性。虽然耳毒性和肾毒性与血清或血液中万古霉素浓度为80-100 μg/mL相关,但这些反应也可能在浓度低至25 μg/mL时发生。血清万古霉素浓度与耳毒性和肾毒性之间的相关性仍有待阐明。耳毒性可能是暂时性的,也可能是永久性的。万古霉素可能损伤第八脑神经的听神经支,并导致永久性耳聋。眩晕、头晕和耳鸣的报道较为罕见。耳鸣可能先于耳聋出现,此时需要停药。即使停用万古霉素,耳聋也可能继续进展。万古霉素引起的肾毒性可能表现为血尿素氮或血清肌酐浓度短暂升高,以及尿液中出现透明管型、颗粒管型和白蛋白。曾有致命性尿毒症的报道。极少数情况下,该药物与急性间质性肾炎有关。
快速静脉注射万古霉素会导致低血压反应,通常被称为“红人综合征”或“红颈综合征”。该反应的特征是血压突然下降,可能很严重,并伴有面部、颈部、胸部和上肢潮红和/或斑丘疹或红斑;即使没有低血压,也可能出现这些症状。还可能出现喘息、呼吸困难、血管性水肿、荨麻疹和瘙痒。极少数情况下,会发生心脏骤停或癫痫发作。万古霉素引起的低血压似乎是由于其负性肌力作用和血管舒张作用所致,部分原因是组胺的释放,而组胺的释放与输注速度直接相关;组胺的释放似乎也是导致“红色”特征性症状(例如红斑、皮疹、瘙痒)的原因。这种反应通常在万古霉素输注开始后几分钟内出现,但也可能在输注结束后才发生,并且通常在停药后一到几个小时内自行消退。如果低血压反应严重,可能需要使用抗组胺药、皮质类固醇或静脉输液。低血压反应与万古霉素的输注速度有关,据报道,当药物在10分钟或更短时间内输注时最常发生;然而,即使输注时间超过1小时,也极少数情况下可能发生低血压反应。为了最大限度地降低低血压反应的风险,万古霉素的输注时间应至少为1小时,并且在输注期间应监测患者的血压。对于曾出现过这种反应的患者,如果缓慢给药(例如,数小时内给药),后续剂量的万古霉素通常不会产生不良反应。预先使用抗组胺药可能有所帮助。如果尝试减轻反应的措施无效,则可能需要使用其他抗感染药物。据报道,超过 50% 的健康个体在接受万古霉素治疗后会出现这种反应,但当该药物用于治疗时,发生率较低。
接受万古霉素治疗的患者曾报告出现荨麻疹、剥脱性皮炎、斑疹、嗜酸性粒细胞增多症、血管炎、休克样状态、短暂性过敏反应,以及偶发的血管衰竭。该药物还与至少一名患者的 Stevens-Johnson 综合征有关。
据报道,使用万古霉素后会出现背部和颈部肌肉搏动性疼痛,通常可以通过减缓给药速度来减轻或避免这种疼痛。在接受持续性非卧床腹膜透析(CAPD)的患者中,腹腔内注射万古霉素与化学性腹膜炎相关,化学性腹膜炎是一种以透析液浑浊为特征的综合征,可能伴有腹痛和发热。化学性腹膜炎通常在停用腹腔内万古霉素后不久消失。万古霉素的其他不良反应包括寒战和发热。一名患有严重基础糖尿病的37岁男性在第二次静脉注射万古霉素后出现阴茎异常勃起,并在意外再次用药后复发;双侧阴茎海绵体放血治疗后,阴茎异常勃起症状消失。
有关万古霉素(共22条)的更多药物警告(完整)数据,请访问HSDB记录页面。
药效学
万古霉素是一种支链三环糖基化非核糖体肽,通常作为“最后一道防线”药物,仅在其他抗生素治疗失败后使用。体外和临床感染均已证实万古霉素对以下大多数微生物菌株有效:单核细胞增生李斯特菌化脓性链球菌肺炎链球菌(包括耐青霉素菌株)、无乳链球菌放线菌属乳杆菌属。万古霉素与氨基糖苷类抗生素的组合在体外对多种金黄色葡萄球菌、牛链球菌、肠球菌和草绿色链球菌具有协同作用。
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C66H75CL2N9O24
分子量
1449.25
精确质量
1447.43
CAS号
1404-90-6
相关CAS号
Vancomycin hydrochloride;1404-93-9
PubChem CID
14969
外观&性状
White to off-white solid powder
密度
1.65 g/cm3
LogP
4.734
tPSA
530.49
氢键供体(HBD)数目
19
氢键受体(HBA)数目
26
可旋转键数目(RBC)
13
重原子数目
101
分子复杂度/Complexity
2960
定义原子立体中心数目
18
SMILES
ClC1C([H])=C2C([H])=C([H])C=1OC1=C([H])C3[C@]([H])(C(N([H])[C@@]4([H])C(N([H])[C@]([H])(C(N([H])[C@]([H])(C(=O)O[H])C5C([H])=C(C([H])=C(C=5C5=C(C([H])=C([H])C4=C5[H])O[H])O[H])O[H])=O)[C@@]([H])(C4C([H])=C([H])C(=C(C=4[H])Cl)OC(C=3[H])=C1O[C@@]1([H])[C@@]([H])([C@]([H])([C@@]([H])([C@@]([H])(C([H])([H])O[H])O1)O[H])O[H])O[C@@]1([H])C([H])([H])[C@@](C([H])([H])[H])([C@@]([H])([C@]([H])(C([H])([H])[H])O1)O[H])N([H])[H])O[H])=O)=O)N([H])C([C@]([H])(C([H])([H])C(N([H])[H])=O)N([H])C([C@@]([H])([C@]2([H])O[H])N([H])C([C@@]([H])(C([H])([H])C([H])(C([H])([H])[H])C([H])([H])[H])N([H])C([H])([H])[H])=O)=O)=O
InChi Key
MYPYJXKWCTUITO-LYRMYLQWSA-N
InChi Code
InChI=1S/C66H75Cl2N9O24/c1-23(2)12-34(71-5)58(88)76-49-51(83)26-7-10-38(32(67)14-26)97-40-16-28-17-41(55(40)101-65-56(54(86)53(85)42(22-78)99-65)100-44-21-66(4,70)57(87)24(3)96-44)98-39-11-8-27(15-33(39)68)52(84)50-63(93)75-48(64(94)95)31-18-29(79)19-37(81)45(31)30-13-25(6-9-36(30)80)46(60(90)77-50)74-61(91)47(28)73-59(89)35(20-43(69)82)72-62(49)92/h6-11,13-19,23-24,34-35,42,44,46-54,56-57,65,71,78-81,83-87H,12,20-22,70H2,1-5H3,(H2,69,82)(H,72,92)(H,73,89)(H,74,91)(H,75,93)(H,76,88)(H,77,90)(H,94,95)/t24-,34+,35-,42+,44-,46+,47+,48-,49+,50-,51+,52+,53+,54-,56+,57+,65-,66-/m0/s1
化学名
(1S,2R,18R,19R,22S,25R,28R,40S)-48-[(2S,3R,4S,5S,6R)-3-[(2S,4S,5S,6S)-4-amino-5-hydroxy-4,6-dimethyloxan-2-yl]oxy-4,5-dihydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-22-(2-amino-2-oxoethyl)-5,15-dichloro-2,18,32,35,37-pentahydroxy-19-[[(2R)-4-methyl-2-(methylamino)pentanoyl]amino]-20,23,26,42,44-pentaoxo-7,13-dioxa-21,24,27,41,43-pentazaoctacyclo[26.14.2.23,6.214,17.18,12.129,33.010,25.034,39]pentaconta-3,5,8(48),9,11,14,16,29(45),30,32,34(39),35,37,46,49-pentadecaene-40-carboxylic acid
别名
Vancocin;Vancoled; Vancomicina; Vancomycine; Vancomycinum; VANCOR
HS Tariff Code
3004209090
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

注意: 请将本产品存放在密封且受保护的环境中,避免吸湿/受潮。
运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO : ~125 mg/mL (~86.25 mM)
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 4.17 mg/mL (2.88 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 41.7 mg/mL澄清的DMSO储备液加入到400 μL PEG300中,混匀;再向上述溶液中加入50 μL Tween-80,混匀;然后加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 4.17 mg/mL (2.88 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 41.7 mg/mL 澄清 DMSO 储备液加入 900 μL 20% SBE-β-CD 生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 0.6900 mL 3.4501 mL 6.9001 mL
5 mM 0.1380 mL 0.6900 mL 1.3800 mL
10 mM 0.0690 mL 0.3450 mL 0.6900 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Intra-wound Vancomycin Powder for Prevention of Surgical Site Infection Following Spinal Surgery
CTID: NCT05959603
Phase: Phase 3    Status: Recruiting
Date: 2024-11-27
A Phase 1b Trial to Evaluate the Safety of MB310 in Patients With Active, Mild-to-Moderate Ulcerative Colitis
CTID: NCT06582264
Phase: Phase 1    Status: Recruiting
Date: 2024-11-27
Daptomycin Vs. Vancomycin for the Treatment of Methicillin Resistant S. Aureus Bacteremia
CTID: NCT06637332
Phase: Phase 4    Status: Recruiting
Date: 2024-11-27
A Study to Investigate the Safety and Efficacy of Fidaxomicin (Oral Suspension or Tablets) and Vancomycin (Oral Liquid or Capsules) in Pediatric Subjects With Clostridium Difficile-associated Diarrhea (CDAD)
CTID: NCT02218372
Phase: Phase 3    Status: Completed
Date: 2024-11-26
Vancomycin Dosing for Serious MRSA Infections: A Non-inferiority Randomized Trial of Trough Level Versus AUC/MIC
CTID: NCT04793152
Phase: N/A    Status: Recruiting
Date: 2024-11-25
View More

Prevention of Infections in Cardiac Surgery (PICS) Prevena Study
CTID: NCT03402945
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-11-25


Clostridioides Difficile Controlled Human Infection Model
CTID: NCT06702345
Phase: N/A    Status: Not yet recruiting
Date: 2024-11-22
VE202 in Patients with Mild-to-Moderate Ulcerative Colitis
CTID: NCT05370885
Phase: Phase 2    Status: Recruiting
Date: 2024-11-20
Irrisept Solution for Instrumented Spine Surgery
CTID: NCT06439953
Phase: N/A    Status: Recruiting
Date: 2024-11-20
Fecal Microbiota Transplant and Re-introduction of Anti-PD-1 Therapy (Pembrolizumab or Nivolumab) for the Treatment of Metastatic Colorectal Cancer in Anti-PD-1 Non-responders
CTID: NCT04729322
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-08
Linezolid or Vancomycin Surgical Site Infection Prophylaxis
CTID: NCT05571722
Phase: Phase 4    Status: Recruiting
Date: 2024-11-06
PHASE II SINGLE-CENTER, RANDOMIZED, OPEN-LABEL, PROSPECTIVE, STUDY TO DETERMINE THE IMPACT OF SERIAL PROCALCITONIN
CTID: NCT04983901
Phase: Phase 2    Status: Completed
Date: 2024-11-04
Early Antibiotics After Aspiration in ICU Patients
CTID: NCT05079620
Phase: Phase 4    Status: Terminated
Date: 2024-11-01
A Study to Compare Safety and Efficacy of OPT-80(Fidaxomicin) With Vancomycin in Subjects With Clostridium Difficile-associated Diarrhea (CDAD)
CTID: NCT02179658
Phase: Phase 3    Status: Completed
Date: 2024-10-31
A Phase IIIB/IV Study to Compare the Efficacy of Vancomycin Therapy to Extended Duration of Fidaxomicin Therapy in the Clinical Cure of Clostridium Difficile Infection (CDI) in an Older Population
CTID: NCT02254967
Phase: Phase 4    Status: Completed
Date: 2024-10-31
DOTS: Dalbavancin as an Option for Treatment of Staphylococcus Aureus Bacteremia
CTID: NCT04775953
Phase: Phase 2    Status: Completed
Date: 2024-10-22
Optimal Treatment for Recurrent Clostridium Difficile
CTID: NCT02667418
Phase: Phase 4    Status: Completed
Date: 2024-10-04
A Multiple Dose Study to Evaluate Safety, Tolerability, PK, and Efficacy of SER-155 in Adults Undergoing HSCT
CTID: NCT04995653
Phase: Phase 1    Status: Completed
Date: 2024-10-01
Prevention of Infections in Cardiac Surgery (PICS): a Cluster-randomized Factorial Cross-over Trial
CTID: NCT06567808
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-09-27
Initial Vancomycin Taper for the Prevention of Recurrent Clostridium Difficile Infection
CTID: NCT04138706
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-27
Microbiota Transplant Therapy for Children With Both Autism Spectrum Disorder and Gastrointestinal Disorders
CTID: NCT06503978
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-25
Fecal Transplantation for Primary Clostridium Difficile Infection
CTID: NCT03796650
Phase: Phase 3    Status: Terminated
Date: 2024-09-19
Pharmacokinetics Vancomycin CVVHDF With oXiris Membrane
CTID: NCT06543940
Phase: N/A    Status: Enrolling by invitation
Date: 2024-09-19
Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections in Children, Known or Suspected to be Caused by Susceptible Gram-positive Organisms, Including MRSA
CTID: NCT02814916
Phase: Phase 3    Status: Completed
Date: 2024-09-19
Powdered Intrawound Vancomycin in Open Fractures Trial
CTID: NCT06504992
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-09-19
Vancomycin Dose Optimization in Obesity
CTID: NCT06601257
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-09-19
Screening to Prophylax Against Clostridium Difficile Infection -
CTID: NCT02996487
Phase: Phase 4    Status: Completed
Date: 2024-08-13
A Phase 1b Trial to Evaluate Safety of MB097 in Combination With Pembrolizumab in Melanoma Patients
CTID: NCT06540391
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-08-06
Vancomycin for Primary Sclerosing Cholangitis
CTID: NCT03710122
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-08-01
Safety Trial of Antimicrobial Therapy and Precision Radiation Therapy in Patients With Oligoprogressive Non-small Cell Lung Cancer
CTID: NCT03546829
Phase: Phase 1    Status: Recruiting
Date: 2024-07-30
Pulsed Electromagnetic Field Stimulation and Charcot Foot Ulcer
CTID: NCT06527131
Phase: N/A    Status: Recruiting
Date: 2024-07-30
Placement of Antibiotic Powder in Wounds During the Emergency Room
CTID: NCT03765567
Phase: Phase 4    Status: Recruiting
Date: 2024-07-29
Exploring Vancomycin Disposition in Neonates
CTID: NCT02096536
Phase: Phase 4    Status: Recruiting
Date: 2024-07-12
Staphylococcus Aureus Network Adaptive Platform Trial
CTID: NCT05137119
Phase: Phase 4    Status: Recruiting
Date: 2024-06-05
A Phase 2a Study, Effect of Vancomycin With vs Without Delpazolid (LCB01-0371) in Patients With MRSA Bacteremia
CTID: NCT05225558
Phase: Phase 2    Status: Terminated
Date: 2024-05-16
ACX-362E [Ibezapolstat] for Oral Treatment of Clostridioides Difficile Infection
CTID: NCT04247542
Phase: Phase 2    Status: Completed
Date: 2024-05-14
VE303 for Treatment of Hepatic Encephalopathy (HE)
CTID: NCT04899115
Phase: Phase 2    Status: Completed
Date: 2024-05-07
Suprafascial Vancomycin Powder for Prevention of Surgical Site Infections After Instrumented Posterior Spinal Fusion
CTID: NCT04017468
Phase: Phase 2    Status: Recruiting
Date: 2024-05-01
The Effect of Intrawound Vancomycin Powder in Spine Surgery
CTID: NCT04825522
Phase: Phase 4    Status: Recruiting
Date: 2024-04-23
Haemoglobin And Vancomycin Pharmacokinetics in the Cerebrospinal Fluid Following Subarachnoid Haemorrhage
CTID: NCT06373640
Phase: N/A    Status: Not yet recruiting
Date: 2024-04-18
Precision Dosing of Vancomycin in Critically Ill Children
CTID: NCT04666948
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-04-12
Lyophilized Fecal Microbiome Transfer vs. Vancomycin Monotherapy for Primary Clostridioides Difficile Infection
CTID: NCT05709184
Phase: N/A    Status: Recruiting
Date: 2024-04-10
Antibiotics and Vaccine Immune Responses Study
CTID: NCT06148025
Phase: Phase 4    Status: Recruiting
Date: 2024-04-04
Vancomycin Study in Multiple Sclerosis (MS)
CTID: NCT05539729
Phase: Phase 1    Status: Recruiting
Date: 2024-03-22
Microbiota Transfer Therapy for Children and Adults With Both Pitt Hopkins Syndrome and Gastrointestinal Disorders
CTID: NCT06321796
Phase: Phase 2    Status: Recruiting
Date: 2024-03-20
Application of Daptomycin in MRSA Infected Diabetic Foot in Comparison to Vancomycin Treatment
CTID: NCT01199783
Phase: Phase 3    Status: Terminated
Date: 2024-03-18
Early Versus Late Stopping of Antibiotics in Children With Cancer and High-risk Febrile Neutropenia
CTID: NCT04948463
Phase: Phase 4    Status: Recruiting
Date: 2024-03-15
Refined Fecal Microbiota Transplantation (FMT) for Ulcerative Colitis (UC)
CTID: NCT04968951
PhaseEarly Phase 1    Status: Terminated
Date: 2024-02-26
Topical Antibiotics in Surgical Site
CTID: NCT05363462
Phase: N/A    Status: Completed
Date: 2024-02-14
Fundamental Modification of the Gut Microbiota in the Treatment of Refractory Crohn's Disease
CTID: NCT02765256
Phase: Phase 2    Status: Completed
Date: 2024-02-06
Acute Application of Antibiotic Powder in Open Fracture Wounds
CTID: NCT04872400
Phase: Phase 4    Status: Completed
Date: 2024-02-05
Infection Rates Between Using of Vancomycin Versus Gentamycin in Primary ACLR
CTID: NCT06050785
Phase:    Status: Not yet recruiting
Date: 2024-02-05
The Effect of Intrawound Vancomycin Powder on Surgical Site Infection in Inguinal Lymph Node Dissection
CTID: NCT05625373
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2023-12-05
Antibiotic Impregnated Bone Graft to Reduce Infection in Hip Replacement.
CTID: NCT05169229
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2023-12-04
TNP-2092 to Treat Acute Bacterial Skin and Skin Structure Infection
CTID: NCT03964493
Phase: Phase 2    Status: Completed
Date: 2023-12-01
Model-informed Precision Dosing of Vancomycin in Adults
CTID: NCT05535075
Phase: Phase 4    Status: Completed
Date: 2023-12-01
Oral Vancomycin to Prevent Recurrent C Difficile Infection With Antibiotics
CTID: NCT03466502
Phase: Phase 4    Status: Completed
Date: 2023-11-28
Combination Study of Antibiotics With Enzalutamide (PROMIZE)
CTID: NCT06126731
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2023-11-13
Clostridioides Difficile Colonisation
CTID: NCT05693077
Phase: Phase 1    Status: Recruiting
Date: 2023-10-17
Cystatin-C C-guided Vancomycin Dosing in Critically Ill Patients: A Quality Improvement Project
CTID: NCT02945241
Phase: Phase 1    Status: Completed
Date: 2023-10-10
Dalbavancin For The Treatment of Gram Positive Osteoarticular Infections
CTID: NCT03426761
Phase: Phase 4    Status: Completed
Date: 2023-10-03
Prevention of Infections in Cardiac Surgery
CTID: NCT02285140
Phase: N/A    Status: Active, not recruiting
Date: 2023-09-22
Oral Vancomycin Versus Probiotics Versus Placebo for Prevention of Clostridium Difficile Infection in Colonized Patients
CTID: NCT04246151
PhaseEarly Phase 1    Status: Recruiting
Date: 2023-09-21
Study of VE800 and Nivolumab in Patients With Selected Types of Advanced or Metastatic Cancer
CTID: NCT04208958
Phase: Phase 1/Phase 2    Status: Completed
Date: 2023-08-29
Safety, Tolerability and the Pharmacokinetics of Ridinilazole in Adolescent Subjects
CTID: NCT04802837
Phase: Phase 3    Status: Terminated
Date: 2023-08-21
Fecal Microbiota Transplantation for C. Difficile Infection in Solid Organ Transplant Recipients
CTID: NCT03617445
Phase: Phase 2    Status: Completed
Date: 2023-08-04
Efficacy of Oral Vancomycin Prophylaxis for Prevention of Recurrent Clostridium Difficile Infection
CTID: NCT03462459
Phase: Phase 2    Status: Completed
Date: 2023-07-28
First Time Right of Vancomycin
CTID: NCT05964114
Phase: N/A    Status: Not yet recruiting
Date: 2023-07-27
Nivolumab (Anti-PD1), Tadalafil and Oral Vancomycin in People With Refractory Primary Hepatocellular Carcinoma or Liver Dominant Metastatic Cancer From Colorectal or Pancreatic Cancers
CTID: NCT03785210
Phase: Phase 2    Status: Completed
Date: 2023-07-11
Vancomycin in Primary Sclerosing Cholangitis in Italy
CTID: NCT05876182
Phase: Phase 2    Status: Recruiting
Date: 2023-07-03
Responses to Rabies Vaccine in Adults With or Without Antibiotics
CTID: NCT03557008
Phase: Phase 4    Status: Completed
Date: 2023-06-08
Ceftobiprole in the Treatment of Patients With Acute Bacterial Skin and Skin Structure Infections
CTID: NCT03137173
Phase: Phase 3    Status: Completed
Date: 2023-05-12
Safety and Efficacy of Strategy to Prevent Drug-Induced Nephrotoxicity in High-Risk Patients
CTID: NCT01734694
Phase: Phase 4    Status: Terminated
Date: 2023-05-03
Oral Vancomycin vs Placebo in the Prevention of Recurrence of Clostridioides Difficile's Infection
CTID: NCT05320068
Phase: Phase 3    Status: Recruiting
Date: 2023-04-24
Oral Vancomycin for Secondary Prophylaxis of Clostridium Difficile Infection (CDI)
CTID: NCT04000555
Phase: Phase 4    Status: Terminated
Date: 2023-04-21
Vancomycin Or Trimethoprim/Sulfamethoxazole for Methicillin-resistant Staphylococcus Aureus Osteomyelitis
CTID: NCT00324922
Phase: Phase 3    Status: Completed
Date: 2023-04-11
Bezlotoxumab Versus FMT for Multiple Recurrent CDI
CTID: NCT05077085
Phase: Phase 4    Status: Withdrawn
Date: 2023-03-28
Comparison of Ridinilazole Versus Vancomycin Treatment for Clostridium Difficile Infection
CTID: NCT03595553
Phase: Phase 3    Status: Completed
Date: 2023-03-03
Interventional Bioremediation of Microbiota in Metabolic Syndrome
CTID: NCT02730962
Phase: Phase 2    Status: Terminated
Date: 2023-02-22
LocalVancomycinPowderToPreventPeriprostheticJointInfection.
CTID: NCT05697965
Phase: Phase 2    Status: Not yet recruiting
Date: 2023-02-10
FMT for Moderate to Severe CDI: A Randomised Study With Concurrent Stool Microbiota Assessment
CTID: NCT02570477
Phase: N/A    Status: Active, not recruiting
Date: 2023-02-08
Fecal Microbiota Transfer in Liver Cancer to Overcome Resistance to Atezolizumab/Bevacizumab (FLORA)
CTID: NCT05690048
Phase: Phase 2    Status: Not yet recruiting
Date: 2023-01-23
Application of Fecal Microbiota Transplantation in Children With ASD
CTID: NCT04948814
Phase: Phase 1    Status: Enrolling by invitation
Date: 2023-01-20
Microbiota Transfer Therapy for Adults With Autism Spectrum Disorder (ASD) Who Have Gastrointestinal Disorders
CTID: NCT03408886
Phase: Phase 2    Status: Active, not recruiting
Date: 2023-01-09
Impact of Prophylactic Antibiotics on Bloodstream Infections After Liberation From Extracorporeal Membrane Oxygenation
CTID: NCT05651464
Phase: N/A    Status: Unknown status
Date: 2022-12-15
Topical Use of Vancomycin in Reducing Sternal Wound Infection in Cardiac Surgery (SWI Trial)
CTID: NCT02374853
Phase: Phase 2    Status: Terminated
Date: 2022-11-03
Vancomycin Tissue Concentrations by Bier Block or Intravenous Administration
CTID: NCT04673877
Phase: Phase 1    Status: Completed
Date: 2022-10-07
A Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-006)
CTID: NCT01598311
Phase: Phase 3    Status: Completed
Date: 2022-08-22
A Systems Biology Approach for Identification of Host and Microbial Mechanisms and Druggable Targets for the Treatment of PSC-IBD
CTID: NCT05376228
Phase:    Status: Unknown status
Date: 2022-06-01
Bezlotoxumab (BEZLO) In Addition To Standard Of Care (SOC) Vancomycin For The Treatment of Multi-Recurrent Clostridium Difficile Infection
CTID: NCT03880539
Phase: Phase 4    Status: Completed
Date: 2022-05-26
Pharmacokinetics of Preoperative Vancomycin
CTID: NCT03453684
Phase: Phase 4    Status: Completed
Date: 2022-05-24
Fecal Microbiota Transplantation for Primary Clostridium Difficile Diarrhea
CTID: NCT02801656
Phase: Phase 3    Status: Withdrawn
Date: 2022-04-29
Intracameral Antibiotic Safety Study
CTID: NCT02590523
Phase: Phase 3    Status: Suspended
Date: 2022-04-27
Topical Antibiotics in Chronic Rhinosinusitis
CTID: NCT03673956
Phase: Phase 1/Phase 2    Status: Completed
Date: 2022-04-20
A Comparison of Fidaxomicin and Vancomycin in Patients With CDI Receiving Antibiotics for Concurrent Infections
CTID: NCT02692651
Phase: Phase 4    Status: Completed
Date: 2022-03-25
Efficacy of Diluted Betadine vs Antibiotic Installation Before Surgical Wound Closure in Prevention of Post Cardiac Surgery Wound Infection
CTID: NCT05276687
Phase: Phase 4    Status: Unknown status
Date: 2022-03-11
Vancomycin Pharmacokinetics in Patients on Peritoneal Dialysis
CTID: NCT03685747
Phase: Phase 1    Status: Completed
Date: 2022-03-03
Prevention of C.Difficile Infections With Oral Vancomycine in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplant
CTID: NCT05256693
Phase: Phase 3    Status: Not yet recruiting
Date: 2022-02-25
Pilot Study of Fundamental Modification of the Gut Microbiota in the Treatment of Refractory Crohn's Disease
CTID: NCT03476317
Phase: Phase 2    Status: Completed
Date: 2022-02-09
Delafloxacin IV and OS Administration Compared to Best Available Therapy in Patients With Surgical Site Infections
CTID: NCT04042077
Phase: Phase 3    Status: Terminated
Date: 2022-02-02
Pharmacokinetics of Vancomycin for Inhalation in Cystic Fibrosis
CTID: NCT01509339
Phase: Phase 1    Status: Withdrawn
Date: 2022-01-12
Preoperative Antibiotics for Carpal Tunnel Release Surgery
CTID: NCT03432858
Phase: Phase 4    Status: Completed
Date: 2021-11-10
Vancomycin for the Treatment of NAAT(+)/Toxin(-) C. Difficile
CTID: NCT03827447
Phase: Phase 1    Status: Completed
Date: 2021-10-20
TOX NEG Trial: Clostridium Difficile Diagnosis and Treatment
CTID: NCT03388268
Phase: Phase 4    Status: Completed
Date: 2021-07-26
Optimized Antibiotic Therapy in Patients With Subarachnoid Haemorrhage (ES) and Cerebral Haemorrhage (EC)
CTID: NCT04132115
Phase:    Status: Unknown status
Date: 2021-07-21
To Assess Use of Vancomycin Powder in Craniotomy on Wound Infection Rates
CTID: NCT04917627
Phase: Phase 4    Status: Unknown status
Date: 2021-06-08
Effect of Vancomycin After Catheter Replacement
CTID: NCT04856878
Phase: Phase 4    Status: Not yet recruiting
Date: 2021-04-29
Oral Vancomycin for Preventing Clostridium Difficile Recurrence
CTID: NCT03200093
Phase: Phase 4    Status: Terminated
Date: 2021-04-26
The Effect of an Antibiotic on the Production of Uremic Toxins by the Gut Microbiome
CTID: NCT03452189
Phase: Phase 2    Status: Completed
Date: 2021-03-26
Antibiotics Continuous Infusion at Home
CTID: NCT04816968
Phase: Phase 1    Status: Unknown status
Date: 2021-03-25
Topical Vancomycin for Neurosurgery Wound Prophylaxis
CTID: NCT02284126
Phase: Phase 3    Status: Unknown status
Date: 2021-03-23
The Effects of Gut Micribiota Disruption on the Immune Response After Open Heart Surgery
CTID: NCT03939273
Phase: N/A    Status: Unknown status
Date: 2021-03-12
Checklist to Prevent MRSA Surgical Site Infections
CTID: NCT02216227
Phase: N/A    Status: Completed
Date: 2021-03-11
Intrawound Vancomycin Powder in Spinal Fusion Surgery
CTID: NCT02631408
Phase: Phase 4    Status: Completed
Date: 2021-03-03
TD-1792 in Gram-positive Complicated Skin and Skin Structure Infection
CTID: NCT00442832
Phase: Phase 2    Status: Completed
Date: 2021-01-20
AbioKin - Antibiotic Kinetics
CTID: NCT02609646
Phase:    Status: Completed
Date: 2021-01-19
Safety and Efficacy of Multiple Daily Dosing of Oral LFF571 in Patients With Moderate Clostridium Difficile Infections
CTID: NCT01232595
Phase: Phase 2    Status: Completed
Date: 2020-12-19
Study Comparing the Safety and Efficacy of Two Doses of BC-3781 vs Vancomycin in Patients With Acute Bacterial Skin and Skin Structure Infection (ABSSSI)
CTID: NCT01119105
Phase: Phase 2    Status: Completed
Date: 2020-11-17
Safety and TDM of Continuous Infusion Vancomycin Through Continuous Renal Replacement Therapy Solution
CTID: NCT02663596
Phase: Phase 1    Status: Unknown status
Date: 2020-10-19
A Clinical Trial for Analysis of Intestinal Microbiome Affecting PK, PD, and Safety of Metformin
CTID: NCT03809260
Phase: N/A    Status: Completed
Date: 2020-10-08
The Importance of the Gut Microbiota in Body Weight Control and Insulin Sensitivity
CTID: NCT02241421
Phase: N/A    Status: Completed
Date: 2020-09-10
Vancomycin for C Difficile NAAT+/EIA- Hematology Oncology Patients
CTID: NCT03030248
Phase: Phase 2    Status: Completed
Date: 2020-09-10
Neonatal Vancomycin Trial
CTID: NCT02790996
Phase: Phase 2    Status: Terminated
Date: 2020-09-09
Effectiveness of Vancomycin Loading Therapy
CTID: NCT01623817
Phase: N/A    Status: Completed
Date: 2020-08-12
MET-2 Clinical Study for Recurrent Clostridium Difficile Infection (CDI)
CTID: NCT02865616
Phase: Phase 1    Status: Completed
Date: 2020-08-11
Investigation of the Gut Microbiota in Regulating Nutrient Absorption in Humans
CTID: NCT02037295
Phase: Phase 2    Status: Completed
Date: 2020-07-31
A Pilot Study to Characterize Bile Acid Metabolism and Dysbiosis in Primary Sclerosing Cholangitis
CTID: NCT02464020
Phase: Phase 1    Status: Completed
Date: 2020-07-17
Fecal Microbiota Transplantation by Colonoscopy for Recurrent C. Difficile Infection
CTID: NCT02148601
Phase: Phase 2    Status: Completed
Date: 2020-07-15
Staphylococcus Aureus Bacteremia Antibiotic Treatment Options
CTID: NCT01792804
Phase: Phase 3    Status: Completed
Date: 2020-05-27
Vancomycin Plus Moxifloxacin Versus Vancomycin Plus Ceftazidime for the Treatment of Peritoneal Dialysis (PD)-Related Peritonitis
CTID: NCT02787057
Phase: N/A    Status: Completed
Date: 2020-03-26
Vancomycin in Patients With Unresectable Fibrolamellar Hepatocellular Carcinoma (FLC) Oral
CTID: NCT04025567
Phase: Phase 2    Status: Withdrawn
Date: 2020-03-16
A Phase 3 Telavancin Staphylococcus Aureus (S. Aureus) Bacteremia Trial
CTID: NCT02208063
Phase: Phase 3    Status: Terminated
Date: 2020-02-17
First-in-human Study of VE303 in Healthy Adult Volunteers
CTID: NCT04236778
Phase: Phase 1    Status: Completed
Date: 2020-01-27
Regional Prophylactic Vancomycin With Restricted Tourniquet Time in Primary Total Knee Replacement
CTID: NCT03506347
Phase: Phase 2/Phase 3    Status: Completed
Date: 2020-01-27
A Post-marketing, Blinded Study to Investigate How Effective Fidaxomicin is Compared to Vancomycin in the Sustained Cure of Clostridium Difficile Infection in Adults That Are Receiving Therapy to Suppress the Immune System
CTID: NCT01775397
Phase: Phase 4    Status: Terminated
Date: 2020-01-13
Beneficial Bacteria Treatment for Autism
CTID: NCT02504554
Phase: Phase 1/Phase 2    Status: Completed
Date: 2019-12-18
A Study to Assess Objective Endpoint Measurements of Response in Bacterial Skin Infections
CTID: NCT01283581
Phase: Phase 2    Status: Completed
Date: 2019-10-16
Fecal Microbiota Transplantation for Relaps
Ramdomized non-inferiority clinical trial to evaluate the safety and efficacy of short duration therapy for non complicated enterococcal bacteremia.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2022-02-21
Prevention of C. difficile infections with oral vancomycin in patients treated for allogeneic hematopoietic stem cell transplantation, a double-blind, randomized, placebo-controlled trial ”
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date: 2022-02-17
Efficacy and safety of different antimicrobial DURATions for the treatment of infections associated with Osteosynthesis
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2022-02-14
Impact of Model-Informed Precision Dosing of Vancomycin in Adults: A randomized, controlled clinical trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2021-09-22
Antibiotic Impregnated Bone Graft to reduce infection in hip replacement. The ABOGRAFT trial
CTID: null
Phase: Phase 2    Status: Trial now transitioned
Date: 2021-06-29
Prophylactic treatment of breast implants with a solution of gentamicin, vancomycin and cefazolin antibiotics for women undergoing breast reconstructive surgery: a randomized controlled trial (The BREAST-AB trial)
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date: 2020-12-17
A multicentric randomised controlled clinical trial to study the impact of bedside model-informed precision dosing of vancomycin in critically ill children.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2020-11-20
Short-course antibiotic regimen compared to conventional antibiotic treatment for gram-positive cocci infective endocarditis: randomized clinical trial
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2019-12-10
A randomized, observer-blinded, active-controlled, Phase IIIb study to compare IV / Oral delafloxacin fixed-dose monotherapy with best available treatments in a microbiologically enriched population with surgical site infections
CTID: null
Phase: Phase 3    Status: Completed, Prematurely Ended
Date: 2019-08-19
A Phase 3, randomized, double-blind, active controlled study to compare the efficacy and safety of ridinilazole (200 mg, bid) for 10 days with vancomycin (125 mg, qid) for 10 days in the treatment of Clostridium difficile infection (CDI).
CTID: null
Phase: Phase 3    Status: Ongoing, Prematurely Ended, Completed
Date: 2019-07-05
A Phase 3, randomized, double-blind, active controlled study to compare the efficacy and safety of ridinilazole (200 mg, bid) for 10 days with vancomycin (125 mg, qid) for 10 days in the treatment of Clostridium difficile infection (CDI).
CTID: null
Phase: Phase 3    Status: Ongoing, Prematurely Ended, Completed
Date: 2019-03-13
Effects of antibiotics on micobiota, pulmonary immune response and incidence of ventilator-associated infections
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2019-01-14
Pharmacokinetics of different antibiotics in cerebrospinal fluid in children with malignant brain tumors – a pilot study
CTID: null
Phase: Phase 1    Status: Ongoing
Date: 2018-09-27
Pharmacokinetics of antibiotics in cerebrospinal fluid of children with external ventricular drain
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2018-09-27
Escherichia coli strain Nissle 1917 - Suspension for treatment of patients with Clostridium difficile associated diarrhoea
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2018-09-03
A randomized, controlled, evaluator-blinded, multi-center study to evaluate LYS228 pharmacokinetics, clinical response, safety, and tolerability in patients with complicated intra-abdominal infection
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2018-08-08
Phase IV, randomized, open, parallel groups clinical trial for evaluating the early Stop of antibiotic Treatment in febrile neutropenic Oncohematological Paediatric patients.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2018-06-05
Randomized clinical trial on the need for antibiotic to treat low-risk catheter bacteremia due to coagulase-negative staphylococci.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2018-04-25
Development of intravascular microdialysis as a tool for therapeutic drug monitoring in children.
CTID: null
Phase: Phase 1    Status: Prematurely Ended
Date: 2018-03-20
生物数据图片
  • Effect of vancomycin on Clostridium difficile-infected mice during acute infection and posttreatment.[3].Antimicrob Agents Chemother. 2013 Feb;57(2):689-96.
  • Intestinal histopathology. Shown are representative H&E-stained cecal tissues from infected mice treated or not with vancomycin for 5 days.[3].Antimicrob Agents Chemother. 2013 Feb;57(2):689-96.
  • Clostridial and toxin burdens in cecal contents at peak of infection, post-vancomycin treatment, and at relapse.[3].Antimicrob Agents Chemother. 2013 Feb;57(2):689-96.
  • Effect of duration of vancomycin treatment on disease and survival in mice with CDI. [3].Antimicrob Agents Chemother. 2013 Feb;57(2):689-96.
  • Effect of vancomycin, fidaxomicin, or metronidazole on Clostridium difficile-infected mice during acute infection and posttreatment.[3].Antimicrob Agents Chemother. 2013 Feb;57(2):689-96..
  • Effect of preexposure to vancomycin, fidaxomicin, or metronidazole on C.[3].Antimicrob Agents Chemother. 2013 Feb;57(2):689-96.
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