Chemistry:Carglumic acid

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Short description: Chemical compound
Carglumic acid
Carglumic acid.svg
Clinical data
Trade namesCarbaglu, Ucedane
Other names(S)-2-ureidopentanedioic acid
AHFS/Drugs.comMonograph
License data
Pregnancy
category
  • AU: B1
Routes of
administration
By mouth
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability30%
Protein bindingUndetermined
MetabolismPartial
Elimination half-life4.3 to 9.5 hours
ExcretionFecal (60%) and kidney (9%, unchanged)
Identifiers
CAS Number
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
Chemical and physical data
FormulaC6H10N2O5
Molar mass190.155 g·mol−1
3D model (JSmol)
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Carglumic acid, sold under the brand name Carbaglu among others, is used for the treatment of hyperammonaemia.[2][5][6]

Carglumic acid is a carbamoyl phosphate synthetase 1 (CPS 1) activator.[2]

The most common adverse effects include vomiting, abdominal pain, pyrexia (fever), and tonsillitis, anemia, diarrhea, ear infection, other infections, nasopharyngitis, decreased hemoglobin levels, and headache.[2]

It was approved for medical use in the United States in March 2010.[7] Carglumic acid is an orphan drug.[8][9] It is available as a generic medication.[10]

Medical uses

Carglumic acid is indicated for the treatment of acute hyperammonemia and chronic hyperammonemia.[2][3][4]

References

  1. "Prescription medicines: registration of new chemical entities in Australia, 2015". 21 June 2022. https://www.tga.gov.au/prescription-medicines-registration-new-chemical-entities-australia-2015. 
  2. 2.0 2.1 2.2 2.3 2.4 "Carbaglu- carglumic acid tablet". https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=10175e73-5172-4dde-a508-8a88b7afc0a1. 
  3. 3.0 3.1 "Carbaglu EPAR". 17 September 2018. https://www.ema.europa.eu/en/medicines/human/EPAR/carbaglu. 
  4. 4.0 4.1 "Ucedane EPAR". 17 September 2018. https://www.ema.europa.eu/en/medicines/human/EPAR/ucedane. 
  5. "Restoration of ureagenesis in N-acetylglutamate synthase deficiency by N-carbamylglutamate". J Pediatr 145 (4): 552–4. 2004. doi:10.1016/j.jpeds.2004.06.047. PMID 15480384. 
  6. "N-acetylglutamate synthase deficiency and the treatment of hyperammonemic encephalopathy". Ann Neurol 52 (6): 845–9. 2002. doi:10.1002/ana.10406. PMID 12447942. 
  7. "Drug Approval Package: Carbaglu (Carglumic Acid) Tablets". 16 February 2010. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2010/022562s000TOC.cfm. 
  8. "Carglumic acid Orphan Drug Designations and Approvals". 17 June 2014. https://www.accessdata.fda.gov/scripts/opdlisting/oopd/detailedIndex.cfm?cfgridkey=352111. 
  9. "Carglumic acid Orphan Drug Designations and Approvals". 20 January 1998. https://www.accessdata.fda.gov/scripts/opdlisting/oopd/detailedIndex.cfm?cfgridkey=109997. 
  10. "Competitive Generic Therapy Approvals". 29 June 2023. https://www.fda.gov/drugs/generic-drugs/competitive-generic-therapy-approvals. 

External links