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Chemical Structure| 187235-37-6 Chemical Structure| 187235-37-6

Structure of PA-824
CAS No.: 187235-37-6

Chemical Structure| 187235-37-6

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PA-824 is an anti-tuberculosis drug working by both cell wall inhibition and respiratory poisoning.

Synonyms: (S)-PA 824; Pretomanid

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Product Details of PA-824

CAS No. :187235-37-6
Formula : C14H12F3N3O5
M.W : 359.26
SMILES Code : FC(F)(F)OC1=CC=C(C=C1)CO[C@H]2CN3C(OC2)=NC([N+]([O-])=O)=C3
Synonyms :
(S)-PA 824; Pretomanid
MDL No. :MFCD06809939
InChI Key :ZLHZLMOSPGACSZ-NSHDSACASA-N
Pubchem ID :456199

Safety of PA-824

GHS Pictogram:
Signal Word:Warning
Hazard Statements:H302-H315-H319-H335
Precautionary Statements:P261-P305+P351+P338

Isoform Comparison

Biological Activity

In Vitro:

Cell Line
Concentration Treated Time Description References
IPEC-J2 cells 10, 30, 50 µM 1 hour Evaluating the antiviral activity of PA-824 in porcine cells, results showed that PA-824 significantly and dose-dependently reduced the expression level of PEDV N. J Virol. 2024 Jul 23;98(7):e0041323
Vero cells 10 µM 1 hour Screening for PEDV inhibitors, PA-824 exhibited the highest SI index and lowest price, and was selected for further study. J Virol. 2024 Jul 23;98(7):e0041323
Mycobacterium tuberculosis (Mtb) 2 to 125 µM 1 week Evaluate the bactericidal activity of PA-824 against nonreplicating Mtb under hypoxia, showing that PA-824 kills nonreplicating Mtb via NO release Science. 2008 Nov 28;322(5906):1392-5
Mycobacterium tuberculosis H37Rv 3 μg/ml 21 days Assessing low-dose PA-824 efficacy, achieving 4.93 ± 0.32 log CFU/ml after 21-day treatment at 3 μg/ml BMC Microbiol. 2013 Oct 1;13:218
Mycobacterium tuberculosis H37Rv 12.5 μg/ml 21 days Evaluating bactericidal activity of PA-824 against non-replicating M.tuberculosis under anaerobic conditions, showing 0 CFU/ml after 21-day treatment at 12.5 μg/ml BMC Microbiol. 2013 Oct 1;13:218
Mycobacterium fortuitum >32 mg/mL (MIC) 3 days PA-824 showed no significant inhibitory activity against M. fortuitum Front Cell Infect Microbiol. 2023 Mar 22;13:1115530
Mycobacterium chelonae >32 mg/mL (MIC) 3 days PA-824 showed no significant inhibitory activity against M. chelonae Front Cell Infect Microbiol. 2023 Mar 22;13:1115530
Mycobacterium abscessus >32 mg/mL (MIC) 3 days PA-824 showed no significant inhibitory activity against M. abscessus Front Cell Infect Microbiol. 2023 Mar 22;13:1115530
Mycobacterium smegmatis 250 µM 3 hours Investigate the metabolism of PA-824 in M. smegmatis, found that PA-824 was metabolized to six products, but no des-nitro metabolite was detected Br J Pharmacol. 2011 Jan;162(1):226-36
Mycobacterium tuberculosis 250 µM 3 hours Investigate the metabolism of PA-824 in M. tuberculosis, found that PA-824 was metabolized to seven products, with the major metabolite being the des-nitro product Br J Pharmacol. 2011 Jan;162(1):226-36
Human liver S9 250 µM 3 hours Investigate the metabolism of PA-824 in human liver S9, found that PA-824 was metabolized to four products (M1-M4), but no des-nitro metabolite was detected Br J Pharmacol. 2011 Jan;162(1):226-36
Mycobacterium tuberculosis H37Rv 1 or 5 µM 4 weeks To screen PA-824-resistant mutants and analyze their genotypes Antimicrob Agents Chemother. 2015 Sep;59(9):5316-23
Mycobacterium ulcerans 16 μg/ml 60 days To evaluate the in vitro activity of PA-824 against 29 clinical isolates of M. ulcerans, showing an MIC90 of 16 μg/ml, significantly higher than other tested drugs. Antimicrob Agents Chemother. 2006 Jun;50(6):1921-6
Mycobacterium avium >32 mg/mL (MIC) 7 days PA-824 showed no significant inhibitory activity against M. avium Front Cell Infect Microbiol. 2023 Mar 22;13:1115530
Mycobacterium xenopi 3.84 mg/mL (MIC) 7 days Determine the minimum inhibitory concentration of PA-824 against M. xenopi Front Cell Infect Microbiol. 2023 Mar 22;13:1115530
Mycobacterium kansasii 1.71 mg/mL (MIC) 7 days Determine the minimum inhibitory concentration of PA-824 against M. kansasii Front Cell Infect Microbiol. 2023 Mar 22;13:1115530
Mycobacterium tuberculosis 0.15 μg/mL (MIC99) 7 days PA-824 showed significant inhibitory activity against M. tuberculosis Antimicrob Agents Chemother. 2006 Oct;50(10):3350-4
Mycobacterium leprae 0 to 10 μg/ml 7 days PA-824 had no effect on the metabolic activity of M. leprae at concentrations up to 10 μg/ml Antimicrob Agents Chemother. 2006 Oct;50(10):3350-4
J774.1 cells 0.13 µM (IC50) 72 hours Evaluate activity in intracellular infection model Cell Chem Biol. 2020 Feb 20;27(2):172-185. e11
Leishmania donovani intracellular amastigotes 0.9 ± 0.1 µM (EC50) 72 hours Evaluate the antileishmanial activity of (R)-PA-824 against L. donovani intracellular amastigotes Antimicrob Agents Chemother. 2013 Oct;57(10):4699-706
Leishmania donovani promastigotes 0.16 ± 0.03 µM (EC50) 72 hours Evaluate the antileishmanial activity of (R)-PA-824 against L. donovani promastigotes Antimicrob Agents Chemother. 2013 Oct;57(10):4699-706
Leishmania donovani intracellular amastigotes 4.9 ± 0.3 µM (EC50) 72 hours Evaluate the antileishmanial activity of (S)-PA-824 against L. donovani intracellular amastigotes Antimicrob Agents Chemother. 2013 Oct;57(10):4699-706
Leishmania donovani promastigotes 0.9 ± 0.1 µM (EC50) 72 hours Evaluate the antileishmanial activity of (S)-PA-824 against L. donovani promastigotes Antimicrob Agents Chemother. 2013 Oct;57(10):4699-706
Mycobacterium tuberculosis Erdman 2, 10, 50 μg/ml 96 hours To evaluate the activity of PA-824 against Mycobacterium tuberculosis under low-oxygen conditions. Results showed that PA-824 exhibited significant bactericidal activity at 2, 10, and 50 μg/ml, similar to metronidazole. Antimicrob Agents Chemother. 2005 Jun;49(6):2294-301
Mycobacterium tuberculosis H37Rv 0.039-0.531 μg/ml at least 21 days To evaluate the in vitro activity of PA-824 against drug-sensitive and multidrug-resistant Mycobacterium tuberculosis. Results showed that PA-824 was highly active against all tested strains with MIC ≤1 μg/ml. Antimicrob Agents Chemother. 2005 Jun;49(6):2294-301

In Vivo:

Species
Animal Model
Administration Dosage Frequency Description References
BALB/c mice Murine models of tuberculosis Oral 10, 30, 100, 300, or 600 mg/kg 5 days per week for 8 weeks Evaluate the bactericidal effect of PA-824 as monotherapy in murine models of tuberculosis. Results showed that PA-824 exhibited time- and dose-dependent bactericidal activity, but higher doses (300-600 mg/kg) led to the selection of drug-resistant mutants. Antimicrob Agents Chemother. 2015 Jan;59(1):129-35
BALB/c mice M. ulcerans footpad infection model Oral gavage 100 mg/kg 5 times weekly for 4 weeks To assess the efficacy of PA-824 monotherapy in M. ulcerans-infected mice, showing no prevention of mortality or reduction in bacterial load. Antimicrob Agents Chemother. 2006 Jun;50(6):1921-6
BALB/c mice Murine model of tuberculosis Oral 100 mg/kg 5 days a week for 2 months Evaluate the bactericidal and sterilizing activity of PA-824 in combination with moxifloxacin and pyrazinamide, showing that this combination is more effective than the standard regimen. Antimicrob Agents Chemother. 2008 Apr;52(4):1522-4
BALB/c mice Experimental tuberculosis model Oral gavage 100 mg/kg 5 days per week for 6 months To evaluate the bactericidal and sterilizing activity of PA-824 in combination with standard first-line drugs. Results showed that PA-824 alone had significant bactericidal activity over the first 2 months, but its combination with other drugs did not significantly shorten treatment duration or reduce relapse rates. Antimicrob Agents Chemother. 2006 Aug;50(8):2621-5
BALB/c mice Visceral leishmaniasis model Oral 100 mg/kg Twice daily for 5 days Evaluate the efficacy of (R)-PA-824 in the murine model of VL, showing >99% suppression of parasite burden Antimicrob Agents Chemother. 2013 Oct;57(10):4699-706
BALB/c mice Murine model of tuberculosis Oral gavage 12.5 mg/kg/day (MED), 100 mg/kg/day (MBD) Once daily, 5 days/week, for 4 weeks Evaluate the bactericidal activity of PA-824 in a murine model of tuberculosis, determine the minimal effective dose and minimal bactericidal dose Antimicrob Agents Chemother. 2005 Jun;49(6):2289-93
BALB/c mice Murine model of tuberculosis Oral 12.5, 25, 50, 100 mg/kg/day 5 days per week for 2 to 6 months To assess the bactericidal activity of PA-824 in combination with rifampin and/or pyrazinamide. Results showed that PA-824 at 50 and 100 mg/kg/day enhanced the activity of rifampin plus pyrazinamide in a dose-dependent manner. The combination of rifampin, PA-824 (100 mg/kg), and pyrazinamide rendered all mice culture negative after 2 months of treatment and free of relapse after 4 months of treatment. Antimicrob Agents Chemother. 2008 Oct;52(10):3664-8
BALB/c mice Murine model of tuberculosis Oral 144 to 4,608 mg/kg 3, 4, 8, 12, 24, or 48 divided doses over 24 days To evaluate the time-dependent bactericidal activity of PA-824 in a murine model of tuberculosis, results showed that the bactericidal effect of PA-824 was strongly correlated with free drug T>MIC Antimicrob Agents Chemother. 2011 Jan;55(1):239-45
BALB/c mice Non-tuberculous mycobacterial infection model Oral 200 mg/kg Once daily for 28 days Evaluate the in vivo antibacterial activity of PA-824 against four common non-tuberculous mycobacteria. Results showed PA-824 significantly reduced the load of M. abscessus (3.12 and 2.30 log10 CFU reductions in the lungs and spleen, respectively), showed moderate inhibition against M. chelonae and M. fortuitum, but had no inhibitory effect on M. avium. Front Cell Infect Microbiol. 2023 Mar 22;13:1115530
BALB/c mice and nude mice Mouse footpad model Oral 25 mg/kg and 100 mg/kg 4 weeks (5 days/week) PA-824 had no effect on M. leprae in both BALB/c and nude mouse models Antimicrob Agents Chemother. 2006 Oct;50(10):3350-4
Piglets PEDV infection model Oral 25 mg/kg, 50 mg/kg Every 6 hours until 66 hours Evaluating the therapeutic effect of PA-824 in piglets, results showed that PA-824 significantly alleviated clinical signs, intestinal pathological changes, and inflammatory responses. J Virol. 2024 Jul 23;98(7):e0041323
C3HeB/FeJ mice Latent tuberculosis infection model Oral 50 mg/kg 5 times weekly for 2 or 4 months To evaluate the bactericidal and sterilising activities of PA-824 against LTBI, results showed PA-824 had similar bactericidal activity as isoniazid, but all mice relapsed after 4 months of treatment. Int J Antimicrob Agents. 2014 Dec;44(6):564-6
BALB/c mice Murine model of tuberculosis Oral 50 mg/kg 5 days per week for 2-6 months To evaluate the bactericidal and sterilizing activity of PA-824 in combination with other drugs in a murine model of tuberculosis. Results showed that the combination of PA-824 with TMC207 exhibited modest antagonism in bactericidal activity, but the combination of PA-824 with PZA and MXF was superior to the standard first-line regimen. Antimicrob Agents Chemother. 2011 Dec;55(12):5485-92
Mice Mycobacterium tuberculosis infection model Oral gavage 50, 100, 300 mg/kg 9 consecutive days To evaluate the efficacy of PA-824 in a short-course mouse infection model. Results showed that PA-824 exhibited significant antituberculosis activity at all tested doses in a dose-dependent manner. PA-824 at 100 mg/kg in cyclodextrin/lecithin was as active as moxifloxacin at 100 mg/kg and isoniazid at 25 mg/kg and was slightly more active than rifampin at 20 mg/kg. Antimicrob Agents Chemother. 2005 Jun;49(6):2294-301

Clinical Trial:

NCT Number Conditions Phases Recruitment Completion Date Locations
NCT00567840 Pulmonary Tuberculosis PHASE2 COMPLETED 2025-12-07 Tiervlei Trials Center, Stelle... More >>nbosch University, Cape Town, Cape Province, 8000, South Africa|University of Cape Town Lung Institute, Cape Town, Cape Province, South Africa Less <<
NCT04309656 Multi-drug Resistant Tuberculo... More >>sis Less << PHASE1 COMPLETED 2020-02-28 Worldwide Clinical Trials Earl... More >>y Phase Services, LLC, San Antonio, Texas, 78217, United States Less <<
NCT02422524 Tuberculosis PHASE1 TERMINATED 2023-11-17 Saint Louis University Center ... More >>for Vaccine Development, Saint Louis, Missouri, 63104-1015, United States|Duke University School of Medicine - Duke Clinical Research Institute - Duke Clinical Research Unit, Durham, North Carolina, 27710-4000, United States Less <<
NCT03896750 Renal Impairment|Tuberculosis PHASE1 RECRUITING 2025-07-14 Advanced Pharma - Miami, Miami... More >>, Florida, 33147, United States|Saint Louis University Center for Vaccine Development, Saint Louis, Missouri, 63104-1015, United States|Alliance for Multispecialty Research, LLC - Knoxville, Knoxville, Tennessee, 37920, United States Less <<
NCT03202693 Tuberculosis PHASE1 COMPLETED 2025-05-06 Covance Clinical Research Unit... More >>, Madison, Wisconsin, 53704, United States Less <<

Protocol

Bio Calculators
Preparing Stock Solutions 1mg 5mg 10mg

1 mM

5 mM

10 mM

2.78mL

0.56mL

0.28mL

13.92mL

2.78mL

1.39mL

27.83mL

5.57mL

2.78mL

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