"The US Food and Drug Administration (FDA) has approved the tumor necrosis factor inhibitor adalimumab (Humira, AbbVie) for the treatment of moderate to severe hidradenitis suppurativa (HS), making it the first and only FDA-approved therapy"...
DALVANCE (dalbavancin) for injection is a lipoglycopeptide synthesized from a fermentation product of Nonomuraea species.
Dalbavancin is a mixture of five closely related active homologs (A0, A1, B0, B1, and B2); the component B0 is the major component of dalbavancin. The homologs share the same core structure and differ in the fatty acid side chain of the N-acylaminoglucuronic acid moiety (R1) structure and/or the presence of an additional methyl group (R2) on the terminal amino group (shown in the Figure 1 and Table 3 below).
Figure 1: Dalbavancin Structural Formula
Table 3: Substitution Patterns for Dalbavancin API
|Dalbavancin||R1||R2||Molecular Formula||Molecular Weight*|
|A0||CH(CH3)2||H||C87H98N10O28Cl2 • 1.6 HCl||1802.7|
|A1||CH2CH2CH3||H||C87H98N10O28Cl2 • 1.6 HCl||1802.7|
|B0||CH2CH(CHs)2||H||C88H100N10O28O2 • 1.6 HCl||1816.7|
|B1||CH2CH2CH3||H||C88H100N10O28Cl2 • l.6 HCl||1816.7|
|B2||CH2CH(CHs)2||CH3||C89H102N10O28Cl2 • 1.6 HCl||1830.7|
|*Anhydrous free base|
The B0 INN chemical name is: 5,31-dichloro-38-de(methoxycarbonyl)-7-demethyl-19-deoxy-56-O-[2-deoxy-2-[(10-methylundecanoyl)amino]-β-D-glucopyranuronosyl]-38-[[3-(dimethylamino)propyl] carbamoyl]-42-O-α-D-mannopyranosyl-15-N-methyl(ristomycin A aglycone) hydrochloride.
DALVANCE is supplied in clear glass vials as a sterile, lyophilized, preservative-free, white to off-white to pale yellow solid. Each vial contains dalbavancin HCl equivalent to 500 mg of dalbavancin as the free base, plus lactose monohydrate (129 mg) and mannitol (129 mg) as excipients. Sodium hydroxide or hydrochloric acid may be added to adjust the pH at the time of manufacture. The powder is to be reconstituted and further diluted for IV infusion [see DOSAGE AND ADMINISTRATION, HOW SUPPLIED/Storage and Handling].
Last reviewed on RxList: 1/28/2016
This monograph has been modified to include the generic and brand name in many instances.
Additional Dalvance Information
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
Find out what women really need.