April 30, 2017
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"The European Medicines Agency (EMA) Committee for Medicinal Products for Human Use (CHMP) has recommended approval of dalbavancin 500 mg (Xydalba, Durata Therapeutics) for acute bacterial skin and skin structure infections (ABSSSI) in ad"...



(dalbavancin) Injection


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

DALVANCE (dalbavancin) Structural Formula Illustration

Table 3: Substitution Patterns for Dalbavancin API Homologs

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.

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