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Artemotil (β-Arteether) Sale

(Synonyms: 蒿乙醚; β-Arteether; (+)-Arteether; Arteether) 目录号 : GC32205

An antimalarial compound

Artemotil (β-Arteether) Chemical Structure

Cas No.:75887-54-6

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10mM (in 1mL DMSO)
¥132.00
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5mg
¥120.00
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10mg
¥170.00
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50mg
¥660.00
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100mg
¥920.00
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产品描述

Arteether is a derivative of the antimalarial drug artemisinin . Arteether inhibits P. falciparum with an IC50 value of 1.27 nM in vitro.1 It is effective against various strains of P. berghei in mice with ED90 values of 0.5-8.2 nM.

1.Brossi, A., Venugopalan, B., Dominguez Gerpe, L., et al.Arteether, a new antimalarial drug: Synthesis and antimalarial propertiesJ. Med. Chem.31(3)645-650(1988)

Chemical Properties

Cas No. 75887-54-6 SDF
别名 蒿乙醚; β-Arteether; (+)-Arteether; Arteether
Canonical SMILES C[C@@H]1[C@@](CC[C@@H](C)[C@]2([H])CC[C@]3(C)O4)([H])[C@@]2(OO3)[C@]4([H])O[C@@H]1OCC
分子式 C17H28O5 分子量 312.4
溶解度 DMSO : 50 mg/mL (160.05 mM);Water : < 0.1 mg/mL (insoluble) 储存条件 Store at -20°C
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1 mM 3.201 mL 16.0051 mL 32.0102 mL
5 mM 0.6402 mL 3.201 mL 6.402 mL
10 mM 0.3201 mL 1.6005 mL 3.201 mL
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Research Update

Artemotil Artecef

Curr Opin Investig Drugs 2002 Apr;3(4):545-9.PMID:12090721doi

The ethyl ether derivative of artemesinin, Artemotil, has been developed by Artecef for the potential treatment of malaria. Adult and pediatric intramuscular formulations of the product were filed for approval in The Netherlands in January 1997 [236187]; registration for the two formulations followed in May 2000 [401672].

[Three newly registered drugs in the Netherlands for the treatment and chemoprophylaxis of malaria: atovaquone-proguanil, artemether-lumefantrine and Artemotil]

Ned Tijdschr Geneeskd 2003 Feb 15;147(7):291-5.PMID:12622006doi

Three new antimalarial drugs have recently been registered in the Netherlands: atovaquone-proguanil, artemether-lumefantrine and Artemotil. These drugs are effective against parasites with multiple resistance. Atovaquone-proguanil and artemether-lumefantrine seem in practice to be equivalent for the treatment of non-severe Plasmodium falciparum infections for respectively persons of more than 11 kg and persons aged 12 years and older (35 kg). Artemotil (intramuscular injection) is registered for the treatment of severe malaria in children up to 17 years of age. Atovaquone-proguanil is also registered for prophylactic use in adults. The intravenous administration of quinine is preferable in the case of seriously ill patients. In patients with non-severe malaria for whom parenteral treatment is indicated, Artemotil is a good alternative for quinine.

Dose-finding and efficacy study for i.m. Artemotil (beta-arteether) and comparison with i.m. artemether in acute uncomplicated P. falciparum malaria

Br J Clin Pharmacol 2002 May;53(5):492-500.PMID:11994055DOI:10.1046/j.1365-2125.2002.01590.x.

Aims: The antimalarial efficacy/pharmacodynamics and pharmacokinetics of intramuscular (i.m.) Artemotil in Thai patients with acute uncomplicated falciparum malaria were studied to determine effective dose regimens and to compare these with the standard dose regimen of artemether. Methods: In part I of the study three different Artemotil dose regimens were explored in three groups of 6-9 patients for dose finding: 3.2 mg kg-1 on day 0 and 1.6 mg kg-1 on days 1-4 (treatment A), 1.6 mg kg-1 on day 0 and 0.8 mg kg-1 on days 1-4 (treatment B), 3.2 mg kg-1 on day 0 and 0.8 mg kg-1 on days 1-4 (treatment C). In part II of the study, Artemotil treatments A and C were compared in three groups of 20-22 patients with standard i.m. artemether treatment: 3.2 mg kg-1 on day 0 and 0.8 mg kg-1 on days 1-4 (treatment R). Results: Full parasite clearance was achieved in all patients in Part I, but parasite clearance time (PCT) and fever clearance time (FCT) tended to be longer in treatment B. Also the incidence of recrudescence before day 28 (RI) tended to be higher for treatment B. In part II, the mean PCT for each of the two Artemotil treatments (52 and 55 h, respectively) was significantly longer than for artemether (43 h). The 95% CI for the difference A vs R was 0, 16 h (P=0.0408) and for difference C vs R it was 2, 19 h (P=0.0140). FCT was similar for the three treatments. The incidence of RI ranged from 5 out of 19 for treatment C to 3 out of 20 for treatment R. Plasma concentration-time profiles of Artemotil indicated an irregular and variable rate of absorption after i.m. injection. A late onset of parasite clearance was associated with delayed absorption and/or very low initial Artemotil plasma concentrations. Pharmacokinetic-pharmacodynamic evaluations supported a relationship between the rate of parasite clearance and exposure to Artemotil during approximately the first 2 days of treatment, and suggested that Artemotil has a slower rate of absorption than artemether. Safety assessment, including neurological and audiometric examinations showed no clinically relevant findings. Adverse events before and during treatment included headache, dizziness, nausea, vomiting and abdominal pain. These are characteristic of acute malaria infections and resolved during treatment. Conclusions: The optimum dose regimen for Artemotil in this study was identical to the standard dose regimen of artemether. The findings that Artemotil is more slowly absorbed from the i.m. injection site than artemether, and that early systemic availability may be insufficient for an immediate onset of parasite clearance contributed to the decision to choose a higher loading dose of Artemotil (divided over two injection sites) and to omit the fifth dose in later studies. With this optimized dosing schedule, the more pronounced depot characteristics of i.m. Artemotil can be an advantage, since it may allow shorter hospitalization.

A randomized controlled trial of Artemotil (beta-arteether) in Zambian children with cerebral malaria

Am J Trop Med Hyg 2000 Apr;62(4):524-9.PMID:11220772DOI:10.4269/ajtmh.2000.62.524.

The efficacy and safety of intramuscular Artemotil (ARTECEF) was compared to intravenous quinine in African children with cerebral malaria. This prospective block randomized open-label study was conducted at two centers in Zambia. Subjects were children aged 0 to 10 years of age with cerebral malaria and a Blantyre Coma Score of 2 or less. Ninety two children were studied; 48 received Artemotil and 44 quinine. No significant differences in survival, coma resolution time, neurologic sequelae, parasite clearance time, and fever resolution time were seen between the two regimens. Rates for negative malaria smears one month after therapy were similar in both groups. Artemotil was a well-tolerated drug in the 48 patients in this study. It appears to be at least therapeutically equivalent to quinine for the treatment of pediatric cerebral malaria. It has the advantage of being able to be given intramuscularly once daily for only five days.

Management of malaria in Thailand

Korean J Parasitol 2002 Mar;40(1):1-7.PMID:11949208DOI:10.3347/kjp.2002.40.1.1.

The purpose of treatment for uncomplicated malaria is to produce a radical cure using the combination of: artesunate (4 mg/kg/day) plus mefloquine (8 mg/kg day) for 3 days: a fixed dose of artemether and lumefantrine (20/120 mg tablet) named Coartem (4 tablets twice a day for three days for adults weighing more than 35 kg): quinine 10 mg/kg 8-hourly plus tetracycline 250 mg 6-hourly for 7 days (or doxycycline 200 mg as an alternative to tetracycline once a day for 7 days) in patients aged 8 years and over: Malarone (in adult 4 tablets daily for 3 days). In treating severe malaria, early diagnosis and treatment with a potent antimalarial drug is recommended to save the patient's life. The antimalarial drugs of choice are: intravenous quinine or a parenteral form of an artemisinin derivative (artesunate i.v./i.m. for 2.4 mg/kg followed by 1.2 mg/kg injection at 12 and 24 hr and then daily for 5 dayss; artemether i.m. 3.2 mg/kg injection followed by 1.6 mg/kg at 12 and 24 hrs and then daily for 5 days; artemether i.m. (Artemotil) with the same dose of artemether or artesunate suppository (5 mg/kg) given rectally 12 hourly for 3 days. Oral artemisinin derivatives (artesunate, artemether, and dihydroartemisinin with 4 mg/kg/day) could replace parenteral forms when patients can tolerate oral medication. Oral mefloquine (25 mg/kg divided into two doses 8 hrs apart) should be given at the end of the artemisinin treatment course to reduce recrudescence.