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Lumefantrine (Benflumetol) Sale

(Synonyms: 苯芴醇; Benflumetol) 目录号 : GC32152

An antimalarial drug

Lumefantrine (Benflumetol) Chemical Structure

Cas No.:82186-77-4

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产品描述

Lumefantrine is an antimalarial drug that is used in combination with artemether .1 The pairing of lumefantrine and artemether is a major form of oral artemisinin combination therapy used against uncomplicated P. falciparum malaria.2,3 Lumefantrine also blocks the rapidly activating delayed-rectifier potassium channel (IKr; IC50 = 8.1 ?M).4

1.Pascual, A., Parola, P., Benoit-Vical, F., et al.Ex vivo activity of the ACT new components pyronaridine and piperaquine in comparison with conventional ACT drugs against isolates of Plasmodium falciparumMalar. J.11(2012) 2.Askling, H.H., Bruneel, F., Burchard, G., et al.Management of imported malaria in EuropeMalar. J.11(2012) 3.Mayxay, M., Khanthavong, M., Chanthongthip, O., et al.Efficacy of artemether-lumefantrine, the nationally-recommended artemisinin combination for the treatment of uncomplicated falciparum malaria, in southern LaosMalar. J.11184(2012) 4.Du, L.P., Tsai, K.C., Li, M.Y., et al.The pharmacophore hypotheses of IKr potassium channel blockers: Novel class III antiarrhythmic agentsBioorg. Med. Chem. Lett.14(18)4771-4777(2004)

Chemical Properties

Cas No. 82186-77-4 SDF
别名 苯芴醇; Benflumetol
Canonical SMILES OC(CN(CCCC)CCCC)C1=CC(Cl)=CC(/C2=C\C3=CC=C(Cl)C=C3)=C1C4=C2C=C(Cl)C=C4
分子式 C30H32Cl3NO 分子量 528.94
溶解度 DMSO : 2 mg/mL (3.78 mM);Water : < 0.1 mg/mL (insoluble) 储存条件 Store at -20°C
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Research Update

Pharmacodynamic interaction between Lumefantrine and desbutyl-benflumetol in Plasmodium falciparum in vitro

Wien Klin Wochenschr 2010 Oct;122 Suppl 3:61-5.PMID:20924691DOI:10.1007/s00508-010-1459-1.

The pharmacodynamic interaction between Lumefantrine and monodesbutyl-benflumetol has been investigated in 44 fresh isolates of patients with a Plasmodium falciparum infection from the region of Mae Sot (Thailand). Both substances proved to be effective against parasite maturation within the test concentration range, with monodesbutyl-benflumetol being effective at a lower concentration than Lumefantrine. Synergism between the two substances was evaluated with a combination of Lumefantrine and monodesbutyl-benflumetol at a ratio of 4.25:1. The geometric mean values for complete inhibition of schizont maturation were 1035.7 nM for Lumefantrine, 655 nM for monodesbutyl-benflumetol and 222.5 nM for the combination of both. An analysis for interaction according to the method of Berenbaum indicates a moderate synergism at the IC(50), which gets stronger with increasing ICs and reaches the highest level at the IC(99). The geometric mean of the sums of the FIC(50) is 0.73, of the FIC(90) it is 0.37 and of the FIC(99) it is 0.25.

Specific pharmacokinetic interaction between Lumefantrine and monodesbutyl-benflumetol in Plasmodium falciparum

Wien Klin Wochenschr 2007;119(19-20 Suppl 3):60-6.PMID:17987360DOI:10.1007/s00508-007-0861-9.

The blood schizontocidal activity of Lumefantrine, monodesbutyl-benflumetol (DBB) and a 999:1 combination of both compounds has been investigated in 26 fresh isolates of Plasmodium falciparum from northwestern Thailand, using the WHO standard protocol Mark II for determining the inhibition of schizont maturation. The geometric mean cut-off concentrations of schizont maturation (GMCOC) were 943.2 nM for Lumefantrine, 146.3 nM for DBB and 182.2 nM for the 999:1 combination of Lumefantrine and DBB. The EC(50) values were 27.3 nM for Lumefantrine, 5.7 nM for DBB, and 16.5 nM for the combination, and the EC(90) values 163.1 nM for Lumefantrine, 44.1 nM for DBB, and 78.3 nM for the combination. Despite the very low concentration in the combination, DBB exerted significant synergistic activity with Lumefantrine that was strongest at the EC(90) and EC(99) levels. Correlation analysis indicates that DBB is the leading determinant for the activity of the combination.

In vitro activity of Lumefantrine (Benflumetol) against clinical isolates of Plasmodium falciparum in Yaoundé, Cameroon

Antimicrob Agents Chemother 1998 Sep;42(9):2347-51.PMID:9736561DOI:10.1128/AAC.42.9.2347.

The in vitro antimalarial activity of the new Chinese synthetic drug, lumefantrine, also known as benflumetol (a fluorene derivative belonging to the aminoalcohol class), was determined by an isotopic microtest against 61 fresh clinical isolates of Plasmodium falciparum and compared with that of other established antimalarial agents. The geometric mean 50% inhibitory concentration of lumefantrine was 11.9 nmol/liter (95% confidence intervals, 10.4 to 13.6 nmol/liter; range, 3.3 to 25.6 nmol/liter). The in vitro activities of lumefantrine against the chloroquine-sensitive and the chloroquine-resistant isolates did not differ (P > 0.05). There was a significant positive correlation of responses between lumefantrine and two other aminoalcohols studied, mefloquine (r = 0.688) and halofantrine (r = 0.677), and between lumefantrine and artesunate (r = 0.420), suggesting a potential for in vitro cross-resistance. Our data suggest high in vitro activity of lumefantrine, comparable to that of mefloquine, and are in agreement with the promising results of preliminary clinical trials.

Interaction between Lumefantrine and monodesbutyl-benflumetol in Plasmodium falciparum in vitro

Wien Klin Wochenschr 2008;120(19-20 Suppl 4):85-9.PMID:19066780DOI:10.1007/s00508-008-1080-8.

The pharmacodynamic interaction between Lumefantrine and its monodesbutyl analogue (DBB) has been investigated in 35 fresh isolates of Plasmodium falciparum. Both compounds showed highly significant activity correlation. The geometric mean values for complete inhibition of schizont maturation (GMCOC) were 536,8 nM for Lumefantrine, 246.0 nM for DBB, 235,5 nM for LUM-DBB 999:1, and 155,2 nM for LUM-DBB 995:5, with significant activity differences between Lumefantrine and DBB as well as the LUM-DBB combinations. For the combination of Lumefantrine and DBB 995:5 the sums of the fractional inhibitory concentrations according to Berenbaum (SFIC) indicated marked synergism, the intensity of interaction rising with the effective inhibitory concentrations.

Comparative study on the in vitro activity of Lumefantrine and desbutyl-benflumetol in fresh isolates of Plasmodium vivax from Thailand

Wien Klin Wochenschr 2004;116 Suppl 4:47-52.PMID:15683043doi

The occurrence of chloroquine resistance in Plasmodium vivax underlines the need for monitoring the drug response of this important malaria parasite and for the evaluation of alternative therapeutic agents. In-vitro methods facilitate these tasks. This investigation employed a recently developed in-vitro micro-technique and validated it for Lumefantrine and desbutyl-benflumetol, a compound that was initially considered a metabolite of Lumefantrine. The studies were conducted in 2001 at Mae Sot, a town situated in northwestern Thailand near the border to Myanmar. Parallel in-vitro tests with Lumefantrine and desbutyl-benflumetol were carried out with 53 fresh isolates of P. vivax. For both compounds, the parasite showed a homogenous, log-normal inhibition pattern with nearly parallel log-probit regressions. The geometric mean drug concentrations effecting complete growth inhibition were 2361 nM for Lumefantrine and 187 nM for desbutyl-benflumetol. With p=3.264 x 10(-18) the difference was highly significant. The EC50 and EC90 values for Lumefantrine, 17.6 nM and 448.5 nM, respectively, were much higher as compared to those determined for desbutyl-benflumetol, with 1.5 nM and 39.7 nM. This difference expressed itself in a highly significant Power Ratio (PR) of 11.0. The activity of desbutyl-benflumetol in P. vivax exceeds that of Lumefantrine by one order of magnitude, suggesting a high, hitherto unexploited therapeutic potential of desbutyl-benflumetol.