Details
Stereochemistry | UNKNOWN |
Molecular Formula | C30H32Cl3NO |
Molecular Weight | 528.94 |
Optical Activity | ( - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCCCN(CCCC)CC(O)C1=CC(Cl)=CC2=C1C3=CC=C(Cl)C=C3\C2=C\C4=CC=C(Cl)C=C4
InChI
InChIKey=DYLGFOYVTXJFJP-MYYYXRDXSA-N
InChI=1S/C30H32Cl3NO/c1-3-5-13-34(14-6-4-2)19-29(35)28-18-23(33)17-27-25(15-20-7-9-21(31)10-8-20)26-16-22(32)11-12-24(26)30(27)28/h7-12,15-18,29,35H,3-6,13-14,19H2,1-2H3/b25-15-
DescriptionCurator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB06708
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7866ec19-dfac-47d4-a53f-511a12643cbf
Curator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB06708
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7866ec19-dfac-47d4-a53f-511a12643cbf
Lumefantrine is an antimalarial agent used to treat acute uncomplicated malaria. It is administered in combination with artemether for improved efficacy (Coartem tablets). Lumefantrine is a blood schizonticide active against erythrocytic stages of Plasmodium falciparum. The exact mechanism by which lumefantrine exerts its antimalarial effect is unknown. The most common adverse reactions of Coartem in adults are headache, anorexia, dizziness, asthenia, arthralgia and myalgia.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: Hemin |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Curative | COARTEM Approved UseCoartem (artemether/lumefantrine) Tablets are indicated for treatment of acute, uncomplicated malaria infections due to Plasmodium falciparum in patients of 5 kg bodyweight and above. Coartem Tablets have been shown to be effective in geographical regions where resistance to chloroquine has been reported [see Clinical Studies (14.1) Launch Date2009 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6.2 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10681341/ |
480 mg 1 times / day multiple, oral dose: 480 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LUMEFANTRINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
356 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10681341/ |
480 mg 1 times / day multiple, oral dose: 480 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LUMEFANTRINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10681341/ |
480 mg 1 times / day multiple, oral dose: 480 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LUMEFANTRINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.3% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/10681341/ |
480 mg 1 times / day multiple, oral dose: 480 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LUMEFANTRINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
240 mg 3 times / day multiple, oral Recommended Dose: 240 mg, 3 times / day Route: oral Route: multiple Dose: 240 mg, 3 times / day Co-administed with:: artemether(40 mg; PO; 4D1+2D2) Sources: Page: A2403 |
unhealthy, 2 n = 310 Health Status: unhealthy Condition: malaria Age Group: 2 Sex: M+F Population Size: 310 Sources: Page: A2403 |
Disc. AE: Urticaria... AEs leading to discontinuation/dose reduction: Urticaria (grade 3-4) Sources: Page: A2403 |
480 mg 3 times / day multiple, oral Recommended Dose: 480 mg, 3 times / day Route: oral Route: multiple Dose: 480 mg, 3 times / day Co-administed with:: artemether(80 mg; PO; 4D1+2D2) Sources: Page: A028 |
unhealthy, 25 n = 115 Health Status: unhealthy Condition: malaria Age Group: 25 Sex: M+F Population Size: 115 Sources: Page: A028 |
Disc. AE: Abdominal pain... Other AEs: Dyspnea, Pulmonary edema... AEs leading to discontinuation/dose reduction: Abdominal pain (grade 1-2, uncommon) Other AEs:Dyspnea (grade 3-4, uncommon) Sources: Page: A028Pulmonary edema (grade 3-4, uncommon) |
240 mg 3 times / day multiple, oral Recommended Dose: 240 mg, 3 times / day Route: oral Route: multiple Dose: 240 mg, 3 times / day Co-administed with:: artemether(40 mg; PO; 4D1+2D2) Sources: Page: B2303 |
unhealthy, 3 n = 447 Health Status: unhealthy Condition: malaria Age Group: 3 Sex: M+F Population Size: 447 Sources: Page: B2303 |
Disc. AE: Vomiting, Urticaria... AEs leading to discontinuation/dose reduction: Vomiting (grade 3-4, most common) Sources: Page: B2303Urticaria (grade 3-4) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Urticaria | grade 3-4 Disc. AE |
240 mg 3 times / day multiple, oral Recommended Dose: 240 mg, 3 times / day Route: oral Route: multiple Dose: 240 mg, 3 times / day Co-administed with:: artemether(40 mg; PO; 4D1+2D2) Sources: Page: A2403 |
unhealthy, 2 n = 310 Health Status: unhealthy Condition: malaria Age Group: 2 Sex: M+F Population Size: 310 Sources: Page: A2403 |
Abdominal pain | grade 1-2, uncommon Disc. AE |
480 mg 3 times / day multiple, oral Recommended Dose: 480 mg, 3 times / day Route: oral Route: multiple Dose: 480 mg, 3 times / day Co-administed with:: artemether(80 mg; PO; 4D1+2D2) Sources: Page: A028 |
unhealthy, 25 n = 115 Health Status: unhealthy Condition: malaria Age Group: 25 Sex: M+F Population Size: 115 Sources: Page: A028 |
Dyspnea | grade 3-4, uncommon | 480 mg 3 times / day multiple, oral Recommended Dose: 480 mg, 3 times / day Route: oral Route: multiple Dose: 480 mg, 3 times / day Co-administed with:: artemether(80 mg; PO; 4D1+2D2) Sources: Page: A028 |
unhealthy, 25 n = 115 Health Status: unhealthy Condition: malaria Age Group: 25 Sex: M+F Population Size: 115 Sources: Page: A028 |
Pulmonary edema | grade 3-4, uncommon | 480 mg 3 times / day multiple, oral Recommended Dose: 480 mg, 3 times / day Route: oral Route: multiple Dose: 480 mg, 3 times / day Co-administed with:: artemether(80 mg; PO; 4D1+2D2) Sources: Page: A028 |
unhealthy, 25 n = 115 Health Status: unhealthy Condition: malaria Age Group: 25 Sex: M+F Population Size: 115 Sources: Page: A028 |
Vomiting | grade 3-4, most common Disc. AE |
240 mg 3 times / day multiple, oral Recommended Dose: 240 mg, 3 times / day Route: oral Route: multiple Dose: 240 mg, 3 times / day Co-administed with:: artemether(40 mg; PO; 4D1+2D2) Sources: Page: B2303 |
unhealthy, 3 n = 447 Health Status: unhealthy Condition: malaria Age Group: 3 Sex: M+F Population Size: 447 Sources: Page: B2303 |
Urticaria | grade 3-4 Disc. AE |
240 mg 3 times / day multiple, oral Recommended Dose: 240 mg, 3 times / day Route: oral Route: multiple Dose: 240 mg, 3 times / day Co-administed with:: artemether(40 mg; PO; 4D1+2D2) Sources: Page: B2303 |
unhealthy, 3 n = 447 Health Status: unhealthy Condition: malaria Age Group: 3 Sex: M+F Population Size: 447 Sources: Page: B2303 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: (ClinPharm) 30, (PMDA_I100_1 in Japanese) 38 |
no [IC50 >2.0 uM] | |||
Page: (ClinPharm) 30, (PMDA_I100_1 in Japanese) 38 |
no [IC50 >2.0 uM] | |||
Page: (ClinPharm) 30, (PMDA_I100_1 in Japanese) 38 |
no [IC50 >2.0 uM] | |||
Page: (ClinPharm) 30, (PMDA_I100_1 in Japanese) 38 |
no [IC50 >2.0 uM] | |||
Page: (ClinPharm) 30, (PMDA_I100_1 in Japanese) 38 |
no [IC50 >2.0 uM] | |||
Page: (ClinPharm) 30, (PMDA_I100_1 in Japanese) 38 |
no [IC50 >2.0 uM] | |||
Page: (ClinPharm) 30, (PMDA_I100_1 in Japanese) 38 |
no [IC50 >2.0 uM] | |||
Sources: https://www.pmda.go.jp/drugs/2016/P20161222001/300242000_22800AMX00727_I100_1.pdf#page=250 Page: (PMDA_I100_1 in Japanese) 250 |
no | |||
Sources: https://www.pmda.go.jp/drugs/2016/P20161222001/300242000_22800AMX00727_I100_1.pdf#page=250 Page: (PMDA_I100_1 in Japanese) 38, 250 |
no | |||
Sources: https://www.pmda.go.jp/drugs/2016/P20161222001/300242000_22800AMX00727_I100_1.pdf#page=250 Page: (PMDA_I100_1 in Japanese) 38, 250 |
no | |||
Sources: https://www.pmda.go.jp/drugs/2016/P20161222001/300242000_22800AMX00727_I100_1.pdf#page=250 Page: (PMDA_I100_1 in Japanese) 38, 250 |
no | |||
Sources: https://www.pmda.go.jp/drugs/2016/P20161222001/300242000_22800AMX00727_I100_1.pdf#page=250 Page: (PMDA_I100_1 in Japanese) 38, 250 |
no | |||
Sources: https://www.pmda.go.jp/drugs/2016/P20161222001/300242000_22800AMX00727_I100_1.pdf#page=250 Page: (PMDA_I100_1 in Japanese) 38, 250 |
no | |||
Sources: https://www.pmda.go.jp/drugs/2016/P20161222001/300242000_22800AMX00727_I100_1.pdf#page=250 Page: (PMDA_I100_1 in Japanese) 38, 250 |
no | |||
Page: (ClinPharm) 2, 11, 30, (PMDA_I100_1 in Japanese) 38, 248-249 |
yes [IC50 0.997 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: (ClinPharm) 7, 9, 11, 21, (PMDA_K100_1 in Japanese) 61 |
major | yes (co-administration study) Comment: Human liver microsomes, Recombinant CYP3A4; Modest changes (<2.5-fold increase) in systemic exposure were observed with inhibitors or substrates of CYP3A4 including ketoconazole, mefloquine or quinine. The concentrations seen in the ketoconazole drug interaction study were within the range of systemic concentrations of Coartem seen in malaria patients in Phase III efficacy and safety studies. The concurrent oral administration of ketoconazole (400 mg on Day 1 followed by 200 mg on days 2,3, 4 and 5) with co-artemether (single dose of 4 tablets of 20 mg artemether/120 mg lumefantrine) led to a modest increase in lumefantrine (1.3-fold (Cmax), 1.6-fold (AUClast)) exposure in healthy subjects. Page: (ClinPharm) 7, 9, 11, 21, (PMDA_K100_1 in Japanese) 61 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 77.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Antimalarial drugs: QT prolongation and cardiac arrhythmias. | 2005 May |
|
In vitro sensitivities of Plasmodium falciparum to different antimalarial drugs in Uganda. | 2010 Mar |
|
In vitro activity of antiretroviral drugs against Plasmodium falciparum. | 2011 Nov |
|
Synthesis of novel 6-phenyl-2,4-disubstituted pyrimidine-5-carbonitriles as potential antimicrobial agents. | 2011 Sep |
|
A SYBR Green 1-based in vitro test of susceptibility of Ghanaian Plasmodium falciparum clinical isolates to a panel of anti-malarial drugs. | 2013 Dec 17 |
|
Ex vivo responses of Plasmodium falciparum clinical isolates to conventional and new antimalarial drugs in Niger. | 2013 Jul |
|
Synthesis and antimalarial efficacy of two-carbon-linked, artemisinin-derived trioxane dimers in combination with known antimalarial drugs. | 2013 Mar 28 |
|
Breakdown of phosphatidylserine asymmetry following treatment of erythrocytes with lumefantrine. | 2014 Feb 20 |
|
In vitro and in vivo combination of cepharanthine with anti-malarial drugs. | 2014 Mar 12 |
Patents
Sample Use Guides
Tablets should be administered over 3 days for a total of 6 doses: an initial dose, second dose after 8 hours and then twice-daily (morning and evening) for the following 2 days. The adult dosage for patients with bodyweight of 35 kg and above is 4 tablets per dose for a total of 6 doses. Tablets are scored and contain 20 mg rtemether and 120 mg lumefantrine.
Route of Administration:
Oral
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pubmed/10497987
IC90 is higher in Plasmodium falciparum strain T-996 compared with strain LS-21: for Lumefantrine 293.03 and 95.61 nmol/L (154.69 and 50.47 ng/ml of EMM).
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120583-71-3
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01NP22J3SV
Created by
admin on Sat Dec 16 09:15:10 GMT 2023 , Edited by admin on Sat Dec 16 09:15:10 GMT 2023
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SUBSTANCE RECORD