Details
Stereochemistry | ACHIRAL |
Molecular Formula | C20H22ClN3O |
Molecular Weight | 355.861 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCN(CC)CC1=CC(NC2=CC=NC3=C2C=CC(Cl)=C3)=CC=C1O
InChI
InChIKey=OVCDSSHSILBFBN-UHFFFAOYSA-N
InChI=1S/C20H22ClN3O/c1-3-24(4-2)13-14-11-16(6-8-20(14)25)23-18-9-10-22-19-12-15(21)5-7-17(18)19/h5-12,25H,3-4,13H2,1-2H3,(H,22,23)
DescriptionCurator's Comment: description was created based on several sources, including
https://www.drugbank.ca/drugs/DB00613 | https://www.drugs.com/international/amodiaquine.html | https://www.ncbi.nlm.nih.gov/pubmed/9825729 | https://www.ncbi.nlm.nih.gov/pubmed/22949374 | https://www.ncbi.nlm.nih.gov/pubmed/18855526
Curator's Comment: description was created based on several sources, including
https://www.drugbank.ca/drugs/DB00613 | https://www.drugs.com/international/amodiaquine.html | https://www.ncbi.nlm.nih.gov/pubmed/9825729 | https://www.ncbi.nlm.nih.gov/pubmed/22949374 | https://www.ncbi.nlm.nih.gov/pubmed/18855526
Amodiaquine is a medication used to treat malaria, including Plasmodium falciparum malaria when uncomplicated. The mechanism of plasmodicidal action of amodiaquine is not completely certain. Like other quinoline derivatives, it is thought to inhibit heme polymerase activity. This results in accumulation of free heme, which is toxic to the parasites. The drug binds the free heme preventing the parasite from converting it to a form less toxic. This drug-heme complex is toxic and disrupts membrane function. The side effects of amodiaquine are generally minor to moderate and are similar to those of chloroquine. Rarely liver problems or low blood cell levels may occur. When taken in excess headaches, trouble seeing, seizures, and cardiac arrest may occur. After oral administration amodiaquine hydrochloride is rapidly absorbed,and undergoes rapid and extensive metabolism to desethylamodiaquine which concentrates in red blood cells. It is likely that desethylamodiaquine, not amodiaquine, is responsible for most of the observed antimalarial activity, and that the toxic effects of amodiaquine after oral administration may in part be due to desethylamodiaquine.
CNS Activity
Curator's Comment: Although in use for more than 40 year, there exists little information regarding the disposition of amodiaquine in man. Chloroquine, a 4-aminoquinoline derivative which resembles amodiaquine structurally, is widely distributed into the body tissues, especially in liver, spleen, kidney, lungs, brain, and spinal cord.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: Heme degradation by glutathione Sources: https://www.ncbi.nlm.nih.gov/pubmed/9825729 |
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Target ID: Heme polymerization |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Coarsucam Approved UseTherapeutic Indication. ARTESUNATE AMODIAQUINE WINTHROP is indicated for the treatment of uncomplicated cases of malaria due to Plasmodium falciparum strains which are susceptible to amodiaquine as well as to artesunate. |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
21 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8983859/ |
10 mg/kg single, oral dose: 10 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
AMODIAQUINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
322 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8983859/ |
10 mg/kg single, intravenous dose: 10 mg/kg route of administration: Intravenous experiment type: SINGLE co-administered: |
AMODIAQUINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
415 mg/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8983859/ |
10 mg/kg single, intravenous dose: 10 mg/kg route of administration: Intravenous experiment type: SINGLE co-administered: |
AMODIAQUINE blood | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
77 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8983859/ |
10 mg/kg single, oral dose: 10 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
AMODIAQUINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8983859/ |
10 mg/kg single, oral dose: 10 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
AMODIAQUINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
10.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8983859/ |
10 mg/kg single, intravenous dose: 10 mg/kg route of administration: Intravenous experiment type: SINGLE co-administered: |
AMODIAQUINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8983859/ |
10 mg/kg single, intravenous dose: 10 mg/kg route of administration: Intravenous experiment type: SINGLE co-administered: |
AMODIAQUINE blood | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
7.9 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20368402/ |
270 mg 1 times / day steady-state, oral dose: 270 mg route of administration: Oral experiment type: STEADY-STATE co-administered: ARTESUNATE |
AMODIAQUINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
73.4 mg 1 times / day multiple, oral (mean) Studied dose Dose: 73.4 mg, 1 times / day Route: oral Route: multiple Dose: 73.4 mg, 1 times / day Sources: |
unhealthy, 17 to 76 years n = 7 Health Status: unhealthy Condition: malaria Age Group: 17 to 76 years Sex: M+F Population Size: 7 Sources: |
Other AEs: Agranulocytosis... |
10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Sources: |
healthy, 18 to 45 years n = 15 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 15 Sources: |
Disc. AE: Hypersensitivity reaction... AEs leading to discontinuation/dose reduction: Hypersensitivity reaction (6.7%) Sources: |
10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Sources: |
healthy, 18 to 45 years n = 7 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 7 Sources: |
Other AEs: Leucopenia, Neutropenia... Other AEs: Leucopenia (grade 1, 14%) Sources: Neutropenia (grade 1, 14%) |
10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Co-administed with:: artesunate(4 mg/kg; single dose) Sources: |
healthy, 18 to 45 years n = 8 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 8 Sources: |
Other AEs: Neutropenia... |
10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Sources: |
healthy, 18 to 45 years n = 8 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 8 Sources: |
Other AEs: Transaminitis... |
45 mg/kg multiple, oral (mean) Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult n = 20 Health Status: unhealthy Condition: onchocerciasis Age Group: adult Sex: M Population Size: 20 Sources: |
Other AEs: Nausea, Vomiting... Other AEs: Nausea (35%) Sources: Vomiting (35%) Lassitude (grade 2, 60%) Diarrhoea (15%) Constipation (10%) Granulocytopenia (15%) |
600 mg 1 times / day multiple, oral Studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, median age 20 years n = 220 Health Status: unhealthy Condition: malaria Age Group: median age 20 years Sex: F Population Size: 220 Sources: |
Other AEs: Weakness generalised, Dizziness... Other AEs: Weakness generalised (84%) Sources: Dizziness (58%) Vomiting (46%) Itching (32%) Nausea (26%) |
71.6 mg 1 times / day multiple, oral (mean) Studied dose Dose: 71.6 mg, 1 times / day Route: oral Route: multiple Dose: 71.6 mg, 1 times / day Sources: |
unhealthy, median age 35 years n = 2 Health Status: unhealthy Condition: malaria Age Group: median age 35 years Sex: M+F Population Size: 2 Sources: |
Other AEs: Hepatotoxicity... |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Agranulocytosis | 73.4 mg 1 times / day multiple, oral (mean) Studied dose Dose: 73.4 mg, 1 times / day Route: oral Route: multiple Dose: 73.4 mg, 1 times / day Sources: |
unhealthy, 17 to 76 years n = 7 Health Status: unhealthy Condition: malaria Age Group: 17 to 76 years Sex: M+F Population Size: 7 Sources: |
|
Hypersensitivity reaction | 6.7% Disc. AE |
10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Sources: |
healthy, 18 to 45 years n = 15 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 15 Sources: |
Leucopenia | grade 1, 14% | 10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Sources: |
healthy, 18 to 45 years n = 7 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 7 Sources: |
Neutropenia | grade 1, 14% | 10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Sources: |
healthy, 18 to 45 years n = 7 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 7 Sources: |
Neutropenia | grade 2, 12% | 10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Co-administed with:: artesunate(4 mg/kg; single dose) Sources: |
healthy, 18 to 45 years n = 8 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 8 Sources: |
Transaminitis | grade 3, 12% | 10 mg/kg 1 times / day single, oral Studied dose Dose: 10 mg/kg, 1 times / day Route: oral Route: single Dose: 10 mg/kg, 1 times / day Sources: |
healthy, 18 to 45 years n = 8 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Population Size: 8 Sources: |
Constipation | 10% | 45 mg/kg multiple, oral (mean) Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult n = 20 Health Status: unhealthy Condition: onchocerciasis Age Group: adult Sex: M Population Size: 20 Sources: |
Diarrhoea | 15% | 45 mg/kg multiple, oral (mean) Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult n = 20 Health Status: unhealthy Condition: onchocerciasis Age Group: adult Sex: M Population Size: 20 Sources: |
Granulocytopenia | 15% | 45 mg/kg multiple, oral (mean) Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult n = 20 Health Status: unhealthy Condition: onchocerciasis Age Group: adult Sex: M Population Size: 20 Sources: |
Nausea | 35% | 45 mg/kg multiple, oral (mean) Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult n = 20 Health Status: unhealthy Condition: onchocerciasis Age Group: adult Sex: M Population Size: 20 Sources: |
Vomiting | 35% | 45 mg/kg multiple, oral (mean) Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult n = 20 Health Status: unhealthy Condition: onchocerciasis Age Group: adult Sex: M Population Size: 20 Sources: |
Lassitude | grade 2, 60% | 45 mg/kg multiple, oral (mean) Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult n = 20 Health Status: unhealthy Condition: onchocerciasis Age Group: adult Sex: M Population Size: 20 Sources: |
Nausea | 26% | 600 mg 1 times / day multiple, oral Studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, median age 20 years n = 220 Health Status: unhealthy Condition: malaria Age Group: median age 20 years Sex: F Population Size: 220 Sources: |
Itching | 32% | 600 mg 1 times / day multiple, oral Studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, median age 20 years n = 220 Health Status: unhealthy Condition: malaria Age Group: median age 20 years Sex: F Population Size: 220 Sources: |
Vomiting | 46% | 600 mg 1 times / day multiple, oral Studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, median age 20 years n = 220 Health Status: unhealthy Condition: malaria Age Group: median age 20 years Sex: F Population Size: 220 Sources: |
Dizziness | 58% | 600 mg 1 times / day multiple, oral Studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, median age 20 years n = 220 Health Status: unhealthy Condition: malaria Age Group: median age 20 years Sex: F Population Size: 220 Sources: |
Weakness generalised | 84% | 600 mg 1 times / day multiple, oral Studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, median age 20 years n = 220 Health Status: unhealthy Condition: malaria Age Group: median age 20 years Sex: F Population Size: 220 Sources: |
Hepatotoxicity | 71.6 mg 1 times / day multiple, oral (mean) Studied dose Dose: 71.6 mg, 1 times / day Route: oral Route: multiple Dose: 71.6 mg, 1 times / day Sources: |
unhealthy, median age 35 years n = 2 Health Status: unhealthy Condition: malaria Age Group: median age 35 years Sex: M+F Population Size: 2 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | yes (co-administration study) Comment: When administered with efavirenz, 125%, 78%, 80%, and 42.15% increase in the Tmax, Cmax AUCT and T1/2 of amodiaquine respectively |
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minor | ||||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
unlikely | unlikely Comment: Since artesunate is mainly metabolized by CYP2A6, drug–drug interaction between artesunate and AQ is unlikely to occur |
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yes |
PubMed
Title | Date | PubMed |
---|---|---|
[Evaluation of efficacy and tolerance of amodiaquine versus chloroquine in the treatment of uncomplicated malaria outbreak in children of Gabon]. | 2001 Aug |
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Synthesis and in vitro and in vivo antimalarial activity of new 4-anilinoquinolines. | 2001 Aug 16 |
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[Resistance of Plasmodium falciparum to 3 antimalarials in Turbo (Antioquia, Colombia), 1998]. | 2001 Jan |
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Evaluation under field conditions of the colourimetric DELI-microtest for the assessment of Plasmodium falciparum drug resistance. | 2001 Jan-Feb |
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Antimalarial drugs exacerbate rat liver microsomal lipid peroxidation in the presence of oxidants. | 2001 Jun |
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Improved assay method for the determination of pyronaridine in plasma and whole blood by high-performance liquid chromatography for application to clinical pharmacokinetic studies. | 2001 Mar 5 |
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[National Network study to perpetuate the surveillance of Plasmodium falciparum sensitivity to antimalarials in Madagascar]. | 2002 |
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[Treatment of malaria in children: 1. Uncomplicated malaria]. | 2002 |
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Therapeutic efficacy of sulfadoxine-pyrimethamine, amodiaquine and the sulfadoxine-pyrimethamine-amodiaquine combination against uncomplicated Plasmodium falciparum malaria in young children in Cameroon. | 2002 |
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Resistance of Plamodium falciparum to antimalarial drugs in Zaragoza (Antioquia, Colombia), 1998. | 2002 Apr |
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[In vivo sensitivity of Plasmodium falciparum to amino-4-quinolines and sulfadoxine pyrimethamine in Agou (Ivory Coast)]. | 2002 Apr |
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Amodiaquine-artesunate versus amodiaquine for uncomplicated Plasmodium falciparum malaria in African children: a randomised, multicentre trial. | 2002 Apr 20 |
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Inhibition of P. falciparum by steroids isolated from Solanum nudum. | 2002 Feb |
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Amodiaquine clearance and its metabolism to N-desethylamodiaquine is mediated by CYP2C8: a new high affinity and turnover enzyme-specific probe substrate. | 2002 Feb |
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[Management of child fever in the battle against malaria in Brazzaville]. | 2002 Mar |
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Cytochrome P450 1A1/2 induction by antiparasitic drugs: dose-dependent increase in ethoxyresorufin O-deethylase activity and mRNA caused by quinine, primaquine and albendazole in HepG2 cells. | 2002 Nov |
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Evaluation of the quality of amodiaquine and sulphadoxine/pyrimethamine tablets sold by private wholesale pharmacies in Dar Es Salaam Tanzania. | 2003 Apr |
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Questions about the antimalarial amodiaquine. | 2003 Apr 5 |
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Epidemiological models for the spread of anti-malarial resistance. | 2003 Feb 19 |
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High-performance liquid chromatographic method for determination of amodiaquine, chloroquine and their monodesethyl metabolites in biological samples. | 2003 Jan 15 |
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Conductometric and indirect AAS determination of antimalarials. | 2003 Mar 26 |
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Chloroquine, sulfadoxine-pyrimethamine and amodiaquine efficacy for the treatment of uncomplicated Plasmodium falciparum malaria in Upper Nile, south Sudan. | 2003 Mar-Apr |
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Isoquine and related amodiaquine analogues: a new generation of improved 4-aminoquinoline antimalarials. | 2003 Nov 6 |
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The efficacy of antimalarial monotherapies, sulphadoxine-pyrimethamine and amodiaquine in East Africa: implications for sub-regional policy. | 2003 Oct |
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Identification of human cytochrome P(450)s that metabolise anti-parasitic drugs and predictions of in vivo drug hepatic clearance from in vitro data. | 2003 Sep |
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The relationship of physico-chemical properties and structure to the differential antiplasmodial activity of the cinchona alkaloids. | 2003 Sep 1 |
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Drug resistant falciparum malaria and the use of artesunate-based combinations: focus on clinical trials sponsored by TDR. | 2003 Sep-Dec |
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[Pyrido [3,2-b]indol-4-yl-amines--synthesis and investigation of activity against malaria]. | 2004 Apr |
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Antimalarial efficacy of sulfadoxine-pyrimethamine, amodiaquine and a combination of chloroquine plus sulfadoxine-pyrimethamine in Bundi Bugyo, western Uganda. | 2004 Apr |
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Efficacy of pyrimethamine-sulfadoxine in young children with uncomplicated falciparum malaria in rural Burkina Faso. | 2004 May 11 |
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A new method for detection of pfmdr1 mutations in Plasmodium falciparum DNA using real-time PCR. | 2004 May 7 |
Patents
Sample Use Guides
For the treatment of acute malarial attacks in non-immune subjects: 600 mg of the base, followed by 200 mg after 6 hours, then 400 mg daily on each of the subsequent two days. Doses may be taken with meals to lessen gastric upset.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/9825729
The FCR3 strain of Plasmodium falciparum was synchronized and cultivated to the trophozoite stage. Synchronized cultures were seeded at the ring stage and allowed to grow for another 20 hr until most parasites reached the trophozoite stage; parasitemia and cell number were determined, and cultures were cultured 6 drug for 1,2,3 and 4 h. One milliliter of culture was washed twice in wash medium (culture medium without plasma, 37°) to remove the drug, and cells were seeded in 24-well culture plates in full culture medium supplemented with 5 mCi/mL of [3H]hypoxanthine. After 4 hr of further cultivation, triplicate samples were transferred into 96-well plates, and parasiteassociated radioactivity was determined using the Filtermate/Matrix 96 Direct Beta counter. Inhibition of parasite growth was calculated compared to untreated controls.
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Classification Tree | Code System | Code | ||
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WHO-ESSENTIAL MEDICINES LIST |
6.5.3.1
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LIVERTOX |
NBK548404
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NCI_THESAURUS |
C271
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WHO-ATC |
P01BA06
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WHO-ESSENTIAL MEDICINES LIST |
6.5.3.1 (ART/AMO)
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WHO-ATC |
P01BF03
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D000655
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201-669-3
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2674
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SUB05470MIG
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13453
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AMODIAQUINE
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PRIMARY | Description: A yellow, crystalline powder; odourless. Solubility: Practically insoluble in water. Category: Antimalarial drug. Storage: Amodiaquine should be kept in a tightly closed container. Definition: Amodiaquine contains not less than 97.0% and not more than 103.0% of C20H22ClN3O, calculated with reference to the anhydrous substance. | ||
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2165
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DB00613
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CHEMBL682
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220236ED28
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C65231
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DTXSID2022597
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100000089876
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186
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720
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1116
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7457
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m1839
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AMODIAQUINE
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86-42-0
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ACTIVE MOIETY
METABOLITE (PARENT)
METABOLITE ACTIVE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)