Details
Stereochemistry | ACHIRAL |
Molecular Formula | C20H22ClN3O.2ClH.2H2O |
Molecular Weight | 464.814 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
O.O.Cl.Cl.CCN(CC)CC1=CC(NC2=CC=NC3=C2C=CC(Cl)=C3)=CC=C1O
InChI
InChIKey=YVNAYSHNIILOJS-UHFFFAOYSA-N
InChI=1S/C20H22ClN3O.2ClH.2H2O/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);2*1H;2*1H2
Molecular Formula | ClH |
Molecular Weight | 36.461 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C20H22ClN3O |
Molecular Weight | 355.861 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | H2O |
Molecular Weight | 18.0153 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
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 |
---|---|---|---|---|
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 |
|
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 |
|
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 |
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 |
---|---|---|---|---|
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 |
|
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 |
|
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 |
|
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 |
Doses
Dose | Population | Adverse events |
---|---|---|
73.4 mg 1 times / day multiple, oral 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 Health Status: unhealthy Age Group: 17 to 76 years Sex: M+F 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 Health Status: healthy Age Group: 18 to 45 years Sex: M+F 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 Sources: |
healthy, 18 to 45 years Health Status: healthy Age Group: 18 to 45 years Sex: M+F 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 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Sources: |
Other AEs: Transaminitis... |
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 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Sources: |
Disc. AE: Hypersensitivity reaction... AEs leading to discontinuation/dose reduction: Hypersensitivity reaction (6.7%) Sources: |
45 mg/kg multiple, oral Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult |
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 Health Status: unhealthy Age Group: median age 20 years Sex: F 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 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 Health Status: unhealthy Age Group: median age 35 years Sex: M+F Sources: |
Other AEs: Hepatotoxicity... |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Agranulocytosis | 73.4 mg 1 times / day multiple, oral 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 Health Status: unhealthy Age Group: 17 to 76 years Sex: M+F 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 Health Status: healthy Age Group: 18 to 45 years Sex: M+F 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 Health Status: healthy Age Group: 18 to 45 years Sex: M+F 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 Sources: |
healthy, 18 to 45 years Health Status: healthy Age Group: 18 to 45 years Sex: M+F 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 Health Status: healthy Age Group: 18 to 45 years Sex: M+F 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 Health Status: healthy Age Group: 18 to 45 years Sex: M+F Sources: |
Constipation | 10% | 45 mg/kg multiple, oral Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult |
Diarrhoea | 15% | 45 mg/kg multiple, oral Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult |
Granulocytopenia | 15% | 45 mg/kg multiple, oral Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult |
Nausea | 35% | 45 mg/kg multiple, oral Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult |
Vomiting | 35% | 45 mg/kg multiple, oral Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult |
Lassitude | grade 2, 60% | 45 mg/kg multiple, oral Studied dose Dose: 45 mg/kg Route: oral Route: multiple Dose: 45 mg/kg Sources: |
unhealthy, adult |
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 Health Status: unhealthy Age Group: median age 20 years Sex: F 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 Health Status: unhealthy Age Group: median age 20 years Sex: F 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 Health Status: unhealthy Age Group: median age 20 years Sex: F 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 Health Status: unhealthy Age Group: median age 20 years Sex: F 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 Health Status: unhealthy Age Group: median age 20 years Sex: F Sources: |
Hepatotoxicity | 71.6 mg 1 times / day multiple, oral 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 Health Status: unhealthy Age Group: median age 35 years Sex: M+F 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 |
|||
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 |
|||
yes |
PubMed
Title | Date | PubMed |
---|---|---|
Synthesis and in vitro and in vivo antimalarial activity of new 4-anilinoquinolines. | 2001 Aug 16 |
|
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 |
|
[Treatment of malaria in children: 1. Uncomplicated malaria]. | 2002 |
|
A randomized comparison of chloroquine, amodiaquine and their combination with pyrimethamine-sulfadoxine in the treatment of acute, uncomplicated, Plasmodium falciparum malaria in children. | 2002 Apr |
|
Resistance of Plamodium falciparum to antimalarial drugs in Zaragoza (Antioquia, Colombia), 1998. | 2002 Apr |
|
Molecular epidemiology of malaria in cameroon. IX. Characteristics of recrudescent and persistent Plasmodium falciparum infections after chloroquine or amodiaquine treatment in children. | 2002 Feb |
|
Clinical status and implications of antimalarial drug resistance. | 2002 Feb |
|
Inhibition of P. falciparum by steroids isolated from Solanum nudum. | 2002 Feb |
|
Amodiaquine clearance and its metabolism to N-desethylamodiaquine is mediated by CYP2C8: a new high affinity and turnover enzyme-specific probe substrate. | 2002 Feb |
|
Plasmodium falciparum: in vitro interactions of artemisinin with amodiaquine, pyronaridine, and chloroquine. | 2002 Jan |
|
Pyrimethamine-sulfadoxine resistance in Plasmodium falciparum must be delayed in Africa. | 2002 Jul |
|
High-throughput measurement of the Tp53 response to anticancer drugs and random compounds using a stably integrated Tp53-responsive luciferase reporter. | 2002 Jun |
|
[Management of child fever in the battle against malaria in Brazzaville]. | 2002 Mar |
|
In vitro activities of ferrochloroquine against 55 Senegalese isolates of Plasmodium falciparum in comparison with those of standard antimalarial drugs. | 2002 Mar |
|
Evaluation of the quality of amodiaquine and sulphadoxine/pyrimethamine tablets sold by private wholesale pharmacies in Dar Es Salaam Tanzania. | 2003 Apr |
|
Safety, efficacy and determinants of effectiveness of antimalarial drugs during pregnancy: implications for prevention programmes in Plasmodium falciparum-endemic sub-Saharan Africa. | 2003 Jun |
|
Effect of intermittent treatment with amodiaquine on anaemia and malarial fevers in infants in Tanzania: a randomised placebo-controlled trial. | 2003 May 31 |
|
Polymorphism in two merozoite surface proteins of Plasmodium falciparum isolates from Gabon. | 2003 May 9 |
|
Rapid clearance of Plasmodium falciparum hyperparasitaemia after oral amodiaquine treatment in patients with uncomplicated malaria. | 2003 Sep |
|
Developing artemisinin based drug combinations for the treatment of drug resistant falciparum malaria: A review. | 2004 Jan-Mar |
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.
Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 17:48:41 GMT 2025
by
admin
on
Mon Mar 31 17:48:41 GMT 2025
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Record UNII |
K6PW2S574L
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C271
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CHEMBL682
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SUB00499MIG
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DTXSID3045568
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64646
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Amodiaquine hydrochloride
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50652
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314495
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K6PW2S574L
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755863
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C65232
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6398-98-7
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AMODIAQUINE HYDROCHLORIDE
Created by
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PRIMARY | Description: A yellow, crystalline powder; odourless. Solubility: Soluble in about 22 parts of water; sparingly soluble in ethanol (~750 g/l) TS; practically insoluble in ether R. Category: Antimalarial. Storage: Amodiaquine hydrochloride should be kept in a tightly closed container. Definition: Amodiaquine hydrochloride contains not less than 98.0% and not more than 101.5% of C20H22ClN3O,2HCl, calculated with reference to the anhydrous substance. | ||
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1031004
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DBSALT002457
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Related Record | Type | Details | ||
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PARENT -> SALT/SOLVATE | |||
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ANHYDROUS->SOLVATE |
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ACTIVE MOIETY |