Details
| Stereochemistry | RACEMIC |
| 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-
| Molecular Formula | C30H32Cl3NO |
| Molecular Weight | 528.94 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 1 |
| Optical Activity | ( + / - ) |
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 |
|---|---|---|---|---|
9.9 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20815879/ |
480 mg single, oral dose: 480 mg route of administration: Oral experiment type: SINGLE co-administered: ARTEMETHER |
LUMEFANTRINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
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 |
|---|---|---|---|---|
279 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20815879/ |
480 mg single, oral dose: 480 mg route of administration: Oral experiment type: SINGLE co-administered: ARTEMETHER |
LUMEFANTRINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
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 |
|---|---|---|---|---|
118 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20815879/ |
480 mg single, oral dose: 480 mg route of administration: Oral experiment type: SINGLE co-administered: ARTEMETHER |
LUMEFANTRINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
|
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% |
unknown, unknown |
LUMEFANTRINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
|
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 Sources: |
unhealthy, 2 Health Status: unhealthy Age Group: 2 Sex: M+F Sources: |
Disc. AE: Urticaria... AEs leading to discontinuation/dose reduction: Urticaria (grade 3-4) Sources: |
480 mg 3 times / day multiple, oral Recommended Dose: 480 mg, 3 times / day Route: oral Route: multiple Dose: 480 mg, 3 times / day Sources: |
unhealthy, 25 Health Status: unhealthy Age Group: 25 Sex: M+F Sources: |
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: Pulmonary 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 Sources: |
unhealthy, 3 Health Status: unhealthy Age Group: 3 Sex: M+F Sources: |
Disc. AE: Vomiting, Urticaria... AEs leading to discontinuation/dose reduction: Vomiting (grade 3-4, most common) Sources: Urticaria (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 Sources: |
unhealthy, 2 Health Status: unhealthy Age Group: 2 Sex: M+F Sources: |
| 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 Sources: |
unhealthy, 25 Health Status: unhealthy Age Group: 25 Sex: M+F Sources: |
| 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 Sources: |
unhealthy, 25 Health Status: unhealthy Age Group: 25 Sex: M+F Sources: |
| 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 Sources: |
unhealthy, 25 Health Status: unhealthy Age Group: 25 Sex: M+F Sources: |
| 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 Sources: |
unhealthy, 3 Health Status: unhealthy Age Group: 3 Sex: M+F Sources: |
| 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 Sources: |
unhealthy, 3 Health Status: unhealthy Age Group: 3 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 |
|---|---|---|---|---|
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 |
|---|---|---|
| In vitro and in vivo combination of cepharanthine with anti-malarial drugs. | 2014-03-12 |
|
| Breakdown of phosphatidylserine asymmetry following treatment of erythrocytes with lumefantrine. | 2014-02-20 |
|
| A SYBR Green 1-based in vitro test of susceptibility of Ghanaian Plasmodium falciparum clinical isolates to a panel of anti-malarial drugs. | 2013-12-17 |
|
| Ex vivo responses of Plasmodium falciparum clinical isolates to conventional and new antimalarial drugs in Niger. | 2013-07 |
|
| Synthesis and antimalarial efficacy of two-carbon-linked, artemisinin-derived trioxane dimers in combination with known antimalarial drugs. | 2013-03-28 |
|
| In vitro activity of antiretroviral drugs against Plasmodium falciparum. | 2011-11 |
|
| Synthesis of novel 6-phenyl-2,4-disubstituted pyrimidine-5-carbonitriles as potential antimicrobial agents. | 2011-09 |
|
| In vitro sensitivities of Plasmodium falciparum to different antimalarial drugs in Uganda. | 2010-03 |
|
| Antimalarial drugs: QT prolongation and cardiac arrhythmias. | 2005-05 |
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).
| Substance Class |
Chemical
Created
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| Record UNII |
F38R0JR742
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Validated (UNII)
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LIVERTOX |
577
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FDA ORPHAN DRUG |
895622
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WHO-ESSENTIAL MEDICINES LIST |
6.5.3.1 (ART/LUM)
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NDF-RT |
N0000175482
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WHO-ATC |
P01BF01
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FDA ORPHAN DRUG |
245507
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EU-Orphan Drug |
EU/3/09/702
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1617
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m6927
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7210
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C81541
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SUB08618MIG
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F38R0JR742
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7610
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1370746
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847728
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DTXSID3046663
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204133-10-8
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NON-SPECIFIC STEREOCHEMISTRY | |||
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CHEMBL422330
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C102070
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UU-174
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Lumefantrine
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120583-69-9
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SUPERSEDED | |||
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Artemether and Lumefantrine
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F38R0JR742
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100000091055
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DB06708
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82186-77-4
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156095
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LUMEFANTRINE
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PRIMARY | Description: A yellow crystalline powder.Solubility: Practically insoluble in water; soluble in dichloromethane R; slightly soluble in methanol R .Category: Antimalarial.Storage: Lumefantrine should be kept in a well-closed container.Additional information. Lumefantrine melts at 128?132?C.Definition: Lumefantrine contains not less than 98.5% and not more than 101.0% of C30H32Cl3NO, calculated with reference to the dried substance. |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
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ENANTIOMER -> RACEMATE |
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METABOLIC ENZYME -> INHIBITOR |
In vitro, lumefantrine significantly inhibits the activity of CYP2D6 at therapeutic plasma concentrations
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ENANTIOMER -> RACEMATE |
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TARGET ORGANISM->INHIBITOR |
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BINDER->LIGAND |
BINDING
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
METABOLITE -> PARENT |
In human liver microsomes and in recombinant CYP450 enzymes, lumefantrine was metabolized mainly by CYP3A4 to desbutyl-lumefantrine
PLASMA
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
The impurity peaks are eluted at the following relative retention with reference to lumefantrine (retention time about 10 minutes): impurity C about 4.6. The test is not valid unless the peak-to-valley ratio (Hp/Hv) is at least 2.0, where Hp = height above the baseline of the peak due to impurity A and Hv = the height above the baseline of the lowest point of the curve separating this peak from that due to lumefantrine.
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
The impurity peaks are eluted at the following relative retention with reference to lumefantrine (retention time about 10 minutes): impurity B about 4.3. The test is not valid unless the peak-to-valley ratio (Hp/Hv) is at least 2.0, where Hp = height above the baseline of the peak due to impurity A and Hv = the height above the baseline of the lowest point of the curve separating this peak from that due to lumefantrine.
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IMPURITY -> PARENT |
LUMEFANTRINE Impurity A.
The impurity peaks are eluted at the following relative retention with reference to lumefantrine (retention time about 10 minutes): impurity A about 0.9.
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IMPURITY -> PARENT |
LUMEFANTRINE Impurity C.
The impurity peaks are eluted at the following relative retention with reference to lumefantrine (retention time about 10 minutes): impurity C about 4.6.
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IMPURITY -> PARENT |
LUMEFANTRINE Impurity B.
The impurity peaks are eluted at the following relative retention with reference to lumefantrine (retention time about 10 minutes): impurity B about 4.3.
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ACTIVE MOIETY |
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Biological Half-life | PHARMACOKINETIC |
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in patients with P. falciparum malaria |
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| Biological Half-life | PHARMACOKINETIC |
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in healthy volunteers |
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| Tmax | PHARMACOKINETIC |
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