Tafenoquine

Tafenoquine
Systematic (IUPAC) name
N-[2,6-dimethoxy-4-methyl-5-[3-(trifluoromethyl)
phenoxy]quinolin-8-yl]pentane-1,4-diamine
Clinical data
Pregnancy cat.  ?
Legal status  ?
Identifiers
CAS number 106635-80-7 Y
ATC code None
PubChem CID 115358
ChemSpider 103196 Y
UNII 262P8GS9L9 N
ChEMBL CHEMBL298470 Y
Chemical data
Formula C24H28F3N3O3 
Mol. mass 463.493 g/mol
SMILES eMolecules & PubChem
 N(what is this?)  (verify)

Tafenoquine (also called WR 238605 or SB-252263) is an 8-aminoquinoline drug manufactured by GlaxoSmithKline that is currently being investigated as a potential treatment for malaria, as well as for malaria prevention.[1][2]

The main advantage of tafenoquine is that it has a long half-life and therefore does not need to be taken as frequently as primaquine. Like primaquine, tafenoquine causes haemolysis in people with G-6-PD deficiency.[1]

A shorter regimen has also been described as an advantage.[3]

The dose of tafenoquine has not been firmly established, but for the treatment of Plasmodium vivax malaria, a dose of 800 mg over three days has been used.[4]

References

  1. ^ a b Shanks GD, Oloo AJ, Aleman GM et al. (2001). "A New Primaquine Analogue, Tafenoquine (WR 238605), for prophylaxis against Plasmodium falciparum malaria". Clin Infect Dis 33 (12): 1968–74. doi:10.1086/324081. JSTOR 4482936. PMID 11700577. 
  2. ^ Lell B, Faucher JF, Missinou MA et al. (2000). "Malaria chemoprophylaxis with tafenoquine: a randomised study". Lancet 355 (9220): 2041–5. doi:10.1016/S0140-6736(00)02352-7. PMID 10885356. 
  3. ^ Elmes NJ, Nasveld PE, Kitchener SJ, Kocisko DA, Edstein MD (November 2008). "The efficacy and tolerability of three different regimens of tafenoquine versus primaquine for post-exposure prophylaxis of Plasmodium vivax malaria in the Southwest Pacific". Transactions of the Royal Society of Tropical Medicine and Hygiene 102 (11): 1095–101. doi:10.1016/j.trstmh.2008.04.024. PMID 18541280. http://linkinghub.elsevier.com/retrieve/pii/S0035-9203(08)00170-3. 
  4. ^ Nasvelda P, Kitchener S. (2005). "Treatment of acute vivax malaria with tafenoquine". Trans R Soc Trop Med Hyg 99 (1): 2–5. doi:10.1016/j.trstmh.2004.01.013. PMID 15550254.