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Technical details about Prestwick2_001026, learn more about the structure, uses, toxicity, action, side effects and more

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2D Structure
1. Also known as: 21738-42-1, Mansil, Vansil, Oxaminiquine, Uk-4271, Oxamniquinum
Molecular Formula
C14H21N3O3
Molecular Weight
279.33  g/mol
InChI Key
XCGYUJZMCCFSRP-UHFFFAOYSA-N
FDA UNII
7GIJ138H3K

An anthelmintic with schistosomicidal activity against Schistosoma mansoni, but not against other Schistosoma spp. Oxamniquine causes worms to shift from the mesenteric veins to the liver where the male worms are retained; the female worms return to the mesentery, but can no longer release eggs. (From Martindale, The Extra Pharmacopoeia, 31st ed, p121)
Oxamniquine is an Anthelmintic.
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
[7-nitro-2-[(propan-2-ylamino)methyl]-1,2,3,4-tetrahydroquinolin-6-yl]methanol
2.1.2 InChI
InChI=1S/C14H21N3O3/c1-9(2)15-7-12-4-3-10-5-11(8-18)14(17(19)20)6-13(10)16-12/h5-6,9,12,15-16,18H,3-4,7-8H2,1-2H3
2.1.3 InChI Key
XCGYUJZMCCFSRP-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CC(C)NCC1CCC2=CC(=C(C=C2N1)[N+](=O)[O-])CO
2.2 Other Identifiers
2.2.1 UNII
7GIJ138H3K
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Oxaminiquine

2. Uk 4271

3. Uk-4271

4. Uk4271

2.3.2 Depositor-Supplied Synonyms

1. 21738-42-1

2. Mansil

3. Vansil

4. Oxaminiquine

5. Uk-4271

6. Oxamniquinum

7. Uk 4271

8. (+)-oxamniquine

9. Uk 4261

10. Oxamniquine, (+)-

11. Oxamniquine, (-)-

12. Nsc 352888

13. Nsc-352888

14. 1,2,3,4-tetrahydro-2-((isopropylamino)methyl)-7-nitro-6-quinolinemethanol

15. [7-nitro-2-[(propan-2-ylamino)methyl]-1,2,3,4-tetrahydroquinolin-6-yl]methanol

16. Mls000756891

17. 00bcy677ot

18. 7gij138h3k

19. Chebi:78416

20. {2-[(isopropylamino)methyl]-7-nitro-1,2,3,4-tetrahydroquinolin-6-yl}methanol

21. 1,2,3,4-tetrahydro-2-(((1-methylethyl)amino)methyl)-7-nitro-6-quinolinemethanol

22. 2-((isopropylamino)methyl)-7-nitro-1,2,3,4-tetrahydro-6-quinolinemethanol

23. 6-hydroxymethyl-2-isopropylaminomethyl-7-nitro-1,2,3,4-tetrahydroquinoline

24. Nsc352888

25. 6-quinolinemethanol, 1,2,3,4-tetrahydro-2-(((1-methylethyl)amino)methyl)-7-nitro-

26. 0o977r722d

27. Uk-4261

28. 6-quinolinemethanol, 1,2,3,4-tetrahydro-2-((isopropylamino)methyl)-7-nitro-

29. (7-nitro-2-{[(propan-2-yl)amino]methyl}-1,2,3,4-tetrahydroquinolin-6-yl)methanol

30. Oxamniquina

31. Oxamniquinum [inn-latin]

32. Oxamniquina [inn-spanish]

33. (2-((isopropylamino)methyl)-7-nitro-1,2,3,4-tetrahydroquinolin-6-yl)methanol

34. 6-quinolinemethanol, 1,2,3,4-tetrahydro-2-(((1-methylethyl)amino)methyl)-7-nitro-, (+)-

35. 6-quinolinemethanol, 1,2,3,4-tetrahydro-2-(((1-methylethyl)amino)methyl)-7-nitro-, (-)-

36. 119678-90-9

37. Mansil (tn)

38. Vansil (tn)

39. (+/-)-oxamniquine

40. Oxamniquine (usan/inn)

41. Ccris 4113

42. Hsdb 6510

43. [2-[(isopropylamino)methyl]-7-nitro-1,2,3,4-tetrahydroquinolin-6-yl]methanol

44. 6-quinolinemethanol, 1,2,3,4-tetrahydro-2-[[(1-methylethyl)amino]methyl]-7-nitro-

45. Ncgc00016755-01

46. Einecs 244-556-4

47. (+-)-oxamniquine

48. Cas-21738-42-1

49. Brn 0485597

50. Oxamniquine [mi]

51. Prestwick0_001026

52. Prestwick1_001026

53. Prestwick2_001026

54. Oxamniquine [inn]

55. Dsstox_cid_3398

56. Oxamniquine [hsdb]

57. Oxamniquine [usan]

58. Chembl847

59. Oxamniquine [vandf]

60. Dsstox_rid_77013

61. Oxamniquine [mart.]

62. Unii-00bcy677ot

63. Unii-7gij138h3k

64. Dsstox_gsid_23398

65. Schembl44921

66. Oxamniquine [who-dd]

67. Oxamniquine [who-ip]

68. Spbio_003072

69. Dtxsid3023398

70. Unii-0o977r722d

71. Oxamniquine [orange Book]

72. Hms1571m13

73. Hms2230h11

74. Hms3371n13

75. Oxamniquine [usan:usp:inn:ban]

76. Oxamniquinum [who-ip Latin]

77. Tox21_110593

78. 2-(isopropylaminomethyl)-7-nitro-1,2,3,4-tetrahydroquinoline-6-methanol

79. Db01096

80. (2-{[(1-methylethyl)amino]methyl}-7-nitro-1,2,3,4-tetrahydroquinolin-6-yl)methanol

81. Hy-10416

82. Smr000528982

83. Cs-0002596

84. C07341

85. D00460

86. 5-22-11-00475 (beilstein Handbook Reference)

87. Q682497

88. Sr-01000765728

89. Sr-01000765728-2

90. 1,3,4-tetrahydro-2-[(isopropylamino)methyl]-7-nitro-6-quinolinemethanol

91. 2-(isopropylaminomethyl)-7-nitro-1,3,4-tetrahydroquinoline-6-methanol

92. 6-quinolinemethanol,2,3,4-tetrahydro-2-[(isopropylamino)methyl]-7-nitro-

93. (2-[(isopropylamino)methyl]-7-nitro-1,2,3,4-tetrahydro-6-quinolinyl)methanol #

94. {2-[(isopropylamino)methyl]-7-nitro-1,2,3,4-tetrahydro-6-quinolinyl}methanol

95. 6-quinolinemethanol,2,3,4-tetrahydro-2-[[(1-methylethyl)amino]methyl]-7-nitro-

96. 119678-89-6

97. 40247-39-0

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 279.33 g/mol
Molecular Formula C14H21N3O3
XLogP32.2
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count5
Rotatable Bond Count4
Exact Mass279.15829154 g/mol
Monoisotopic Mass279.15829154 g/mol
Topological Polar Surface Area90.1 Ų
Heavy Atom Count20
Formal Charge0
Complexity332
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count1
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Therapeutic Uses

Schistosomicides

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


Anthemintic (Schistosomiasis)

Budavari, S. (ed.). The Merck Index - Encyclopedia of Chemicals, Drugs and Biologicals. Rahway, NJ: Merck and Co., Inc., 1989., p. 1094


Oxamniquine is used for the treatment of schistosomiasis (bilharziasis) caused by Schistosoma mansoni /in/ individual patients and in mass treatment and control programs. Oxamniquine is effective against all stages of Schistosoma mansoni infection including the acute phase and the chronic phase which may be associated with hepatosplenic involvement.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


Oxamniquine has been used for suppressive prophylaxis of Schistosoma mansoni infections in animals.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


For more Therapeutic Uses (Complete) data for OXAMNIQUINE (7 total), please visit the HSDB record page.


4.2 Drug Warning

The drug should be used with caution in /patients with a history of seizure disorders/ and they should remain under medical supervision with adequate facilities readily available for the management of seizures should they occur during oxamniquine therapy.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 42


Patients ... should be warned that /oxamniquine/ may produce an orange to red color in their urine.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 42


Since the incidence of some adverse effects (eg, dizziness, drowsiness, nausea) may be increased during fasting conditions, patients should be advised to take oxamniquine with food.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 42


Oxamniquine should be used during pregnancy only when the potential benefits justify the possible risks to the fetus. ... Since it is not known whether oxamniquine is distributed into milk, the drug should be used with caution in nursing women.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 42


4.3 Drug Indication

For treatment of Schistosomiasis caused by Schistosoma mansoni


5 Pharmacology and Biochemistry
5.1 Pharmacology

Oxamniquine is an anthelmintic with schistosomicidal activity against Schistosoma mansoni, but not against other Schistosoma spp. Oxamniquine causes worms to shift from the mesenteric veins to the liver where the male worms are retained; the female worms return to the mesentery, but can no longer release egg.


5.2 MeSH Pharmacological Classification

Schistosomicides

Agents that act systemically to kill adult schistosomes. (See all compounds classified as Schistosomicides.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
OXAMNIQUINE
5.3.2 FDA UNII
0O977R722D
5.3.3 Pharmacological Classes
Established Pharmacologic Class [EPC] - Anthelmintic
5.4 ATC Code

P - Antiparasitic products, insecticides and repellents

P02 - Anthelmintics

P02B - Antitrematodals

P02BA - Quinoline derivatives and related substances

P02BA02 - Oxamniquine


5.5 Absorption, Distribution and Excretion

Absorption

Well absorbed orally


Oxamniquine and its metabolites are excreted mainly in urine. Approximately 40-75% of an oral dose of the drug is excreted in urine within 24 hours of administration, principally as the 6-carboxylic acid metabolite. About 0.5-2% of an oral dose is excreted in urine unchanged; less than 1% of a dose is excreted in urine as the 2-carboxylic acid metabolite.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


Oxamniquine is well absorbed following oral administration. The rate and extent of GI absorption of the drug are decreased by the presence of food. Peak plasma concentrations of oxamniquine occur approximately 1-3 hours after oral administration of usual doses of the drug. ... Interpatient variation in plasma oxamniquine concentrations may result from biodegradation of the drug in the GI mucosa during absorption. ... Oxamniquine undergoes extensive first pass metabolism in the GI lumen before absorption and/or in the GI mucosa during absorption in animals.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


Following oral administration of a single 15 mg/kg dose of oxamniquine in adults and children with Schistosoma mansoni infection in one study, peak serum drug concentrations of 70-2595 and 89-1500 ng/ml, respectively, occurred at 1.5-3 hours. In another study, following oral administration of a single 1 g dose of oxamniquine in patients with advaced hepatosplenic schistosomiasis and in healthy adults, mean peak plasma drug concentrations of 1267 ng/ml at about 1.7 hours and 1983 ng/ml at about 1.4 hours occurred, respectively.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


5.6 Metabolism/Metabolites

Probably hepatic


The drug is extensively metabolized, principally in the GI mucosa and/or lumen via enzymatic oxidation of the 6-hydroxymethyl group to the 6-carboxylic acid metabolite. Trace amounts of the 2-carboxylic acid metabolite have also been observed in urine, which reflects oxidation of the side chain. These metabolites do not possess antichistosomal activity.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


5.7 Biological Half-Life

1-2.5 hours


Oxamniquine has a plasma half-life of about 1-2.5 hours.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


5.8 Mechanism of Action

Oxamniquine may associate with an irreversible inhibition of the nucleic acid metabolism of the parasites. A hypothesis has been put forth that the drug is activated by a single step, in which a schistosome sulfotransferase enzyme converts oxamniquine into an ester (probably acetate, phosphate, or sulfate). Subsequently, the ester spontaneously dissociates, the resulting electrophilic reactant is capable of alkylation of schistosome DNA.


Causes the worms to be dislodged from their usual site of residence in the mesenteric veins to the liver where they are retained and subsequently killed by host tissue reactions (eg, phagocytosis). The dislodgment of worms appears to result principally from contraction and paralysis of their musculature and subsequent immobilization of their suckers, which causes the worms to detach from the blood vessel wall, thereby allowing passive dislodgement by normal blood flow.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 41


Hycanthone-sensitive and hycanthone-resistant schistosomes (which are also sensitive and resistant to oxamniquine) were exposed in vitro to tritium-labelled oxamniquine. The initial uptake of the drug into the schistosomes was essentially the same for the 2 strains. The homogenate of worms incubated with tritiated oxamniquine was fractionated and a purified DNA fraction was obtained by ethanol precipitation, RNAase and protease digestion, repeated phenolchloroform extractions, cesium chloride gradient centrifugation and extensive dialysis. The DNA fraction from sensitive worms contained radioactive oxamniquine at a level corresponding to about 1 drug molecule per 50,000 base pairs, while the DNA from resistant worms contained essentially no drug. The results support the hypothesis that oxamniquine, like hycanthone, exerts its activity by alkylating macromolecules of sensitive schistosomes.

PMID:2617584 Pica-Mattoccia L et al; Trans R Soc Trop Med Hyg 83 (3): 373-6 (1989)


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