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Details

Autor(en) / Beteiligte
Titel
Triaminopyrimidine is a fast-killing and long-acting antimalarial clinical candidate
Ist Teil von
  • Nature communications, 2015-03, Vol.6 (1), p.6715-6715, Article 6715
Ort / Verlag
London: Nature Publishing Group UK
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
  • The widespread emergence of Plasmodium falciparum ( Pf ) strains resistant to frontline agents has fuelled the search for fast-acting agents with novel mechanism of action. Here, we report the discovery and optimization of novel antimalarial compounds, the triaminopyrimidines (TAPs), which emerged from a phenotypic screen against the blood stages of Pf . The clinical candidate (compound 12 ) is efficacious in a mouse model of Pf malaria with an ED 99 <30 mg kg −1 and displays good in vivo safety margins in guinea pigs and rats. With a predicted half-life of 36 h in humans, a single dose of 260 mg might be sufficient to maintain therapeutic blood concentration for 4–5 days. Whole-genome sequencing of resistant mutants implicates the vacuolar ATP synthase as a genetic determinant of resistance to TAPs. Our studies highlight the potential of TAPs for single-dose treatment of Pf malaria in combination with other agents in clinical development. The emergence of resistant Plasmodium strains fuels the search for new antimalarials. Here, the authors present a new class of potent antimalarial compounds, the triaminopyrimidines, that display low toxicity and long half-life in animal models.

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