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Chemical Structure| 59729-37-2 Chemical Structure| 59729-37-2

Structure of Fexinidazole
CAS No.: 59729-37-2

Chemical Structure| 59729-37-2

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Fexinidazole is a 5-nitroimidazole drug for the treatment of human sleeping sickness (human African trypanosomiasis [HAT]), caused by infection with species of the protozoan parasite Trypanosoma brucei.

Synonyms: HOE 239; Fexinidazole Winthrop

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Product Details of Fexinidazole

CAS No. :59729-37-2
Formula : C12H13N3O3S
M.W : 279.31
SMILES Code : O=[N+](C1=CN=C(COC2=CC=C(SC)C=C2)N1C)[O-]
Synonyms :
HOE 239; Fexinidazole Winthrop
MDL No. :MFCD00866607
InChI Key :MIWWSGDADVMLTG-UHFFFAOYSA-N
Pubchem ID :68792

Safety of Fexinidazole

GHS Pictogram:
Signal Word:Warning
Hazard Statements:H302-H315-H319-H332-H335
Precautionary Statements:P261-P280-P305+P351+P338

Isoform Comparison

Biological Activity

Target
  • DNA synthesis

In Vitro:

Cell Line
Concentration Treated Time Description References
L. donovani axenic amastigotes 2.8 ± 0.1 μM 72h Evaluate the in vitro activity of Fexinidazole against L. donovani axenic amastigotes, showing an EC50 of 2.8 ± 0.1 μM. PMC3457684
L. donovani promastigotes 5.6 ± 0.2 μM 72h Evaluate the in vitro activity of Fexinidazole against L. donovani promastigotes, showing an EC50 of 5.6 ± 0.2 μM. PMC3457684
G. lamblia 0.01–25 µM 48 h Evaluate the activity of Fexinidazole and its metabolites against Entamoeba histolytica HM1:IMSS strain, showing that Fexinidazole had an EC50 of 9.7 µM, while its metabolites (sulfoxide and sulfone) were more than 5-fold more active than the parent drug. PMC10777846
E. histolytica trophozoites 0.01–25 µM 48 h Evaluate the activity of Fexinidazole and its metabolites against Giardia lamblia WB strain, showing that Fexinidazole had an EC50 of 5.6 µM, while its metabolites (sulfoxide and sulfone) were more than 10-fold more active than the parent drug. PMC10777846
Trypanosoma brucei gambiense STIB930 1.84 ± 1.13 μM 72 h Evaluate in vitro trypanocidal activity against STIB930 strain, IC50 1.84 μM PMC3232772
Trypanosoma brucei brucei BS221 (wild type) 2.38 ± 0.88 μM 72 h Evaluate in vitro trypanocidal activity against BS221 strain, IC50 2.38 μM PMC3232772
Trypanosoma brucei rhodesiense STIB900pent 2.71 ± 0.87 μM 72 h Evaluate in vitro trypanocidal activity against pentamidine-resistant strain, IC50 2.71 μM PMC3232772
Trypanosoma brucei rhodesiense STIB900mel 2.66 ± 0.57 μM 72 h Evaluate in vitro trypanocidal activity against melarsoprol-resistant strain, IC50 2.66 μM PMC3232772
Trypanosoma brucei rhodesiense STIB900 (wild type) 2.17 ± 0.29 μM 72 h Evaluate in vitro trypanocidal activity against STIB900 strain, IC50 2.17 μM PMC3232772

In Vivo:

Species
Animal Model
Administration Dosage Frequency Description References
BALB/c mice Mouse model of visceral leishmaniasis Oral 200 mg/kg Once daily for 5 days Evaluate the efficacy of Fexinidazole in a mouse model of visceral leishmaniasis, showing that oral administration of 200 mg kg?1 once daily for 5 days suppressed infection by 98.4%. PMC3457684
C57BL/6 mice Giardia lamblia infection model Oral gavage 10 mg/kg Once daily for 3 days Evaluate the efficacy of Fexinidazole and its metabolites in a mouse model of Giardia lamblia infection, showing that Fexinidazole and its metabolites significantly reduced the infection. PMC10777846
Swiss mice Mouse model infected with VL-10 or Colombiana strains of T. cruzi Oral 300 mg/kg Once daily for 20 days To evaluate the therapeutic efficacy of Fexinidazole in T. cruzi-infected mice. The ELA assay demonstrated cure rates of ~71% and ~77% for VL-10 and Colombiana strains, respectively, showing superior efficacy compared to Benznidazole. PMC10811605
NMRI mice Acute T. b. rhodesiense infection model Oral 100 mg/kg Four consecutive days Evaluate efficacy in acute infection model, 100 mg/kg/day orally for 4 days achieved 100% cure PMC3232772
Mice Mouse models infected with different Trypanosoma cruzi strains Oral 50, 100, 200, 300 mg/kg 7 or 20 consecutive days To evaluate the efficacy of Fexinidazole against different Trypanosoma cruzi strains, results showed that Fexinidazole effectively suppressed parasitemia and prevented death in infected animals, with high cure rates in both acute and chronic phases. PMC3486905

Clinical Trial:

NCT Number Conditions Phases Recruitment Completion Date Locations
NCT02571062 Trypanosomiasis, African PHASE1 COMPLETED 2025-06-15 Biotrial, Rennes, France
NCT02498782 Chagas Disease ... More >> Trypanosomiasis, South American South American Trypanosomiasis Disease, Chagas Less << Phase 2 Unknown February 2016 Bolivia ... More >> Plataforma Atención Integral de Pacientes con Enfermedad de Chagas Recruiting Cochabamba, Bolivia Contact: Faustino Torrico, MD    59177411905    foxtorrico@yahoo.com    Contact: Cristina Alonso, MD    59172211312    calonso@dndi.org    Principal Investigator: Faustino Torrico, MD          Plataforma de Atención Integral de Pacientes con Enfermedad de Chagas Recruiting Tarija, Bolivia Contact: Lourdes O Daza, MD    5916672252    lourdesortizd@yahoo.es    Contact: Erika Ribeiro, Pharm D    59175969924    ecorreia@dndi.org    Principal Investigator: Lourdes O Daza, MD Less <<
NCT01483170 Trypanosomiasis, African Phase 1 Terminated(poor tolerability a... More >>t highest dose) Less << - France ... More >> SGS Life Sciences Paris, France, 75015 Less <<
NCT02169557 Human African Trypanosomiasis ... More >>(HAT) Less << PHASE2|PHASE3 COMPLETED 2017-04-25 Kinshasa, Congo, The Democrati... More >>c Republic of the Less <<
NCT02184689 Human African Trypanosomiasis ... More >>(HAT) Less << Phase 2 Phase 3 Unknown July 2017 Congo, The Democratic Republic... More >> of the Kinshasa, Congo, The Democratic Republic of the Less <<
NCT01685827 Human African Trypanosomiasis ... More >>(HAT) Sleeping Sickness Less << Phase 2 Phase 3 Completed - Central African Republic ... More >> Batangafo Batangafo, Central African Republic Congo, The Democratic Republic of the Bagata Hospital Bagata, Bandundu, Congo, The Democratic Republic of the Congo Masi Manimba Hospital Masi Manimba, Bandundu - DRC, Congo Vanga Hospital Vanga, Bandundu - DRC, Congo HGR Mushie hospital Mushie, Bandundu, Congo CRT (Centre de Réference et de Traitement) Dipumba, Dipumba general hospital Mbuji Mayi, East Kasai, Congo HS Katanda hospital Katanda, Kasaï Oriental, Congo HGR ISANGI hospital Isangi, Province Orientale, Congo HGR (General Reference Hospital) Bandundu Bandundu, Congo Dingila Dingila, Congo Less <<
NCT03025789 Trypanosomiasis, African|Sleep... More >>ing Sickness|Trypanosomiasis; Gambian Less << PHASE3 COMPLETED 2021-02-01 Dipumba Hospital, Mbuji-Mayi, ... More >>Kasa? Oriental Province, Congo, The Democratic Republic of the|Bagata Hospital, Bagata, Kwilu Province, Congo, The Democratic Republic of the|Bandundu Hospital, Bandundu, Kwilu Province, Congo, The Democratic Republic of the|Masi Manimba Hospital, Masi Manimba, Kwilu Province, Congo, The Democratic Republic of the|Nkara Secondary Hospital, Nkara, Kwilu Province, Congo, The Democratic Republic of the|Mushie Hospital, Mushie, Ma? Ndombe Province, Congo, The Democratic Republic of the|Roi Baudouin Hospital, Kinshasa, Congo, The Democratic Republic of the|Dubreka Hospital, Dubreka, Guinea Less <<
NCT01980199 Visceral Leishmaniasis PHASE2 TERMINATED 2025-09-15 Doka Hospital, Doka, Gedaref, ... More >>Sudan Less <<
NCT03587766 Chagas' Disease (Chronic) Nos Phase 2 Recruiting December 2019 Spain ... More >> Hospital Clinic Recruiting Barcelona, Catalunia, Spain, 08036 Contact: Maria Jesús Pinazo, MD    +34932275400    mariajesus.pinazo@isglobal.org    Contact: Elizabeth de Jesus Posada, MD    +34932275400    elizabeth.posada@isglobal.org    Sub-Investigator: Irene Losada, MD Less <<
NCT01340157 PK in Healthy Volunteers PHASE1 COMPLETED 2025-04-11 SGS Aster s.a.s., Paris, 75015... More >>, France Less <<
NCT00982904 Human African Trypanosomiasis Phase 1 Completed - France ... More >> SGS Aster Paris, France, 75015 Less <<
NCT03974178 Trypanosomiasis, African|Sleep... More >>ing Sickness|Trypanosoma Brucei Rhodesiense; Infection Less << PHASE2|PHASE3 COMPLETED 2022-10-12 Rumphi District Hospital, Rump... More >>hi, PO Box 225, Malawi|Lwala Hospital, Lwala, Kadeberamaido, PO Box 650, Uganda Less <<

Protocol

Bio Calculators
Preparing Stock Solutions 1mg 5mg 10mg

1 mM

5 mM

10 mM

3.58mL

0.72mL

0.36mL

17.90mL

3.58mL

1.79mL

35.80mL

7.16mL

3.58mL

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