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Repository Antimalarial Drugs : N,N′-Diacetyl-4,4′-diaminodiphenylsulphone and Related 4-Acylaminodiphenylsulphones

Abstract

A SUSTAINED effort to develop antimalarial substances with prolonged action was initiated in these laboratories more than seven years ago. Recently, we reported the synthesis of cycloguanil pamoate (‘CamolarR’, CI-501) (refs. 1 and 2), a pamoic acid salt of 4,6-diamino-1-(p-chlorophenyl)-1,2-dihydro-2,2-dimethyl-s-triazine (DHT), and various other dihydrotriazine1,3 and pyrimethamine3,4 salts that exhibit remarkable repository antimalarial properties2,4,5. A single intramuscular dose of cycloguanil pamoate has an unusual capacity to protect man for many months against challenges with susceptible strains of Plasmodium vivax and P. falciparum6. Cycloguanil pamoate has so far not shown a liability to induce rapid resistance during numerous observations on P. cynomolgi in monkeys2,5, although parasites known to be resistant to proguanil, DHT, or pyrimethamine are less susceptible to it7,8. A systematic search has been continued for a well-tolerated repository preparation that would destroy both normal and DHT-resistant parasites and simultaneously block the emergence of resistance denovo. Efforts were directed toward the synthesis of long-acting antimalarials possessing a different mode of action from DHT or pyrimethamine, both of which apparently inhibit the conversion of folic acid to folinic acid9.

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References

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ELSLAGER, E., WORTH, D. Repository Antimalarial Drugs : N,N′-Diacetyl-4,4′-diaminodiphenylsulphone and Related 4-Acylaminodiphenylsulphones. Nature 206, 630–631 (1965). https://doi.org/10.1038/206630a0

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