54965-21-8 Usage
Description
Albendazole, also known as ALBENZA, is an orally administered broad-spectrum anthelmintic drug. It occurs as a white to light yellow crystalline powder that is virtually insoluble in water. Albendazole is a derivative of benzimidazole and is used to treat various parasitic infections. The drug is metabolized in the body to its active form, albendazole sulfoxide, which has a half-life of 10 to 15 hours. Albendazole is generally well-tolerated in single-dose therapy for intestinal nematodes. It is included in the World Health Organization (WHO) list of essential medicines as an intestinal anthelminthic and antifilarial medicine.
Uses
Used in Pharmaceutical Industry:
Albendazole is used as an antihelmintic agent for treating infections caused by various parasites. It is effective against sensitive cestodes and nematodes by blocking glucose uptake, leading to the depletion of glycogen reserves and a subsequent reduction in adenosine triphosphate levels. This results in the paralysis and death of the parasites.
Albendazole is used to treat the following infections:
1. Neurocysticercosis, a rare brain infection caused by the pork worm (Taenia solium).
2. Microsporidiosis, a parasitic infection that causes severe diarrhea.
Additionally, Albendazole is used to treat infections caused by the following parasites:
1. Acaris lumbricoides (roundworm)
2. Ancylostoma duodenale (hookworm)
3. Necator americanus (hookworm)
4. Enterobius vermicularis (pinworm)
5. Trichuris trichiura (whipworm)
The drug also has effects on getting rid of or directly killing tapeworms and cysticerci, making it useful in the treatment of hydatid disease and nervous system infections caused by tapeworm infections.
Used in Veterinary Medicine:
Albendazole is also used in veterinary medicine to eliminate various kinds of nematodes parasitizing inside animal bodies, including whipworm, hookworm, and other parasitic worms.
Brand Name:
Albendazole is marketed under the brand name Alenza (GlaxoSmithKline).
Pharmacology and mechanism of action
Albendazole is a benzimidazole carbamate derivative which is structurally related to mebendazole. It was originally introduced as a veterinary drug in 1975 and later as a human anthelminthic drug. It has a wide spectrum of activity against intestinal nematodes (hook worm, Ascaris lumbricoides, Enterobius vermicularis, Strongyloides stercoralis, Trichuris trichiura and Capillaria philippinensis), systemic nematodes (Trichinella spiralis and cutaneous larva migrans) and cestodes (Echinococcus granulosis, E. multilocularis and neurocysticercosis) [1]. Albendazole is active against both larval and adult stages of intestinal nematodes and ovicidal against Ascaris lumbricoides and Trichuris trichiura [1]. Its main metabolite, albendazole sulphoxide, may largely be responsible for the pharmacological effects of the drug.The mechanism of action of albendazole is similar to that of other benzimidazoles (see mebendazole).
Indications
Single or mixed infections caused by Ascaris lumbricoides, Enterobius vermicularis, Ancylostoma duodenale, Trichuris trichiura. Albendazole may be effective against cutaneous larva migrans and Strongyloides stercoralis, but controlled studies are needed to confirm its advantage over thiabendazole. Limited data indicate that albendazole is useful in neurocysticercosis [2,3]. Albendazole seems to be the drug of choice for the treatment of inoperable hydatid cases, but its long term benefit needs further assessment.
Indications
Albendazole appears to cause cytoplasmic microtubular
degeneration, which in turn impairs vital cellular
processes and leads to parasite death.There is some evidence
that the drug also inhibits helminth-specific ATP
generation by fumarate reductase.
Side effects
After a single dose treatment of albendazole 400 mg, minor and transient side effects such as epigastric pain and diarrhoea were seen. Less than 6% of treated patients experience these effects [4]. During the treatment of hydatid disease, where higher doses are used for longer time periods, side effects were more common and severe. In two randomized double-blind multicentre phase I and II studies [5,6] involving 139 patients given high doses of the drug, about 20% of the patients showed side effects. These included elevation of serum transaminases (6 patients), leucopenia (3 patients), gastrointestinal symptoms (8 patients), severe headache (4 patients), loss of hair (3 patients), urticaria and itching (2 patients), fever and fatigue (1 patient), and thrombocytopenia (1 patient).
Side effects
Various mild intestinal and other upsets usually resolve
without treatment. With extended use, as for larval tapeworm
infections, hepatic abnormalities or leukopenia may
require discontinuation of treatment. In rare cases granulocytopenia,
pancytopenia, agranulocytosis or thrombocytopenia
may occur. It should not be given during pregnancy
since it may cause fetal harm; women should be cautioned
against becoming pregnant within a month of completing
treatment.
Contraindications and precautions
There are no known contraindications to the drug during single dose treatment of intestinal nematodes. During treatment against hydatid disease, liver transaminases, leukocyte and platelet counts must be monitored regularly.
Preparations
? Zentel? (SmithKline Beecham). Tablets 400 mg. Suspension 2%.
? Eskazole? (SmithKline Beecham). Tablets 400 mg.
Solubility
It is slightly soluble in acetone or chloroform, but insoluble in water; it is also slightly soluble in hot diluted hydrochloric acid, and soluble in methanol, ethanol, and acetic acid.
Pharmacodynamics
Albendazole is a kind of benzimidazole derivatives. It is rapidly metabolized in vivo into the sulfoxide, sulfone and 2-polyamine sulfone alcohol. It can selectively and irreversibly suppress the glucose uptake of intestinal nematodes, thus resulting in endogenous glycogen depletion of the worm; at the same time, it also inhibit the activity of fumarate reductase, and thus preventing the generation of adenosine triphosphate, finally causing death of the parasites.
Similar as mebendazole, through causing the denaturation of cytoplasmic microtubules of intestinal parasites and binding to the tubulin, it causes clogging of intracellular transport, causing the accumulation of Golgi endocrine particles; cytoplasm is further gradually dissolved, causing the final death of the parasites.
This product can completely kill hookworm eggs, pinworm eggs, spin wool eggs, tapeworm eggs and cysticercosis whip eggs and partially kill Ascaris’ eggs.
Usage and dosage
Roundworm disease and pinworm disease: take 400mg daily per time.
Hookworm disease, whipworm disease, stercoralis disease: take 400mg each time, 2 times a day, continue for 3 days.
Trichinella spirallis disease, take 600mg or 800mg daily in 2 times; a course of treatment is one week.
Neurocysticercosis take daily 18mg/kg in 2 times of oral administration; 10 days is a course of treatment; you can also extend the course to one month according to the specific disease situation.
Hydatid disease: take 20mg/kg daily in 2 times of oral administration with the course being 1 month; it usually needs multiple times of treatment.
synthesis
The synthesis of albendazole can be performed in four steps starting with 4-nitro aniline. In the first step ortho-nitro aniline (2) is substituted with thiocyanate in para position in the presence of an oxidant such as chlorine. The reaction follows an aromatic substitution in which 2-nitrothiocyanoaniline (3) is produced. Afterwards bromopropane reacts with the product from step one to obtain 4-(Propylthio)-2-nitroaniline (4). This is achieved by the mechanism of a nucleophile substitution. In the third step the nitro-group is reduced to the amine to prepare the molecule for the imidazoleformation. Following the methylcyancarbamate is added. Now the two amine groups of 4-(propylthio) benzene-1,2-diamine (5) react with the carbamate while building an heteroaromatic system. Simultaneously ammonia is condensed and albendazole is generated.The synthesis of albendazole
References
1. Rossignol JF, Mausonneuve H (1984). Albendazole: a new concept in the control of intestinal helminthiasis. Gastroenterol Clin Biol, 8, 569–576.
2. Cruz M, Cruz I, Horton J (1991). Albendazole versus praziquantel in the treatment of cerebral cysticercosis: Clinical evaluation. Trans R Soc Trop Med Hyg, 85, 244–247.
3. Takayanagui OM, Jardim E (1992). Therapy of neurocysticercosis. Comparison between albendazole and praziquantel. Arch Neurol, 49, 290–294.
4. Coulaud JP, Rossignol JF (1984). Albendazole: a new single dose anthelminthic. Acta Tropica (Basel), 41, 87–90.
5. Davies A, Dixon H, Pawlowski ZS (1989). Multicentre clinical trials of benzimidazole carbamates in human cystic echinococcosis (phase 2). Bull World Health Organ, 67, 503–508.
6. Davis A, Pawlski ZS, Dixon H (1986). Multicentre clinical trials of benzimidazole-carbamates in human echinococcosis. Bull WHO, 64, 383–388.
Originator
Zentel ,SK and F ,France ,1981
Manufacturing Process
A mixture of 6.65 g of 3-chloro-6-nitroacetanilide, 3.2 ml of propylmercaptan,
5.6 g of 50% sodium hydroxide and 100 ml of water is heated at reflux
overnight. The cooled mixture is filtered to give the desired 2-nitro-5-
propylthioaniline, MP 69.5-71.5°C after recrystallization from ethanol then
hexane-ether. NMR (CDCl3) 40%.
The aniline (2.5 g) is hydrogenated with 1.9 ml of concentrated hydrochloric
acid, 100 ml ethanol and 5% palladium-on-charcoal to give 4-propylthio-ophenylene-
diamine hydrochloride.
A mixture of 2.5 ml of 50% sodium hydroxide in 5 ml of water is added to a
mixture of 1.9 g of cyanamide, 2.2 g of methylchloroformate, 3.5 ml of water
and 3 ml of acetone over 45 minutes below 10°C, pH raised to 6.5. A molar
equivalent solution of the diamine in 100 ml of ethanol is added. The mixture
is heated until the easily volatile solvents are expelled, to about 85°C, then
maintained at this temperature with some water added for one-half hour. The
product, methyl 5-propylthio-2-benzimidazolecarbamate, is separated, washed
to give a colorless crystalline solid, MP 208-210°C.
Therapeutic Function
Anthelmintic
Antimicrobial activity
Albendazole is active against trichostrongyles
and exhibits useful activity against tissue-dwelling larvae
of Trichinella spiralis, larvae of animal hookworms (causing
cutaneous larva migrans) and microfilariae of various filarial
species. It also exhibits some activity against cysticercosis and
hydatid stages of Echinococcus granulosus and Echinococcus
multilocularis. It has been successfully used in infections with
the protozoon Giardia lamblia and for microsporidiosis.
Biochem/physiol Actions
Binds to tubulin and inhibits microtubule assembly.
Mechanism of action
Albendazole is given orally and is poorly and variably
absorbed (5%) because of its poor water solubility.
Oral bioavailability is increased as much as five
times when the drug is given with a fatty meal instead of
on an empty stomach. Concurrent treatment with corticosteroids
increases plasma concentrations of albendazole.
The drug is rapidly metabolized in the liver to an
active sulfoxide metabolite.The half life of the metabolites
is 8 to 12 hours.
Pharmacokinetics
Albendazole is better absorbed after oral absorption than
other benzimidazole carbamates. It is extensively metabolized
to the anthelmintically active albendazole sulfoxide,
producing plasma concentrations of the metabolite
of about 1.3 mg/L 2–5 h after a 400 mg oral dose. The
half-life is about 8 h and the major route of excretion is
via the bile. Plasma protein binding of the sulfoxide is
around 70%.
Clinical Use
Albendazole has a broad spectrum of activity against intestinal nematodes and cestodes, as well as the liver flukes Opisthorchis sinensis, Opisthorchis viverrini, and Clonorchis sinensis. It also has been used successfully against Giardia lamblia. It is widely used throughout the world for the treatment of intestinalnematode infection. It is effective as a single-dose treatmentfor ascariasis, New and Old World hookworm infections,and trichuriasis. Multiple-dose therapy with albendazole caneradicate pinworm, threadworm, capillariasis, clonorchiasis,and hydatid disease. The effectiveness of albendazole againsttapeworms (cestodes) is generally more variable and lessimpressive. It also is effective in treating cerebral and spinal neurocysticercosis, particularly when given with dexamethasone.Albendazole is recommended for treatment of gnathostomiasis.
Synthesis
Albendazole, methyl-[5-(propylthio)-1H-benzoimidazol-2-yl]carbamate
(38.1.18), is also made by the heterocyclization of a derivative of phenylenediamine to a
derivative of benzimidazole. In order to do that, 3-chloro-6-nitroacetanylide is reacted
with propylmercaptane to make 3-propylthio-6-nitroacetanylide (38.1.6). Reducing the
nitro group in this compound with hydrogen using a palladium on carbon catalyst
gives 4-(propylthio)-o-phenylenediamine (38.1.7). Reacting the resulting derivative of
o-phenylenediamine with cyanamide and then with the methyl chloroformate gives the
desired albendazole.
Veterinary Drugs and Treatments
Albendazole is labeled for the following endoparasites of cattle (not
lactating): Ostertagia ostertagi, Haemonchus spp., Trichostrongylus
spp., Nematodius spp., Cooperia spp., Bunostomum phlebotomum,
Oesphagostomum spp., Dictacaulus vivaparus (adult and 4th stage
larva), Fasciola hepatica (adults), and Moniezia spp.
In sheep, albendazole is approved for treating the following
endoparasites: Ostertagia circumcincta, Marshallagia marshalli,
Haemonchus contortus, Trichostrongylus spp., Nematodius spp.,
Cooperia spp., Oesphagostomum spp., Chibertia ovina, Dictacaulus
filaria, Fasciola hepatica, Fascioides magna, Moniezia expansa, and
Thysanosoma actinoides.
Albendazole is also used (extra-label) in small mammals, goats
and swine for endoparasite control.
In cats, albendazole has been used to treat Paragonimus kellicotti
infections. In dogs and cats, albendazole
has been used to treat
capillariasis. In dogs, albendazole has been used to treat Filaroides
infections. It has been used for treating giardia infections in small
animals, but concerns about bone marrow toxicity have diminished
enthusiasm for the drug’s use.
Check Digit Verification of cas no
The CAS Registry Mumber 54965-21-8 includes 8 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 5 digits, 5,4,9,6 and 5 respectively; the second part has 2 digits, 2 and 1 respectively.
Calculate Digit Verification of CAS Registry Number 54965-21:
(7*5)+(6*4)+(5*9)+(4*6)+(3*5)+(2*2)+(1*1)=148
148 % 10 = 8
So 54965-21-8 is a valid CAS Registry Number.
InChI:InChI=1/C12H15N3O2S/c1-3-6-18-8-4-5-9-10(7-8)14-11(13-9)15-12(16)17-2/h4-5,7H,3,6H2,1-2H3,(H2,13,14,15,16)
54965-21-8Relevant articles and documents
Anthelmintic activity of albendazole against liver flukes, tapeworms, lung and gastrointestinal roundworms
Theodorides,Gyurik,Kingsbury,Parish
, p. 702 - 703 (1976)
A new derivative, albendazole, of the benzimidazole group of anthelmintics which is active against nematode, cestode and trematode species, was found.
Preparation method of albendazole
-
, (2020/09/09)
The invention discloses a preparation method of albendazole, which comprises the following steps of: dissolving 4-propylthio-o-phenylenediamine in methanol, cooling, keeping the temperature at 0-5 DEGC, slowly dropwise adding cyanogen chloride for reaction under the condition of uniform stirring, and regulating and keeping the pH value at 4-5 in the process; heating to 35-45 DEG C after dropwiseadding is finished, carrying out heat preservation for 1-2 hours, then carrying out atmospheric distillation to recover methanol to obtain a solid-liquid mixed aqueous solution, and carrying out cooling, filtering and drying to obtain 6-propylthio-2-amino-1-hydrogen-benzo [d] imidazole; adding the obtained product into methanol, stirring, cooling, maintaining the temperature at 5-10 DEG C, slowlydropwise adding methyl chloroformate, and adjusting and maintaining the pH value at 6-7; after dropwise adding is finished, heating to 35-45 DEG C, keeping the temperature for 1-2 hours, distilling atnormal pressure to recover methanol, cooling to 15-20 DEG C, and performing filtering and drying to obtain an albendazole product. The method has the advantages of mild process conditions, low cost of used raw materials, water saving, strong reaction activity, good selectivity, high product yield and good product quality.
Albendazole synthesis method
-
, (2019/03/25)
The invention discloses an albendazole synthesis method. The albendazole synthesis method includes reacting ammonium thiocyanate with chlorine gas in a lower alcohol solvent to obtain chlorothiocyanate, reacting ortho-nitroaniline with the chlorothiocyanate in the lower alcohol solvent to obtain 4-thiocyano-2-nitroaniline, reacting the 4-thiocyano-2-nitroaniline with a sodium hydroxide solution toobtain 4-sodium sulfonate-2-nitroaniline, performing hydrochloric acid acidification to obtain 4-mercapto-2-nitroaniline, subjecting the 4-mercapto-2-nitroaniline and propylene to Markovnikov addition reaction to obtain 4-propylthio-2-nitroaniline, and reacting 4-propylthio-o-phenylenediamine with methylcyanocarbamate to obtain albendazole. The albendazole synthesis method has the advantages thata novel synthetic route is applied to prepare the albendazole, the defects of high impurity quantity and low yield in the current production process are overcome, the chlorothiocyanate is prepared toserve as an intermediate and then reacts with the ortho-nitroaniline, and impurities can be avoided effectively; the propylene is introduced for the addition reaction, raw materials are clean and free from pollution, introduction of highly toxic sodium cyanide is avoided, the total yield is high, and the albendazole synthesis method has a good industrialization prospect.