Based on the preliminary encouraging results obtained in Phase I feasibility study, it is proposed to design, synthesize and evaluate in biological antimalarial assays approximately forty new L-nucleoside conjugates and other dinucleoside phosate analogs. the synthesized chemicals will undergo an in-depth quantitative structure-activity relationship analysis. a major effort in the Phase II program will be dedicated to the synthesis of a radiolabeled dinucleoside phosphate. This material will enable a quantitative investigation of the transport mechanism, and uptake by both parasite invaded cells and normal red blood erythrocytes. Moreover, this material will be instrumental in determination of the drug metabolism and therefore will provide clarification on the mechanism of action of the drug. the best compounds, which will have submicromolar activity and minimal or no detectable toxicity will be scaled up for in vivo evaluation. Test compounds will also be submitted to the U.S. Army Antimalaria Test Program. Successful accomplishment of the proposed Phase II program will result in selection of one or two drug candidates for development in human clinical trials.
Benefits: The project will likely produce a new class of antimalarial drugs for treatment of multi-drug resistant malaria. the disease kill over 2 million persons worldwide annually and affects 300 millions. There is therefore a considerable humanitarian benefit as well as commercial potential upon successful completion of the project goals.
Keywords: Antimalarials Purines Pyrimidines Cytotoxic Plasmodium