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Home> Encyclopedia >Antibiotic and antimicrobial agents>Pharmaceutical Intermediates>Pharmaceutical
Voriconazole structure
Voriconazole structure

Voriconazole

Iupac Name:(2R,3S)-2-(2,4-difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1,2,4-triazol-1-yl)butan-2-ol
CAS No.: 137234-62-9
Molecular Weight:349.317
Modify Date.: 2022-11-22 16:55
Introduction: Voriconazole was introduced in the US for the treatment of acute invasive aspergillosis,candidosis and other emerging fungal infections seen in immuno compromised patients. Itcan be synthesized in 3 steps by reaction of readily available 6-( 1 -bromoethyl)-4-chloro-5fluoropyrimidine with I-(2,4-difluorophenyl)-2-(1,2,4-triazol-I-yl) ethanone in the presenceof zinc metal. The resulting racemic mixture was submitted to a reductive dechlorinationstep followed by resolution with (R)-camphorsulfonic acid. Voriconazole is structurallyrelated to fluconazole (Pfizer, diflucan?) and acts by inhibiting the cytochrome P450-dependant enzyme 14a-sterol demethylase of ergosterol synthesis (thereby resulting inthe formation of a cell membrane with abnormal characteristics and accumulation of toxicsterol intermediates). Voriconazole was more active than itraconazole and fluconazoleagainst Cryptococcus neoformans and a variety of Candidas species such as C. albicans,C. glabrata C. krusei. It also exhibits similar or superior activity compared to amphotericinB and itraconazole against filamentous fungi such as Aspergillus, an important pathogenwhich is not susceptible to fluconazole. In clinical trials, voriconazole was effective in thetreatment of neutropenic patients with acute invasive aspergillosis, non-neutropenicpatients with chronic invasive aspergillosis and HIV patients with oropharyngealcandidiasis. Voriconazole is available as oral or intravenous formulations. Following oraladministration, absorption is rapid and the bioavailability is greater than 80%. Voriconazoleexhibits non linear pharmacokinetics, a large volume of distribution (2 L/Kg) and arelatively short half-life (6 h). It was extensively metabolized via hepatic cytochrome P450and has a drug interactions potential similar to itraconazole. Voriconazole was generallywell tolerated, the most common treatment-related adverse events were transient visualdisturbances. View more+
1. Names and Identifiers
1.1 Name
Voriconazole
1.2 Synonyms

(2R,3S)-2-(2,4-difluorophényl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4-triazol-1-yl)butan-2-ol (2R,3S)-2-(2,4-Difluorophenyl)-3 (2R,3S)-2-(2,4-Difluorophenyl)-3-(5-fluoro-4-pyrimidinyl)-1-(1H-1,2,4-triazol-1-yl)-2-butanol (2R,3S)-2-(2,4-difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4-triazol-1-yl)butan-2-ol (2R,3S)-2-(2,4-Difluorphenyl)-3-(5-fluorpyrimidin-4-yl)-1-(1H-1,2,4-triazol-1-yl)butan-2-ol (2S,3R)-3-(6-Chloro-5-fluoro-4-pyrimidinyl)-2-(2,4-difluorophenyl)-1-(1H-1,2,4-triazol-1-yl)-2-butanol hydrochloride (2S,3R)-3-(6-Chloro-5-fluoro-4-pyrimidinyl)-2-(2,4-difluorophenyl)-1-(1H-1,2,4-triazol-1-yl)-2-butanol hydrochloride (1:1) (aR,bS)-a-(2,4-difluorophenyl)-5-fluoro-b-methyl-a-(1H-1,2,4-triazol-1-ylmethyl)-4-pyrimidineethanol (R-(R*,S*))-a-(2,4-difluorophenyl)-5-fluoro-b-methyl-a-(1H-1,2,4-triazol-1-ylmethyl)-4-pyrimidineethanol 2-(2,4-difluorophenyl)-3-(5-fluoro-4-pyrimidinyl)-1-(1,2,4-triazol-1-yl)butan-2-ol 2-(2,4-difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1,2,4-triazol-1-yl)butan-2-ol 4-Pyrimidineethanol, 6-chloro-α-(2,4-difluorophenyl)-5-fluoro-Β-methyl-α-(1H-1,2,4-triazol-1-ylmethyl)-, (αS,ΒR)-, hydrochloride (1:1) 4-Pyrimidineethanol, α-(2,4-difluorophenyl)-5-fluoro-Β-methyl-α-(1H-1,2,4-triazol-1-ylmethyl)-, (αR,ΒS)- EINECS 200-261-5 MFCD00905717 Vfend Voriconazole solution Voriconazole 2-(2,4-Difluorophenyl)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4-triazol-1-yl)butan-2-ol Voriconazole(UK 109496) Vorionazole

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1.3 CAS No.
137234-62-9
1.4 CID
71616
1.5 EINECS(EC#)
629-701-5
1.6 Molecular Formula
C16H14F3N5O (isomer)
1.7 Inchi
InChI=1S/C16H14F3N5O/c1-10(15-14(19)5-20-7-22-15)16(25,6-24-9-21-8-23-24)12-3-2-11(17)4-13(12)18/h2-5,7-10,25H,6H2,1H3/t10-,16+/m0/s1
1.8 InChIkey
BCEHBSKCWLPMDN-MGPLVRAMSA-N
1.9 Canonical Smiles
CC(C1=NC=NC=C1F)C(CN2C=NC=N2)(C3=C(C=C(C=C3)F)F)O
1.10 Isomers Smiles
C[C@@H](C1=NC=NC=C1F)[C@](CN2C=NC=N2)(C3=C(C=C(C=C3)F)F)O
2. Properties
2.1 Density
1.42
2.1 Melting point
127-130°C
2.1 Boiling point
508.6°C at 760 mmHg
2.1 Refractive index
1.616
2.1 Flash Point
261.4°C
2.1 PSA
76.72000
2.1 logP
2.17690
2.1 Solubility
DMSO: >20mg/mL
2.2 Appearance
Solid
2.3 Storage
Store at +4°C
2.4 Chemical Properties
Cyrstalline Solid
2.5 pKa
11.54±0.29(Predicted)
2.6 Water Solubility
DMSO: >20mg/mL
2.7 StorageTemp
2-8°C
3. Use and Manufacturing
3.1 Definition
ChEBI: A triazole-based antifungal agent used for the treatment of esophageal candidiasis, invasive pulmonary aspergillosis, and serious fungal infections caused by Scedosporium apiospermum and Fusarium spp. It is an inhibitor of cytochrme P450 2C9 (CYP2C9) and CYP3A4.
3.2 Usage
broad-spectrum antifungal
4. Safety and Handling
4.1 Symbol
GHS02, GHS06, GHS08
4.1 Hazard Codes
Xn;
4.1 Signal Word
Danger
4.1 Risk Statements
R22;R36/38
4.1 Safety Statements
S26;S36
4.1 Packing Group
III
4.1 Hazard Class
6.1
4.1 Hazard Declaration
H225-H301 + H311 + H331-H370
4.1 RIDADR
OTH
4.1 Caution Statement
P210-P260-P280-P301 + P310-P311
4.1 WGK Germany
3
4.1 RTECS
UV9145000
5. MSDS

2.Hazard identification

2.1 Classification of the substance or mixture

no data available

2.2 GHS label elements, including precautionary statements

Pictogram(s) no data available
Signal word

no data available

Hazard statement(s)

no data available

Precautionary statement(s)
Prevention

no data available

Response

no data available

Storage

no data available

Disposal

no data available

2.3 Other hazards which do not result in classification

no data available

8. Other Information
8.0 Merck
14,10033
8.1 Product description
Voriconazole is a broad-spectrum triazole antifungal ,it is primarily used for the treatment of progressive, possibly life-threatening infections in immune deficiency patients. Indications include: immunosuppressed patients with severe fungal infections, acute invasive aspergillosis (the most common pathogen is Aspergillus fumigatus, followed by A. flavus, Aspergillus niger and Aspergillus soil), severe invasive infections caused by fluconazole-resistant Candida (including C. krusei) severe infection caused by Foot actinomycetes bacteria genus and Fusarium bacteria genus . Moderate to severe renal insufficiency is administered intravenously paying caution.
8.2 Pharmacological interactions
Combination With the CYP3A4 substrates, terfenadine, sirolimus, astemizole, cisapride, pimozide or quinidine , can increase blood concentrations of this drug, leading to QT prolongation, and occasionally torsades de pointes ventricular tachycardia.
Combination With Rifampicin, rifabutin, efavirenz, ritonavir (each 400mg, once every 12 hours), carbamazepine and phenobarbital, can significantly lower blood concentrations of voriconazole.
Combination with ergot alkaloids (ergotamine, dihydroergotamine) plasma concentrations of ergot drugs can cause increased ergot poisoning.
8.3 Uses
broad-spectrum antifungal
8.4 Chemical Properties
Cyrstalline Solid
8.5 Uses
An antifungal (systemic). An ergosterol biosynthesis inhibitor.
8.6 Uses
antibacterial
8.7 Uses
An antifungal. An Ergosterol Biosynthesis inhibitor
8.8 Definition
ChEBI: A triazole-based antifungal agent used for the treatment of esophageal candidiasis, invasive pulmonary aspergillosis, and serious fungal infections caused by Scedosporium apiospermum and Fusarium spp. It is an inhibitor of cytochr me P450 2C9 (CYP2C9) and CYP3A4.
8.9 Uses
Voriconazole is a triazole, antifungal agent that inhibits a broad range of pathogenic yeasts, including Candida (MIC = 0.03-8 μg/ml), and filamentous fungi such as Aspergillus, Scedosporium, and Fusarium. Its inhibitory action results from its ability to inhibit the synthesis of ergosterol, the major sterol of the fungal cell membrane.
8.10 Brand name
Vfend (Pfizer).
8.11 Biological Activity
Triazole antifungal agent. Displays potent activity against Candida , Cryptococcus and Aspergillus species.
8.12 Target
Value
8.13 Pharmacological interactions
Combination With the CYP3A4 substrates, terfenadine, sirolimus, astemizole, cisapride, pimozide or quinidine , can increase blood concentrations of this drug, leading to QT prolongation, and occasionally torsades de pointes ventricular tachycardia.
Combination With Rifampicin, rifabutin, efavirenz, ritonavir (each 400mg, once every 12 hours), carbamazepine and phenobarbital, can significantly lower blood concentrations of voriconazole.
Combination with ergot alkaloids (ergotamine, dihydroergotamine) plasma concentrations of ergot drugs can cause increased ergot poisoning.
8.14 Description
Voriconazole was introduced in the US for the treatment of acute invasive aspergillosis, candidosis and other emerging fungal infections seen in immuno compromised patients. It can be synthesized in 3 steps by reaction of readily available 6-( 1 -bromoethyl)-4-chloro-5 fluoropyrimidine with I-(2,4-difluorophenyl)-2-(1,2,4-triazol-I-yl) ethanone in the presence of zinc metal. The resulting racemic mixture was submitted to a reductive dechlorination step followed by resolution with (R)-camphorsulfonic acid. Voriconazole is structurally related to fluconazole (Pfizer, diflucan?) and acts by inhibiting the cytochrome P450- dependant enzyme 14a-sterol demethylase of ergosterol synthesis (thereby resulting in the formation of a cell membrane with abnormal characteristics and accumulation of toxic sterol intermediates). Voriconazole was more active than itraconazole and fluconazole against Cryptococcus neoformans and a variety of Candidas species such as C. albicans, C. glabrata C. krusei. It also exhibits similar or superior activity compared to amphotericin B and itraconazole against filamentous fungi such as Aspergillus, an important pathogen which is not susceptible to fluconazole. In clinical trials, voriconazole was effective in the treatment of neutropenic patients with acute invasive aspergillosis, non-neutropenic patients with chronic invasive aspergillosis and HIV patients with oropharyngeal candidiasis. Voriconazole is available as oral or intravenous formulations. Following oral administration, absorption is rapid and the bioavailability is greater than 80%. Voriconazole exhibits non linear pharmacokinetics, a large volume of distribution (2 L/Kg) and a relatively short half-life (6 h). It was extensively metabolized via hepatic cytochrome P450 and has a drug interactions potential similar to itraconazole. Voriconazole was generally well tolerated, the most common treatment-related adverse events were transient visual disturbances.
View all
8.15 Originator
Pfizer (UK)
8.16 Indications
Voriconazole (Vfend), a derivative of fluconazole, is a second-generation triazole that has improved antifungal activity against Aspergillus and Fusarium spp., P. boydii, Penicillium marneffei, and fluconazole-resistant Candida spp. Like fluconazole, voriconazole has high oral bioavailability and good cerebrospinal fluid penetration, but unlike fluconazole, it undergoes extensive hepatic metabolism and is highly protein bound. No significant amount of bioactive drug is excreted into the urine. Dosage reduction is necessary with severe hepatic insufficiency but not with renal insufficiency.
8.17 Manufacturing Process
A solution of 3-(4-chloro-5-fluoropyrimidin-6-yl)-2-(2,4-difluorophenyl)-1-(1H- 1,2,4-triazol-1-yl)butan-2-ol, enantiomeric pair B (0.307 g, 0.8 mmol) in ethanol (20 ml) was hydrogenated at atmospheric pressure and at room temperature in the presence of 10% palladium-on-charcoal (30 mg) and sodium acetate (0.082 g, 1 mmol). After 5 hours a further 10 mg of 10% palladium-on-charcoal was added and hydrogenation was continued for an additional 1 hour. The catalyst was removed by filtration and the filtrate was concentrated in vacuo. 'Flash' chromatography of the residue on silica using 97:3 ethyl acetate/methanol as the eluent provided, after combination and evaporation of appropriate fractions and trituration with diethyl ether, the 2- (2,4-difluorophenyI)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4-triazol-I-yl)butan- 2-ol enantiomeric pair B, (0.249 g, 89%), m.p. 127°C.
2-(2,4-DifluorophenyI)-3-(5-fluoropyrimidin-4-yl)-1-(1H-1,2,4-triazol-1- yl)butan-2-ol enantiomeric pair A was prepared by a similar method using 3- (4-chloro-5-fluoropyrimidin-6-yl)-2-(2,4-difluorophenyl)-1-(1H-1,2,4-triazol-1- yl)butan-2-ol, enantiomeric pair A as a starting material. This gave the product with m.p. 137°C.
View all
8.18 Therapeutic Function
Antifungal
8.19 Antimicrobial activity
The spectrum includes most fungi that cause human disease: dimorphic fungi (Blast. dermatitidis, Coccidioides spp., Hist. capsulatum, Paracocc. brasiliensis, Pen. marneffei and Spor. schenckii), molds (Aspergillus spp., Fusarium spp. and Scedosporium spp.), dematiaceous fungi and yeasts (Candida spp., Cryptococcus spp. and Trichosporon spp.).
8.20 Acquired resistance
Some fluconazole- and itraconazole-resistant strains of Candida and Aspergillus spp. show reduced susceptibility to voriconazole.
8.21 General Description
Voriconazole is a synthetically prepared, broad-spectrum triazole derivative of fluconazole, which shows in vitro activity against many yeasts and a broad-spectrum of mold and dermatophyte isolates. Its mode of action involves the inhibition of cytochrome P450 (CYP)-dependent enzyme, 14-α-sterol demethylase, and hence it is involved in disrupting the cell membrane and terminate the fungal growth.
9. Computational chemical data
  • Molecular Weight: 349.317g/mol
  • Molecular Formula: C16H14F3N5O
  • Compound Is Canonicalized: True
  • XLogP3-AA: 1.5
  • Exact Mass: 349.11504457
  • Monoisotopic Mass: 349.11504457
  • Complexity: 448
  • Rotatable Bond Count: 5
  • Hydrogen Bond Donor Count: 1
  • Hydrogen Bond Acceptor Count: 8
  • Topological Polar Surface Area: 76.7
  • Heavy Atom Count: 25
  • Defined Atom Stereocenter Count: 2
  • Undefined Atom Stereocenter Count: 0
  • Defined Bond Stereocenter Count: 0
  • Undefined Bond Stereocenter Count: 0
  • Isotope Atom Count: 0
  • Covalently-Bonded Unit Count: 1
  • CACTVS Substructure Key Fingerprint: AAADccB7oYAAAAAAAAAAAAAAAAAAAWAAAAA8QAAAAAAAAAAB8AAAHwAICAAADUzBngw/kJYIEgCiAzRnZACSgCsxgKAd2CA4TJiKLqLA2dGEdAhuwANY2CeQ0OIOgAAAAAAAAAAAAAAAAAAAAAAAAAAAAA==
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