Peringatan Keamanan

Oral LD50 (rat): >8 gm/kg; Oral LD50 (mouse): >8 gm/kgMSDS

A note on the use in pregnancy

There are no available data on triclabendazole use in pregnant women to calculate a drug associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. Reproductive studies in animals (rat and rabbits) have not demonstrated an increased risk of increased fetal abnormalities with exposure to triclabendazole during the organogenesis period at doses which were about 0.3 to 1.6 times the maximum recommended human dose (MRHD) of 20 mg/kg.FDA label

Carcinogenesis/Mutagenesis

No genotoxic risk was noted for triclabendazole tested in 6 genotoxicity in vitro and in vivo assays.FDA label

Impairment of Fertility

No drug-related effects on reproductive performance, mating ratios or indices of fertility have been observed in a 2-generation reproductive and developmental toxicity study in rats.FDA label

A note on use in breastfeeding

There are no human findings on the presence of triclabendazole in milk, the effects on a nursing infant, or the effects on maternal milk production. The results of animal studies indicate that triclabendazole is found in goat milk when given as a single dose to a lactating female goat. When a drug is found to be present in animal milk, the likelihood that it will be found in human milk is high. Excercise caution if this drug is administered during nursing.FDA label

Triclabendazole

DB12245

small molecule approved investigational

Deskripsi

Triclabendazole, manufactured by Novartis pharmaceuticals, is an antihelminthic drug that was approved by the FDA in February 2019 for the treatment of fascioliasis in humans.FDA label, L5452 Fascioliasis is a parasitic infection often caused by the helminth, Fasciola hepatica, which is also known as “the common liver fluke” or “the sheep liver fluke” or by Fasciola gigantica, another helminth. These parasites can infect humans following ingestion of larvae in contaminated water or food.

Triclabendazole was previously used in the treatment of fascioliasis in livestock, but is now approved for human use.
This drug is currently the only FDA-approved drug for individuals with fascioliasis, which affects 2.4 million people worldwide.A174988,L5452

Struktur Molekul 2D

Berat 359.65
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The plasma elimination half-life (t1/2) of triclabendazole, the sulfoxide and sulfone metabolites in human is about 8, 14, and 11 hours, respectively.[FDA label]
Volume Distribusi The apparent volume of distribution (Vd) of the sulfoxide metabolite in fed patients is about 1 L/kg.[FDA label]
Klirens (Clearance) -

Absorpsi

After a single oral dose of 10 mg/kg triclabendazole with a 560-kcal meal to patients diagnosed with fascioliasis, mean peak plasma concentrations (Cmax) for triclabendazole, the sulfoxide, and sulfone metabolites were 1.16, 38.6, and 2.29 ?mol/L, respectively. The area under the curve (AUC) for triclabendazole, the sulfoxide and sulfone metabolites were 5.72, 386, and 30.5 ?mol?h/L, respectively.FDA label After the oral administration of a single dose of triclabendazole at 10 mg/kg with a 560 calorie meal to patients with fascioliasis, the median Tmax for the parent compound as well as the active sulfoxide metabolite was 3 to 4 hours.FDA label Effect of Food Cmax and AUC of triclabendazole and sulfoxide metabolite increased about 2-3 times when triclabendazole was administered as a single dose at 10 mg/kg with a meal containing approximately 560 calories. Additionally, the sulfoxide metabolite Tmax increased from 2 hours in fasting subjects to 4 hours in fed subjects FDA label.

Metabolisme

Based on in vitro studies, triclabendazole is mainly metabolized by CYP1A2 enzyme (approximately 64%) into its active sulfoxide metabolite and to a lesser extent by CYP2C9, CYP2C19, CYP2D6, CYP3A, and FMO (flavin containing monooxygenase). This sulfoxide metabolite is further metabolized mainly by CYP2C9 to the active sulfone metabolite, and to a smaller extent by CYP1A1, CYP1A2, CYP1B1, CYP2C19, CYP2D6, and CYP3A4, in vitro.FDA label

Rute Eliminasi

No data regarding excretion is available in humans. In animals, triclabendazole is primarily excreted by the biliary tract in the feces (90%), together with the sulfoxide and sulfone metabolite. Less than 10% of an oral dose is found excreted in the urine.FDA label

Interaksi Makanan

1 Data
  • 1. Take with food. Taking triclabendazole with food increases the bioavailability of triclabendazole and its sulfoxide metabolite.

Interaksi Obat

1071 Data
Cilostazol The serum concentration of Cilostazol can be increased when it is combined with Triclabendazole.
Deferasirox The serum concentration of Triclabendazole can be increased when it is combined with Deferasirox.
Peginterferon alfa-2b The serum concentration of Triclabendazole can be increased when it is combined with Peginterferon alfa-2b.
Leflunomide The serum concentration of Triclabendazole can be decreased when it is combined with Leflunomide.
Teriflunomide The serum concentration of Triclabendazole can be decreased when it is combined with Teriflunomide.
Dabrafenib The serum concentration of Triclabendazole can be decreased when it is combined with Dabrafenib.
Eliglustat The metabolism of Eliglustat can be decreased when combined with Triclabendazole.
Ibrutinib The metabolism of Ibrutinib can be decreased when combined with Triclabendazole.
Luliconazole The serum concentration of Triclabendazole can be increased when it is combined with Luliconazole.
Colchicine The metabolism of Colchicine can be decreased when combined with Triclabendazole.
Iloperidone The metabolism of Iloperidone can be decreased when combined with Triclabendazole.
Retapamulin The metabolism of Retapamulin can be decreased when combined with Triclabendazole.
Tofacitinib The metabolism of Tofacitinib can be decreased when combined with Triclabendazole.
Vardenafil The metabolism of Vardenafil can be decreased when combined with Triclabendazole.
Eszopiclone The metabolism of Eszopiclone can be decreased when combined with Triclabendazole.
Zopiclone The metabolism of Zopiclone can be decreased when combined with Triclabendazole.
Lovastatin The metabolism of Lovastatin can be decreased when combined with Triclabendazole.
Zolmitriptan The metabolism of Zolmitriptan can be decreased when combined with Triclabendazole.
Alfuzosin The metabolism of Alfuzosin can be decreased when combined with Triclabendazole.
Alprazolam The metabolism of Alprazolam can be decreased when combined with Triclabendazole.
Atomoxetine The metabolism of Atomoxetine can be decreased when combined with Triclabendazole.
R,S-Warfarin alcohol The serum concentration of R,S-Warfarin alcohol can be increased when it is combined with Triclabendazole.
S,R-Warfarin alcohol The serum concentration of S,R-Warfarin alcohol can be increased when it is combined with Triclabendazole.
Warfarin The serum concentration of Warfarin can be increased when it is combined with Triclabendazole.
Midazolam The serum concentration of Midazolam can be increased when it is combined with Triclabendazole.
Tacrolimus The serum concentration of Tacrolimus can be increased when it is combined with Triclabendazole.
Atorvastatin The metabolism of Atorvastatin can be decreased when combined with Triclabendazole.
Mirabegron The serum concentration of Triclabendazole can be increased when it is combined with Mirabegron.
Abiraterone The serum concentration of Triclabendazole can be increased when it is combined with Abiraterone.
Cyproterone acetate The metabolism of Triclabendazole can be increased when combined with Cyproterone acetate.
Lumacaftor The serum concentration of Triclabendazole can be decreased when it is combined with Lumacaftor.
Leuprolide The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Leuprolide.
Goserelin The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Goserelin.
Erythromycin The serum concentration of Triclabendazole can be increased when it is combined with Erythromycin.
Azithromycin The metabolism of Azithromycin can be decreased when combined with Triclabendazole.
Moxifloxacin The metabolism of Triclabendazole can be decreased when combined with Moxifloxacin.
Sulfisoxazole The metabolism of Triclabendazole can be decreased when combined with Sulfisoxazole.
Diltiazem The metabolism of Triclabendazole can be decreased when combined with Diltiazem.
Sulpiride The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Sulpiride.
Nimodipine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Nimodipine.
Promazine The metabolism of Promazine can be decreased when combined with Triclabendazole.
Prochlorperazine The metabolism of Prochlorperazine can be decreased when combined with Triclabendazole.
Droperidol The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Droperidol.
Oxaliplatin The risk or severity of QTc prolongation can be increased when Oxaliplatin is combined with Triclabendazole.
Perflutren The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Perflutren.
Cinnarizine The metabolism of Cinnarizine can be decreased when combined with Triclabendazole.
Atropine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Atropine.
Adenosine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Adenosine.
Gadobenic acid The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Gadobenic acid.
Carbinoxamine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Carbinoxamine.
Dolasetron The metabolism of Dolasetron can be decreased when combined with Triclabendazole.
Roxithromycin The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Roxithromycin.
Nalidixic acid The metabolism of Triclabendazole can be decreased when combined with Nalidixic acid.
Cinoxacin The metabolism of Triclabendazole can be decreased when combined with Cinoxacin.
Granisetron The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Granisetron.
Ondansetron The metabolism of Ondansetron can be decreased when combined with Triclabendazole.
Levosimendan The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Levosimendan.
Mesoridazine The metabolism of Mesoridazine can be decreased when combined with Triclabendazole.
Desloratadine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Desloratadine.
Lomefloxacin The metabolism of Lomefloxacin can be decreased when combined with Triclabendazole.
Dimenhydrinate The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Dimenhydrinate.
Papaverine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Papaverine.
Chlorpheniramine The metabolism of Triclabendazole can be decreased when combined with Chlorpheniramine.
Nifedipine The metabolism of Nifedipine can be decreased when combined with Triclabendazole.
Levofloxacin The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Levofloxacin.
Gemifloxacin The metabolism of Triclabendazole can be decreased when combined with Gemifloxacin.
Ofloxacin The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Ofloxacin.
Probucol The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Probucol.
Aceprometazine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Aceprometazine.
Terlipressin The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Terlipressin.
Prenylamine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Prenylamine.
Fluspirilene The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Fluspirilene.
Lofexidine The metabolism of Lofexidine can be decreased when combined with Triclabendazole.
Azimilide The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Azimilide.
Pracinostat The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Pracinostat.
Garenoxacin The metabolism of Triclabendazole can be decreased when combined with Garenoxacin.
Tedisamil The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Tedisamil.
Tucidinostat The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Tucidinostat.
Telavancin The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Telavancin.
Nemonoxacin The metabolism of Triclabendazole can be decreased when combined with Nemonoxacin.
Nilvadipine The metabolism of Triclabendazole can be decreased when combined with Nilvadipine.
Antazoline The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Antazoline.
Bedaquiline The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Bedaquiline.
Fendiline The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Fendiline.
Eperisone The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Eperisone.
Butriptyline The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Butriptyline.
Lenvatinib The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Lenvatinib.
Melperone The metabolism of Triclabendazole can be decreased when combined with Melperone.
Benidipine The metabolism of Triclabendazole can be decreased when combined with Benidipine.
Dexchlorpheniramine maleate The metabolism of Triclabendazole can be decreased when combined with Dexchlorpheniramine maleate.
Amifampridine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Amifampridine.
Mocetinostat The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Mocetinostat.
Entinostat The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Entinostat.
Gilteritinib The metabolism of Gilteritinib can be decreased when combined with Triclabendazole.
CUDC-101 The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with CUDC-101.
Simendan The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Simendan.
Ricolinostat The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Ricolinostat.
Mizolastine The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Mizolastine.
Abexinostat The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Abexinostat.
Oxatomide The risk or severity of QTc prolongation can be increased when Triclabendazole is combined with Oxatomide.

Target Protein

Cruzipain
Excretory Secretory (ES) proteins

Referensi & Sumber

Artikel (PubMed)
  • PMID: 17265093
    El-Tantawy WH, Salem HF, Mohammed Safwat NA: Effect of Fascioliasis on the pharmacokinetic parameters of triclabendazole in human subjects. Pharm World Sci. 2007 Jun;29(3):190-8. doi: 10.1007/s11096-006-9069-8. Epub 2007 Jan 30.
  • PMID: 27648421
    Manouchehri Naeini K, Mohammad Nasiri F, Rokni MB, Kheiri S: Seroprevalence of Human Fascioliasis in Chaharmahal and Bakhtiyari Province, Southwestern Iran. Iran J Public Health. 2016 Jun;45(6):774-80.

Contoh Produk & Brand

Produk: 1 • International brands: 1
Produk
  • Egaten
    Tablet • 250 mg/1 • Oral • US • Approved
International Brands
  • Fasinex

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