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BW-A444

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Chemical compound
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(October 2014)
Pharmaceutical compound
BW-A444
Legal status
Legal status
  • Investigational
Identifiers
  • 2,2'-[1,4-phenylenebis[(1-oxo-2-propene-3,1-diyl)oxy-3,1-propanediyl]]bis[1,2,3,4-tetrahydro-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]isoquinolinium] dichloride
CAS Number
ChemSpider
Chemical and physical data
FormulaC62H78Cl2N2O14
Molar mass1146.21 g·mol−1
3D model (JSmol)
  • [Cl-].[Cl-].O=C(OCCC[N+]2(C)C(c1cc(OC)c(OC)cc1CC2)Cc3cc(OC)c(OC)c(OC)c3)\C=C\c4ccc(cc4)\C=C\C(=O)OCCC[N+]6(C(c5c(cc(OC)c(OC)c5)CC6)Cc7cc(OC)c(OC)c(OC)c7)C
  • InChI=1S/C62H78N2O14.2ClH/c1-63(27-23-45-37-51(67-3)53(69-5)39-47(45)49(63)31-43-33-55(71-7)61(75-11)56(34-43)72-8)25-13-29-77-59(65)21-19-41-15-17-42(18-16-41)20-22-60(66)78-30-14-26-64(2)28-24-46-38-52(68-4)54(70-6)40-48(46)50(64)32-44-35-57(73-9)62(76-12)58(36-44)74-10;;/h15-22,33-40,49-50H,13-14,23-32H2,1-12H3;2*1H/q+2;;/p-2/b21-19+,22-20+;;
  • Key:UNQYVYCAHVEHIT-JXYRNBIZSA-L

BW A444U was an experimentalneuromuscular blocking drug orskeletal muscle relaxant in the category of non-depolarizingneuromuscular-blocking drugs, intended to be used adjunctively in surgicalanesthesia to facilitate endotrachealintubation and to provideskeletal muscle relaxation duringsurgery ormechanical ventilation. It was synthesized and developed in the early 1980s.

BW A444U represented the first-generation oftetrahydroisoquinolineneuromuscular-blocking drugs that arenicotinic acetylcholine receptorantagonists orantinicotinics. It was an intermediate-duration[1] non-depolarizingneuromuscular-blocking drug orskeletal muscle relaxant. It was synthesized by Mary M. Jackson and James C. Wisowaty, PhD (both chemists within the Chemical Development Laboratories atBurroughs Wellcome Co.,Research Triangle Park, NC) in collaboration with John J. Savarese MD (who at the time was an anesthesiologist in the Dept. of Anesthesia,Harvard Medical School at theMassachusetts General Hospital,Boston, MA).

The drug was tested clinically in the early 1980s,[1] and quickly abandoned from further clinical development after a single clinical study, owing primarily to undesirable effects of histamine release when administered at clinically relevant doses.

References

[edit]
  1. ^abSavarese JJ, Ali HH, Basta SJ, Sunder N, Moss J, Gionfriddo MA, Lineberry CG, Wastila WB, El-Sayad HA, Montague D, Braswell L (1983)."The clinical pharmacology of BW A444U. A nondepolarizing ester relaxant of intermediate duration".Anesthesiology.58 (4):333–341.doi:10.1097/00000542-198304000-00006.PMID 6220623.S2CID 22212818.
nAChRsTooltip Nicotinic acetylcholine receptors
Agonists
(andPAMsTooltip positive allosteric modulators)
Antagonists
(andNAMsTooltip negative allosteric modulators)
Precursors
(andprodrugs)
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