WR 243251 is a dihydroacridinedione that was evaluated for antimalaria
l blood schizonticidal activity in vitro and in vivo. The in vitro dos
es calculated to kill 50% of organisms were 11 nM for a chloroquine-su
sceptible, mefloquine-resistant standard strain and 25 nM for a chloro
quine- and pyrimethamine-resistant standard strain. The total dose nee
ded to cure 100% of mice infected with a drug-susceptible strain of Pl
asmodium berghei was 12 to 20 mg/kg of body weight for both oral and s
ubcutaneous administration. The regimen needed to cure 100% of Aotus m
onkeys infected with Plasmodium falciparum was 8 mg/kg/day for 3 days
(chloroquine-susceptible strain) and 16 mg/kg/day for 3 days (chloroqu
ine-resistant strain). The 100% curative doses for Aotus monkeys did n
ot increase for parasites previously exposed to subcurative doses. The
absolute value of the curative doses of WR 243251 was comparable to o
r lower than the values for clinical antimalarial agents. The high abs
olute activity, comparability of activities against susceptible and re
sistant parasites, and inability to induce resistance by exposure to s
ubcurative doses suggest that WR 243251 has strong potential as a bloo
d schizonticidal agent.