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Fexinidazole CAS 59729-37-2: An Oral Breakthrough for Sleeping Sickness

Fexinidazole, identified by CAS No. 59729-37-2, is a crucial pharmaceutical compound making significant strides in global health. With a molecular formula of C12H13N3O3S and a molecular weight of 279.31, this crystalline substance represents a vital advancement in the fight against neglected tropical diseases. As a dedicated provider of high-quality pharmaceutical raw materials, NINGBO INNO PHARMCHEM CO.,LTD. recognizes the profound importance of such innovative compounds in improving patient outcomes worldwide.


The primary application of Fexinidazole is in the treatment of human African trypanosomiasis (HAT), commonly known as sleeping sickness. This debilitating parasitic disease, transmitted by the tsetse fly, predominantly affects remote, vulnerable populations in sub-Saharan Africa. If left untreated, sleeping sickness is almost always fatal, progressing through two stages: an early hemolymphatic stage and a later meningoencephalitic stage where the parasites cross the blood-brain barrier, leading to severe neuropsychiatric symptoms.


Historically, treating advanced-stage sleeping sickness involved complex regimens requiring intravenous infusions, injections, and often, hospitalization. These methods posed significant logistical challenges, particularly in areas with limited healthcare infrastructure. Fexinidazole has revolutionized this landscape by becoming the first all-oral treatment for both early and late-stage *Trypanosoma brucei gambiense* sleeping sickness. This shift from parenteral to oral administration dramatically simplifies the treatment process, reducing the need for extensive medical facilities, specialized personnel, and burdensome procedures like systematic lumbar punctures.


The mechanism of action for Fexinidazole is rooted in its nature as a nitroimidazole. It is believed to work by being activated within the parasite, producing metabolites—specifically sulfoxide and sulfone—that are toxic to the trypanosomes, ultimately leading to their demise. Extensive clinical studies have demonstrated the drug's remarkable efficacy and safety profile across a broad patient population, including children aged six years and older weighing at least 20 kg. Its proven effectiveness led to positive scientific opinions from European regulatory bodies and approval by major international health authorities, resulting in its inclusion on the World Health Organization's List of Essential Medicines, underscoring its critical role in public health.


The re-discovery and subsequent development of Fexinidazole, a compound initially identified decades ago but sidelined, stand as a testament to persistent collaborative research and development efforts driven by public health needs. This collaborative spirit has transformed a previously difficult-to-treat illness into one that can be managed more simply and effectively, bringing life-saving treatment closer to patients in the most challenging environments. This paradigm shift holds immense promise for the global elimination efforts of sleeping sickness, making treatment accessible in even the most remote and conflict-affected regions.


As a premier manufacturer and supplier of active pharmaceutical ingredients, NINGBO INNO PHARMCHEM CO.,LTD. is committed to ensuring the reliable availability of high-quality Fexinidazole. We adhere to stringent quality control measures to deliver pharmaceutical compounds that meet the highest international standards. For those looking to buy or purchase this essential medicine, inquiries regarding price and availability are welcome. NINGBO INNO PHARMCHEM CO.,LTD. is proud to support the global health community by supplying critical raw materials, contributing to the broader goal of making life-saving treatments accessible to everyone who needs them.

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NINGBO INNO PHARMCHEM CO.,LTD. was established in 2007. It is committed to the R&D, production and sales of raw materials, pharmaceutical intermediates and fine chemicals. We striving to create a high-efficiency and high-quality integrated chemical service platform to better serve domestic and foreign customers.

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2. Own R&D laboratory, pilot platform and large-scale production workshop, which can meet the audit requirements of global customers;

3. We can satisfy customers' perfect transition from small scale lab requirements (gram level) to commercialization requirements (hundred tons level).

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