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Artefenomel (OZ439) is an investigational synthetic trioxolane (ozonide) antimalarial compound developed by Medicines for Malaria Venture (MMV). It features a peroxide pharmacophore similar to artemisinin derivatives but is designed with improved pharmacokinetic properties, including high oral bioavailability and a long elimination half-life of 46-62 hours, making it a candidate for single-dose combination therapy. The drug acts as a fast-acting inhibitor of all asexual erythrocytic stages of *Plasmodium falciparum* and *Plasmodium vivax*. The [14C]-OZ439 variant is a carbon-14 radiolabeled version of the compound used specifically in Phase 1 clinical trials to determine absolute bioavailability and metabolic pathways through simultaneous intravenous microdosing and oral administration.
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