Hydroxychloroquine & IB Chemistry

Hydroxychloroquine has been very much in the news recently as it is a medicine that is being controversially taken by some people both as a preventative and as a treatment against Covid-19. After a brief introduction this page uses the chemistry of hydroxychloroquine holistically to test students understanding of content found in five different topics on the IB syllabus. Many of the questions can be answered by SL and HL students although some are only for HL.

Introduction

Hydroxychloroquine has been in the news for the past few years  both as a possible preventative against Covid-19 and as a treatment for those who have already caught the virus. Currently there is no hard evidence that it is a safe or effective treatment against Covid-19. Several studies have been carried out e.g. a report in the Lancet, which has since been retracted was based on a study of 96,032 people hospitalised with Covid-19 in in 671 hospitals in six continents and concluded there was no benefit. A later study looking at the outcome of 23 such studies (although not all of them were clinically randomized) also came to the conclusion that neither hydroxychloroquine nor chloroquine have been shown to be beneficial when used for the treatment of patients with COVID-19.

Hydroxychloroquine regulates the body’s immune system and is a licensed drug used in the treatment of diseases such as malaria, rheumatoid arthritis and lupus. As well as people putting their own lives at risk from serious side effects such as dangerous heart arrhythmias and macular degeneration there is concern that people taking hydroxychloroquine as a possible preventative against Covid-19 may limit the supply of the drug to those who rely upon it for other illnesses.

Since many, if not all, of your students will have heard of hydroxychloroquine it provides an interesting subject upon which to base questions covering several of the topics covered by the IB chemistry syllabus. The questions cover stoichiometric relationships, chemical bonding and structure, acids & bases, organic chemistry and measurement & data processing. They are not designed to be exactly similar to IB examination questions but are given to demonstrate how the syllabus can be applied to a topic of current interest to stimulate your students and to increase their understanding of IB chemistry.

Although several of the questions cover the AHL programme, standard level students should be able to answer questions 1,2,3,4,7,10,11 and 12(a). Question 12(b) is of course not on the IB programme (one or two of the others sail very close to the wind!) but from the information given students should be able to deduce the answer.

Questions on hydroxychloroquine

Structure:

Molecular formula: C18H26ClN3O

1. Use the data given in Section 6 of the IB data booklet to calculate the relative molecular mass of hydroxychloroquine. Suggest why the value obtained is not exactly equal to the value of 335.87 given in both NIST and Chem Spider.

2. Hydroxychloroquine has been licensed for use on prescription in the U.S.A. since 1955. It is sold under the brand name of Plaquenil among others as its salt with sulfuric acid, hydroxychloroquine sulfate with the molecular formula, C18H28ClN3O5S (Mr = 434). The prescribed dose of Plaquenil depends upon the weight of the patient but the tablets normally come in 200 mg or 400 mg dosages.

Calculate the mass of hydroxychloroquine present in one 400 mg tablet of its salt to three significant figures.

3. (a) Deduce the index of hydrogen deficiency (IHD) of hydroxychloroquine from its molecular formula.

3. (b) Explain how the structural formula given above is consistent with the answer from 3.(a).

4. The two ring system is known as quinoline and has the structural formula

Other than quinoline itself, identify the functional groups present in hydroxychloroquine.

5. Explain why all the electrons in the pi bonds are delocalized.

6. Paquenil tablets contain a racemic mixture of the two enantiomers of hydroxychloroquine.
Identify the chiral carbon atom in hydroxychloroquine.

7. Identify the class of each amine present in the R− group in hydroxychloroquine.

8.  Explain why the C−Cl bond length is shorter in hydroxychloroquine than the C−Cl bond in chloromethane H3C−Cl.

9. The formula of hydroxychloroquine sulfate can be written as [C18H28ClN3O]2+[SO4]2−.
Identify where the two H+ ions are located in the structure of the hydroxychloroquine cation.

10. Hydroxychloroquine can be synthesised in several different ways. One synthesis by R.S. Vardanyan and V.J. Hruby in 2006 occurs in three separate steps. The first step involves the reaction of Compound A with 2-ethylaminoethanol to form an intermediate (Intermediate 1).

(a). Name Compound A

(b). Describe the type of reaction that occurs in Step 1.

11. In the second step the intermediate from Step 1 is reacted with a mixture of hydrogen and ammonia to form a second intermediate in which the carbonyl group has been replaced by an amine group.

What is the function of (a) the hydrogen and (b) the solid nickel?

12.  In the third and final step the intermediate from Step 2 is reacted with 4,7-dichloroquinoline to form hydroxychloroquine.

(a) Identify the type of reaction taking place.

(b) Using information from Step 3 name the following compound

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