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Details

Stereochemistry RACEMIC
Molecular Formula C12H16F3N.ClH
Molecular Weight 267.718
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of FENFLURAMINE HYDROCHLORIDE

SMILES

Cl.CCNC(C)CC1=CC(=CC=C1)C(F)(F)F

InChI

InChIKey=ZXKXJHAOUFHNAS-UHFFFAOYSA-N
InChI=1S/C12H16F3N.ClH/c1-3-16-9(2)7-10-5-4-6-11(8-10)12(13,14)15;/h4-6,8-9,16H,3,7H2,1-2H3;1H

HIDE SMILES / InChI

Molecular Formula C12H16F3N
Molecular Weight 231.2573
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: description was created based on several sources, including https://www.drugs.com/international/fenfluramine.html | https://www.ncbi.nlm.nih.gov/pubmed/24790728 | https://clinicaltrials.gov/ct2/show/NCT02655198 | https://www.ncbi.nlm.nih.gov/pubmed/27264138 | https://www.ncbi.nlm.nih.gov/pubmed/22554283 | https://www.ncbi.nlm.nih.gov/pubmed/26600876

Fenfluramine (former brand names Pondimin, Ponderax and Adifax), also known as 3-trifluoromethyl-N-ethylamphetamine, is an anorectic that is no longer marketed. In combination with phentermine, it was part of the anti-obesity medication Fen-phen. Fenfluramine was introduced on the U.S. market in 1973 and withdrawn in 1997. It is the racemic mixture of two enantiomers, dexfenfluramine, and levofenfluramine. The drug increases the level of serotonin, a neurotransmitter that regulates mood, appetite and other functions. Fenfluramine causes the release of serotonin by disrupting vesicular storage of the neurotransmitter and reversing serotonin transporter function. The drug was withdrawn from the U.S. market in 1997 after reports of heart valve disease and pulmonary hypertension, including a condition known as cardiac fibrosis. It was subsequently withdrawn from other markets around the world. In this small exploratory and retrospective study, remarkably good results were reported on the use of fenfluramine as an add-on medication for controlling seizures in patients with the Dravet syndrome. The side effects were rare and nonserious and did not result in termination of the treatment. It is possible that this drug may have anticonvulsive effects for other severe epilepsy syndromes, especially in those characterized by photosensitive or induced seizures.

Originator

Curator's Comment: Journal of the Chemical Society, Transactions Volume 55, Pages412-443, Journal, 1889

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Pondimin

Approved Use

Unknown
Primary
Pondimin

Approved Use

Unknown
Primary
Pondimin

Approved Use

Unknown
Primary
Pondimin

Approved Use

Unknown
Primary
Pondimin

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
68 ng/mL
0.35 mg/kg 2 times / day steady-state, oral
dose: 0.35 mg/kg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FENFLURAMINE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1390 ng × h/mL
0.35 mg/kg 2 times / day steady-state, oral
dose: 0.35 mg/kg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FENFLURAMINE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
20 h
0.35 mg/kg 2 times / day steady-state, oral
dose: 0.35 mg/kg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FENFLURAMINE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
50%
0.35 mg/kg 2 times / day steady-state, oral
dose: 0.35 mg/kg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FENFLURAMINE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
60 mg/day 1 times / day steady, oral
Highest studied dose
Dose: 60 mg/day, 1 times / day
Route: oral
Route: steady
Dose: 60 mg/day, 1 times / day
Sources:
unhealthy, 11 years
n = 1
Health Status: unhealthy
Condition: Valsalva's maneuver
Age Group: 11 years
Sex: F
Population Size: 1
Sources:
0.2 mg/kg/day 2 times / day steady, oral
Studied dose
Dose: 0.2 mg/kg/day, 2 times / day
Route: oral
Route: steady
Dose: 0.2 mg/kg/day, 2 times / day
Sources:
unhealthy, 11.7 ± 4.4 years (range: 3‐17 years)
n = 13
Health Status: unhealthy
Condition: Lennox‐Gastaut syndrome (LGS)
Age Group: 11.7 ± 4.4 years (range: 3‐17 years)
Sex: M+F
Population Size: 13
Sources:
Other AEs: Decreased appetite...
Other AEs:
Decreased appetite (2 patients)
Sources:
0.7 mg/kg/day 1 times / day steady, oral
Studied dose
Dose: 0.7 mg/kg/day, 1 times / day
Route: oral
Route: steady
Dose: 0.7 mg/kg/day, 1 times / day
Sources:
unhealthy
n = 40
Health Status: unhealthy
Sex: unknown
Population Size: 40
Sources:
Disc. AE: Somnolence...
AEs leading to
discontinuation/dose reduction:
Somnolence (3.3%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Decreased appetite 2 patients
0.2 mg/kg/day 2 times / day steady, oral
Studied dose
Dose: 0.2 mg/kg/day, 2 times / day
Route: oral
Route: steady
Dose: 0.2 mg/kg/day, 2 times / day
Sources:
unhealthy, 11.7 ± 4.4 years (range: 3‐17 years)
n = 13
Health Status: unhealthy
Condition: Lennox‐Gastaut syndrome (LGS)
Age Group: 11.7 ± 4.4 years (range: 3‐17 years)
Sex: M+F
Population Size: 13
Sources:
Somnolence 3.3%
Disc. AE
0.7 mg/kg/day 1 times / day steady, oral
Studied dose
Dose: 0.7 mg/kg/day, 1 times / day
Route: oral
Route: steady
Dose: 0.7 mg/kg/day, 1 times / day
Sources:
unhealthy
n = 40
Health Status: unhealthy
Sex: unknown
Population Size: 40
Sources:
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
minor
minor
unlikely (co-administration study)
Comment: The effect of coadministration of CBD on fenfluramine and norfenfluramine PK was evaluated in Study 1604. The study demonstrated that co-administration of CBD with ZX008 increased fenfluramine AUC0-t by approximately 59% and the Cmax was not changed significantly.
Page: 6.0
minor
unlikely (co-administration study)
Comment: The effect of coadministration of CBD on fenfluramine and norfenfluramine PK was evaluated in Study 1604. The study demonstrated that co-administration of CBD with ZX008 increased fenfluramine AUC0-t by approximately 59% and the Cmax was not changed significantly.
Page: 6.0
no
no
no
no
no
no
no
no
no
no
no
no
yes
yes
unlikely (co-administration study)
Comment: The effect of coadministration of CBD on fenfluramine and norfenfluramine PK was evaluated in Study 1604. The study demonstrated that co-administration of CBD with ZX008 increased fenfluramine AUC0-t by approximately 59% and the Cmax was not changed significantly.
Page: 6.0
yes
unlikely (co-administration study)
Comment: The effect of coadministration of CBD on fenfluramine and norfenfluramine PK was evaluated in Study 1604. The study demonstrated that co-administration of CBD with ZX008 increased fenfluramine AUC0-t by approximately 59% and the Cmax was not changed significantly.
Page: 6.0
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
[Development of pulmonary hypertension and multi-valvular damage caused by appetite depressants].
1998 Dec 1
Echocardiographic improvement over time after cessation of use of fenfluramine and phentermine.
1999 Dec
The promotion effect of anorectic drugs on aflatoxin B(1)-induced hepatic preneoplastic foci.
1999 Sep
[Anorectics and pulmonary hypertension].
2000 Feb 16
Dose and duration of fenfluramine-phentermine therapy impacts the risk of significant valvular heart disease.
2000 Jul 1
Understanding the neurobiology of suicidal behavior.
2001
High-speed liquid chromatography/tandem mass spectrometry using a monolithic column for high-throughput bioanalysis.
2001
Effects of repeated systemic administration of d-Fenfluramine on serotonin and glutamate release in rat ventral hippocampus: comparison with methamphetamine using in vivo microdialysis.
2001 Apr
Neuroendocrine serotonergic and dopaminergic responsivity in male schizophrenic patients during treatment with neuroleptics and after switch to risperidone.
2001 Aug
Hypothalamo-pituitary-adrenal axis dysfunction in chronic fatigue syndrome, and the effects of low-dose hydrocortisone therapy.
2001 Aug
Fenfluramine-induced pulmonary vasoconstriction: role of serotonin receptors and potassium channels.
2001 Aug
"Diet pills" and major depression in the Canadian population.
2001 Jun
3,4-Methylenedioxymethamphetamine (MDMA) as a unique model of serotonin receptor function and serotonin-dopamine interactions.
2001 Jun
Fluorometric determination of DL-fenfluramine, DL-norfenfluramine and phentermine in plasma by achiral and chiral high-performance liquid chromatography.
2001 Nov 5
High performance liquid chromatography with UV detection for the simultaneous determination of sympathomimetic amines using 4-(4,5-diphenyl-1H-imidazole-2-yl)benzoyl chloride as a label.
2001 Oct
Acute effects of D-fenfluramine on simultaneous measures of aggressive escape and impulsive responses of adult males with and without a history of conduct disorder.
2001 Sep
Patents

Sample Use Guides

0.12–0.90 mg/kg/day
Route of Administration: Oral
Rat midbrain slices were used to make intracellular recordings from dopaminergic neurons of the substantia nigra and the ventral tegmental area. Gamma-aminobutyric acid (GABA)-mediated synaptic transmission was assessed from the inhibitory postsynaptic potentials (IPSPs) mediated by GABAA and GABAB receptors. Intracellular recordings from midbrain SNpc and VTA dopaminergic neurons were performed at 33.0 +/- 0.5°C in a recording chamber submerged with aCSF flowing at a rate of 2.5–3 mL•min-1 and continuously oxygenated, on the stage of an upright (inverted) microscope (Axioscope FS, Zeiss, Gottingen, Germany), equipped for infrared video microscopy (Hamamatsu, Tokyo, Japan) in order to allow a direct visualization of the recorded cells. Neurons, selected for their morphology, were identified as dopaminergic by their electrophysiological properties such as the presence of a regular spontaneous firing activity (0.5–4 Hz), a large inward current (Ih) in response to hyperpolarizing voltages and a membrane hyperpolarization due to dopamine (10–30 mmol•L-1) application . The recording electrodes were filled with 2 mol•L-1 KCl and had a tip resistance of 30–80 MW. GABAB synaptic potentials were evoked using a bipolar tungsten stimulating electrode with a tip separation of 300–700 mkm. Representative recordings showing the effect of fenfluramine in reducing the GABAB-mediated IPSP. Such effects were evident at concentrations below 1 mmol•L-1. The amplitude of synaptic potentials was halved by fenfluramine at concentration around 10 mmol•L-1 and was completely blocked by CGP (1 mmol•L-1), a selective GABAB receptor antagonist. Fenfluramine and sibutramine induce a concentration-dependent reduction of the GABAB-mediated inhibitory postsynaptic potentials (IPSPs).
Substance Class Chemical
Created
by admin
on Fri Dec 15 16:20:58 GMT 2023
Edited
by admin
on Fri Dec 15 16:20:58 GMT 2023
Record UNII
3KC089243P
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
FENFLURAMINE HYDROCHLORIDE
MART.   MI   USAN   VANDF   WHO-DD  
USAN  
Official Name English
FENFLURAMINE HYDROCHLORIDE [USAN]
Common Name English
FENFLURAMINE HYDROCHLORIDE [ORANGE BOOK]
Common Name English
N-ETHYL-.ALPHA.-METHYL-M-(TRIFLUOROMETHYL)PHENETHYLAMINE HYDROCHLORIDE
Systematic Name English
HHR-965
Code English
FENFLURAMINE HYDROCHLORIDE [MI]
Common Name English
(±)-FENFLURAMINE HYDROCHLORIDE
Common Name English
BENZENEETHANAMINE, N-ETHYL-.ALPHA.-METHYL-3-(TRIFLUOROMETHYL)-, HYDROCHLORIDE
Systematic Name English
2-ETHYLAMINO-1-(3-TRIFLUOROMETHYLPHENYL)PROPANE HYDROCHLORIDE
Systematic Name English
Fenfluramine hydrochloride [WHO-DD]
Common Name English
DL-FENFLURAMINE HYDROCHLORIDE
Common Name English
FENFLURAMINE HYDROCHLORIDE [JAN]
Common Name English
BENZENEETHANAMINE, N-ETHYL-.ALPHA.-METHYL-3-(TRIFLUOROMETHYL)-, HYDROCHLORIDE (1:1)
Systematic Name English
FENFLURAMINE HYDROCHLORIDE [VANDF]
Common Name English
RACEMIC FENFLURAMINE HYDROCHLORIDE
Common Name English
N-ETHYL-.ALPHA.-METHYL-3-(TRIFLUOROMETHYL)BENZENEETHANAMINE HYDROCHLORIDE
Systematic Name English
FENFLURAMINE HYDROCHLORIDE [MART.]
Common Name English
GANAL
Brand Name English
AHR-3002
Code English
FINTEPLA
Brand Name English
FENFLURAMINE HCL
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C29728
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
EU-Orphan Drug EU/3/17/1836
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
FDA ORPHAN DRUG 414613
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
FDA ORPHAN DRUG 880422
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
DEA NO. 1670
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
Code System Code Type Description
EVMPD
SUB02115MIG
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
MERCK INDEX
m5274
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY Merck Index
SMS_ID
100000088526
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
RXCUI
82018
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY RxNorm
NCI_THESAURUS
C75112
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
ChEMBL
CHEMBL87493
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
ECHA (EC/EINECS)
206-968-2
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
DRUG BANK
DBSALT000802
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
CAS
16105-77-4
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
SUPERSEDED
PUBCHEM
91452
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
FDA UNII
3KC089243P
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
CHEBI
59729
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
CAS
404-82-0
Created by admin on Fri Dec 15 16:20:58 GMT 2023 , Edited by admin on Fri Dec 15 16:20:58 GMT 2023
PRIMARY
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