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Flmodafinil (developmental code names CRL-40,940, NLS-4, JBG01-41), also known as bisfluoromodafinil and lauflumide, is a wakefulness-promoting agent related to which has been developed for treatment of a variety of different medical conditions. These include chronic fatigue syndrome, idiopathic hypersomnia, , attention deficit hyperactivity disorder (ADHD), and Alzheimer's disease. Aside its development as a potential pharmaceutical drug, flmodafinil is sold online and used non-medically as a (cognitive enhancer).

The drug has been found to act as a selective atypical dopamine reuptake inhibitor. It produces wakefulness-promoting effects in animals. Unlike modafinil, flmodafinil does not induce cytochrome P450 . Chemically, flmodafinil is an derivative of modafinil and is also known as bisfluoromodafinil (it is the ( R)- bis(4-) -substituted derivative of modafinil).

Flmodafinil was developed by NLS Pharma. As of January 2024, it is in preclinical development for treatment of chronic fatigue syndrome. No recent development has been reported for idiopathic hypersomnia and development has been discontinued for narcolepsy, ADHD, and Alzheimer's disease.


Pharmacology

Pharmacodynamics
Flmodafinil is a selective dopamine reuptake inhibitor (DRI). Its affinity (Ki) for the DAT is 4,090nM. At the serotonin transporter (SERT), its affinity (Ki) was 48,700nM (12-fold lower than for the DAT), and it had negligible affinity for the σ1 receptor (Ki > 100,000nM). The drug has been found to block the dopamine transporter (DAT) by 83%, to a greater extent than without unfavorable concomitant effects. The drug is an atypical DRI similarly to modafinil.

The affinities for the DAT of flmodafinil's and modafinil have also been studied. The affinities (Ki) were 5,480nM for (( R)-modafinil), 2,970nM for ( S)-(+)-flmodafinil (JBG1-048), and 4,830nM for ( R)-(–)-flmodafinil (JBG1-049). Their affinities for the SERT and σ1 receptor have also been reported. Similarly to modafinil, ( S)-(+)-flmodafinil and ( R)-(–)-flmodafinil increase levels in the nucleus accumbens in animals. They have been found to increase dopamine levels by up to 150 to 200% of baseline at the highest assessed dose. These increases are much smaller than those elicited by or .

In a study comparing the wake-promoting effects of flmodafinil and modafinil, flmodafinil was found to maintain wakefulness over a significantly longer timeframe than modafinil. While the administration of neither compound resulted in sleep rebound, flmodafinil perturbed sleep architecture to a lesser degree than modafinil. This difference was characterised by an attenuated EEG power density within slow frequencies (<4Hz) following flmodafinil treatment, though both compounds increased power density relative to placebo.

In contrast to modafinil, flmodafinil is not an of the cytochrome P450 CYP3A4 or CYP3A5 .


Chemistry
Flmodafinil is a of ( S)-(+)- and ( R)-(–)-. The ( S)-(+) enantiomer has been referred to as JBG1-048 and the ( R)-(–) enantiomer has been referred to as JBG1-049.

Analogues of flmodafinil include , (( R)-modafinil), (( S)-modafinil), (CRL-40,028; N-hydroxymodafinil), (CRL-40,941; bisfluoroadrafinil), and CE-123, among others.


History
Flmodafinil was in 2013, and preclinical research has been underway since December 2015. It appears to have first been patented in the 1980s.


Research
The of flmodafinil are being studied.

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