Flumexadol (
INN
Inns are generally establishments or buildings where travelers can seek lodging, and usually, food and drink. Inns are typically located in the country or along a highway. Before the advent of motorized transportation, they also provided accomm ...
; developmental codes CERM-1841 and 1841-CERM) is a
drug
A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect. Consumption of drugs can be via insufflation (medicine), inhalation, drug i ...
described and researched as a non-
opioid
Opioids are a class of Drug, drugs that derive from, or mimic, natural substances found in the Papaver somniferum, opium poppy plant. Opioids work on opioid receptors in the brain and other organs to produce a variety of morphine-like effects, ...
analgesic
An analgesic drug, also called simply an analgesic, antalgic, pain reliever, or painkiller, is any member of the group of drugs used for pain management. Analgesics are conceptually distinct from anesthetics, which temporarily reduce, and in s ...
which was never marketed.
It has been found to act as an
agonist
An agonist is a chemical that activates a Receptor (biochemistry), receptor to produce a biological response. Receptors are Cell (biology), cellular proteins whose activation causes the cell to modify what it is currently doing. In contrast, an R ...
of the
serotonin
Serotonin (), also known as 5-hydroxytryptamine (5-HT), is a monoamine neurotransmitter with a wide range of functions in both the central nervous system (CNS) and also peripheral tissues. It is involved in mood, cognition, reward, learning, ...
5-HT1A (pK
i = 7.1) and
5-HT2C (pK
i = 7.5)
receptor
Receptor may refer to:
* Sensory receptor, in physiology, any neurite structure that, on receiving environmental stimuli, produces an informative nerve impulse
*Receptor (biochemistry), in biochemistry, a protein molecule that receives and respond ...
s and, to a much lesser extent, of the
5-HT2A (pK
i = 6.0) receptor.
According to Nilsson (2006) in a paper on 5-HT
2C receptor agonists as potential
anorectic
An anorectic is a drug that reduces appetite, resulting in lower food consumption, leading to weight loss. These substances work by affecting the central nervous system or certain neurotransmitters to create a feeling of fullness or reduce the desi ...
s, "The (+)-enantiomer of this compound showed
..affinity for the 5-HT
2C receptor (K
i) 25 nM)
..and was 40-fold selective over the 5-HT
2A receptor in receptor binding studies. The racemic version
.. also known as 1841 CERM, was originally reported to possess analgesic properties while no association with 5-HT
2C receptor activity was mentioned."
It is implied that flumexadol might be employable as an anorectic in addition to analgesic.
Though flumexadol itself has never been approved for medical use,
oxaflozane (brand name Conflictan) is a
prodrug
A prodrug is a pharmacologically inactive medication or compound that, after intake, is metabolized (i.e., converted within the body) into a pharmacologically active drug. Instead of administering a drug directly, a corresponding prodrug can be ...
of the compound that was formerly used clinically in
France
France, officially the French Republic, is a country located primarily in Western Europe. Overseas France, Its overseas regions and territories include French Guiana in South America, Saint Pierre and Miquelon in the Atlantic Ocean#North Atlan ...
as an
antidepressant
Antidepressants are a class of medications used to treat major depressive disorder, anxiety disorders, chronic pain, and addiction.
Common side effects of antidepressants include Xerostomia, dry mouth, weight gain, dizziness, headaches, akathi ...
and
anxiolytic
An anxiolytic (; also antipanic or anti-anxiety agent) is a medication or other intervention that reduces anxiety. This effect is in contrast to anxiogenic agents which increase anxiety. Anxiolytic medications are used for the treatment of anxie ...
agent.
Synthesis

Halogenation of 2-chloroethyl vinyl ether (1) with molecular bromine gives 1,2-dibromo-1-(2-chloroethoxy)ethane (2).
Grignard reaction
The Grignard reaction () is an organometallic chemical reaction in which, according to the classical definition, carbon alkyl, allyl, vinyl, or aryl magnesium halides (Grignard reagent) are added to the carbonyl groups of either an aldehyde or ...
with 3-bromobenzotrifluoride (3) gives 1-
-bromo-1-(2-chloroethoxy)ethyl3-(trifluoromethyl)benzene (4). Treatment with benzylamine gives 4-benzyl-2-
-(trifluoromethyl) phenylorpholine (5).
Catalytic hydrogenation
Hydrogenation is a chemical reaction between molecular hydrogen (H2) and another compound or element, usually in the presence of a catalyst such as nickel, palladium or platinum. The process is commonly employed to reduce or saturate organic ...
strips the benzyl
protecting group
A protecting group or protective group is introduced into a molecule by chemical modification of a functional group to obtain chemoselectivity in a subsequent chemical reaction. It plays an important role in multistep organic synthesis.
In man ...
completing the synthesis of flumexadol (6).
See also
*
Oxaflozane
*
Befiradol
Befiradol (F-13,640; NLX-112) is an experimental drug being studied for the treatment of levodopa-induced dyskinesia. It is a potent and selective 5-HT1A receptor full agonist.
Pharmacology
In recombinant cell lines expressing human 5-HT1A ...
*
Fenfluramine
Fenfluramine, sold under the brand name Fintepla, is a serotonergic medication used for the treatment of seizures associated with Dravet syndrome and Lennox–Gastaut syndrome. It was formerly used as an appetite suppressant in the treat ...
*
Fludorex
Fludorex is a stimulant anorexic agent of the phenethylamine chemical class
Chemical classification systems attempt to classify elements or compounds according to certain chemical functional or structural properties. Whereas the structural ...
*
Fluminorex
Fluminorex is a centrally acting sympathomimetic which is related to other drugs such as aminorex and pemoline. It was developed as an appetite suppressant by McNeil Laboratories in the 1950s. Synthesis
2-amino-1- -(trifluoromethyl)phenylthano ...
*
TFMPP
3-Trifluoromethylphenylpiperazine (TFMPP) is a recreational drug of the phenylpiperazine chemical class and is a substituted piperazine. Usually in combination with benzylpiperazine (BZP) and other structural analog, analogues, it is sold as an ...
References
{{Serotonergics
5-HT1A agonists
5-HT2A agonists
5-HT2C agonists
Analgesics
Anorectics
Antidepressants
Anxiolytics
Phenylmorpholines
Trifluoromethyl compounds