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{{Short description|Stimulant amphetamine}}
{{Short description|Never marketed appetite suppressant}}
{{Drugbox
{{Drugbox
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| verifiedrevid = 449587989
| verifiedrevid = 449587989
| IUPAC_name = (''RS'')-''N''-ethyl-1-<nowiki/>{3-[(trifluoromethyl)thio]phenyl}propan-2-amine
| IUPAC_name = (''RS'')-''N''-ethyl-1-<nowiki/>{3-[(trifluoromethyl)thio]phenyl}propan-2-amine
| image = Tiflorex.svg
| image = Tiflorex standardized.png
| width = 260px
| width = 260px
| chirality = [[Racemic mixture]]
| chirality = [[Racemic mixture]]
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'''Tiflorex''', formerly known as '''flutiorex''', is a [[stimulant]] [[amphetamine]]. Its most pronounced effect is in suppression of appetite; it has little effect on pulse rate, sleep, or mood.<ref name="brjclinpharm">{{cite journal | vauthors = Silverstone T, Fincham J, Plumley J | title = An evaluation of the anorectic activity in man of a sustained release formulation of tiflorex | journal = British Journal of Clinical Pharmacology | volume = 7 | issue = 4 | pages = 353–6 | date = April 1979 | pmid = 444355 | pmc = 1429648 | doi = 10.1111/j.1365-2125.1979.tb00945.x }}</ref> It was found to be twice as potent an anorectic as [[fenfluramine]].<ref name="br j 1976">{{cite journal | vauthors = Giudicelli JF, Richer C, Berdeaux A | title = Preliminary assessment of flutiorex, a new anorectic drug, in man | journal = British Journal of Clinical Pharmacology | volume = 3 | issue = 1 | pages = 113–21 | date = February 1976 | pmid = 788737 | pmc = 1428817 | doi = 10.1111/j.1365-2125.1976.tb00578.x }}</ref>
'''Tiflorex''' (TFX), formerly known as '''flutiorex''', is a [[stimulant]]{{citation needed|date=July 2023}} [[Substituted amphetamine|amphetamine]] that was under development as an [[Anorectic|appetite suppressant]] in the 1970s<ref name="br j 1976">{{cite journal | vauthors = Giudicelli JF, Richer C, Berdeaux A | title = Preliminary assessment of flutiorex, a new anorectic drug, in man | journal = British Journal of Clinical Pharmacology | volume = 3 | issue = 1 | pages = 113–21 | date = February 1976 | pmid = 788737 | pmc = 1428817 | doi = 10.1111/j.1365-2125.1976.tb00578.x }}</ref><ref name="brjclinpharm">{{cite journal | vauthors = Silverstone T, Fincham J, Plumley J | title = An evaluation of the anorectic activity in man of a sustained release formulation of tiflorex | journal = British Journal of Clinical Pharmacology | volume = 7 | issue = 4 | pages = 353–6 | date = April 1979 | pmid = 444355 | pmc = 1429648 | doi = 10.1111/j.1365-2125.1979.tb00945.x }}</ref>, but appears to have been abandoned.<br>
It is [[Structural analog|structurally related]] to [[Fenfluramine|fenfluramine]] and [[4-Methylthioamphetamine|4-MTA]].

Tiflorex went to phase II clinical trials. The [[Modified-release dosage|extended release]] formulation "TFX-SR" produced significant suppression of appetite. It also caused slightly more sleep disturbances and [[Headache|headaches]] than placebo, as well as [[Mydriasis|mydriasis]] and a self-reported [[Sedation|decrease in arousal]]. It had little effect on [[Heart rate|heart rate]].<ref name="brjclinpharm"/>

Tifluorex is claimed to be a more potent anorectic than fenfluramine, with twice its potency in humans<ref name="brjclinpharm"/> and 4 times its potency in rats.<ref>{{Cite book | url=https://books.google.com/books?id=z_8kBQAAQBAJ&pg=PA356 |title = Abstracts: Sixth International Congress of Pharmacology|isbn = 9781483152530|last1 = Stuart|first1 = Sam | name-list-style = vanc |date = 2013-09-11}}</ref>

== Pharmacology ==

=== Pharmacodynamics ===
The mechanism of action of tiflorex has apparently never been studied. Similar compounds such as [[Fenfluramine|fenfluramine]], [[Norfenfluramine|norfenfluramine]] and [[4-Methylthioamphetamine|4-MTA]] act as [[Serotonin releasing agent|selective serotonin releasing agents]] and [[5-HT2 receptor|5-HT<sub>2</sub>]] receptor agonists. Fenfluramine in particular causes very similar side effects and appetite suppression at therapeutically relevant doses.

=== Pharmacokinetics ===
In rats, tiflorex is rapidly ''N''-dealkylated to [[Norflutiorex|norflutiorex]]. Both tiflorex and norflutiorex appear to be excreted in urine.<ref name="br j 1976"/>


SL 72.340-d was cited to be 4x the anorectant potency of fenfluramine (ED50=1.4&nbsp;mg/kg vs 5.6&nbsp;mg/kg).<ref>{{Cite book | url=https://books.google.com/books?id=z_8kBQAAQBAJ&pg=PA356 |title = Abstracts: Sixth International Congress of Pharmacology|isbn = 9781483152530|last1 = Stuart|first1 = Sam | name-list-style = vanc |date = 2013-09-11}}</ref>
==Synthesis==
==Synthesis==
[[File:Tiflorex synthesis.svg|thumb|500px|center|Patent:<ref>Don P. R. L. Giudicelli & Henry Najer, {{US patent|4148923}} (1979 to Synthelabo SA).</ref>]]
[[File:Tiflorex synthesis.svg|thumb|500px|center|Patent:<ref>Don P. R. L. Giudicelli & Henry Najer, {{US patent|4148923}} (1979 to Synthelabo SA).</ref>]]
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{{reflist}}
{{reflist}}


{{Stimulants}}
{{Anorectics}}
{{Monoamine releasing agents}}
{{Phenethylamines}}
{{Phenethylamines}}


[[Category:Anorectics]]
[[Category:Anorectics]]
[[Category:Trifluoromethyl compounds]]
[[Category:Substituted amphetamines]]
[[Category:Substituted amphetamines]]
[[Category:Abandoned drugs]]
[[Category:Trifluoromethyl compounds]]
[[Category:Trifluoromethylthio compounds]]
[[Category:Thioethers]]
[[Category:Thioethers]]



Revision as of 15:46, 26 July 2023

Tiflorex
Clinical data
ATC code
  • none
Identifiers
  • (RS)-N-ethyl-1-{3-[(trifluoromethyl)thio]phenyl}propan-2-amine
CAS Number
PubChem CID
ChemSpider
UNII
CompTox Dashboard (EPA)
Chemical and physical data
FormulaC12H16F3NS
Molar mass263.32 g·mol−1
3D model (JSmol)
ChiralityRacemic mixture
  • CCNC(C)Cc1cccc(c1)SC(F)(F)F
  • InChI=1S/C12H16F3NS/c1-3-16-9(2)7-10-5-4-6-11(8-10)17-12(13,14)15/h4-6,8-9,16H,3,7H2,1-2H3 ☒N
  • Key:HNONSDNCRNUTCT-UHFFFAOYSA-N ☒N
 ☒NcheckY (what is this?)  (verify)

Tiflorex (TFX), formerly known as flutiorex, is a stimulant[citation needed] amphetamine that was under development as an appetite suppressant in the 1970s[1][2], but appears to have been abandoned.
It is structurally related to fenfluramine and 4-MTA.

Tiflorex went to phase II clinical trials. The extended release formulation "TFX-SR" produced significant suppression of appetite. It also caused slightly more sleep disturbances and headaches than placebo, as well as mydriasis and a self-reported decrease in arousal. It had little effect on heart rate.[2]

Tifluorex is claimed to be a more potent anorectic than fenfluramine, with twice its potency in humans[2] and 4 times its potency in rats.[3]

Pharmacology

Pharmacodynamics

The mechanism of action of tiflorex has apparently never been studied. Similar compounds such as fenfluramine, norfenfluramine and 4-MTA act as selective serotonin releasing agents and 5-HT2 receptor agonists. Fenfluramine in particular causes very similar side effects and appetite suppression at therapeutically relevant doses.

Pharmacokinetics

In rats, tiflorex is rapidly N-dealkylated to norflutiorex. Both tiflorex and norflutiorex appear to be excreted in urine.[1]

Synthesis

Patent:[4]

The Rosenmund reduction of 3-(trifluoromethylthio)benzoyl chloride [51748-28-8] (1) gave 3-((trifluoromethyl)thio)benzaldehyde [51748-27-7] (2). Henry reaction with nitroethane led to 1-(2-nitroprop-1-en-1-yl)-3-[(trifluoromethyl)sulfanyl]benzene [176242-84-5] (3). With the aid of iron catalyst in concentrated HCl acid there occurred FGI into 1-(3'-trifluoromethylthiophenyl)-2-propanone, CID:21325269 (4'). Reductive amination with ethylamine and formic acid as the reductant completed the synthesis of tiflorex (5).

References

  1. ^ a b Giudicelli JF, Richer C, Berdeaux A (February 1976). "Preliminary assessment of flutiorex, a new anorectic drug, in man". British Journal of Clinical Pharmacology. 3 (1): 113–21. doi:10.1111/j.1365-2125.1976.tb00578.x. PMC 1428817. PMID 788737.
  2. ^ a b c Silverstone T, Fincham J, Plumley J (April 1979). "An evaluation of the anorectic activity in man of a sustained release formulation of tiflorex". British Journal of Clinical Pharmacology. 7 (4): 353–6. doi:10.1111/j.1365-2125.1979.tb00945.x. PMC 1429648. PMID 444355.
  3. ^ Stuart S (2013-09-11). Abstracts: Sixth International Congress of Pharmacology. ISBN 9781483152530.
  4. ^ Don P. R. L. Giudicelli & Henry Najer, U.S. patent 4,148,923 (1979 to Synthelabo SA).