Mesocarb: Difference between revisions

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{{Short description|Stimulant drug}}
{{drugbox
{{cs1 config|name-list-style=vanc|display-authors=6}}
{{Drugbox
| verifiedrevid = 444178004
| IUPAC_name = 5-(Phenylcarbamoylimino)-3-(1-phenylpropan-2-yl)-5''H''-1,2,3-oxadiazol-3-ium-2-ide
| image = Mesocarb.svg
| width = 275

<!--Clinical data-->
| tradename =
| legal_BR = B1
| legal_BR_comment = <ref>{{Cite web |author=Anvisa |author-link=Brazilian Health Regulatory Agency |date=2023-03-31 |title=RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial |trans-title=Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control|url=https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-784-de-31-de-marco-de-2023-474904992 |url-status=live |archive-url=https://web.archive.org/web/20230803143925/https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-784-de-31-de-marco-de-2023-474904992 |archive-date=2023-08-03 |access-date=2023-08-16 |publisher=[[Diário Oficial da União]] |language=pt-BR |publication-date=2023-04-04}}</ref>
| legal_CA = Schedule III
| legal_UK = Class C
| legal_DE = Anlage II
| legal_US = Schedule I
| legal_status =
| routes_of_administration = Oral

<!--Pharmacokinetic data-->
| metabolism = hepatic
| elimination_half-life =
| excretion = renal

<!--Identifiers-->
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 34262-84-5
| ATC_prefix = none
| PubChem = 71932
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 16736988
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = UMT8MP2NDU
| UNII = UMT8MP2NDU
| KEGG_Ref = {{keggcite|correct|kegg}}
| verifiedrevid = 443501502
| KEGG = D12716
|

|IUPAC_name = 5-(Phenylcarbamoylimino)-3-(1-phenylpropan-2-yl)-5''H''-1,2,3-oxadiazol-3-ium-2-ide
<!--Chemical data-->
| image= Sidnocarb.svg
| C=18 | H=18 | N=4 | O=2
| width= 260
| InChI = 1/C18H18N4O2/c1-14(12-15-8-4-2-5-9-15)22-13-17(24-21-22)20-18(23)19-16-10-6-3-7-11-16/h2-11,13-14H,12H2,1H3,(H,19,23)/b20-17+
| InChIKey = DMHQLXUFCQSQQQ-LVZFUZTIBV
| smiles = O=C(\N=C1/C=[N+](\[N-]O1)C(C)Cc2ccccc2)Nc3ccccc3
| smiles = O=C(\N=C1/C=[N+](\[N-]O1)C(C)Cc2ccccc2)Nc3ccccc3
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
Line 14: Line 43:
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = DMHQLXUFCQSQQQ-LVZFUZTISA-N
| StdInChIKey = DMHQLXUFCQSQQQ-LVZFUZTISA-N
| CAS_number= 34262-84-5
| ATC_prefix= none
| ATC_suffix=
| PubChem= 71932
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID=16736988
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank=
| C=18 | H=18 | N=4 | O=2
| molecular_weight = 322.36 g/mol
| bioavailability=
| metabolism = hepatic
| elimination_half-life=
| excretion = renal
| pregnancy_category =
| legal_status = Class C (UK), Schedule III (Can)
| routes_of_administration= Oral
}}
}}


'''Mesocarb''' (brand names '''Sidnocarb''', '''Sydnocarb''') is a [[drug]] that is currently being developed for [[Parkinson's disease]].<ref>{{cite web|title=Melior Discovery Announces Spinout of Melior Pharmaceuticals II, LLC.|date=10 May 2016|url=https://www.businesswire.com/news/home/20160510005485/en/Melior-Discovery-Announces-Spinout-Melior-Pharmaceuticals-II}}</ref>
'''Mesocarb''' ('''Sidnocarb''', '''Sydnocarb''') is a [[stimulant]] drug which was developed in the [[USSR]] in the 1970s.<ref>{{cite journal |author=Anokhina IP, Zabrodin GD, Svirinovskiĭ IaE |title=[Characteristics of the central action of sidnocarb] |language=Russian |journal=Zh Nevropatol Psikhiatr Im S S Korsakova |volume=74 |issue=4 |pages=594–602 |year=1974 |pmid=4825943 |trans_title=Characteristics of the central action of sidnocarb }}</ref> It has been shown to act as a [[dopamine reuptake inhibitor]]<ref>{{cite journal |doi=10.1111/j.1749-6632.2000.tb05191.x |author=Anderzhanova EA, Afanas'ev II, Kudrin VS, Rayevsky KS |title=Effect of d-amphetamine and sydnocarb on the extracellular level of dopamine, 3,4-dihydroxyphenylacetic acid, and hydroxyl radicals generation in rat striatum |journal=Ann N Y Acad Sci. |volume=914 |pages=137–45 |year=2000 |month= September|pmid=11085316 |url=http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0077-8923&date=2000&volume=914&spage=137}}</ref><ref>{{cite journal |author=Gainetdinov RR, Sotnikova TD, Grekhova TV, Rayevsky KS |title=Effects of a psychostimulant drug sydnocarb on rat brain dopaminergic transmission in vivo |journal=Eur J Pharmacol. |volume=340 |issue=1 |pages=53–8 |year=1997 |month= December|pmid=9527506 |url=http://linkinghub.elsevier.com/retrieve/pii/S0014-2999(97)01407-6 |doi=10.1016/S0014-2999(97)01407-6}}</ref> which is slower acting but longer lasting and less neurotoxic than [[dextroamphetamine]].<ref>{{cite journal |author=Afanas'ev II, Anderzhanova EA, Kudrin VS, Rayevsky KS |title=Effects of amphetamine and sydnocarb on dopamine release and free radical generation in rat striatum |journal=Pharmacol Biochem Behav. |volume=69 |issue=3-4 |pages=653–8 |year=2001 |pmid=11509228 |url=http://linkinghub.elsevier.com/retrieve/pii/S0091-3057(01)00574-3 |doi=10.1016/S0091-3057(01)00574-3}}</ref>


Mesocarb is still used for a variety of applications;<ref>{{cite journal |author=Witkin JM, Savtchenko N, Mashkovsky M, ''et al.'' |title=Behavioral, toxic, and neurochemical effects of sydnocarb, a novel psychomotor stimulant: comparisons with methamphetamine |journal=J Pharmacol Exp Ther. |volume=288 |issue=3 |pages=1298–310 |date=1 March 1999|pmid=10027871 |url=http://jpet.aspetjournals.org/cgi/pmidlookup?view=long&pmid=10027871 }}</ref> these include counteracting the sedative effects of [[benzodiazepine]] drugs,<ref>{{cite journal |author=Valueva LN, Tozhanova NM |title=[Sidnocarb correction of the adverse effects of benzodiazepine tranquilizers] |language=Russian |journal=Zh Nevropatol Psikhiatr Im S S Korsakova |volume=82 |issue=8 |pages=92–7 |year=1982 |pmid=6127851 |trans_title=Sidnocarb correction of the adverse effects of benzodiazepine tranquilizers }}</ref> increasing workload capacity and cardiovascular function,<ref>{{cite journal |author=Vinar O, Klein DF, Potter WZ, Gause EM |title=A survey of psychotropic medications not available in the United States |journal=Neuropsychopharmacology |volume=5 |issue=4 |pages=201–17 |year=1991 |month= December|pmid=1804161 }}</ref> treatment of [[ADHD]] and hyperactivity in children,<ref>{{cite journal |author=Turova NF, Misionzhnik EIu, Ermolina LA, Aziavchik AV, Krasov VA |title=[Excretion of monoamines, their precursors and metabolites in the hyperactivity syndrome in mentally defective children] |language=Russian |journal=Vopr Med Khim. |volume=34 |issue=1 |pages=47–50 |year=1988 |pmid=3369126 |trans_title=Excretion of monoamines, their precursors and metabolites in the hyperactivity syndrome in mentally defective children }}</ref><ref>{{cite journal |author=Krasov VA |title=[Sidnocarb treatment of young schoolchildren with the hyperdynamic syndrome] |language=Russian |journal=Zh Nevropatol Psikhiatr Im S S Korsakova |volume=88 |issue=8 |pages=97–101 |year=1988 |pmid=3195293 |trans_title=Sidnocarb treatment of young schoolchildren with the hyperdynamic syndrome }}</ref> as a [[nootropic]],<ref>{{cite journal |author=Ganiev MM, Kharlamov AN, Raevskiĭ KS, Guseĭnov DIa |title=[Effect of sidnocarb on learning and memory] |language=Russian |journal=Biull Eksp Biol Med |volume=104 |issue=10 |pages=453–4 |year=1987 |month= October|pmid=3676468 |trans_title=Effect of sidnocarb on learning and memory }}</ref> and as a drug to enhance resistance to extremely cold temperatures.<ref>{{cite journal |author=Barer AS, Lakota NG, Ostrovskaia GZ, Shashkov VS |title=[Pharmacologic correction of the effect of cold on man] |language=Russian |journal=Kosm Biol Aviakosm Med |volume=22 |issue=6 |pages=66–73 |month=Nov-Dec |year=1988 |pmid=2906380 |trans_title=Pharmacologic correction of the effect of cold on man }}</ref><ref>{{cite journal |author=Levina MN, Badyshtov BA, Gan'shina TS |title=[Thermoprotector properties of a combination of sydnocarb with ladasten] |language=Russian |journal=Eksp Klin Farmakol |volume=69 |issue=1 |pages=71–3 |year=2006 |pmid=16579065 |trans_title=Thermoprotector properties of a combination of sydnocarb with ladasten }}</ref> It is also listed as having [[antidepressant]] and [[anticonvulsant]] properties.
The [[drug]] was originally developed in the [[USSR]] in the 1970s <ref>GB Patent 1262830 - NOVEL SYDNONIMINE DERIVATIVE</ref><ref>{{cite journal | vauthors = Anokhina IP, Zabrodin GD, Svirinovskiĭ I | title = [Characteristics of the central action of sidnocarb] | language = ru | journal = Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova | volume = 74 | issue = 4 | pages = 594–602 | year = 1974 | pmid = 4825943 | trans-title = Characteristics of the central action of sidnocarb }}</ref> for a variety of indications including [[asthenia]], [[apathy]], [[adynamia]] and some clinical aspects of [[Depression (mood)|depression]] and [[schizophrenia]].<ref>{{cite journal | vauthors = Rudenko GM, Altshuler RA | title = Peculiarities of clinical activity and pharmacokinetics of sydnocarb (sydnocarbum), an original psychostimulant | journal = Agressologie | volume = 20 | issue = D | pages = 265–270 | year = 1979 | pmid = 45391 }}</ref><ref>{{cite journal | vauthors = Witkin JM, Savtchenko N, Mashkovsky M, Beekman M, Munzar P, Gasior M, Goldberg SR, Ungard JT, Kim J, Shippenberg T, Chefer V | title = Behavioral, toxic, and neurochemical effects of sydnocarb, a novel psychomotor stimulant: comparisons with methamphetamine | journal = The Journal of Pharmacology and Experimental Therapeutics | volume = 288 | issue = 3 | pages = 1298–1310 | date = March 1999 | pmid = 10027871 | url = http://jpet.aspetjournals.org/cgi/pmidlookup?view=long&pmid=10027871 }}</ref> Mesocarb was used for counteracting the sedative effects of [[benzodiazepine]] drugs,<ref>{{cite journal | vauthors = Valueva LN, Tozhanova NM | title = [Sidnocarb correction of the adverse effects of benzodiazepine tranquilizers] | language = ru | journal = Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova | volume = 82 | issue = 8 | pages = 92–97 | year = 1982 | pmid = 6127851 | trans-title = Sidnocarb correction of the adverse effects of benzodiazepine tranquilizers }}</ref> increasing workload capacity and cardiovascular function,<ref>{{cite journal | vauthors = Vinar O, Klein DF, Potter WZ, Gause EM | title = A survey of psychotropic medications not available in the United States | journal = Neuropsychopharmacology | volume = 5 | issue = 4 | pages = 201–217 | date = December 1991 | pmid = 1804161 }}</ref> treatment of [[ADHD]] and hyperactivity in children,<ref>{{cite journal | vauthors = Turova NF, Misionzhnik EI, Ermolina LA, Aziavchik AV, Krasov VA | title = [Excretion of monoamines, their precursors and metabolites in the hyperactivity syndrome in mentally defective children] | language = ru | journal = Voprosy Meditsinskoi Khimii | volume = 34 | issue = 1 | pages = 47–50 | year = 1988 | pmid = 3369126 | trans-title = Excretion of monoamines, their precursors and metabolites in the hyperactivity syndrome in mentally defective children }}</ref><ref>{{cite journal | vauthors = Krasov VA | title = [Sidnocarb treatment of young schoolchildren with the hyperdynamic syndrome] | language = ru | journal = Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova | volume = 88 | issue = 8 | pages = 97–101 | year = 1988 | pmid = 3195293 | trans-title = Sidnocarb treatment of young schoolchildren with the hyperdynamic syndrome }}</ref> as a [[nootropic]],<ref>{{cite journal | vauthors = Ganiev MM, Kharlamov AN, Raevskiĭ KS, Guseĭnov DI | title = [Effect of sidnocarb on learning and memory] | language = ru | journal = Biulleten' Eksperimental'noi Biologii I Meditsiny | volume = 104 | issue = 10 | pages = 453–454 | date = October 1987 | pmid = 3676468 | trans-title = Effect of sidnocarb on learning and memory }}</ref> and as a drug to enhance resistance to extremely cold temperatures.<ref>{{cite journal | vauthors = Barer AS, Lakota NG, Ostrovskaia GZ, Shashkov VS | title = [Pharmacologic correction of the effect of cold on man] | language = ru | journal = Kosmicheskaia Biologiia I Aviakosmicheskaia Meditsina | volume = 22 | issue = 6 | pages = 66–73 | date = Nov–Dec 1988 | pmid = 2906380 | trans-title = Pharmacologic correction of the effect of cold on man }}</ref><ref>{{cite journal | vauthors = Levina MN, Badyshtov BA, Gan'shina TS | title = [Thermoprotector properties of a combination of sydnocarb with ladasten] | language = ru | journal = Eksperimental'naia i Klinicheskaia Farmakologiia | volume = 69 | issue = 1 | pages = 71–73 | year = 2006 | pmid = 16579065 | trans-title = Thermoprotector properties of a combination of sydnocarb with ladasten }}</ref> It is also listed as having [[antidepressant]] and [[anticonvulsant]] properties.
The drug has been found to act as a selective [[dopamine reuptake inhibitor]] by blocking the actions of the [[Dopamine transporter|dopamine transporter (DAT)]],<ref name="pmid7312716">{{cite journal | vauthors = Erdö SL, Kiss B, Rosdy B | title = Inhibition of dopamine uptake by a new psychostimulant mesocarb (Sydnocarb) | journal = Polish Journal of Pharmacology and Pharmacy | volume = 33 | issue = 2 | pages = 141–147 | year = 1981 | pmid = 7312716 }}</ref><ref name="Gruner_2011">{{cite journal | vauthors = Gruner JA, Mathiasen JR, Flood DG, Gasior M | title = Characterization of pharmacological and wake-promoting properties of the dopaminergic stimulant sydnocarb in rats | journal = The Journal of Pharmacology and Experimental Therapeutics | volume = 337 | issue = 2 | pages = 380–390 | date = May 2011 | pmid = 21300706 | doi = 10.1124/jpet.111.178947 | s2cid = 9985668 }}</ref> and lacks the dopamine release characteristic of stimulants such as [[dextroamphetamine]].<ref>{{cite journal | vauthors = Afanas'ev II, Anderzhanova EA, Kudrin VS, Rayevsky KS | title = Effects of amphetamine and sydnocarb on dopamine release and free radical generation in rat striatum | journal = Pharmacology, Biochemistry, and Behavior | volume = 69 | issue = 3–4 | pages = 653–658 | year = 2001 | pmid = 11509228 | doi = 10.1016/S0091-3057(01)00574-3 | s2cid = 32739707 }}</ref><ref>{{cite journal | vauthors = Anderzhanova EA, Afanas'ev II, Kudrin VS, Rayevsky KS | title = Effect of d-amphetamine and sydnocarb on the extracellular level of dopamine, 3,4-dihydroxyphenylacetic acid, and hydroxyl radicals generation in rat striatum | journal = Annals of the New York Academy of Sciences | volume = 914 | issue = 1 | pages = 137–145 | date = September 2000 | pmid = 11085316 | doi = 10.1111/j.1749-6632.2000.tb05191.x | s2cid = 12326076 | bibcode = 2000NYASA.914..137A }}</ref><ref>{{cite journal | vauthors = Gainetdinov RR, Sotnikova TD, Grekhova TV, Rayevsky KS | title = Effects of a psychostimulant drug sydnocarb on rat brain dopaminergic transmission in vivo | journal = European Journal of Pharmacology | volume = 340 | issue = 1 | pages = 53–58 | date = December 1997 | pmid = 9527506 | doi = 10.1016/S0014-2999(97)01407-6 }}</ref> It was the most selective DAT inhibitor amongst an array of other DAT inhibitors to which it was compared.<ref name="Gruner_2011"/>


Mesocarb is sold in Russia as 5 milligram tablets under the brand name Sydnocarb. Hydroxylated metabolites can be detected in urine for up to 10 days after consumption, reflecting a relatively long half-life.<ref>{{cite journal |author=Shpak AV, Appolonova SA, Semenov VA |title=Validation of liquid chromatography-electrospray ionization ion trap mass spectrometry method for the determination of mesocarb in human plasma and urine |journal=J Chromatogr Sci |volume=43 |issue=1 |pages=11–21 |year=2005 |month= January|pmid=15808002 |url=http://openurl.ingenta.com/content/nlm?genre=article&issn=0021-9665&volume=43&issue=1&spage=11&aulast=Shpak}}</ref>
Mesocarb was sold in [[Russia]] as 5 milligram tablets under the brand name '''Sydnocarb'''. Hydroxylated metabolites can be detected in urine for up to 10 days after consumption.<ref name="pmid15808002">{{cite journal | vauthors = Shpak AV, Appolonova SA, Semenov VA | title = Validation of liquid chromatography-electrospray ionization ion trap mass spectrometry method for the determination of mesocarb in human plasma and urine | journal = Journal of Chromatographic Science | volume = 43 | issue = 1 | pages = 11–21 | date = January 2005 | pmid = 15808002 | doi = 10.1093/chromsci/43.1.11 | doi-access = free }}</ref>


Mesocarb is almost unknown in the western world and is neither used in medicine or studied scientifically to any great extent outside Russia and other countries in the former Soviet Union. It has however been added to the list of drugs under international control and is illegal in most countries, despite its multiple therapeutic applications and the lack of significant abuse potential seen in clinical practice.<ref>{{cite journal |author=Rudenko GM, Altshuler RA |title=[Experimental and clinical study of Sydnocarb] |language=Russian |journal=Hung Pharmacotherapy |volume=124 |issue= |pages=150–4 |year=1978}}</ref>
The drug is almost unknown in the western world and is neither used in medicine nor studied scientifically to any great extent outside Russia and other countries in the former Soviet Union. It has however been added to the list of drugs under international control and is a scheduled substance in most countries, despite its multiple therapeutic applications and reported lack of significant [[abuse potential]].<ref>{{cite journal |vauthors=Rudenko GM, Altshuler RA |title=[Experimental and clinical study of Sydnocarb] |language=ru |journal=Hung Pharmacotherapy |volume=124 |pages=150–4 |year=1978}}</ref>


Mesocarb had erroneously been referred to as a [[prodrug]] of [[amphetamine]]<ref name="DettmeyerVerhoff2013">{{cite book| vauthors = Dettmeyer R, Verhoff MA, Schütz HF |title=Forensic Medicine: Fundamentals and Perspectives|url=https://books.google.com/books?id=yHHABAAAQBAJ&pg=PA519|date=9 October 2013|publisher=Springer Science & Business Media|isbn=978-3-642-38818-7|pages=519–}}</ref> but this was based on older literature that relied on gas chromatography as an analytical method. Subsequently, with the advent of mass spectroscopy, it has been shown that presence of amphetamine in prior studies was an artifact of gas chromatography method.<ref>{{cite journal | vauthors = Appolonova SA, Shpak AV, Semenov VA | title = Liquid chromatography-electrospray ionization ion trap mass spectrometry for analysis of mesocarb and its metabolites in human urine | journal = Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences | volume = 800 | issue = 1–2 | pages = 281–289 | date = February 2004 | pmid = 14698267 | doi = 10.1016/j.jchromb.2003.10.071 }}</ref> More recent studies using mass spectroscopy show that negligible levels of amphetamine are released from mesocarb metabolism.<ref name="pmid15808002" />
== Chemistry ==


==Chemistry==
Mesocarb is a [[mesoionic]] [[sydnone imine]]. It has the amphetamine-backbone present, except that the ''R''<sub>N</sub> has a complicated imine side-chain present.
Mesocarb is a [[mesoionic]] [[sydnone imine]]. It has the amphetamine-backbone present, except that the ''R''<sub>N</sub> has a complicated imine side-chain present.

==Preparation==
[[File:Mesocarb synthesis.svg|500px|thumb|centre|Patents:<ref>Michail D. Maschkovskij, 6 More », DE2028880 (1979 to Vsesojuznyj Nautschno-Issledovatelskij Chimiko-Farmacevtitscheskij Institut Imeni Sergo Ordschonikidze, Moskau).</ref><ref>Mikhail Davidovich Mashkovsky, et al. GB1262830 (1972 to Vni Khim Farmatsevtichesky I I).</ref>]]
[[Feprosidnine]] (Sydnophen) is converted from the hydrochloride salt ('''1''') into the freebase amine ('''2'''). This is then treated with [[phenylisocyanate]] ('''3''').


== References ==
== References ==
{{Reflist}}
{{Reflist|2}}


{{Stimulants}}
{{Stimulants}}
{{ADHD pharmacotherapies}}
{{Dopaminergics}}
{{Monoamine reuptake inhibitors}}


{{Antihyperkinetics}}
[[Category:Stimulants]]
[[Category:Dopamine reuptake inhibitors]]
[[Category:Dopamine reuptake inhibitors]]
[[Category:Ureas]]
[[Category:Oxadiazoles]]
[[Category:Oxadiazoles]]
[[Category:Russian drugs]]

[[Category:Stimulants]]

[[Category:Ureas]]
{{nervous-system-drug-stub}}
[[Category:Drugs in the Soviet Union]]

[[de:Mesocarb]]
[[ru:Мезокарб]]