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Fencamfamin
Clinical data
Pregnancy; category	?;
Routes of; administration	Oral
ATC code	N06BA06 (WHO) ;
Legal status
Legal status	BR: Class B1 (Psychoactive drugs); CA: Schedule IV; DE: Anlage II (Authorized trade only, not prescriptible); US: Schedule IV;
Pharmacokinetic data
Elimination half-life	16 hours
Identifiers
	IUPAC name N-Ethyl-3-phenyl-norbornan-2-amine;
CAS Number	1209-98-9 ;
PubChem CID	14584;
DrugBank	DB01463 ;
ChemSpider	13922 ;
UNII	NME1I5IGBK;
KEGG	D07343 ;
ChEMBL	ChEMBL7010 ;
CompTox Dashboard (EPA)	DTXSID60862601 ;
Chemical and physical data
Formula	C15H21N
Molar mass	215.340 g·mol−1
3D model (JSmol)	Interactive image;
	SMILES CCNC1C(C2CCC1C2)C3=CC=CC=C3;
	InChI InChI=1S/C15H21N/c1-2-16-15-13-9-8-12(10-13)14(15)11-6-4-3-5-7-11/h3-7,12-16H,2,8-10H2,1H3 ; Key:IKFBPFGUINLYQI-UHFFFAOYSA-N ;
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Fencamfamin (INN), also known as fencamfamine or by the brand names Glucoenergan and Reactivan, is a stimulant which was developed by Merck in the 1960s.^[3]

Medical uses

Fencamfamin is still used, though rarely, for treating depressive day-time fatigue, lack of concentration and lethargy, particularly in individuals who have chronic medical conditions, as its favourable safety profile makes it the most suitable drug in some cases.^[4]

Adverse effects

Fencamfamin is well tolerated and causes minimal circulatory effects. Extended use may result in a dryness of the mouth.^[4]

Contraindications

Not to be used with heart diseases, angina pectoris and decompensated cardiac insufficiency, glaucoma, hyper-excitability and thyrotoxicosis or while treated with monoamine oxidase inhibitors.^[4]

Overdose

Symptoms of overdose are nausea, agitation and restlessness, dryness of the mouth, dizziness and tremor. In gross overdosage also associated with dyspnoea, tachycardia, disorientation and convulsions.^[4]

Research

In a study on slices of rat corpus striatum and substantia nigra fencamfamin acted as an indirect dopamine agonist. It released dopamine by a similar mechanism to amphetamines, but was ten times less potent than dexamphetamine at producing this effect. The main mechanism of action was instead inhibition of dopamine reuptake. Also unlike amphetamines, fencamfamin does not inhibit the action of monoamine oxidase enzymes. It was concluded that, at least in the models employed, the in vitro profile of fencamfamin is more similar to that of nomifensine, a reportedly pure uptake inhibitor, than to d-amphetamine.^[5]

In animal experiments on place preference fencamfamin produced a significant place preference only at the dose of 3.5 mg/kg. The experiments suggested a relation to dopamine D1 receptors, and also to opioid receptors in the reinforcement produced by fencamfamin, as place preference was blocked by the selective dopamine D1 antagonist SCH 23390 and by the opioid antagonist naloxone.^[6] A similar place preference, which was blocked by naloxone and by SCH 23390 and by raclopride, has been seen in a study on rats with drinking water. Animals treated with naloxone before the conditioning sessions showed a place aversion instead of the place preference found in saline-treated animals. Naloxone also reduced drinking. It was proposed that naloxone induced a state of frustrative nonreward. It was suggested that both dopamine and (endogenous) opioids are important for water-induced reinforcement. Possible interactions between these two neurotransmitter systems were discussed.^[7]

Synthesis

Fencamfamin may be synthesized in a straightforward fashion via the Diels-Alder reaction between cyclopentadiene and β-nitrostyrene (1-nitro-2-phenyl-ethene). The C=C double bond and the nitro-group in the resulting norcamphene derivative are then reduced to give the saturated norcamphane derivative. Finally, the amino-group is ethylated.

Although β-nitrostyrene is commercially available, it is also very easily prepared using the Henry Reaction between benzaldehyde and nitromethane.^[8]

The Diels-Alder reaction of β-nitrostyrene and cyclopentadiene is described in a number of early papers.^[9]^[10]

The reduction of the nitroalkene may be carried out sequentially. The alkene's double bond is typically reduced using hydrogen and a transition metal catalyst like Ni or Pt, while the nitro group is reduced to the amine with a metal/acid combination, such as Fe/HCl.^[10] The reduction of both functional groups can also be achieved simultaneously by the use of Raney nickel,^[10] and this transformation has recently been optimized by Russian chemists.^[11]

Originally achieved under reductive amination conditions involving the reaction of the amine with acetaldehyde in the presence of Pt, ethylation of the amino-group has been improved by the use of Ra-Ni and ethanol.^[11]

The stereochemical consequences of the steps involved in the reaction sequence outlined above have been studied. Thus, the Diels-Alder cycloaddition leads to a product in which the nitro- and phenyl- groups are in a trans- relationship to each other.^[12] This product is actually a mixture of stereoisomers, in which the pair of enantiomers having the nitro- group in the endo- position and the phenyl- group in the exo- position predominates over the enantiomeric pair with exo-nitro and endo-phenyl groups. Although the isomeric composition of the Diels-Alder adduct itself does not seem to have been determined, Poos et al. reported a ratio of ~3:1 for the saturated un-ethylated amine derived from it.^[13] Novakov and co-workers, citing a thesis study,^[14] report that the corresponding ratio of endo-N-ethyl/exo-Φ : exo-N-ethyl/endo-Φ enantiomeric pairs is ~9:1 in fencamfamin itself.^[11]

References

^ Anvisa (2023-03-31). "RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial" [Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário Oficial da União (published 2023-04-04). Archived from the original on 2023-08-03. Retrieved 2023-08-16.
^ Delbeke FT, Debackere M (1981). "Detection and metabolism of fencamfamine and the influence of acetazolamide on its urinary excretion". Biopharmaceutics & Drug Disposition. 2 (1): 17–30. doi:10.1002/bdd.2510020103. PMID 7236868.
^ DE patent 1110159, "Improvements in or relating to Amino-Norcamphane Compounds", issued 1961-07-06, assigned to Merck
^ ^a ^b ^c ^d "REACTIVAN Tablets; REACTIVAN Syrup". Merck. Archived from the original on 2020-09-25. Retrieved 2007-01-23.
^ Seyfried CA (August 1983). "Dopamine uptake inhibiting versus dopamine releasing properties of fencamfamine: an in vitro study". Biochemical Pharmacology. 32 (15): 2329–31. doi:10.1016/0006-2952(83)90181-8. PMID 6136281.
^ Planeta C, Aizenstein ML, DeLucia R (January 1995). "Reinforcing properties of fencamfamine: involvement of dopamine and opioid receptors". Pharmacology, Biochemistry, and Behavior. 50 (1): 35–40. doi:10.1016/0091-3057(94)00236-C. PMID 7700952. S2CID 9034041.
^ Agmo A, Federman I, Navarro V, Padua M, Velazquez G (September 1993). "Reward and reinforcement produced by drinking water: role of opioids and dopamine receptor subtypes". Pharmacology, Biochemistry, and Behavior. 46 (1): 183–94. doi:10.1016/0091-3057(93)90339-u. PMID 8255911. S2CID 43900354.
^ Worrall DE (1929). "Nitrostyrene". Organic Syntheses. 9: 66. doi:10.15227/orgsyn.009.0066; Collected Volumes, vol. 1, p. 413.
^ Allen CF, Bell A (1939). "β-Nitrostyrene in the Diene Synthesis". J. Am. Chem. Soc. 61 (2): 521–522. doi:10.1021/ja01871a501.
^ ^a ^b ^c Parham WE, Hunter WT, Hanson R (1951). "endo-5-Aminobicyclo [2,2,1]heptene-2". J. Am. Chem. Soc. 73 (11): 5068–5070. doi:10.1021/ja01155a013.
^ ^a ^b ^c Novakov IA, Orlinson BS, Brunilin RV, Navrotskii MB, Eremiichuk AS, Dumler SA, Gordeeva EA (2011). "An improved synthesis of N-(3-phenylbicyclo[2.2.1]-yl)-N-ethylamine hydrochloride (Fencamfamine)". Pharm. Chem. J. 45 (7): 419–422. doi:10.1007/s11094-011-0646-3. S2CID 28946797.
^ Weinstock J, Schwartz N, Kormendy MF (1961). "Stereochemistry of a 3-Phenylnorbornane-2-amine". J. Org. Chem. 26 (12): 5247–5249. doi:10.1021/jo01070a540.
^ Poos GI, Kleis J, Wittekind RR, Rosenau JS (1961). "Bicyclic Bases. III. Isomeric 2-Amino-3-phenylnorbornanes". J. Org. Chem. 26 (12): 4898–4904. doi:10.1021/jo01070a029.
^ Vollberg G (1992). Dissertation (Ph.D. thesis). Rheinische Friedrich-Wilhelms-Universität Bonn.