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| Other names | β-Chlornaltrexamine; Beta-Chlornaltrexamine; β-CNA; Beta-CNA; Chlornaltrexamine; CNA; 6β-[Bis(2-chloroethyl)amino]-17-(cyclopropylmethyl)-4,5α-epoxymorphinan-3,14-diol |
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| Formula | C24H32Cl2N2O3 |
| Molar mass | 467.43 g·mol−1 |
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β-Chlornaltrexamine (β-CNA) is anon-selectiveirreversible antagonist of theμ-opioid receptor (MOR), theδ-opioid receptor (DOR), and theκ-opioid receptor (KOR), which forms acovalent bond to thebinding sites of thesereceptors and has ultra-long-lastingopioid antagonist effects.[1] Although it is predominantly antagonistic, β-CNA also shows some irreversiblemixed agonist–antagonist activity at the MOR and KOR and some associatedanalgesic effects.[2][3] Itsalkylatinggroup is a bis(chloroalkyl)amino-residue similar to that of thenitrogen mustards.[4][5][6][7]
The drug was first described by 1978.[8][9] It should not be confused with itsepimer and related drugα-chlornaltrexamine (α-CNA), which is likewise predominantly an irreversible antagonist of the opioid receptors but also shows some irreversible mixed agonist–antagonist activity.[10]