| Clinical data | |
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| Other names | TAK-994 |
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| Formula | C22H25F3N2O4S |
| Molar mass | 470.51 g·mol−1 |
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Firazorexton (INNTooltip International Nonproprietary Name; development codeTAK-994) is anexperimentalorexin 2 (OX2) receptoragonist first described in a 2019patent filed byTakeda Pharmaceutical Company.[1][2]
Firazorexton was studied byTakeda for the treatment ofnarcolepsy.[3][4][5] It is asmall-molecule andorally activecompound and acts as a highlyselectiveagonist of theorexin receptor 2 (OX2) with >700-fold selectivity over theorexin receptor 1 (OX1).[3][4][6][7] Firazorexton is related todanavorexton (TAK-925).[8]
The compound reachedphase 2clinical trials for narcolepsy.[9] However, clinical development was discontinued in October 2021 forsafety reasons.[8][10][11][12][13] More specifically, it produced severedrug-induced liver injury in phase 2 trials.[14] Thishepatotoxicity is unlikely to be related to firazorexton's orexin receptor agonism.[14]
Proposed INN: List 123