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Tesofensine

NS2330

Metabolic & WeightPhase II
From$5.33/mgCompare prices
MW
328.3g/mol
Formula
C17H23Cl2NO

Tesofensine is a novel triple monoamine reuptake inhibitor that primarily targets the neurotransmitters noradrenaline, serotonin, and dopamine. Researchers primarily study it for its potential effects on appetite regulation and weight management in individuals with obesity. Key findings from studies indicate that chronic administration of tesofensine enhances the expression of brain-derived neurotrophic factor (BDNF) and activity-regulated cytoskeleton protein (Arc) in the hippocampus, which may be linked to its antidepressant potential and neurogenic effects. Furthermore, tesofensine is currently undergoing Phase III clinical trials to evaluate its efficacy and safety as an anti-obesity therapy. As research continues, tesofensine represents a promising candidate in the evolving landscape of pharmacological interventions for obesity.

Chemical Profile

Chemical Profile

Chemical structure
Chemical Structure
FormulaC17H23Cl2NO
Molecular Weight328.3 g/mol
CAS Number195875-84-4
PubChem CID11370864

Half-Life

INIntranasal

Not applicable

POOral

Approximately 8-10 hours

Tesofensine exhibits a long half-life suitable for once-daily dosing.

Mechanism

Mechanism of Action

Tesofensine is a triple monoamine reuptake inhibitor that enhances neurotransmission of norepinephrine, serotonin, and dopamine by blocking their reuptake transporters, primarily affecting the SERT (serotonin transporter), NET (norepinephrine transporter), and DAT (dopamine transporter). This action leads to increased levels of these monoamines in the synaptic cleft, which modulates appetite regulation and may influence neuroplasticity through pathways such as the BDNF signaling pathway and the activation of the Arc gene, promoting neurogenesis in the hippocampus. While its effects on appetite and weight loss are noted, the complete mechanism of action remains not fully understood.

Research

14 Research Publications

777

Total Citations

4

Human/RCT

3.3

Avg. Influence

2025

Latest

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Filter
#01

Anti-obesity drugs: a review about their effects and their safety.

ReviewInfluence4.0
194
The review highlighted that tesofensine is among emerging anti-obesity therapies currently under investigation, alongside other drugs that have shown varying efficacy and safety profiles.
PubMed
#02

Future Pharmacotherapy for Obesity: New Anti-obesity Drugs on the Horizon.

ReviewInfluence2.0
188
The review indicated that tesofensine is a promising triple monoamine reuptake inhibitor in development for obesity, reflecting the urgent need for novel pharmacological treatments for this global health crisis.
PubMed
#03

Pharmacological management of appetite expression in obesity.

ReviewInfluence3.0
139
Researchers observed that various pharmacological agents, including the monoamine re-uptake inhibitor tesofensine, are being developed to target appetite expression in obesity, although their effects on eating behavior remain inadequately characterized.
PubMed
#04

Centrally Acting Agents for Obesity: Past, Present, and Future.

ReviewInfluence2.0
133
The review noted that tesofensine is a potent triple reuptake inhibitor currently in Phase III trials for obesity, highlighting its potential as a future pharmacotherapy.
PubMed
#05

New approaches to the pharmacological treatment of obesity: can they break through the efficacy barrier?

ReviewInfluence8.0
78
The review concluded that tesofensine exemplifies a new treatment approach targeting multiple mechanisms of energy balance control, which may lead to more effective obesity therapies.
PubMed
#06

Expression of brain derived neurotrophic factor, activity-regulated cytoskeleton protein mRNA, and enhancement of adult hippocampal neurogenesis in rats after sub-chronic and chronic treatment with the triple monoamine re-uptake inhibitor tesofensine.

AnimalInfluence1.0
45
The study demonstrated that chronic treatment with tesofensine significantly increases brain derived neurotrophic factor and activity-regulated cytoskeleton protein mRNA levels in the rat hippocampus, indicating potential antidepressant effects.
PubMed
#07

Structural basis for pharmacotherapeutic action of triple reuptake inhibitors.

Li Yue, et al. · Nature communications · 2025

Human
Researchers studied a new class of antidepressants called triple reuptake inhibitors (TRIs), which target serotonin, norepinephrine, and dopamine levels. They found that different TRIs bind to a brain protein in unique ways, potentially leading to more effective treatments with fewer side effects for patients with depression.

Key findings

  1. 01Researchers observed that TRIs like tesofensine and dasotraline stabilize a brain protein in an outward-facing position, while others like centanafadine and ansofaxine stabilize it in an inward-facing position.
  2. 02The study identified specific binding sites for these TRIs, which could inform the development of new antidepressants.
  3. 03Notably, ansofaxine binds closer to the inner surface of the brain cell membrane, suggesting a unique mechanism of action.
PubMed
#08

Tesofensine, a novel antiobesity drug, silences GABAergic hypothalamic neurons.

Perez Claudia I, et al. · PloS one · 2024

Animal
Researchers studied tesofensine, a new anti-obesity drug, and found that it promotes significant weight loss in obese rats by targeting specific neurons in the brain that control feeding behavior. The study suggests that tesofensine may be effective in preventing weight regain after dieting, making it a promising option for obesity treatment.

Key findings

  1. 01Researchers found that tesofensine led to greater weight loss in obese rats compared to lean rats.
  2. 02The drug inhibited certain neurons in the hypothalamus that promote feeding, enhancing its appetite-suppressing effects.
  3. 03Tesofensine also helped maintain weight loss after treatment, reducing the likelihood of weight rebound.
PubMed
#09

New and emerging drug molecules against obesity.

George Melvin, et al. · Journal of cardiovascular pharmacology and therapeutics · 2014

Review
Researchers reviewed new and emerging drug molecules aimed at combating obesity, a growing health crisis linked to serious heart conditions. They found several promising candidates in clinical trials, including drugs that target the gut and the brain, which may offer better safety and efficacy compared to existing treatments.

Key findings

  1. 01Current anti-obesity medications have limited effectiveness and safety concerns, leading to a need for new options.
  2. 02New drugs like cetilistat, exenatide, and liraglutide are being tested for their potential to manage obesity more effectively.
  3. 03Innovative approaches targeting various biological pathways, such as the histamine H3 receptor, are under investigation for their role in obesity treatment.
PubMed
#10

Subjective and objective effects of the novel triple reuptake inhibitor tesofensine in recreational stimulant users.

Schoedel K A, et al. · Clinical pharmacology and therapeutics · 2010

Human
Researchers studied the effects of tesofensine, a new drug being developed for obesity, in recreational stimulant users. They found that tesofensine did not produce significant effects compared to a placebo and had a lower potential for abuse than traditional stimulants like D-amphetamine.

Key findings

  1. 01The effects of tesofensine were not significantly different from those of a placebo.
  2. 02D-amphetamine produced much stronger effects than tesofensine.
  3. 03Tesofensine's abuse potential is similar to that of bupropion and atomoxetine, suggesting it is unlikely to be misused recreationally.
PubMed
Safety

Safety & Handling

Research Gaps

No comprehensive human trials assessing the long-term efficacy and safety of tesofensine for obesity management have been published. Additionally, the precise mechanisms by which tesofensine influences appetite regulation and its effects on eating behavior remain poorly characterized and require further investigation.

Solubility

Tesofensine is moderately soluble in water and highly soluble in DMSO.

Storage & Handling

Lyophilized

Stable for 2+ years at -20°C, 12 months at 4°C

Reconstituted

Use within 14 days when refrigerated at 4°C

Avoid

Avoid repeated freeze-thaw cycles, direct light

Solvent

Bacteriostatic water or sterile saline recommended

Safety information is derived from published research and may not reflect all known risks. This is not medical advice.

Legal Status

Legal Status

🇩🇪DE

Not approved as a medicinal product. Not a controlled substance. Sale as research chemical is a legal grey area.

🇺🇸US

Not approved by the FDA. Not scheduled by the DEA.

🇦🇺AU

Not approved by the TGA. Not scheduled.

🇬🇧UK

Not approved by the MHRA. Not a controlled substance.

Legal status information is provided for general reference only and may not reflect the most current regulatory changes. Always verify with official government sources before making any decisions.

Community Insights

Community Insights

Publications per Year

6 total
1
07
2
10
1
12
2
18
Pricing

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Legal Disclaimer

This page is for informational and research purposes only. All information is based on published scientific literature and does not constitute medical advice, diagnosis, or treatment recommendations. Many substances listed may not be approved for human use and may be subject to drug regulation laws (e.g., AMG in Germany, FDA in the US). PepStack does not encourage the use of any substance on humans. Always consult a qualified healthcare professional before making any health-related decisions. Use of this information is entirely at your own risk. PepStack assumes no liability for the accuracy, completeness, or timeliness of the content provided. Full disclaimer