Category: Uncategorized

  • Brivaracetam

    Plain-language summaryIntrigue 65 / 100

    Brivaracetam, sold as Briviact, is a propyl-substituted analog of levetiracetam with higher SV2A affinity. It is FDA-approved for partial-onset seizures and offers improved tolerability over levetiracetam in some patients. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Propyl-substituted pyrrolidinone (high-affinity SV2A ligand)

    A propyl-substituted levetiracetam analog with 15-fold higher SV2A affinity, FDA-approved 2016 as Briviact for partial-onset seizures.

    Abstract

    Brivaracetam (Briviact; UCB-34714; (2S)-2-[(4R)-2-oxo-4-propylpyrrolidin-1-yl]butanamide; CAS 357336-20-0; molecular formula C11H20N2O2; molecular weight 212.29) is a propyl-substituted levetiracetam analog developed at UCB Pharma and approved by the FDA in February 2016 as adjunctive therapy for partial-onset seizures. Brivaracetam binds SV2A with approximately 15-fold higher affinity than levetiracetam (Kd 0.06 microM versus 1 microM) and shows higher selectivity for SV2A over other potential targets. The clinical consequence is improved seizure protection at lower doses with a flatter pharmacokinetic-pharmacodynamic relationship. Compared with levetiracetam, brivaracetam shows lower rates of behavioral and psychiatric adverse effects (irritability, depression), which are dose-limiting for some levetiracetam patients. Pharmacokinetics: plasma half-life 9 hours; oral bioavailability essentially complete; metabolism is hepatic via amide hydrolysis and CYP2C19. Approved doses are 50 to 200 mg per day in two divided administrations. Schedule V in the United States.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Meldonium (Mildronate)

    Plain-language summaryIntrigue 68 / 100

    Meldonium (Mildronate) is a Latvian-developed compound that inhibits carnitine biosynthesis, shifting cellular metabolism toward glucose-based energy. It is used for ischemic conditions in Eastern Europe. Famous for the 2016 Maria Sharapova doping case. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Carnitine biosynthesis inhibitor

    A Latvian-developed carnitine biosynthesis inhibitor used clinically for ischemic heart disease, banned by WADA in 2016 after high-profile athlete cases.

    Abstract

    Meldonium (Mildronate; 3-(2,2,2-trimethylhydrazinium)propionate; CAS 76144-81-5; molecular formula C6H14N2O2; molecular weight 146.19) is a synthetic structural analog of gamma-butyrobetaine, the precursor of L-carnitine, developed at the Latvian Institute of Organic Synthesis in the 1970s by Ivars Kalvins. The compound competitively inhibits gamma-butyrobetaine hydroxylase, reducing endogenous carnitine biosynthesis and shifting cardiac and skeletal muscle metabolism from fatty acid oxidation toward glucose oxidation. The metabolic shift is theoretically protective under ischemic conditions where fatty acid oxidation generates increased reactive oxygen species. Meldonium is approved in Latvia, Russia, and several former Soviet states for ischemic heart disease, chronic heart failure, and cognitive symptoms of cerebrovascular insufficiency. The compound was added to the WADA prohibited list in 2016 after widespread use in elite athletes; the Maria Sharapova case is the most prominent. Pharmacokinetics: plasma half-life 3 to 6 hours; oral bioavailability 78 percent; renally excreted. Doses are 500 to 1000 mg per day.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • AOD-9604

    Plain-language summaryIntrigue 55 / 100

    AOD-9604 is a modified fragment of the C-terminal portion of human growth hormone (residues 176-191). It was developed by Metabolic Pharmaceuticals as a fat-loss agent that retains the lipolytic effects of GH without the muscle-building effects. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Modified hGH 176-191 fragment

    A modified C-terminal fragment of hGH (residues 176-191) developed for fat loss without GH metabolic effects.

    Abstract

    AOD-9604 (modified hGH 177-191; molecular formula C78H125N23O23S2) is a modified analog of the C-terminal fragment of human growth hormone (residues 176-191) developed by Monash University and Metabolic Pharmaceuticals. The structural modification is the addition of a tyrosine at the N-terminus relative to the unmodified 176-191 sequence. The compound was developed on the rationale that the lipolytic activity of human growth hormone resides in the C-terminal fragment, separable from the IGF-1-mediated growth-promoting and pro-diabetogenic activities. Phase 2 trials in obesity showed modest weight loss and fat mass reduction without effect on lean mass or insulin sensitivity. The compound did not advance to FDA approval; clinical efficacy was not strong enough to support marketing. The compound is sold as a research chemical/peptide. Pharmacokinetics: plasma half-life of subcutaneous AOD-9604 is short (less than 1 hour); reported doses for research-grade lipolysis applications are 250 to 500 micrograms subcutaneously daily.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Quercetin

    Plain-language summaryIntrigue 62 / 100

    Quercetin is a natural flavonoid found in onions, apples, and capers. It is one half of the dasatinib-quercetin (D+Q) senolytic combination. Quercetin alone has anti-allergic and anti-inflammatory effects. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Flavonoid senolytic / mast cell stabilizer

    A widely distributed flavonoid with weaker senolytic activity than fisetin, often combined with dasatinib in the canonical D+Q senolytic regimen.

    Abstract

    Quercetin (3,3′,4′,5,7-pentahydroxyflavone; CAS 117-39-5; molecular formula C15H10O7; molecular weight 302.24) is a widely distributed flavonoid present in onions, apples, capers, and many other plants. The compound has multiple mechanisms of pharmacological interest: mast cell stabilization (anti-allergic effects), direct antioxidant activity, anti-inflammatory effects through NF-kB inhibition, and senolytic activity (in combination with the kinase inhibitor dasatinib in the canonical D+Q regimen developed by Kirkland and Niedernhofer). The senolytic activity of quercetin alone is modest; the dasatinib combination is substantially more effective. Bioavailability is poor as the free aglycone but better as the rutinose glycoside; plasma quercetin concentrations after oral dosing are typically less than 1 percent of the dose. Doses range from 500 mg to 2 grams per day; the senolytic D+Q regimen uses pulsatile dosing of 1000 to 1500 mg quercetin with 100 mg dasatinib for 2 to 3 days monthly.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • PQQ (Pyrroloquinoline Quinone)

    Plain-language summaryIntrigue 60 / 100

    PQQ (pyrroloquinoline quinone) is a redox cofactor found in plants and bacteria that may stimulate mitochondrial biogenesis (creation of new mitochondria). Sold as a longevity and energy supplement. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Redox cofactor

    A bacterial redox cofactor and putative mitochondrial biogenesis enhancer found in trace amounts in plant foods, sold as a dietary supplement.

    Abstract

    Pyrroloquinoline quinone (PQQ; CAS 72909-34-3; molecular formula C14H6N2O8; molecular weight 330.21) is a redox cofactor present in bacterial dehydrogenases and in trace amounts in plant foods (kiwi, parsley, green tea, fermented soy). PQQ has been studied as a putative mitochondrial biogenesis stimulant; chronic dietary PQQ deficiency in mice produces mitochondrial dysfunction phenotypes that are reversed by repletion. The compound has been studied for cognitive function, fatigue, and cardiovascular endpoints in small human trials with modest effect sizes. Mechanism is incompletely characterized; proposed activities include direct redox cycling, NRF2 pathway activation, and PGC-1alpha-mediated mitochondrial biogenesis. Doses are typically 10 to 40 mg per day. The compound is sold as a dietary supplement (BioPQQ).

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • PEG-MGF (Mechano Growth Factor)

    Plain-language summaryIntrigue 65 / 100

    PEG-MGF is a pegylated form of mechano-growth factor, a splice variant of IGF-1 produced in muscle in response to mechanical loading. The PEG group extends the half-life from minutes to days. Used in research for satellite cell activation and muscle repair. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Pegylated IGF-1 splice variant

    A pegylated form of mechano growth factor (the IGF-1Ec splice variant) sold as a research peptide for muscle repair applications.

    Abstract

    PEG-MGF is a pegylated form of mechano growth factor (MGF), a splice variant of IGF-1 (IGF-1Ec) generated by exercise-induced muscle damage. MGF differs from systemic IGF-1 in containing a unique 24-residue C-terminal extension produced by alternative splicing of exon 5. The MGF C-terminal peptide alone (without the IGF-1 mature peptide) has been studied for muscle stem cell activation. Pegylation extends plasma half-life of the otherwise rapidly cleared peptide. The compound is sold as a research peptide; clinical evidence base in humans is sparse.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Suvorexant

    Plain-language summaryIntrigue 78 / 100

    Suvorexant, sold as Belsomra, is a dual orexin receptor antagonist (DORA), the first of a new sleep medication class. Unlike GABAergic hypnotics it works by blocking the wakefulness-promoting orexin system. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Dual orexin receptor antagonist

    A dual orexin receptor antagonist (DORA) FDA-approved as Belsomra for insomnia, the first commercialized of the DORA class.

    Abstract

    Suvorexant (Belsomra; MK-4305; CAS 1030377-33-3; molecular formula C23H23ClN6O2; molecular weight 450.92) is a dual orexin receptor (OX1R, OX2R) antagonist developed by Merck and approved by the FDA in 2014 for insomnia. The compound was the first commercialized DORA. Mechanism is competitive antagonism at orexin-A (hypocretin-1) and orexin-B (hypocretin-2) binding sites on OX1R and OX2R, attenuating orexinergic wakefulness signaling without GABAergic hypnotic effects. Pharmacokinetics: plasma half-life 12 hours; CYP3A4 metabolism. Approved doses are 5 to 20 mg at bedtime. Schedule IV.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Magnesium L-Threonate

    Plain-language summaryIntrigue 58 / 100

    Magnesium L-threonate is a magnesium salt designed to penetrate the blood-brain barrier better than other magnesium forms. Developed by MIT researchers and marketed as Magtein for cognitive support. Clinical evidence is limited. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Magnesium salt of L-threonate

    A proprietary magnesium salt (Magtein) with claimed superior CNS bioavailability for cognitive applications.

    Abstract

    Magnesium L-Threonate (Magtein; CAS 778571-57-6) is a proprietary magnesium salt developed at MIT by Guosong Liu’s group, complexing magnesium with two molecules of L-threonate (a vitamin C metabolite). The complex was designed for CNS delivery; rodent studies showed elevated brain magnesium levels and synaptic density improvements with chronic supplementation, distinguishing it from other magnesium salts which produce less reliable CNS magnesium elevation. Phase 2 trials in mild cognitive impairment have shown modest but consistent improvements in cognitive endpoint measures. Doses are typically 1 to 2 grams of the salt per day (providing 100 to 200 mg elemental magnesium). The compound is sold as Magtein-branded products and generic equivalents.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • L-Tryptophan

    Plain-language summaryIntrigue 50 / 100

    L-tryptophan is the essential amino acid precursor to serotonin and melatonin. Supplementation is sometimes used for sleep and mood, though 5-HTP (one biosynthetic step closer to serotonin) is often preferred. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Essential aromatic amino acid

    An essential aromatic amino acid precursor of serotonin, melatonin, and niacin; supplemented for sleep and mood applications.

    Abstract

    L-Tryptophan (CAS 73-22-3; molecular formula C11H12N2O2; molecular weight 204.23) is an essential aromatic amino acid and the precursor of serotonin, melatonin, and (via niacin) NAD+. Tryptophan hydroxylase is the rate-limiting enzyme in serotonin biosynthesis; supplementation can increase substrate availability when the enzyme is operating below saturation. The compound has been used for sleep, depression, and anxiety with modest efficacy. Bioavailability is reduced by competing large neutral amino acids (LNAAs); taking tryptophan with carbohydrate (which raises insulin and lowers competing LNAAs) improves CNS uptake. Doses are typically 500 mg to 2 grams per day. The 1989 EMS (eosinophilia-myalgia syndrome) outbreak from contaminated L-tryptophan led to FDA restrictions; modern products are pharmaceutical grade.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.

  • Nicotine

    Plain-language summaryIntrigue 70 / 100

    Nicotine is the principal alkaloid of tobacco. Beyond its association with smoking, pure nicotine has cognitive enhancement effects via nicotinic acetylcholine receptor agonism. Pouches and gums isolate the cognitive effects from the carcinogenic combustion products of cigarettes. Not stocked by Kodiac. This monograph is provided for research and educational reference.

    Intrigue 0–100 blends mechanism novelty, evidence strength, and translational potential. Kodiac editorial, not peer-reviewed.

    Nicotinic acetylcholine receptor agonist

    A pyridine alkaloid from tobacco (Nicotiana spp.) with broad nicotinic acetylcholine receptor agonist activity, studied at low doses for cognitive enhancement.

    Abstract

    Nicotine (CAS 54-11-5; molecular formula C10H14N2; molecular weight 162.23) is a pyridine alkaloid present principally in Nicotiana tabacum and other Solanaceae species. The compound is a potent agonist at nicotinic acetylcholine receptors (nAChRs) with affinity that varies by subunit composition: alpha4-beta2 nAChRs (high abundance in CNS) at high affinity, alpha7 nAChRs at moderate affinity, alpha3-containing autonomic nAChRs at moderate affinity. Low-dose nicotine has been studied extensively for cognitive enhancement (improved attention, working memory) in non-smokers; effect sizes are modest but consistent. Smoking cessation pharmacotherapy uses nicotine replacement (gum, patch, lozenge, inhaler, nasal spray) at doses sufficient to relieve withdrawal but lower than typical cigarette smoking exposure. The compound is highly addictive when delivered through rapid-onset routes (smoking, vaping); slower-onset routes (gum, patch) have lower abuse liability. Doses for cognitive applications are typically 1 to 4 mg via gum or lozenge.

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    FOR RESEARCH USE ONLY. Not for medical, diagnostic, or therapeutic purposes. Not for human consumption. All information is provided for research and educational purposes only.