RTI-336


RTI-336, also known as RTI-4229-336 or LS-193,309 is a potent and selective dopamine reuptake inhibitor that was initially developed by the Research Triangle Institute, now known as RTI International.

Pharmacology

It is a phenyltropane derivative that binds to the dopamine transporter with approximately 20 times the affinity of cocaine. However, it produces relatively mild stimulant effects, with a slow onset and a long duration of action.
Affinity of RIT-336 and analogs for the main monoamine transporters :
RTIXRCFTNisoxetineParoxetineN ÷ DS ÷ D
Coc89.13298 1045 37.0111.79
177Clphenyl1.28504 2420 393.81891
176Mephenyl1.58398 5110 251.93234
354Meethyl1.62299 6400 184.63951
336Clp-tolyl4.091714 5741 419.11404
386Mep-anisyl3.93756 4027 192.41025

  • CFT: CFT is a selective radioligand for the dopamine transporter
  • Nisoxetine: This is a radioligand for the norepinephrine transporter
  • Paroxetine: This is a radioligand for the serotonin transporter
  • N ÷ D: ratio of norepinephrine transporter affinity to dopamine transporter affinity
  • S ÷ D: ratio of serotonin transporter affinity to dopamine transporter affinity

    Animal studies

These characteristics make it a potential candidate for the treatment of cocaine addiction, as a possible substitute drug, analogous to the use of methadone for treating heroin dependence. RTI-336 fully substitutes for cocaine in addicted monkeys and supports self-administration, and significantly reduces rates of cocaine use, especially when combined with SSRIs. Research is ongoing to determine whether it could be a viable substitute drug in human cocaine addicts.
RTI-336 and RTI-177 exhibited lower reinforcing strength than cocaine in nonhuman primates, indicating reduced abuse liability and supporting their viability as pharmacotherapies for addiction.
Chronic RTI-336 administration in rhesus monkeys altered motor activity and sleep patterns but did not cause adverse hormonal changes, suggesting a relatively safe profile for long-term therapeutic use.

Clinical studies

A dosage of up to 20mg has been tolerated in healthy males.