dalfampridine
Trade name: ampyra
Approved
Jan 22, 2010
Dalfampridine is a potassium channel blocker, used as a research tool in characterizing subtypes of the potassium channel. Dalfampridine has also been used as a drug, to manage some of the symptoms of multiple sclerosis, and is indicated for symptomatic improvement of walking in adults with several variations of the disease. The mechanism by which dalfampridine exerts its therapeutic effect has not been fully elucidated. Dalfampridine is a broad spectrum potassium channel blocker. In animal studies, dalfampridine has been shown to increase conduction of action potentials in demyelinated axons through inhibition of potassium channels. — NCATS
Clinical trial activity
52 trials · 89 clinical orgs · 14 marketing orgs
Earliest trial started Jun 1, 2002 (NCT01683838)
Timeline
1980s
- Jun 2, 1987
Orphan Drug Designation
2000s
- Jan 1, 2002
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2002
Acorda Therapeutics — Earliest Phase 3 Sponsor(trial)
2010s
- Jan 1, 2010
Earliest Phase 1 Sponsor(trial)
- Jan 22, 2010
Acorda Therapeutics — Earliest FDA Approval
- Jan 22, 2010
Merz — Marketing Organization
- Jan 22, 2010
Acorda Therapeutics — NDA Organization
- Jun 21, 2016
Sun Pharmaceuticals — Marketing Organization
- Jul 19, 2016
Teva — Marketing Organization
- Sep 14, 2016
Mylan — Marketing Organization
- Jan 23, 2017
Actavis — Marketing Organization
- Jan 23, 2017
Aurobindo Pharma — Marketing Organization
- Jan 23, 2017
Allergan PLC (2015) — Marketing Organization
- Jul 11, 2018
Accord Research — Marketing Organization
- Jul 30, 2018
Alkem Labs Ltd — Marketing Organization
- Oct 24, 2018
West-Ward Pharmaceutical — Marketing Organization
- Oct 24, 2018
Hikma — Marketing Organization
- Mar 11, 2019
Micro Labs Ltd India — Marketing Organization
2020s
- Jul 6, 2020
Rising Pharmaceuticals — Marketing Organization
Indications
Approved for
Studied for
- Ataxia · Phase 2
- Burns · Phase 2
- Cerebral Palsy · Phase 1
- Cognition Disorders · Phase 2/Phase 3
- Fatigue · Phase 2
- Guillain-Barre Syndrome · Phase 2
- Healthy Volunteers · Phase 1
- Ischemic Stroke · Phase 3
- Motor Neuron Disease · Phase 1
- Multiple Sclerosis, Chronic Progressive · Phase 4
- Multiple Sclerosis, Relapsing-Remitting · Phase 3
- Muscle Spasticity · Phase 3
- Muscular Atrophy, Spinal · Phase 2/Phase 3
- Myelitis · Phase 2
- Myelitis, Transverse · Phase 2
- Neuromyelitis Optica · Phase 2
- Ocular Motility Disorders · Phase 2
- Optic Neuritis · Phase 2/Phase 3
- Optic Neuropathy, Ischemic · Phase 4
- Parkinson Disease · Phase 1/Phase 2
- Renal Insufficiency · Phase 1
- Sleep Apnea, Obstructive · Phase 2
- Spinal Cord Injuries · Phase 3
- Wounds and Injuries · Phase 2
Mechanism of action
Voltage-gated potassium channel blocker
- Potassium voltage-gated channel subfamily KQT member 1 (KCNQ1) ↗
- Potassium voltage-gated channel subfamily D member 3 (KCND3) ↗
- Potassium voltage-gated channel subfamily H member 2 (KCNH2) ↗
- Potassium voltage-gated channel subfamily A member 2 (KCNA2) ↗
- Potassium voltage-gated channel subfamily A member 1 (KCNA1) ↗
- Potassium voltage-gated channel subfamily KQT member 2 (KCNQ2) ↗
- Potassium voltage-gated channel subfamily KQT member 3 (KCNQ3) ↗
- Potassium voltage-gated channel subfamily A member 7 (KCNA7) ↗
- Potassium voltage-gated channel subfamily KQT member 5 (KCNQ5) ↗
- Potassium voltage-gated channel subfamily KQT member 4 (KCNQ4) ↗
- Potassium voltage-gated channel subfamily H member 1 (KCNH1) ↗
- Potassium voltage-gated channel subfamily A member 4 (KCNA4) ↗
- Potassium voltage-gated channel subfamily A member 5 (KCNA5) ↗
- Potassium voltage-gated channel subfamily A member 3 (KCNA3) ↗
- Potassium voltage-gated channel subfamily A member 6 (KCNA6) ↗
- Potassium voltage-gated channel subfamily C member 1 (KCNC1) ↗
- Potassium voltage-gated channel subfamily D member 2 (KCND2) ↗
- Potassium voltage-gated channel subfamily B member 2 (KCNB2) ↗
- Potassium voltage-gated channel subfamily C member 4 (KCNC4) ↗
- Potassium voltage-gated channel subfamily C member 3 (KCNC3) ↗
- Potassium voltage-gated channel subfamily B member 1 (KCNB1) ↗
- Potassium voltage-gated channel subfamily A member 10 (KCNA10) ↗
- Potassium voltage-gated channel subfamily V member 1 (KCNV1) ↗
- Potassium voltage-gated channel subfamily H member 5 (KCNH5) ↗
- Potassium voltage-gated channel subfamily G member 3 (KCNG3) ↗
- Potassium voltage-gated channel subfamily G member 4 (KCNG4) ↗
- Potassium voltage-gated channel subfamily V member 2 (KCNV2) ↗
- Potassium voltage-gated channel subfamily S member 1 (KCNS1) ↗
- Potassium voltage-gated channel subfamily H member 8 (KCNH8) ↗
- Potassium voltage-gated channel subfamily C member 2 (KCNC2) ↗
- Potassium voltage-gated channel subfamily S member 3 (KCNS3) ↗
- Potassium voltage-gated channel subfamily H member 6 (KCNH6) ↗
- Potassium voltage-gated channel subfamily F member 1 (KCNF1) ↗
- Potassium voltage-gated channel subfamily H member 7 (KCNH7) ↗
- Potassium voltage-gated channel subfamily D member 1 (KCND1) ↗
- Potassium voltage-gated channel subfamily G member 1 (KCNG1) ↗
- Potassium voltage-gated channel subfamily G member 2 (KCNG2) ↗
- Potassium voltage-gated channel subfamily H member 3 (KCNH3) ↗
- Potassium voltage-gated channel subfamily S member 2 (KCNS2) ↗
- Potassium voltage-gated channel subfamily H member 4 (KCNH4) ↗
- HERG
- Voltage-gated potassium channel subunit Kv1.5
- Voltage-gated potassium channel subunit Kv7.2
- Voltage-gated potassium channel subunit Kv1.2
- Voltage-gated potassium channel subunit Kv1.3
- Voltage-gated potassium channel subunit Kv7.4
- Voltage-gated potassium channel subunit Kv4.3
- Voltage-gated potassium channel subunit Kv1.7
- Voltage-gated potassium channel subunit Kv7.5
- Voltage-gated potassium channel subunit Kv1.1
- Voltage-gated potassium channel subunit Kv7.1
- Voltage-gated potassium channel subunit Kv7.3
- Voltage-gated potassium channel subunit Kv1.6
- Voltage-gated potassium channel subunit Kv3.1
- Voltage-gated potassium channel subunit Kv1.4
- Potassium voltage-gated channel subfamily D member 2
- Voltage-gated potassium channel, KQT; KCNQ2(Kv7.2)/KCNQ3(Kv7.3)
- Potassium voltage-gated channel subfamily B member 2
- Potassium voltage-gated channel subfamily B member 1
- Potassium voltage-gated channel subfamily C member 2
- Potassium voltage-gated channel subfamily H member 3
- KCNQ (Kv7) potassium channel
- Voltage-gated potassium channel KCNQ3/KCNQ4
- Voltage-gated potassium channel KCNQ3/KCNQ5
- KCNQ4/KCNQ5
- Voltage-gated potassium channel subunit Kv10.1
- Potassium voltage-gated channel subfamily A member 10
- Potassium voltage-gated channel subfamily H member 6
Approval history
- approvedPriority reviewJan 22, 2010
Chemistry & pharmacology
SMILES
NC1=CC=NC=C1- Mol. weight
- 94.1145 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaAmpere ↗
- NCATSBH3B64OKL9 ↗
- ChEMBLCHEMBL284348 ↗
- Wikipedia4-Aminopyridine ↗
Also known as
- 4-aminopyridine
- 4-aminopyridine
- 4-aminopyridine
- 4-aminopyridine
- 4-ap
- 4-ap
- 4-pyridinamine
- 4-pyridinamine
- 4-pyridylamine
- 4-pyridylamine
- ampere
- ampyra
- ampyra
- ampyra
- ampyra
- ampyra extended release
- avitrol
- avitrol
- dalfampridine
- dalfampridine
- dalfampridine
- dalfampridine
- dalfampridine
- dalfampridine
- dalfampridine
- dalfampridine
- el-970
- el-970
- fampridina
- fampridina
- fampridine
- fampridine
- fampridine
- fampridine
- fampridine
- fampridine
- fampridine
- fampridine-sr
- fampridine-sr
- fampridinum
- fampridinum
- fampyra
- fampyra
- fampyra
- fampyra
- fampyra
- fampyra
- fampyra
- gamma-aminopyridine
- gamma-aminopyridine
- n07xx07
- n07xx07
- neurelan
- neurelan
- p-aminopyridine
- p-aminopyridine
- pyridin-4-amine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06853015 | Phase 1/Phase 2 (Phase 2) | Feb 28, 2025 | Shirley Ryan AbilityLab |
| NCT06596434 | Phase 2 | Jan 31, 2025 | University of Arizona |
| NCT06136728 | Phase 4 | Jan 31, 2024 | Harvard University |
| NCT05447676 | Early Phase 1 (Phase 1) | Jun 30, 2022 | National Institute of Neurological Disorders and Stroke (NINDS), Shirley Ryan AbilityLab |
| NCT05730738 | N/A | Jun 1, 2021 | Ain Shams University |
| NCT05613114 | N/A | Aug 3, 2020 | European University of Lefke |
| NCT03658408 | Phase 2 | Dec 1, 2018 | University of Rochester |
| NCT02868567 | Phase 1 | Mar 1, 2016 | Cornell University, Rockefeller University |
| NCT02656160 | Phase 2 | Jan 1, 2016 | Harvard University |
| NCT02422940 | Phase 3 | Apr 1, 2015 | Acorda Therapeutics |
| NCT02391961 | Phase 2 | Apr 1, 2015 | Department of Veteran Affairs |
| NCT02271217 | Phase 3 | Dec 1, 2014 | Acorda Therapeutics |
| NCT02259361 | Phase 4 | Nov 1, 2014 | Tel Aviv University |
| NCT02280096 | Phase 2 | Oct 1, 2014 | Government of Mexico, Instituto Mexicano del Seguro Social |
| NCT02219932 | Phase 3 | Sep 1, 2014 | Biogen |
| NCT02143167 | Phase 4 | May 1, 2014 | Biogen, University of Southern Denmark |
| NCT02208050 | Phase 4 | Mar 1, 2014 | National University of Ireland |
| NCT02166346 | Phase 2 | Feb 1, 2014 | Acorda Therapeutics, Johns Hopkins University |
| NCT02849782 | Phase 4 | Feb 1, 2014 | University of Franche-Comté |
| NCT02146534 | Phase 4 | Dec 1, 2013 | Clinique NeuroGym, Clinique Neuro-Outaouais, CogState Ltd. |
Organizations
Research & Development (89)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Acorda Therapeutics | For profit | 25 | 14 | 5 | 2002 |
| Biogen | For profit | 8 | 6 | 4 | 2010 |
| University of Rochester | Academic/Hospital | 3 | 1 | 2 | 2011 |
| Department of Veteran Affairs | Government | 2 | 1 | 2 | 2011 |
| Harvard University | Academic/Hospital | 2 | 2 | 2 | 2016 |
| Oregon Health and Science University | Academic/Hospital | 2 | 1 | 2 | 2011 |
| Shirley Ryan AbilityLab | Academic/Hospital | 2 | 2 | 2 | 2022 |
| University of Miami | Academic/Hospital | 2 | 1 | 2 | 2011 |
| University of Southern Denmark | Academic/Hospital | 2 | 2 | 1 | 2012 |
| Advanced Neurology Specialists | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Advanced Neurosciences Institute | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Ain Shams University | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Alta Bates Summit Medical Center | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Altru Health System Research Center | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Arizona Neurological Institute | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Axiom Clinical Research of Florida | For profit | 1 | 0 | 1 | 2011 |
| Baylor University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Brown, Theodore R., M.D., MPH | Academic/Hospital | 1 | 0 | 1 | 2010 |
| Clinique NeuroGym | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Clinique Neuro-Outaouais | Academic/Hospital | 1 | 1 | 1 | 2013 |
Marketing (20)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | Jul 11, 2018 |
| Acorda Therapeutics | For profit | NDA | Jan 22, 2010 |
| Actavis | For profit | MKTG | Jan 23, 2017 |
| Alkem Labs Ltd | For profit | MKTG | Jul 30, 2018 |
| Allergan PLC (2015) | For profit | MKTG | Jan 23, 2017 |
| Aurobindo Pharma | For profit | SYN | Jan 23, 2017 |
| Aurobindo Pharma | For profit | MKTG | Jan 23, 2017 |
| Hikma | For profit | MKTG | Oct 24, 2018 |
| Hikma | For profit | SYN | Oct 24, 2018 |
| Merz | For profit | MKTG | Jan 22, 2010 |
| Merz | For profit | SYN | Jan 22, 2010 |
| Micro Labs Ltd India | For profit | MKTG | Mar 11, 2019 |
| Mylan | For profit | MKTG | Sep 14, 2016 |
| Mylan | For profit | SYN | Jul 6, 2020 |
| Rising Pharmaceuticals | For profit | SYN | Jul 6, 2020 |
| Rising Pharmaceuticals | For profit | MKTG | Jul 6, 2020 |
| Sun Pharmaceuticals | For profit | MKTG | Jun 21, 2016 |
| Sun Pharmaceuticals | For profit | SYN | May 21, 2019 |
| Teva | For profit | MKTG | Jul 19, 2016 |
| West-Ward Pharmaceutical | For profit | MKTG | Oct 24, 2018 |