desflurane
Trade name: suprane
Approved
Sep 18, 1992
Desflurane is a non-flammable liquid administered via vaporizer as a general anesthetic. It is halogenated exclusively with fluorine and is very resistant to defluorination. For this reason, it is not associated with nephrotoxicity, as is the case with other inhalational anesthetics. Desflurane is indicated for the induction and/or maintenance of anesthesia and adults, and for maintenance of anesthesia in pediatric patients following the induction with other agents. — NCATS
Clinical trial activity
221 trials · 178 clinical orgs · 3 marketing orgs
Earliest trial started Aug 1, 1999 (NCT00125502)
Timeline
1990s
2000s
- Jan 1, 2004
Earliest Phase 3 Sponsor(trial)
2010s
- Feb 26, 2018
Hengrui Therapeutics, Inc. — Marketing Organization
Indications
Approved for
Studied for
- Adenocarcinoma · Phase 4
- Airway Extubation · Phase 4
- Airway Management · Phase 4
- Analgesics, Opioid · Phase 4
- Anesthesia · Phase 4
- Anesthesia and Analgesia · Phase 4
- Anesthesia, General · Phase 4
- Anesthesia, Inhalation · Phase 4
- Anesthetics · Phase 4
- Aortic Valve Stenosis · Phase 4
- Arthritis · Phase 4
- Arthroplasty, Replacement, Knee · Phase 2
- Bariatric Surgery · Phase 4
- Biliary Atresia · Phase 4
- Brain Edema · Phase 4
- Breast Neoplasms · Phase 4
- Calculi · Phase 4
- Carcinoma, Hepatocellular · Phase 4
- Cardiovascular Diseases · Phase 4
- Carotid Stenosis · Phase 4
- Cholangiocarcinoma · Phase 4
- Cholecystitis, Acute · Phase 4
- Cognition Disorders · Phase 4
- Colorectal Neoplasms · Phase 4
- Coronary Artery Bypass · Phase 4
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 4
- Craniotomy · Phase 4
- Cystoscopes · Phase 3
- Cytomegalovirus Infections · Phase 2
- Delayed Emergence from Anesthesia · Phase 4
- Desflurane · Phase 4
- Down Syndrome · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Emergence Delirium · Phase 4
- End Stage Liver Disease · Phase 4
- Erythema Infectiosum · Phase 1/Phase 2
- Extracorporeal Membrane Oxygenation · Phase 4
- Fatigue · Phase 4
- Funnel Chest · Phase 4
- Gallbladder Neoplasms · Phase 4
- General Surgery · Phase 4
- Healthy Volunteers · Phase 4
- Heart Arrest · Phase 4
- Hepatectomy · Phase 3
- Hepatitis C · Phase 1
- HIV Infections · Phase 2/Phase 3
- HIV Seronegativity · Phase 1
- Immunization · Phase 1
- Influenza A Virus, H1N1 Subtype · Phase 3
- Influenza A Virus, H5N1 Subtype · Phase 2
- Influenza, Human · Phase 4
- Influenza in Birds · Phase 2
- Kidney Failure, Chronic · Phase 4
- Laparoscopy · Phase 4
- Laryngeal Masks · Phase 4
- Lasers · Phase 4
- Liver · Phase 4
- Liver Transplantation · Phase 4
- Lung Neoplasms · Phase 4
- Melanoma · Phase 4
- Microcirculation · Phase 4
- Musculoskeletal Diseases · Phase 3
- Nausea · Phase 4
- Neoplasms · Phase 4
- Neoplastic Cells, Circulating · Phase 4
- Obesity · Phase 4
- Orthopedic Procedures · Phase 2
- Osteoarthritis · Phase 4
- Oxygen Saturation · Phase 4
- Pain · Phase 3
- Pancreatic Neoplasms · Phase 4
- Pandemics · Phase 2
- Pediatrics · Phase 1/Phase 2
- Pneumonectomy · Phase 4
- Postoperative Cognitive Complications · Phase 4
- Postoperative Complications · Phase 4
- Postoperative Nausea and Vomiting · Phase 2
- Postoperative Pain · Phase 2
- Pregnancy · Phase 1
- Prostatic Neoplasms · Phase 4
- Prostheses and Implants · Phase 2
- Renal Insufficiency · Phase 4
- Reperfusion Injury · Phase 4
- Respiratory Aspiration · Phase 4
- Respiratory Syncytial Virus Infections · Phase 1
- Respiratory System Abnormalities · Phase 4
- Respiratory Tract Diseases · Phase 4
- Rotator Cuff Injuries · Phase 4
- Sevoflurane · Phase 3
- Sleep Apnea, Obstructive · Phase 4
- Sleep Apnea Syndromes · Phase 4
- Spinal Diseases · Phase 4
- Strabismus · Phase 4
- Surgical Oncology · Phase 4
- Thoracic Surgery · Phase 4
- Ureteral Diseases · Phase 4
- Urinary Bladder Diseases · Phase 4
- Vaginal Diseases · Phase 4
- Vascular Diseases · Phase 4
- Ventricular Dysfunction · Phase 4
Mechanism of action
- GABA-A receptor; anion channelPOSITIVE ALLOSTERIC MODULATOR
GABA-A receptor; anion channel positive allosteric modulator
Likely allosteric but unclear whether benzodiazepine or barbiturate site involved
- Gamma-aminobutyric acid receptor subunit alpha-1 (GABRA1) ↗
- Gamma-aminobutyric acid receptor subunit beta-2 (GABRB2) ↗
- Gamma-aminobutyric acid receptor subunit gamma-2 (GABRG2) ↗
- Gamma-aminobutyric acid receptor subunit beta-3 (GABRB3) ↗
- Gamma-aminobutyric acid receptor subunit alpha-4 (GABRA4) ↗
- Gamma-aminobutyric acid receptor subunit gamma-3 (GABRG3) ↗
- Gamma-aminobutyric acid receptor subunit theta (GABRQ) ↗
- Gamma-aminobutyric acid receptor subunit alpha-3 (GABRA3) ↗
- Gamma-aminobutyric acid receptor subunit pi (GABRP) ↗
- Gamma-aminobutyric acid receptor subunit delta (GABRD) ↗
- Gamma-aminobutyric acid receptor subunit gamma-1 (GABRG1) ↗
- Gamma-aminobutyric acid receptor subunit beta-1 (GABRB1) ↗
- Gamma-aminobutyric acid receptor subunit epsilon (GABRE) ↗
- Gamma-aminobutyric acid receptor subunit alpha-2 (GABRA2) ↗
- Gamma-aminobutyric acid receptor subunit alpha-5 (GABRA5) ↗
- Gamma-aminobutyric acid receptor subunit alpha-6 (GABRA6) ↗
- GABA receptor alpha-1 subunit
- GABA receptor beta-2 subunit
- GABA receptor alpha-4 subunit
- GABA receptor delta subunit
- GABA receptor alpha-5 subunit
- GABA receptor alpha-6 subunit
- GABA receptor beta-3 subunit
- GABA receptor alpha-3 subunit
- GABA receptor alpha-2 subunit
- GABA-A receptor; GABA-A site (alpha1/beta2 interface)
- GABA-A receptor; alpha-3/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-3/gamma-2
- GABA-A receptor; alpha-5/beta-3/gamma-2
- GABA-A receptor; alpha-2/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-2/gamma-2
- GABA-A receptor; alpha-6/beta-3/gamma-2
- GABA-A receptor; benzodiazepine site
- GABA-A receptor; agonist GABA site
- GABA A receptor alpha-2/beta-2/gamma-2
- GABA A receptor alpha-3/beta-2/gamma-2
- GABA A receptor alpha-6/beta-2/gamma-2
- GABA A receptor alpha-1/beta-1/gamma-2
- GABA A receptor alpha-4/beta-3/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta3/delta
- Gamma-aminobutyric acid receptor subunit alpha-1/ beta-1
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3/theta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-6/beta-3
- GABA-A receptor alpha-1/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/beta-2/delta
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/delta
- Gamma-aminobutyric acid receptor subunit beta-1/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/alpha-2/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-1/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-1/delta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2/gamma-2
- GABA receptor beta-1 subunit
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-1/gamma-2
- Glycine receptor (alpha-1/beta)POSITIVE MODULATOR
Glycine receptor (alpha-1/beta) positive modulator
alpha1/beta is main adult form
KCNK9 opener
KCNK10 opener
KCNK18 opener
KCNK3 opener
KCNK2 opener
Approval history
- approvedSep 18, 1992
Chemistry & pharmacology
SMILES
FC(F)OC(F)C(F)(F)F- Mol. weight
- 168.0378 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Topical
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
Yes
Sources
- WikipediaDesflurane ↗
- NCATSCRS35BZ94Q ↗
- ChEMBLCHEMBL1200733 ↗
Also known as
- 1,1,1,2-tetrafluoro-2-(difluoromethoxy)ethane
- 1,1,1,2-tetrafluoro-2-(difluoromethoxy)ethane
- (+-)-2-difluoromethyl 1,2,2,2-tetrafluoroethyl ether
- (+-)-2-difluoromethyl 1,2,2,2-tetrafluoroethyl ether
- (all-e)-2,6,10,15,19,23-hexamethyl-2,6,10,14,18,22-tetracosahexaene
- (all-e)-2,6,10,15,19,23-hexamethyl-2,6,10,14,18,22-tetracosahexaene
- baxter anaesthesia brand of desflurane
- baxter brand of desflurane
- desflurane
- desflurane
- desflurane
- desflurane
- desflurane
- desflurane
- desflurane
- desflurane
- desflurane
- desflurano
- desflurano
- desfluranum
- desfluranum
- difluoromethyl 1,2,2,2-tetrafluoroethyl ether
- difluoromethyl 1,2,2,2-tetrafluoroethyl ether
- difluoromethyl 1,2,2,2-tetrafluoroethyl ether
- difluoromethyl 1,2,2,2-tetrafluoroethyl ether
- difluoromethyl 1,2,2,2-tetrafluoroethyl ether
- ethane, 2-(difluoromethoxy)-1,1,1,2-tetrafluoro-
- i653
- i 653
- i-653
- i-653
- i-653
- mf59
- mf59
- mf59
- mf-59
- mf59 oil emulsion
- ohmeda brand of desflurane
- spinacene
- spinacene
- squalene
- squalene
- squalene
- supraene
- supraene
- supraene
- suprane
- suprane
- suprane
- suprane
- zeneca brand of desflurane
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07295158 | N/A | Jan 1, 2026 | Konya City Hospital |
| NCT07239479 | N/A | Dec 1, 2025 | Tam Anh Research Institute |
| NCT07271472 | N/A | Dec 1, 2025 | Ataturk University |
| NCT07116733 | Phase 3 | Oct 20, 2025 | Xijing Hospital |
| NCT07123870 | Phase 4 | Jul 23, 2025 | Kocaeli City Hospital |
| NCT07016308 | N/A | Jun 10, 2025 | Harran University |
| NCT07304479 | N/A | May 1, 2025 | University of Athens |
| NCT06779890 | Phase 4 | Mar 1, 2025 | Aristotle University of Thessaloniki |
| NCT06772558 | N/A | Feb 1, 2025 | Inner Mongolia Baogang Hospital |
| NCT06252207 | N/A | Jan 15, 2025 | The Cleveland Clinic |
| NCT06457958 | Phase 4 | Nov 1, 2024 | Kocaeli City Hospital, The Scientific and Technological Research Council of Turkey |
| NCT07289945 | Phase 3 | Sep 15, 2024 | Rouen Normandy University |
| NCT06387836 | N/A | Apr 23, 2024 | Fudan University |
| NCT06241131 | Early Phase 1 (Phase 1) | Mar 1, 2024 | Sichuan University |
| NCT06123624 | N/A | Nov 27, 2023 | Ajou University |
| NCT06207344 | N/A | Oct 21, 2023 | Chongqing Medical University |
| NCT06176144 | N/A | Sep 10, 2023 | Sichuan University |
| NCT05990790 | Phase 4 | Sep 3, 2023 | Medical University of Vienna |
| NCT05866315 | N/A | May 19, 2023 | Wonkwang University |
| NCT05783518 | Phase 4 | Mar 27, 2023 | Tianjin Medical University |
Organizations
Research & Development (178)
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Baxalta | For profit | NDA2 | Sep 18, 1992 |
| Baxter | For profit | NDA | Sep 18, 1992 |
| Hengrui Therapeutics, Inc. | For profit | MKTG | Feb 26, 2018 |