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In a recent clinical trial, the drug BIA 10-2474, a putative fatty acid amide hydrolase(FAAH) inhibitor, was responsible for severe adverse events (SAEs), including one death. To date, there has been little reliable information divulged about the potency of BIA 10-2474 at FAAH in the central nervous system. We synthesised BIA 10-2474 and determined its ability to inhibit FAAH ex vivo in rat brain using a FAAH selective radiotracer. BIA 10-2474 proved to be a potent FAAH inhibitor with IC 50 s of 50–70 µg/kg (i.p.) in various brain regions. This information may be useful for determining the cause of the SAEs.

Inhibition of fatty acid amide hydrolase by BIA 10-2474 in rat brain