Drug intelligence / Profile preview

fampridine

Development stage
Approved
Lead developer
Acorda Therapeutics
Modality
Small Molecules
Administration
Oral
01

Overview

Fampridine is an oral, extended-release small molecule potassium channel blocker used to improve walking in adults with multiple sclerosis who have a walking disability. It blocks voltage-gated potassium channels on demyelinated axons, reducing potassium efflux and helping action potentials propagate to improve motor conduction and walking speed. It is marketed in the EU as Fampyra and is closely related to dalfampridine (an extended-release formulation of 4-aminopyridine approved in the US). Typical dosing is 10 mg twice daily about 12 hours apart, and tablets must be swallowed whole due to seizure risk at higher peak concentrations.

Brand names
Fampyra
Other names
dalfampridine4-aminopyridine4-AP4-pyridinamine
02

Targets

Kir (Inward-rectifier potassium channels)KCNH2 (Voltage-gated potassium channel subfamily H member 2)KCNQ1 (Potassium voltage-gated channel subfamily KQT member 1)

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