Drug intelligence / Profile preview

phentermine + cyanocobalamin

Development stage
Phase 1
Lead developer
Michael Lang
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules
Administration
Oral, Intramuscular
01

Overview

This is an investigational combination therapy consisting of oral phentermine and intramuscular vitamin B12 (cyanocobalamin) injections. Phentermine is a sympathomimetic amine that acts as an appetite suppressant by stimulating the release of norepinephrine in the hypothalamus, primarily through its action on the norepinephrine transporter and trace amine-associated receptor 1. Vitamin B12 is included as a weekly injection to potentially enhance metabolic function and weight loss effects, although its specific contribution to the efficacy of this combination is the subject of clinical investigation. The therapy was evaluated in a pilot randomized controlled trial led by Dr. Michael Lang at East Carolina University (ECU Physicians) for the treatment of obesity, comparing the combination's weight loss outcomes against phentermine monotherapy.

Other names
Phentermine and B12Phentermine and Vitamin B12Phentermine plus B12
02

Targets

MAOB (Monoamine oxidase B)DAT (Dopamine plasma membrane transport protein)NET (Norepinephrine Transporter)TAAR1 (Trace amine-associated receptor 1)

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