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Sofinicline is a small molecule investigational drug that acts as an agonist of the nicotinic acetylcholine receptor, specifically targeting the α4β2 subtype. It was developed as a potential non-stimulant treatment for attention-deficit/hyperactivity disorder (ADHD), with additional clinical trials exploring its use in diabetic neuropathies and neuralgia. Sofinicline has demonstrated efficacy similar to atomoxetine in early-phase studies and appears to be well tolerated, though further evaluation is needed to determine optimal dosing and broader safety across populations. The drug has reached Phase II clinical trials but has not been approved for any indication[1][2][3][5].
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