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Metadoxine extended release

Alcobra Ltd. · FDA-approved active Small molecule

Metadoxine is a combination of pyridoxine (vitamin B6) and L-2-aminoethanol that enhances acetaldehyde metabolism and reduces its toxic accumulation in alcohol-related disorders.

Metadoxine is a combination of pyridoxine (vitamin B6) and L-2-aminoadipic acid that enhances acetaldehyde metabolism and reduces its toxic accumulation in alcohol-related disorders. Used for Alcohol use disorder with hepatic impairment, Alcoholic liver disease.

At a glance

Generic nameMetadoxine extended release
Also known asMDX, Metadoxil, Abrixone, Metadoxine, Metadoxil, Abrixone, Metadoxil
SponsorAlcobra Ltd.
Drug classVitamin B6 derivative / Acetaldehyde metabolism enhancer
ModalitySmall molecule
Therapeutic areaHepatology / Addiction Medicine
PhaseFDA-approved

Mechanism of action

Metadoxine acts as a cofactor in the conversion of acetaldehyde to acetate, accelerating the detoxification pathway and reducing acetaldehyde-induced oxidative stress. It also enhances hepatic glutathione levels and reduces lipid peroxidation, providing cytoprotective effects in alcohol-related liver disease and acute alcohol intoxication.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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