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psx:substance/brorphine/src/doi:10.1093/jat/bkaa094

src2026-09-07recordconsumed

derived from · upstream

none recorded

feeds · downstream

Closure of psx:substance/brorphine/src/doi:10.1093/jat/bkaa094: 49 upstream, 91 downstream.

psx:substance/brorphine/src/doi:10.1093/jat/bkaa094
  ├─ used  src/doi:10.1016/j.drugalcdep.2023.109939  Comparative neuropharmacology of structurally distinct non-fentanyl opioids appearing on recreational drug markets worldwide.
  ├─ used  src/doi:10.1021/acs.jmedchem.8b01136  Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling Bias
  ├─ used  src/doi:10.1093/jat/bkab082  The Rise and Fall of Isotonitazene and Brorphine: Two Recent Stars in the Synthetic Opioid Firmament
  ├─ used  src/url:660eaee29b3508b8  Schedules of Controlled Substances: Temporary Placement of Brorphine in Schedule I
  ├─ used  src/doi:10.1007/s00204-020-02855-7  In vitro functional characterization of a panel of non-fentanyl opioid new psychoactive substances
  ├─ used  src/doi:10.1016/j.neuropharm.2024.110113  Elucidating the harm potential of brorphine analogues as new synthetic opioids: Synthesis, in vitro, and in vivo characterization
  ├─ used  src/doi:10.1001/jamanetworkopen.2023.31264  Naloxone Use in Novel Potent Opioid and Fentanyl Overdoses in Emergency Department Patients
  ├─ used  src/doi:10.1111/1556-4029.14623  Brorphine-Investigation and quantitation of a new potent synthetic opioid in forensic toxicology casework using liquid chromatography-mass spectrometry
  ├─ used  src/url:fded87938cc1f587  Brorphine - DEA Drug and Chemical Information
  ├─ used  src/doi:10.1021/acschemneuro.1c00037  DARK Classics in Chemical Neuroscience: Etonitazene and Related Benzimidazoles
  ├─ used  src/url:e0cb3d07d6621b55  Status Determination of Benzimidazoles - Health Canada
  ├─ used  src/url:3240e15a101523a0  Brorphine, a newly emerging synthetic opioid detected in post-mortem cases
  ├─ used  src/doi:10.1016/j.forsciint.2021.110989  Pharmacological and metabolic characterization of the novel synthetic opioid brorphine and its detection in routine casework
  ├─ used  src/doi:10.3390/jox12040025  Application of Fabric Phase Sorptive Extraction (FPSE) Engaged to Tandem LC-MS/MS for Quantification of Brorphine in Oral Fluid
  ├─ used  src/doi:10.1097/PAF.0000000000000787
  ├─ used  src/url:c0701f02a6bff5a2  Schedules of Controlled Substances: Placement of Brorphine in Schedule I
  ├─ used  src/url:a41f78ee973912aa  Three NPS scheduled at the 65th Session of the Commission on Narcotic Drugs
  ├─ used  src/doi:10.1016/j.drugpo.2021.103393  Online surveillance of novel psychoactive substances (NPS): Monitoring Reddit discussions as a predictor of increased NPS-related exposures.
  ├─ used  src/url:e9ccdf681250a739  Emerging analogues of brorphine
  ├─ used  src/doi:10.1111/1556-4029.15348  Detection of fentanyl, synthetic opioids, and ketamine in hair specimens from American and Italian populations
  ├─ used  src/doi:10.4062/biomolther.2025.255  Structure-Activity Relationships and Ligand-Dependent Arrestin Bias in μ-Opioid Receptor-Mediated ERK Activation
  ├─ used  src/url:ddace4f67c674b6c  44th ECDD Review Report: Brorphine
  ├─ used  src/url:2e7c6d085d62b7bb  Death associated with brorphine, an emerging novel synthetic opioid
  ├─ used  src/doi:10.1016/j.jpba.2024.115975  Method development for the quantification of nine nitazene analogs and brorphine in Dried Blood Spots utilizing liquid chromatography - tandem mass spectrometry
  ├─ used  src/url:38aab65a41f14e5a  Classification and scheduling of Brorphine and Metonitazene - UK Government / ACMD
  ├─ used  src/doi:10.3390/ijms26115084  New Synthetic Opioids: What Do We Know About the Mutagenicity of Brorphine and Its Analogues?
  ├─ used  src/doi:10.1080/15563650.2021.1879111  Death associated with brorphine, an emerging novel synthetic opioid
  ├─ derived_from  gen/a863a39e-f261-4aed-b9e9-49a05edb9b9b  Generation — pipeline-v5
  ├─ generated_by  pub/2c681e97-5e90-47cc-aa4e-76ac6a3bb595  Publication — backfill
    ├─ used  search/de90a23a-0836-422d-ab8b-30916ddaa0c7  Searched PubMed for "brorphine opioid"
    ├─ used  search/bafa593e-13b9-45e9-a8ec-4b3d67318579  Searched PubChem for "brorphine"
    ├─ used  search/4c72e339-d678-46a4-892b-85b23875a6ad  Searched OpenAlex for "brorphine synthetic opioid"
    ├─ used  search/ec405d71-be1d-40e9-9f0e-fe42c9ef6e0e  Searched ClinicalTrials.gov for "brorphine"
    ├─ used  search/c2ad59c7-7763-462f-93a8-96da508a9fac  Searched PubMed for "PMID 34509061 - Grafinger et al. 2021 brorphine metabolism"
    ├─ used  search/5831a3d2-24e9-47ed-a044-a90ffb1ed559  Searched PubMed for "PMID 34233349 - Vandeputte et al. 2021 Rise and Fall brorphine"
    ├─ used  search/70772854-e146-4db4-9599-fd5f5e90e083  Searched PubMed for "PMID 32744605 - Verougstraete et al. 2021 First Report on Brorphine"
    ├─ used  search/29494fde-1c74-4e03-927d-96475524beb8  Searched PubMed for "PMID 32734307 - Vandeputte 2020 in vitro panel non-fentanyl opioid NPS"
    ├─ used  search/087ddfa7-d768-4ffb-bfca-f6ea78f5b8ae  Searched PubMed for "PMID 30199635 - Kennedy 2018 piperidine benzimidazolone MOR agonists source paper"
    ├─ used  search/d34ba055-7529-4d09-b5a4-e622955c91d5  Searched Federal Register (WebSearch/WebFetch) for "brorphine DEA Schedule I emergency scheduling 2021 federal register"
    ├─ used  search/62dbbf4d-b6ca-4422-9bfb-9d0a68348bcd  Searched UK Government / ACMD (WebSearch) for "brorphine UK Misuse of Drugs Act Class A scheduling date 2022 2023 ACMD recommendation"
    ├─ used  search/4c8d7d6a-174f-41a8-a7a4-ddbd9dd4772c  Searched WebSearch for "brorphine potency morphine EC50 Ki nM radioligand binding MOR"
    ├─ used  search/6dfb41da-bbb5-4b42-a8f7-81429b3210b2  Searched WebSearch for "brorphine original patent synthesis history Janssen Kennedy 2018"
    ├─ used  search/e10334dd-d38a-4dc5-bc37-e27293514ece  Searched UNODC EWA (WebFetch) for "UNODC 2020 brorphine emerging synthetic opioid"
    ├─ used  search/f0508966-1d8a-4404-91f1-a5e296a2390a  Searched UNODC EWA (WebFetch) for "UNODC 2025 emerging analogues of brorphine"
    ├─ used  search/c5d7500a-f7a1-4b04-8e1b-7b672e3c2c13  Searched PubMed for "PMID 33201526 - Krotulski 2021 brorphine forensic casework"
    ├─ used  search/fc5fe7fa-3fc3-4558-aace-b7a476ced9d2  Searched PubMed for "PMID 33522844 - Vohra 2021 death associated with brorphine"
    ├─ used  search/abe0f2f6-b252-441b-978e-e7ff956dc331  Searched WebSearch for "brorphine Canada Australia New Zealand scheduling controlled substance status"
    ├─ used  search/3617db37-0e51-45e7-9292-62f87ecc3b08  Searched WebSearch for "brorphine stereochemistry SMILES CAS physical properties"
    └─ used  search/f5e0526a-f4d5-4e47-b9a7-2669ee8bcd15  Searched Multiple sources for "Potency comparison: brorphine vs morphine vs fentanyl"
├─ used  version/1  Revision 1
├─ used  claim/3a72ef7f-5721-413d-831a-afcd9b404e0a  Claim in pharmacology — supported
├─ used  claim/79eb4d2c-10e6-4d1e-a78b-b7922f79de74  Claim in safety — supported
├─ used  claim/c9e83c1b-bc32-41e0-8356-7dfe874a70e6  Claim in safety — supported
├─ used  claim/997fabf8-f6ed-46aa-b72b-5b71650e546a  Claim in chemistry — inconclusive  working
├─ used  claim/f07aa148-ae14-4cae-8206-a11a8479744e  Claim in pharmacokinetic-detail — supported
├─ used  claim/6aa1adaf-24f0-41e1-864f-0aab1e61a54f  Claim in clinical-evidence — supported
  ├─ derived_from  issue/notice@9638489d946a  Issued notice
  ├─ derived_from  issue/info_card@3c8297e809c8  Issued info_card
  ├─ derived_from  issue/emergency@f85b2d2362c9  Issued emergency
  ├─ derived_from  issue/info_card@4894ea0fb2d4  Issued info_card
  ├─ informed_by  section/pharmacology.full@1
  ├─ informed_by  section/safety.full@1
  ├─ informed_by  section/chemistry.full@1
  ├─ informed_by  section/pharmacokinetic-detail.full@1
  ├─ informed_by  section/clinical-evidence.full@1
    ├─ used  claim/27dc5bab-4673-494c-a0af-7a0a1495fa0b  Claim in summary — inconclusive  working
    ├─ used  claim/7f2bf825-a8b6-4eb8-9400-4847c008dc87  Claim in summary — inconclusive  working
    ├─ used  claim/aaba809a-e9fc-455f-bb1f-5f128dc63efc  Claim in comparative-pharmacology — inconclusive  working
    ├─ used  claim/5abaa9b7-d517-4e92-9517-65f10c4481f4  Claim in neuroscience — inconclusive  working
    ├─ used  claim/4c166b8c-92da-42b8-90cc-feabae912ed4  Claim in receptor-pharmacology — inconclusive  working
    ├─ used  claim/0e415724-e5c6-4c03-b351-81b77781c5d4  Claim in comparative-pharmacology — inconclusive  working
    ├─ used  claim/033ed3b7-0611-457d-b2ca-6d393e416c99  Claim in comparative-pharmacology — inconclusive  working
    ├─ used  claim/e32c584e-bfe6-4285-9f95-27a5c1497b8d  Claim in comparative-pharmacology — inconclusive  working
    ├─ used  claim/138492b3-03a0-4b32-bde5-1e109b5ba91f  Claim in summary — supported
    ├─ used  claim/2a09a046-4f0b-4532-9d19-e4dadf0f3837  Claim in summary — supported
    ├─ used  claim/83a0eec9-0a16-48ec-ad0a-22b40bee8cad  Claim in pharmacology — supported
    ├─ used  claim/c43edecb-a00b-47f0-8a68-73e8749e0ad2  Claim in pharmacology — supported
    ├─ used  claim/2d14560f-47a4-47fb-bd36-7a458747bec4  Claim in botanical-overview — supported
    ├─ used  claim/d513825b-aa83-4ed8-ba7b-b478d2b1409a  Claim in history — supported
    ├─ used  claim/5f33f433-0be9-401d-a36f-a2e30d52a32c  Claim in receptor-pharmacology — supported
    ├─ used  claim/612d07a8-c9f7-43af-a291-84d45ae6b41e  Claim in neuroscience — supported
    ├─ used  claim/d87d6ade-7693-485d-9158-9c2d4b64f1e6  Claim in summary — supported
    ├─ used  claim/82fd66b3-4113-45d5-b35e-41e7b27fefa7  Claim in history — supported
    ├─ used  claim/891f2bbe-a024-4bcd-acdd-c6bd9fbc2e75  Claim in summary — supported
    ├─ used  claim/a9b19ae8-9a28-4047-9747-d0e49e34cba2  Claim in pharmacology — supported
    ├─ used  claim/239af313-b124-409f-946e-adbd99af1bd5  Claim in pharmacology — supported
    ├─ used  claim/c6146c85-b6b4-4bf6-bbfd-aaa27d9db35d  Claim in safety — supported
    ├─ used  claim/7618cd39-7600-4e3a-9a0d-84df87d429eb  Claim in history — supported
    ├─ used  claim/7f219fde-c7ec-48cd-8024-1e93b37ec067  Claim in neuroscience — supported
    ├─ used  claim/544ea7b2-92a0-454b-8a21-18439d4ef32d  Claim in neuroscience — supported
    ├─ used  claim/c5f7bddd-e874-43dd-a691-d37030567fe7  Claim in effects-overview — supported
    ├─ used  claim/2314d86c-da50-465e-b24c-dc4c0e5cd52f  Claim in summary — supported
    ├─ used  claim/290a63a4-abce-4a45-98b5-6cd76eaf4b3d  Claim in summary — supported
    ├─ used  claim/f51c7619-d91f-4ed2-a36f-d10e6725d6e9  Claim in pharmacology — supported
    ├─ used  claim/530bab21-22b8-40f3-8018-a4af185f20ed  Claim in pharmacology — supported
    ├─ used  claim/ab3ca8d8-a9d1-4de6-a75c-c621e2426982  Claim in neuroscience — supported
    ├─ used  claim/88ec31c4-2301-4185-ab71-523adec3f3ac  Claim in safety — inconclusive  working
    ├─ used  claim/6aa3f80a-2c7c-4417-801f-f3c3cec083f4  Claim in safety — supported
    ├─ used  claim/eb25320a-a8c3-45fc-b1e5-308151073429  Claim in safety — supported
    ├─ used  claim/07a1eba2-ee9f-486b-b8e3-5ae4cab7f425  Claim in safety — supported
    ├─ used  claim/15ce0d08-1c5c-4a11-85ce-b85884f26ec9  Claim in chemistry — inconclusive  working
    ├─ used  claim/f97aa9f0-7908-4938-90e3-77bb4d8a0220  Claim in receptor-pharmacology — supported
    ├─ used  claim/63bfcadc-045c-4130-8fbd-f0579cb62dcb  Claim in comparative-pharmacology — supported
    ├─ used  claim/8eeeacfb-632e-4af2-85d6-4367a9391d94  Claim in comparative-pharmacology — partially_supported
    ├─ used  claim/01b6f0e9-79b5-42d6-afa7-0036b9c56cb8  Claim in summary — supported
    ├─ used  claim/00e7abad-fe9d-4ed8-b81e-6bcff2e4ee6a  Claim in clinical-evidence — supported
    ├─ used  claim/bf1d58ae-34ea-40fa-a130-d8577bd3b70f  Claim in safety — supported
    ├─ used  claim/b5e1e20e-956a-4bdc-91ee-74d533b5c141  Claim in safety — supported
    ├─ used  claim/4110506c-ce81-4c70-9e0a-86b2984d0a90  Claim in summary — supported
    ├─ used  claim/9ad2c8cf-9f59-441c-89c1-ab9ad611effd  Claim in pharmacology — supported
    ├─ used  claim/8b14c64d-b4b8-40c7-81ea-e6a2bb409e2e  Claim in pharmacology — supported
    ├─ used  claim/ea6bfe25-6005-411d-9c10-0160127405fe  Claim in pharmacokinetic-detail — inconclusive  working
    ├─ used  claim/4706c8a1-97cc-4db9-8a0d-7651b303b653  Claim in safety — supported
    ├─ used  claim/b14e0567-51bb-44f4-92d5-a11687767887  Claim in safety — supported
    ├─ used  claim/f6de91c5-99bb-49d9-8bb5-8f440199a784  Claim in safety — supported
    ├─ used  claim/c44e2ddc-ddd7-4d37-9ed6-4d6e5f4ce1f8  Claim in safety — supported
    ├─ used  claim/d295331a-faac-487f-b8bd-5bc99b2e89ac  Claim in history — supported
    ├─ used  claim/a1312ab9-9016-4fa3-9a81-6348f48d7a6b  Claim in clinical-evidence — supported
    ├─ used  claim/21d86f42-8d0b-4805-b84d-6813482d4d1a  Claim in effects-overview — supported
    ├─ used  claim/1813ec7a-ebd8-4ee3-8749-1495082f49bb  Claim in pharmacology — supported
    ├─ used  claim/2bcb81f0-a769-4d72-8829-a41b628b4c44  Claim in pharmacology — supported
    ├─ used  claim/af1668b2-94a7-4474-9e39-fb736816b1f8  Claim in pharmacology — partially_supported
    ├─ used  claim/7354ef18-b8b3-483d-a993-a1f0dd134c2b  Claim in history — inconclusive  working
    ├─ used  claim/187cc7ef-67da-4383-b835-a52464ac0843  Claim in pharmacokinetic-detail — supported
    ├─ used  claim/3523737d-3d77-4acc-8c56-601c3cd131b3  Claim in safety — supported
    ├─ used  claim/8957f249-046e-4025-a342-06ae6585d811  Claim in history — supported
    ├─ used  claim/f01bd543-fd96-47a0-acc7-6ee0bff977d9  Claim in pharmacokinetic-detail — supported
    ├─ used  claim/eedcc060-abe9-4067-ae03-33dc34796e03  Claim in safety — supported
    ├─ used  claim/100b990b-34f0-4830-b7f7-8d0650602b4b  Claim in history — supported
    ├─ used  claim/58c75c6d-810e-489d-b610-5c820d420895  Claim in chemistry — supported
    ├─ used  claim/e9f851b6-abec-405c-b297-b66ee5aace44  Claim in receptor-pharmacology — supported
    ├─ used  claim/0be1cf93-b1be-42bd-b74c-02536578e45f  Claim in safety — supported
    ├─ used  claim/5a201d24-36e8-44ea-9602-d91a36a1079a  Claim in safety — inconclusive  working
      ├─ informed_by  section/summary.full@1
      ├─ informed_by  section/comparative-pharmacology.full@1
      ├─ informed_by  section/neuroscience.full@1
      ├─ informed_by  section/receptor-pharmacology.full@1
      ├─ informed_by  section/botanical-overview.full@1
      ├─ informed_by  section/history.full@1
      └─ informed_by  section/effects-overview.full@1

indented by distance from this node, not by parentage

1Provenance card

the boundary, as counts

Sources

2818 with DOI

0 strong · 15 moderate · 13 weak

Compilations

12026-05-08T10:08:27.312Z

pipeline-v5 · prompt hash not recorded — run predates 2026-09

Decisions

31last ruled 2026-06-04

0 awaiting a ruling

Issued documents

42026-10-19T20:30:53.274Z

notice · info card · emergency

Searches

201 with no results

queries and counts on the build

Claims checked

7460 supported

60 supported · 14 not

Correspondence

0received

consent field ships in Phase 4

Edges

239

derivations recorded for this entity

Complete over 28 sources, 1 compilation, and 31 decisions.Not here: the private journal (never).Working material — drafts, discards, unsupported claims — is listed below and readable on the working page.Cite: psychedex.org/substances/brorphine/archive

2Build

one panel per compilation run

generation run 2026-05-08

62 min completedmodel pipeline-v5plan not recordedrun/ca8e0743…

Selection

results seen82
selected by the model36
consumed as sources28

Verification

claims checked74
supported58
partially supported2
not supported0
inconclusive14
  • record
  • seen / partial
  • working

The model's own caveats

  • sparse_evidence
  • safety_data_unverified

Reproduce

inputs
28 source keys (listed under Sources)
plan
not recorded — template version, prompt hash and git SHA are written from 2026-09 onward
model
pipeline-v5
streams
none — agent transcripts are persisted from 2026-09 onward
20 searches — query, source, results, what was kept and why
20 searches for this run
#sourcequeryseenkeptrationale
1OpenAlexbrorphine synthetic opioid103—
2PubMedPMID 34233349 - Vandeputte et al. 2021 Rise and Fall brorphine11—
3PubChembrorphine11—
4PubMedPMID 34509061 - Grafinger et al. 2021 brorphine metabolism11—
5PubMedbrorphine opioid1511—
6ClinicalTrials.gov · absencebrorphine00—
7PubMedPMID 30199635 - Kennedy 2018 piperidine benzimidazolone MOR agonists source paper11—
8PubMedPMID 32734307 - Vandeputte 2020 in vitro panel non-fentanyl opioid NPS11—
9WebSearchbrorphine potency morphine EC50 Ki nM radioligand binding MOR81—
10UK Government / ACMD (WebSearch)brorphine UK Misuse of Drugs Act Class A scheduling date 2022 2023 ACMD recommendation52—
11WebSearchbrorphine original patent synthesis history Janssen Kennedy 201882—
12PubMedPMID 32744605 - Verougstraete et al. 2021 First Report on Brorphine11—
13Federal Register (WebSearch/WebFetch)brorphine DEA Schedule I emergency scheduling 2021 federal register52—
14UNODC EWA (WebFetch)UNODC 2020 brorphine emerging synthetic opioid11—
15UNODC EWA (WebFetch)UNODC 2025 emerging analogues of brorphine11—
16WebSearchbrorphine stereochemistry SMILES CAS physical properties80—
17WebSearchbrorphine Canada Australia New Zealand scheduling controlled substance status82—
18PubMedPMID 33201526 - Krotulski 2021 brorphine forensic casework11—
19Multiple sourcesPotency comparison: brorphine vs morphine vs fentanyl53—
20PubMedPMID 33522844 - Vohra 2021 death associated with brorphine11—
74 claims by section — every cited sentence, checked against its source
safety17 · 15 ok
  • Testing with S9 metabolic activation also showed no genotoxicity, suggesting metabolites do not confer additional genotoxic risksupported

    Brorphine and orphine showed NO significant micronuclei increase; not genotoxic even with S9 metabolic activation. ijms26115084

  • Claim in safety — inconclusiveinconclusiveworking →

  • For some compounds in the piperidine benzimidazolone class, naloxone pretreatment at 6 mg/kg IP did not fully reverse respiratory depressionsupported

    naloxone pretreatment could not fully reverse for some compounds. j.neuropharm.2024.110113

  • Amaducci et al. reported that patients testing positive for novel potent opioids (NPOs, including brorphine) received a mean of 1.33 ± 1.50 in-hospital naloxone boluses compared to 0.36 ± 0.92 for fentanyl-only patients (P = 0.02, Cohen d = 0.78).supported

    NPO group received significantly higher naloxone boluses than fentanyl group (1.33 vs 0.36, P=0.02, Cohen d=0.78). jamanetworkopen.2023.31264

  • Over 100 deaths in 2020supported

    Describes brorphine as full MOR agonist involved in >100 deaths in 2020. jox12040025

  • 91 brorphine-positive postmortem blood samples in a single US forensic laboratory series (January 2020–December 2021), making it the third most prevalent NSO after isotonitazene (n = 144) and metonitazene (n = 122)supported

    384 NSO-positive postmortem blood samples Jan 2020-Dec 2021. Brorphine was 3rd most prevalent (n=91). paf.0000000000000787

  • Claim in safety — inconclusiveinconclusiveworking →

  • Of 20 forensic cases analyzed by Krotulski et al., 100% showed fentanyl co-use and 80% showed flualprazolam co-usesupported

    100% co-found with fentanyl, 80% with flualprazolam. 1556-4029.14623

  • As a high-efficacy MOR full agonist with Emax exceeding hydromorphone by >2.6-fold, brorphine carries presumptive high risk for:supported

    Brorphine had highest Emax values exceeding hydromorphone ≥1.3-fold (β-arr2) and >2.6-fold (mini-Gi). s00204-020-02855-7

  • The single published clinical case — a patient presenting for detoxification — suggests human dependence develops, but no characterization of psychological distress, craving intensity, or psychiatric comorbidity was reported.supported

    Powder obtained from patient seeking detoxification. bkaa094

  • One clinical case documents a patient seeking detoxification, confirming human dependence potentialsupported

    Powder obtained from patient seeking detoxification. bkaa094

  • Fentanyl: 100% co-detection rate across 20 forensic cases. Dual MOR agonism amplifies respiratory depression through additive receptor activation.supported

    100% co-found with fentanyl. 1556-4029.14623

  • Benzodiazepines: 80% of forensic cases showed flualprazolam co-use. GABAergic depression combined with opioid respiratory suppression dramatically increases overdose mortality. This polydrug pattern is documented in confirmed fatalities.supported

    80% with flualprazolam. Majority from Midwestern US states. 1556-4029.14623

  • Full reversal may require higher or repeated dosessupported

    naloxone pretreatment could not fully reverse for some compounds. j.neuropharm.2024.110113

  • Full reversal may require higher or repeated dosessupported

    NPO group received significantly higher naloxone boluses than fentanyl group (1.33 vs 0.36, P=0.02, Cohen d=0.78). jamanetworkopen.2023.31264

  • Respiratory compromise: Any pre-existing respiratory insufficiency (COPD, sleep apnea, acute asthma) is an absolute contraindication given brorphine's pronounced respiratory depressant activity, compounded by the documented difficulty of naloxone reversal.supported

    brorphine respiratory depression at 15 mg/kg IP; naloxone pretreatment could not fully reverse for some compounds. j.neuropharm.2024.110113

  • Concurrent CNS depressant use: Co-administration with benzodiazepines, other opioids, barbiturates, or alcohol represents an absolute contraindication supported by forensic mortality data.supported

    100% co-found with fentanyl, 80% with flualprazolam. 1556-4029.14623

pharmacology12 · 12 ok
  • MOR activation by brorphine produces canonical Gαi/o signaling, leading to inhibition of adenylyl cyclase and reduction of intracellular cAMP, alongside recruitment of β-arrestin2supported

    Brorphine had highest Emax values exceeding hydromorphone ≥1.3-fold (β-arr2) and >2.6-fold (mini-Gi). No significant biased agonism. s00204-020-02855-7

  • MOR activation by brorphine produces canonical Gαi/o signaling, leading to inhibition of adenylyl cyclase and reduction of intracellular cAMP, alongside recruitment of β-arrestin2supported

    All bind MOR with nM affinity. No significant biased agonism. j.neuropharm.2024.110113

  • No significant biased agonism toward either the G-protein or β-arrestin pathway has been demonstrated relative to the comparator hydromorphonesupported

    No significant biased agonism. First systematic in vitro characterization of non-fentanyl NPS panel including brorphine. s00204-020-02855-7

  • No significant biased agonism toward either the G-protein or β-arrestin pathway has been demonstrated relative to the comparator hydromorphonesupported

    No significant biased agonism. j.neuropharm.2024.110113

  • This absence of bias is notable given that the compound was originally synthesized within a series explicitly optimized for G-protein-biased MOR agonism.supported

    Synthesis and optimization of piperidine benzimidazolone MOR agonists with high G protein signaling bias. acs.jmedchem.8b01136

  • Brorphine also acts as a weak partial agonist at the kappa-opioid receptor (KOR), as confirmed in [³⁵S]-GTPγS functional assayssupported

    potent MOR agonist, weak partial KOR agonist. j.forsciint.2021.110989

  • Grafinger et al. identified 14 distinct metabolites in human urine and 4 in blood from forensic cases, alongside 6 phase I metabolites generated in vitro using pooled human liver microsomessupported

    14 in vivo metabolites in urine, 4 in blood; main in vivo metabolite by N-oxidation. j.forsciint.2021.110989

  • The primary in vivo metabolite was formed by N-oxidation, while the primary in vitro metabolite resulted from hydroxylationpartially supported

    main in vivo metabolite by N-oxidation. j.forsciint.2021.110989

  • N-dealkylation and hydroxylation were confirmed as metabolic pathways in authenticated forensic cases by Krotulski et al.supported

    Metabolism: N-dealkylation and hydroxylation. 1556-4029.14623

  • Verougstraete et al. identified a hydroxy-metabolite in patient serum from the first clinical case.supported

    Serum sample found brorphine plus hydroxy-metabolite. bkaa094

  • Across 20 forensic cases, mean blood concentration was 2.5 ± 3.1 ng/mL (median 1.1 ng/mL; range 0.1–10 ng/mL), with mean urine concentration of 4.6 ± 7.6 ng/mL (median 1.6 ng/mL; range 0.2–23 ng/mL)supported

    Avg blood 2.5±3.1 ng/mL (median 1.1, range 0.1-10 ng/mL); avg urine 4.6±7.6 ng/mL (median 1.6, range 0.2-23). 1556-4029.14623

  • Kennedy et al. reported that piperidine benzimidazolone compounds in this series possess long half-lives and high brain penetration as pharmacological properties, though no specific human half-life values were publishedsupported

    Compounds have long half-lives and high brain penetration. acs.jmedchem.8b01136

summary10 · 8 ok
  • Claim in summary — inconclusiveinconclusiveworking →

  • Duration data have not been formally characterized, though the compound class is reported to exhibit long half-lives and high brain penetration.supported

    Compounds have long half-lives and high brain penetration. acs.jmedchem.8b01136

  • Brorphine's structure was derived from a 2018 medicinal chemistry publication investigating G-protein-biased MOR agonists as potentially safer analgesicssupported

    Synthesis and optimization of piperidine benzimidazolone MOR agonists with high G protein signaling bias. The source paper from which brorphine's structure was derived for illicit synthesis. acs.jmedchem.8b01136

  • The compound was appropriated from this academic work and appeared on illicit markets by mid-2019, rapidly becoming the dominant non-fentanyl NSO in the United States after isotonitazene was emergency-scheduled in June 2020supported

    Emerged mid-2019, dominated NPS market 2020, contributed to hundreds of deaths and adverse events. Opioids pirated from patent literature. bkab082

  • Claim in summary — inconclusiveinconclusiveworking →

  • Its maximal efficacy exceeds that of hydromorphone by more than 2.6-fold in the mini-Gαi recruitment assay, indicating a high-efficacy full agonist profilesupported

    Brorphine had highest Emax values exceeding hydromorphone ≥1.3-fold (β-arr2) and >2.6-fold (mini-Gi). s00204-020-02855-7

  • No significant G-protein/β-arrestin bias has been demonstrated relative to hydromorphone.supported

    No significant biased agonism. j.neuropharm.2024.110113

  • Brorphine poses critical overdose risk through pronounced respiratory depression confirmed in animal models, with the additional hazard that naloxone pretreatment at high doses (6 mg/kg IP) could not fully reverse respiratory depression for some compounds in this classsupported

    brorphine respiratory depression at 15 mg/kg IP; naloxone pretreatment could not fully reverse for some compounds. j.neuropharm.2024.110113

  • Emergency department data confirm that patients exposed to brorphine-class opioids required significantly more naloxone boluses than fentanyl-only patients (mean 1.33 vs 0.36; P = 0.02)supported

    NPO group (brorphine, isotonitazene, metonitazene, N-piperidinyl etonitazene) received significantly higher naloxone boluses than fentanyl group (1.33 vs 0.36, P=0.02, Cohen d=0.78). jamanetworkopen.2023.31264

  • No controlled toxicity, pharmacokinetic, tolerance, or dependence studies exist for brorphine — all human exposure data derive from forensic casework, where 100% of cases showed fentanyl co-use and 80% showed concurrent flualprazolamsupported

    100% co-found with fentanyl, 80% with flualprazolam. 1556-4029.14623

history7 · 6 ok
  • The specific compound brorphine appeared in the published literature in 2018, when Kennedy et al. described it within a series of piperidine benzimidazolone MOR agonists optimized for high G-protein signaling biassupported

    Synthesis and optimization of piperidine benzimidazolone MOR agonists with high G protein signaling bias. acs.jmedchem.8b01136

  • The stated research goal was to develop analgesics with reduced respiratory depression liability through biased agonism — an objective that subsequent pharmacological characterization of brorphine would fail to support, as no significant bias was ultimately demonstrated.supported

    No significant biased agonism. First systematic in vitro characterization of non-fentanyl NPS panel including brorphine. s00204-020-02855-7

  • Brorphine was appropriated directly from the Kennedy et al. 2018 publication and manufactured for illicit distributionsupported

    Opioids pirated from patent literature. bkab082

  • Claim in history — inconclusiveinconclusiveworking →

  • When isotonitazene was emergency-scheduled by the DEA in June 2020, brorphine became the dominant non-fentanyl NSO in the United States, effectively replacing isotonitazene in illicit supply chainssupported

    Emerged after isotonitazene scheduling mid-2020. 1556-4029.14623

  • During this peak period, brorphine was involved in over 100 deaths in 2020 alonesupported

    Describes brorphine as full MOR agonist involved in >100 deaths in 2020. jox12040025

  • Online discussions of brorphine on recreational drug forums preceded laboratory toxicology detections, an observation confirmed through systematic surveillance of Reddit by Barenholtz et al.supported

    Reddit discussion monitoring as predictor of NPS exposures; brorphine mentioned in online discussions preceding toxicology detections. j.drugpo.2021.103393

comparative-pharmacology6 · 2 ok
  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • This elevated Emax correlates with the pronounced respiratory depression observed in animal models.supported

    Chlorphine, brorphine, iodorphine most active MOR agonists. brorphine respiratory depression at 15 mg/kg IP. j.neuropharm.2024.110113

  • Claim in comparative-pharmacology — inconclusiveinconclusiveworking →

  • Brorphine and chlorphine emerge as the most pharmacologically active members of the benzimidazolone series across MOR binding, G-protein signaling, β-arrestin2 recruitment, and in vivo antinociceptionpartially supported

    Chlorphine, brorphine, iodorphine most active MOR agonists. In vivo (CD-1 mice): brorphine+chlorphine highest antinociception. j.neuropharm.2024.110113

neuroscience5 · 4 ok
  • Claim in neuroscience — inconclusiveinconclusiveworking →

  • The finding that naloxone pretreatment (6 mg/kg IP) failed to fully reverse respiratory depression for some compounds in this class raises the possibility of additional non-MOR mechanisms contributing to respiratory suppression, though this remains speculative.supported

    naloxone pretreatment could not fully reverse for some compounds. j.neuropharm.2024.110113

  • Given brorphine's Emax exceeding hydromorphone by >2.6-fold, the magnitude of dopaminergic disinhibition is expected to be substantial, though this has not been measured directly.supported

    Brorphine had highest Emax values exceeding hydromorphone ≥1.3-fold (β-arr2) and >2.6-fold (mini-Gi). s00204-020-02855-7

  • The absence of G-protein/β-arrestin bias in brorphine suggests tolerance development patterns would resemble those of morphine and hydromorphone rather than biased agonists.supported

    No significant biased agonism. s00204-020-02855-7

  • Brain penetration kinetics: Kennedy et al. describe high brain penetration for the class, but no CNS partitioning data (brain:plasma ratios) have been published for brorphine specifically.supported

    Compounds have long half-lives and high brain penetration. acs.jmedchem.8b01136

pharmacokinetic-detail4 · 3 ok
  • Claim in pharmacokinetic-detail — inconclusiveinconclusiveworking →

  • The most comprehensive metabolic characterization comes from Grafinger et al., who identified 14 metabolites in human urine and 4 in blood from forensic cases, alongside 6 phase I metabolites generated using pooled human liver microsomessupported

    14 in vivo metabolites in urine, 4 in blood; main in vivo metabolite by N-oxidation. j.forsciint.2021.110989

  • Clinical detection: Hydroxy-metabolite identified in patient serumsupported

    Serum sample found brorphine plus hydroxy-metabolite. bkaa094

  • Oral fluid: FPSE-LC-MS/MS with LOD of 0.015 ng/mLsupported

    First FPSE method for brorphine in oral fluid. LOD 0.015 ng/mL. jox12040025

receptor-pharmacology4 · 3 ok
  • Claim in receptor-pharmacology — inconclusiveinconclusiveworking →

  • Despite originating from a medicinal chemistry program targeting G-protein-biased MOR agonism, brorphine does not demonstrate significant functional selectivitysupported

    Synthesis and optimization of piperidine benzimidazolone MOR agonists with high G protein signaling bias. acs.jmedchem.8b01136

  • In both β-arrestin2 and mini-Gαi recruitment assays in HEK 293T cells, brorphine's signaling profile parallels that of hydromorphonesupported

    No significant biased agonism. j.neuropharm.2024.110113

  • SAR analysis of the piperidine benzimidazolone series establishes that the N-substituent — specifically the 1-(4-halophenyl)ethyl group — is the primary determinant of MOR binding potency, rather than modifications to the benzimidazolone coresupported

    Side-chain functionalization primarily determines binding potency for non-fentanyl scaffolds. biomolther.2025.255

chemistry3 · 1 ok
  • Claim in chemistry — inconclusiveinconclusiveworking →

  • Claim in chemistry — inconclusiveinconclusiveworking →

  • Structure-activity relationship (SAR) analysis of the piperidine benzimidazolone series establishes the N-substituent — in brorphine's case, the 1-(4-bromophenyl)ethyl group — as the key determinant of binding potency, rather than the core benzimidazolone scaffoldsupported

    Side-chain functionalization primarily determines binding potency for non-fentanyl scaffolds. biomolther.2025.255

clinical-evidence3 · 3 ok
  • Amaducci et al. conducted a retrospective cohort study of emergency department patients presenting with opioid overdose, comparing those testing positive for novel potent opioids (NPOs, including brorphine) against fentanyl-only patientssupported

    Cohort study; NPO group (brorphine, isotonitazene, metonitazene, N-piperidinyl etonitazene) received significantly higher naloxone boluses than fentanyl group. jamanetworkopen.2023.31264

  • Verougstraete et al. reported the earliest published clinical case: a patient presenting for detoxification from brorphinesupported

    First report on identification and full chemical characterization of brorphine. Powder obtained from patient seeking detoxification. bkaa094

  • Krotulski et al. documented 20 forensic cases with quantified blood and urine brorphine concentrationssupported

    20 authentic forensic cases confirmed. Avg blood 2.5±3.1 ng/mL... avg urine 4.6±7.6 ng/mL. 1556-4029.14623

effects-overview2 · 2 ok
  • Its pharmacological profile — high-efficacy MOR full agonism with Emax exceeding hydromorphone by >2.6-fold, negligible biased agonism, and substantial MOR selectivity over DOR and KOR — predicts an experience dominated by opioid-typical euphoria, analgesia, sedation, and anxiolysissupported

    Brorphine had highest Emax values exceeding hydromorphone ≥1.3-fold (β-arr2) and >2.6-fold (mini-Gi). No significant biased agonism. s00204-020-02855-7

  • The universal polydrug context of documented human exposures (100% fentanyl co-use, 80% flualprazolam) means that no observation of brorphine's isolated subjective character exists in the published literature.supported

    100% co-found with fentanyl, 80% with flualprazolam. 1556-4029.14623

botanical-overview1 · 1 ok
  • The piperidine benzimidazolone scaffold was designed in pharmaceutical laboratories, and brorphine itself was first described as part of a synthetic medicinal chemistry series.supported

    Synthesis and optimization of piperidine benzimidazolone MOR agonists with high G protein signaling bias. acs.jmedchem.8b01136

3Sources

28 consumed · sorted by year · feeds = sections resting on it

Sources
yearsourcetierstatusfeeds
2026Structure-Activity Relationships and Ligand-Dependent Arrestin Bias in μ-Opioid Receptor-Mediated ERK ActivationHuang L, Wang M, Kundu D, Paudel S, Peng L, Xian X, Jang CG, Kim KM · Biomolecules & Therapeuticsdoi:10.4062/biomolther.2025.255moderateconsumed2 sections
2025Emerging analogues of brorphineUNODC Early Warning Advisoryurl:e9ccdf681250a739weakconsumedcited only
2025New Synthetic Opioids: What Do We Know About the Mutagenicity of Brorphine and Its Analogues?Lenzi M, Gasperini S, Bilel S, Corli G, Rombola F, Hrelia P, Marti M · International Journal of Molecular Sciencesdoi:10.3390/ijms26115084moderateconsumed1 section
2024Elucidating the harm potential of brorphine analogues as new synthetic opioids: Synthesis, in vitro, and in vivo characterizationVandeputte MM, Bilel S, Tirri M, Corli G, Bassi M, Layle NK, Fantinati A, Walther D, Iula DM, Baumann MH, Stove CP, Marti M · Neuropharmacologydoi:10.1016/j.neuropharm.2024.110113moderateconsumed7 sections
2024Method development for the quantification of nine nitazene analogs and brorphine in Dried Blood Spots utilizing liquid chromatography - tandem mass spectrometryVerveri C, Galletto M, Massano M, Alladio E, Vincenti M, Salomone A · Journal of Pharmaceutical and Biomedical Analysisdoi:10.1016/j.jpba.2024.115975moderateconsumedcited only
2024Status Determination of Benzimidazoles - Health CanadaHealth Canadaurl:e0cb3d07d6621b55weakconsumedcited only
2023Comparative neuropharmacology of structurally distinct non-fentanyl opioids appearing on recreational drug markets worldwide.Vandeputte MM, Tsai MM, Chen L, Glatfelter GC, Walther D, Stove CP, Shi L, Baumann MH · Drug and Alcohol Dependencedoi:10.1016/j.drugalcdep.2023.109939moderateconsumed4 sections
2023Detection of fentanyl, synthetic opioids, and ketamine in hair specimens from American and Italian populationsSalomone A, Galletto M, Massano M, Di Corcia D, Palamar JJ, Vincenti M · Journal of Forensic Sciencesdoi:10.1111/1556-4029.15348moderateconsumedcited only
2023Naloxone Use in Novel Potent Opioid and Fentanyl Overdoses in Emergency Department PatientsAmaducci A, Aldy K, Campleman SL, Li S, Meyn A, Abston S, Culbreth RE, Krotulski A, Logan B, Wax P, Brent J, Manini AF · JAMA Network Opendoi:10.1001/jamanetworkopen.2023.31264moderateconsumed3 sections
2023Schedules of Controlled Substances: Placement of Brorphine in Schedule IDrug Enforcement Administration, US Department of Justiceurl:c0701f02a6bff5a2weakconsumedcited only
2022Application of Fabric Phase Sorptive Extraction (FPSE) Engaged to Tandem LC-MS/MS for Quantification of Brorphine in Oral FluidFlorou D, Vlachou T, Sakkas V, Boumba V · Journal of Xenobioticsdoi:10.3390/jox12040025moderateconsumed3 sections
2022Classification and scheduling of Brorphine and Metonitazene - UK Government / ACMDAdvisory Council on the Misuse of Drugs (ACMD)url:38aab65a41f14e5aweakconsumedcited only
2022Proliferation of Novel Synthetic Opioids in Postmortem Investigations After Core-Structure Scheduling for Fentanyl-Related Substances.Papsun DM, Krotulski AJ, Logan BK · The American Journal of Forensic Medicine and Pathologydoi:10.1097/paf.0000000000000787moderateconsumedcited only
2022Three NPS scheduled at the 65th Session of the Commission on Narcotic DrugsUNODCurl:a41f78ee973912aaweakconsumedcited only
202144th ECDD Review Report: BrorphineWHO Expert Committee on Drug Dependenceurl:ddace4f67c674b6cweakconsumedcited only
2021Brorphine - DEA Drug and Chemical InformationDrug Enforcement Administrationurl:fded87938cc1f587weakconsumedcited only
2021Brorphine-Investigation and quantitation of a new potent synthetic opioid in forensic toxicology casework using liquid chromatography-mass spectrometryKrotulski AJ, Papsun DM, Noble C, Kacinko SL, Logan BK · Journal of Forensic Sciencesdoi:10.1111/1556-4029.14623weakconsumed7 sections
2021DARK Classics in Chemical Neuroscience: Etonitazene and Related BenzimidazolesUjváry I, Christie R, Evans-Brown M, Gallegos A, Jorge R, de Morais J, Sedefov R · ACS Chemical Neurosciencedoi:10.1021/acschemneuro.1c00037moderateconsumedcited only
2021Death associated with brorphine, an emerging novel synthetic opioidVohra V, King AM, Jacobs E, Aaron C · Clinical Toxicologyurl:2e7c6d085d62b7bbweakconsumedcited only
2021Death associated with brorphine, an emerging novel synthetic opioidVohra V, King AM, Jacobs E, Aaron C · Clinical Toxicologydoi:10.1080/15563650.2021.1879111weakconsumed1 section
2021First Report on Brorphine: The Next Opioid on the Deadly New Psychoactive Substance Horizon?Verougstraete N, Vandeputte MM, Lyphout C, Cannaert A, Hulpia F, Van Calenbergh S, Verstraete AG, Stove C · Journal of Analytical Toxicologydoi:10.1093/jat/bkaa094weakconsumed5 sections
2021Online surveillance of novel psychoactive substances (NPS): Monitoring Reddit discussions as a predictor of increased NPS-related exposures.Barenholtz E, Krotulski AJ, Morris P, Fitzgerald ND, Le A, Papsun DM, Logan BK, Hahn WE, Goldberger BA, Cottler LB, Palamar JJ · The International Journal on Drug Policydoi:10.1016/j.drugpo.2021.103393moderateconsumed1 section
2021Pharmacological and metabolic characterization of the novel synthetic opioid brorphine and its detection in routine caseworkGrafinger KE, Wilde M, Otte L, Auwärter V · Forensic Science Internationaldoi:10.1016/j.forsciint.2021.110989moderateconsumed3 sections
2021Schedules of Controlled Substances: Temporary Placement of Brorphine in Schedule IDrug Enforcement Administration, US Department of Justiceurl:660eaee29b3508b8weakconsumedcited only
2021The Rise and Fall of Isotonitazene and Brorphine: Two Recent Stars in the Synthetic Opioid FirmamentVandeputte MM, Krotulski AJ, Papsun DM, Logan BK, Stove CP · Journal of Analytical Toxicologydoi:10.1093/jat/bkab082moderateconsumed2 sections
2020Brorphine, a newly emerging synthetic opioid detected in post-mortem casesUNODC Early Warning Advisoryurl:3240e15a101523a0weakconsumedcited only
2020In vitro functional characterization of a panel of non-fentanyl opioid new psychoactive substancesVandeputte MM, Cannaert A, Stove CP · Archives of Toxicologydoi:10.1007/s00204-020-02855-7moderateconsumed6 sections
2018Optimization of a Series of Mu Opioid Receptor (MOR) Agonists with High G Protein Signaling BiasKennedy NM, Schmid CL, Ross NC, Lovell KM, Yue Z, Chen YT, Cameron MD, Bohn LM, Bannister TD · Journal of Medicinal Chemistrydoi:10.1021/acs.jmedchem.8b01136moderateconsumed6 sections
—Searched ClinicalTrials.gov for "brorphine" — no resultsabsenceno results—

4Docket

one filing per activity — decisions, correspondence, reports

  1. 0012026-05-08revisionRevision 1

    Initial LLM generation (v5 pipeline, wiki, prose phase)

    psx:substance/brorphine/version/1
  2. 0022026-06-04proposal28 value proposals approved together

    one review action inferred from a shared reviewer and instant — the graph records one activity per proposal

    28 items in this filing

    • contraindication · other
    • contraindication · neurological
    • contraindication · hepatic
    • contraindication · pregnancy_breastfeeding
    • contraindication · other
    • toxicity
    • dependence · full
    • withdrawal
    • tolerance
    • dose_tier · threshold
    • dose_tier · light
    • dose_tier · common
    • dose_tier · strong
    • dose_tier · heavy
    • dosage · insufflated
    • duration · insufflated · onset
    • duration · insufflated · come_up
    • duration · insufflated · peak
    • duration · insufflated · offset
    • duration · insufflated · total
    • duration · insufflated · aftereffects
    • timeline · insufflated · onset
    • timeline · insufflated · come_up
    • timeline · insufflated · peak
    • timeline · insufflated · plateau
    • timeline · insufflated · resolution
    • timeline · insufflated · afterglow
    psx:substance/brorphine/proposal/contraindication/ca8b63d5-9522-4a34-bf8d-52c75f1a6850
  3. 0032026-06-04publicationPublication — backfill
  4. 0042026-09-14revisionr1.a1

    no edit summary recorded

    psx:substance/brorphine/version/2

5Issued documents

what the notice, info card and emergency page said, by hash

Issued documents
documentcontent hashissuedfrom versionsuperseded
info_card4894ea0fb2d406030ad84b5f…2026-10-19 20:30Revision 1current
emergencyf85b2d2362c98030e2585598…2026-09-04 04:28Revision 1current
info_card3c8297e809c8cc9f1380ae37…2026-09-04 04:28Revision 1superseded2026-10-19
notice9638489d946a0c0bd4152c16…2026-09-04 04:28Revision 1current