NLS Pharmaceutics Announces Positive Results from Study KO-943 Demonstrating Mazindol Reduces Fentanyl-Induced Reward in Animal Models
NLS Pharmaceutics (NLSP) has announced positive results from Study KO-943, evaluating Mazindol's effectiveness in reducing fentanyl-induced reward in mice. The preclinical study demonstrated that Mazindol at 0.5 mg/kg significantly reduced fentanyl-induced conditioned place preference (CPP), bringing behavior close to baseline.
The study utilized four test groups: vehicle control, fentanyl-only, and two fentanyl with Mazindol co-treatment groups. Key findings showed that fentanyl increased place preference (p � 0.05 vs. vehicle), while Mazindol demonstrated a dose-dependent effect in reducing this preference.
Mazindol's mechanism of action includes:
- Partial mu-opioid receptor modulation
- 5-HT1A receptor interaction
- OX2R activity
NLS Pharmaceutics (NLSP) ha annunciato risultati positivi dallo Studio KO-943, che ha valutato l'efficacia di Mazindol nel ridurre la ricompensa indotta da fentanyl nei topi. Lo studio preclinico ha dimostrato che Mazindol a 0,5 mg/kg ha ridotto significativamente la preferenza condizionata per il luogo (CPP) indotta da fentanyl, riportando il comportamento vicino ai livelli di base.
Lo studio ha utilizzato quattro gruppi di test: controllo veicolo, solo fentanyl e due gruppi con co-trattamento di fentanyl e Mazindol. I risultati principali hanno mostrato che il fentanyl aumentava la preferenza per il luogo (p � 0,05 rispetto al veicolo), mentre Mazindol ha mostrato un effetto dose-dipendente nella riduzione di questa preferenza.
Il meccanismo d'azione di Mazindol comprende:
- Modulazione parziale del recettore mu-oppiaceo
- Interazione con il recettore 5-HT1A
- Attività su OX2R
NLS Pharmaceutics (NLSP) ha anunciado resultados positivos del Estudio KO-943, que evaluó la efectividad de Mazindol para reducir la recompensa inducida por fentanilo en ratones. El estudio preclÃnico demostró que Mazindol a 0,5 mg/kg redujo significativamente la preferencia condicionada por el lugar (CPP) inducida por fentanilo, acercando el comportamiento a la lÃnea base.
El estudio utilizó cuatro grupos de prueba: control con vehÃculo, solo fentanilo y dos grupos de co-tratamiento con fentanilo y Mazindol. Los hallazgos clave mostraron que el fentanilo aumentó la preferencia por el lugar (p â‰� 0,05 vs. vehÃculo), mientras que Mazindol mostró un efecto dependiente de la dosis para reducir esta preferencia.
El mecanismo de acción de Mazindol incluye:
- Modulación parcial del receptor mu-opioide
- Interacción con el receptor 5-HT1A
- Actividad en OX2R
NLS Pharmaceutics (NLSP)ëŠ� 마진ë�(Mazindol)ì� ì¥ì—ì„� 펜타ë‹� ìœ ë°œ ë³´ìƒ ë°˜ì‘ì� ê°ì†Œì‹œí‚¤ëŠ� 효과ë¥� í‰ê°€í•� KO-943 연구ì—서 ê¸ì •ì ì¸ ê²°ê³¼ë¥� 발표했습니다. ì� ì „ìž„ìƒ� 연구ëŠ� 0.5 mg/kg 용량ì� 마진ëŒì´ 펜타ë‹� ìœ ë°œ ì¡°ê±´ìž¥ì†Œì„ í˜¸(CPP)ë¥� ìœ ì˜ë¯¸í•˜ê²� ê°ì†Œì‹œì¼œ í–‰ë™ì� ê¸°ì € 수준ì—� ê°€ê¹ê²Œ 만들었ìŒì� 보여주었습니ë‹�.
연구ëŠ� 차량 대조군, 펜타ë‹� 단ë…êµ�, 펜타ë‹ê³¼ 마진ë� 병용 치료êµ� 2ê°� 그룹 ë“� ë„� 가지 ì‹œí—˜êµ°ì„ ì‚¬ìš©í–ˆìŠµë‹ˆë‹¤. 주요 ê²°ê³¼ëŠ� 펜타ë‹ì´ 장소 ì„ í˜¸ë„를 ì¦ê°€ì‹œì¼°ìœ¼ë©°(p â‰� 0.05, 차량 대ë¹�), 마진ëŒì€ 용량 ì˜ì¡´ì 으ë¡� ì� ì„ í˜¸ë„를 ê°ì†Œì‹œì¼°ë‹¤ëŠ” ì 입니다.
마진ëŒì˜ 작용 ê¸°ì „ì€ ë‹¤ìŒê³� 같습니다:
- 부분ì ì� ë®�-오피오ì´ë“� 수용ì²� ì¡°ì ˆ
- 5-HT1A 수용ì²� ìƒí˜¸ìž‘ìš©
- OX2R 활성
NLS Pharmaceutics (NLSP) a annoncé des résultats positifs de l'étude KO-943, évaluant l'efficacité du Mazindol pour réduire la récompense induite par le fentanyl chez la souris. L'étude préclinique a démontré que le Mazindol à 0,5 mg/kg réduisait significativement la préférence conditionnée de lieu (CPP) induite par le fentanyl, ramenant le comportement proche de la ligne de base.
L'étude a utilisé quatre groupes de test : contrôle véhicule, fentanyl seul, et deux groupes de co-traitement fentanyl avec Mazindol. Les résultats clés ont montré que le fentanyl augmentait la préférence de lieu (p � 0,05 vs. véhicule), tandis que le Mazindol présentait un effet dose-dépendant pour réduire cette préférence.
Le mécanisme d'action du Mazindol comprend :
- Modulation partielle du récepteur mu-opioïde
- Interaction avec le récepteur 5-HT1A
- Activité sur OX2R
NLS Pharmaceutics (NLSP) hat positive Ergebnisse der Studie KO-943 bekanntgegeben, in der die Wirksamkeit von Mazindol zur Reduzierung der fentanylinduzierten Belohnung bei Mäusen untersucht wurde. Die präklinische Studie zeigte, dass Mazindol in einer Dosierung von 0,5 mg/kg die fentanylinduzierte konditionierte Ortspräferenz (CPP) signifikant verringerte und das Verhalten nahe an den Ausgangswert brachte.
Die Studie nutzte vier Testgruppen: Fahrzeugkontrolle, nur Fentanyl sowie zwei Gruppen mit Fentanyl und Mazindol-Kombination. Die wichtigsten Ergebnisse zeigten, dass Fentanyl die Ortspräferenz erhöhte (p � 0,05 vs. Fahrzeug), während Mazindol eine dosisabhängige Wirkung bei der Verringerung dieser Präferenz zeigte.
Der Wirkmechanismus von Mazindol umfasst:
- Partielle Modulation des Mu-Opioid-Rezeptors
- Interaktion mit dem 5-HT1A-Rezeptor
- Aktivität am OX2R
- Positive preclinical results showing Mazindol's effectiveness in reducing fentanyl reward
- Large market opportunity: $35B market projected to reach $60B by 2029
- Secured $28M in total funding ($3M raised + $25M facility)
- Novel non-opioid treatment approach with multiple mechanisms of action
- Early-stage preclinical results only - no human trials yet
- Asset may be allocated to CVR post-merger rather than remain with merged company
- Potential competition in large opioid treatment market
Insights
NLS Pharmaceutics' announcement represents a potentially significant expansion of Mazindol's therapeutic applications into the lucrative substance use disorder market. The preclinical data showing significant reduction (p � 0.05) of fentanyl-induced reward behavior at the 0.5 mg/kg dose provides early validation of Mazindol's unique multi-target profile for addiction treatment.
What makes this particularly intriguing is Mazindol's differentiated mechanism combining partial mu-opioid modulation, serotonin pathway engagement, and orexin-2 receptor activity - a trifecta approach that could address both reward and withdrawal symptoms without the dependence risks of current substitution therapies. This positions the compound favorably within the
However, investors should recognize the substantial development timeline ahead. These are animal model results in a conditioned place preference paradigm - an established but proxy for human addiction. Several years of clinical development would be required before potential commercialization.
The corporate structure implications are particularly noteworthy. With the planned Kadimastem merger, Mazindol ER will be allocated to a Contingent Value Right rather than remaining within the merged entity. This creates a separate investment thesis for the addiction treatment potential, potentially limiting immediate shareholder value from these positive findings. The recently secured
Non-opioid, multi-mechanism profile positions Mazindol as a differentiatedÌýasset in addiction therapeutics
Favorable results support potential expansion into high-value markets beyond ADHD and narcolepsy

Ìý
As
Study Design and Key Findings
Study KO-943 utilized a validated CPP paradigm in C57BL/6J mice to measure the rewarding properties of fentanyl and the modulatory effects of Mazindol. Mice were divided into four groups: vehicle control, fentanyl-only (0.1 mg/kg, s.c.), and fentanyl with Mazindol co-treatment (0.25 mg/kg or 0.5 mg/kg, i.p.). The primary outcome measured was the change in time spent in the drug-paired compartment after conditioning.
- Fentanyl significantly increased place preference (p � 0.05 vs. vehicle), confirming its potent rewarding effect.
- Mazindol at 0.5 mg/kg significantly reduced fentanyl-induced CPP (p � 0.05; p � 0.01 vs. fentanyl-only), bringing behavior close to baseline.
- The 0.25 mg/kg dose showed a trend toward reduction, indicating a dose-dependent effect.
"We believe that these data provide compelling evidence of the multi-target potential of Mazindol to address the opioid crisis through a novel mechanism of action," said Dr. Eric Konofal, MD, PhD, Chief Scientific Officer of NLS Pharmaceutics. "By targeting key pathways—including partial mu-opioid receptor (MOP) agonism, serotonin 5-HT1A modulation, and orexin-2 receptor (OX2R) activity—Mazindol offers a robust and differentiated approach to reduce both opioid reward and withdrawal symptoms without the dependence risk associated with substitution therapies. Importantly, these findings further support the superior potential efficacy profile of Mazindol as already demonstrated in certain ADHD populations."
This development comes after the company recently raised up to
- Assets to remain with the merged company (NucelX): DOXA platform (Dual Orexin Receptor Agonist).
- Assets to be allocated to theÌýCVR: Mazindol ER, NLS-4, NLS-8, NLS-11, NLS-12.
Mechanism of Action
ÌýMazindol is a pan-monoamine reuptake inhibitor with additional pharmacological effects:
- Partial mu-opioid receptor (MOP) modulation � to reduce withdrawal symptoms without reinforcing effects.
- 5-HT1A receptor interaction � to regulate mood, stress, and pain pathways during withdrawal.
- OX2R activity � to promote wakefulness and reduce sedation.
ÌýThis unique multi-target profile positions Mazindol as a differentiated and potentially safer alternative to current opioid substitution therapies.
Ìý"We believe these compelling preclinical findings represent a significant milestone in our strategic expansion into substance use disorders," said Alex Zwyer, Chief Executive Officer of NLS Pharmaceutics. "The ability of Mazindol ER to blunt the rewarding effects of fentanyl highlights its potential as a treatment for those with substance use disorders."
About NLS Pharmaceutics Ltd.
NLS Pharmaceutics Ltd. is a Swiss clinical-stage biopharmaceutical company dedicated to developing innovative treatments for CNS disorders, including ADHD, narcolepsy, and substance use disorders. The Company's lead compound, Mazindol ER, is being investigated across several indications due to its unique pharmacological action on monoaminergic, opioid, serotonergic, and orexinergic systems.
About Kadimastem
Kadimastem is a clinical stage cell therapy company, developing "off-the-shelf", allogeneic, proprietary cell products based on its technology platform for the expansion and differentiation of Human Embryonic Stem Cells (hESCs) into functional cells. AstroRx®, the company's lead product, is an astrocyte cell therapy in clinical development for the treatment for ALS and in pre-clinical studies for other neurodegenerative indications.
IsletRx is the company's treatment for diabetes. IsletRx is comprised of functional pancreatic islet cells producing and releasing insulin and glucagon, intended to treat and potentially cure patients with insulin-dependent diabetes. Kadimastem was founded by ProfessorÌýMichel Revel, Chief Scientific Officer of Kadimastem and Professor Emeritus of Molecular Genetics at the Weizmann Institute of Science. Professor Revel received the Israel Prize for the invention and development of Rebif®, a multiple sclerosis blockbuster drug sold worldwide. Kadimastem is traded on the Tel Aviv Stock Exchange (TASE: KDST).
Safe Harbor Statement
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SOURCE NLS Pharmaceutics Ltd.