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fluvoxamine (Favoxil CR / Favoxile CR / fluvoxamine CR)

✓ Approved

Astellas Pharma · SLC6A4 · Small Molecule

What is fluvoxamine?

fluvoxamine is a small molecule developed by Astellas Pharma. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesFavoxil CR, Favoxile CR, fluvoxamine CR
CompanyAstellas Pharma
Drug ClassSmall Molecule
Molecular TargetSLC6A4
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

fluvoxamine acts on 1 molecular target:

SLC6A4solute carrier family 6 member 4 (5HTT, 5-HTT)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

fluvoxamine is developed for 2 unique indications across 1 therapeutic area.

Therapeutic AreaConditionPhase
Psychiatric disordersObsessive-compulsive disorder✓ Approved
Psychiatric disordersSocial anxiety disorder✓ Approved

Related Research Articles

PubMedJournal of environmental sciences (China)2026-07-25

WTAP upregulates HK2 expression via m6A methylation to reprogram cell glycolysis and stemness under Cr(VI) exposure.

Xie Yunxia Y, Wang Lin L, Zhang Ruike R, Ran Wenwen W et al.

Epidemiological investigations indicate that hexavalent chromium (Cr(VI)) exposure induces lung carcinogenesis, but the underlying epigenetic mechanisms of Cr(VI)-induced carcinogenesis remain to be further investigated. In this study, we used a Cr(VI)-exposed mouse model to demonstrate elevated m6A modification levels in lung tissues, and further used Cr(VI) transformed cell model (CrT) to identify that Cr(VI) induced the expression of Wilms' tumor 1-associated protein (WTAP), a key localization gene for m6A RNA methylation modification, in a time and concentration-dependent manner, and proved that WTAP enhanced cell proliferation and was involved in the maintenance of cellular stemness through up-regulating CD133 expression. Additionally, WTAP upregulated the expression of hexokinase 2 (HK2), a rate-limiting glycolytic enzyme, while knocking down HK2 significantly reduced WTAP's ability to promote CD133 expression. Furthermore, we identified m6A modification site on HK2 mRNA bound to the WTAP-VIRMA complex by molecular docking model and m6A MeRIP-qPCR assay. Notably, both WTAP and HK2 were significantly high expression in blood samples from chromium-exposed occupational workers, and their expressions were significantly positively correlated. We also demonstrated that WTAP was significantly overexpressed in lung cancer cell, and found that the overall survival rate of lung squamous cell carcinoma patients with high expression of WTAP was significantly reduced. Collectively, our study demonstrated that WTAP is a novel mechanism of Cr(VI)-induced malignant transformation of cells, and further revealed that WTAP mediates the Cr(VI)-induced glycolytic remodeling and enhances the cellular stemness via HK2. WTAP and HK2 represent promising biomarkers for chromium-exposed populations.

PubMedHPB : the official journal of the International Hepato Pancreato Biliary Association2026-07-25

Robotic distal pancreatectomy with a modified transpancreatic mattress suture-based stump management strategy is associated with lower clinically relevant POPF than reinforced stapling: a propensity score-matched cohort study.

Furuya Ryoji R, Yoshioka Ryuji R, Aso Kenta K, Irie Shoichi S et al.

The optimal stump-closure method to prevent clinically relevant postoperative pancreatic fistula (CR-POPF) in robot-assisted distal pancreatectomy (RDP) remains unsettled. We evaluated whether a modified transpancreatic mattress suture (mTMP) strategy was associated with reduced CR-POPF compared with reinforced stapler closure. 107 consecutive RDPs at a single center (June 2020-October 2024) were grouped by stump-closure method (stapler, n = 50; mTMP, n = 57). The mTMP strategy comprised main duct ligation, stump coagulation, polyglycolic acid reinforcement, fibrin sealant, and transpancreatic mattress suturing. The primary outcome was CR-POPF (ISGPS 2016 grades B/C). Confounding was addressed with 1:1 propensity score matching on 10 covariates (38 matched pairs) and multivariable logistic regression, with a prespecified subgroup analysis in thick-pancreas patients (>12 mm, 31 pairs). After matching, the mTMP strategy was associated with lower CR-POPF (15.8% vs 42.1%, P=0.011) and fewer major complications (5.3% vs 26.3%, P=0.012). On multivariable analysis, stapler closure and age ≤60 years independently predicted CR-POPF. In the thick-pancreas subgroup, CR-POPF remained lower with the mTMP strategy (16.1% vs 48.4%, P = 0.024). The mTMP strategy showed an association with lower CR-POPF than reinforced stapling, including in thick-pancreas patients. These findings are hypothesis-generating and warrant prospective validation.

PubMedMathematical methods of operations research (Heidelberg, Germany)2026-07-25

Robust Competitive Ratio for Deterministic Monopoly Pricing.

Eck Tim S G van TSGV, Kleer Pieter P, Leeuwaarden Johan S H van JSHV

We study deterministic monopoly pricing under partial knowledge of the market, where the seller has access only to summary statistics of the valuation distribution, such as the mean, dispersion, and maximum value. Using tools from distributionally robust optimization and max-min analysis, we evaluate pricing strategies based on their competitive ratio (CR). We characterize the worst-case market scenario consistent with the available information and provide a complete solution for minimizing the CR. Our analysis also covers optimal pricing under various measures of dispersion, including variance and fractional moments. Interestingly, we find that the worst-case market for CR coincides with that for expected revenue. Using proof techniques tailored to the CR framework, we further examine how dispersion and maximum valuation influence optimal deterministic pricing. These results offer practical guidance for setting robust prices when market information is limited.

PubMedJournal of environmental sciences (China)2026-07-25

Waste-treating-waste: A compressible shrimp-shell-derived chitin/polyethyleneimine aerogel for efficient adsorption of Cr(VI) and Congo red from simulated wastewater.

Mohammed Yusof A Y A YAYA, Jančář J J

Given the need to achieve the Global Sustainable Development Goals (SDGs), water and wastewater treatment, alongside waste valorization, are recognized as some of the most critical objectives. Thus, wastewater treatment via sustainable and environmentally friendly adsorbents is imperative. Herein, compressible hierarchical shrimp-shell-derived chitin (Ch)/polyethyleneimine (PEI) hybrid aerogels (denoted as ChP) were developed. The prepared hybrid bio-based aerogel exhibited excellent reversible compressibility with abundant water-transport pathways to accelerate Cr(VI) and Congo red adsorption. The Langmuir monolayer maximum adsorption capacities of ChP1@1 at 298 K were found to be 329.97 mg/g for Cr(VI) at pH 3 and 1495.31 mg/g for CR at pH 5. Interestingly, the incorporation of PEI not only enhanced the adsorption capacity but also tailored the network of the aerogels. Kinetic and thermodynamic studies revealed that the process followed the pseudo-second-order and Elovich kinetic models, with a spontaneous and endothermic adsorption behavior. Additionally, the fabricated aerogel demonstrated exceptional selectivity and removal efficiency even in the presence of various interfering elements, with stable performance of up to 5 cycles. Mechanistic insights elucidated by FTIR and XPS demonstrate that Cr(VI) initially adsorbed through electrostatic interaction followed by partial reduction, whereas CR is mainly captured by electrostatic interaction and hydrogen bonding. Overall, this eco-friendly aerogel offers promising potential for sustainable wastewater remediation and circular waste reutilization.

PubMedNeuroscience2026-07-25

Neurovascular coupling, cognitive reserve, and cognitive performance in mild cognitive impairment.

Yang Wenxia W, Zhou Liang L, Li Hao H, Kang Siru S et al.

Neurovascular coupling (NVC) impairment contributes to mild cognitive impairment (MCI), but its relationship with NVC in MCI remains unclear. To explore the associations between CR, NVC, and cognition in MCI patients, and to clarify their potential correlational patterns. We enrolled 113 MCI and 83 healthy controls, all undergoing resting-state fMRI and arterial spin labeling to calculate CBF/neural activity ratios (ALFF, fALFF, ReHo, DC) as NVC measures. Cognitive reserve was assessed using the Cognitive Reserve Index Questionnaire. Compared to HCs, MCI patients showed heterogeneous NVC alterations: whole-brain CBF-ALFF coupling significantly increased, while CBF-fALFF, ReHo, and DC coupling showed non-significant decreasing trends. Regionally, NVC ratios elevated in visual/subcortical areas but reduced in frontal/temporal lobes. CR, especially education, was the strongest cognitive predictor, with antagonistic interactions among reserve dimensions. CBF-fALFF coupling positively correlated with global cognition, whereas CBF-ALFF negatively correlated with memory. NVC ratios in the right lingual gyrus and medial orbital frontal region significantly mediated the reserve-cognition relationship. This cross-sectional study suggests two potential patterns of association linking CR to cognitive performance in MCI: a neural reserve pattern weakly related to NVC, and a neural compensation pathway potentially involving NVC as an correlate. Multidimensional CR assessment and NVC may serve as promising indicators of neural compensation in MCI.

PubMedJournal of physics. Condensed matter : an Institute of Physics journal2026-07-25

Probing superexchange interaction in a very hard 3d-4f single-molecule magnet by inelastic neutron scattering.

Qu Shuixian S, Zhai Yuan-Qi YQ, Stewart Ross R, Liu Xinzhi X et al.

We report a combined experimental and theoretical investigation of the spin dynamics in the very hard 3d-4f single-molecule magnet {Cr 3 Dy 3 }, where a central fluorido bridge (µ 3 -F⁻) suppresses zerofield quantum tunneling of magnetization (QTM). Utilizing inelastic neutron scattering (INS), heat capacity (HC) and ac susceptibility techniques, we have probed the low-lying magnetic excitations and their response to applied magnetic fields in polycrystalline samples. Full ab initio calculations, incorporating the experimental data, have provided an unambiguous determination of the ferromagnetic Dy-Dy coupling (J Dy-Dy = 0.016 meV) mediated by the µ 3 -F⁻ bridge and antiferromagnetic Cr-Dy interactions (J Cr-Dy = -0.215 meV). The significant energy gap between the ferrimagnetic ground state and the lowest exchange-induced excited state (1.03 meV) provides a direct mechanistic basis for the suppression of QTM, leading to its exceptional single-molecule magnet property.

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