Fasoracetam

Fasoracetam is a racetam developed by Nippon Shinyaku in Japan as NS-105 for cerebrovascular disease, studied through the 1990s without being approved.

Human trialsNon-peptide compound reference

Also known as: NS-105, LAM-105, NFC-1, AEVI-001, N-(5-Oxo-D-prolyl)piperidine, (R)-1-((5-Oxo-2-pyrrolidinyl)carbonyl)piperidine, UNII 42O8UF5CJB, CHEMBL2106179

(how we review)

Dosing & scaling, explained

Amounts reported for Fasoracetam are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.

No source-supported amount ladder is shown

Enter a target amount only from your own reviewed source. The calculator can convert it into concentration, volume and device markings, but it will not infer an amount from product availability or another compound.

Only mcg or mg amounts are retained. The calculator derives mL, syringe units or pen clicks from the current vial strength, water volume and device.

No independently verified schedule

Clinical context

Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.

Storage, handling and interpretation

Product identity

Verify the exact compound, formulation and amount against the product label or certificate before calculation.

Storage & handling

Follow the product label, certificate and validated laboratory SOP; no universal storage assumption is applied here.

Prepared solutions

Label concentration and preparation date, use sterile technique where applicable, and follow a validated stability protocol.

Reported protocols for Fasoracetam

What published studies and recent community write-ups report about amounts, timing and course length. 3 clinical, 2 preclinical and 3 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.

ContextDoseFrequencyRouteCourseSource
Clinical3 rows
Open-label dose-escalation study in adolescents with ADHD30 adolescents aged 12-17 with ADHD and mutations in mGluR network genesSingle doses of 50-800 mg for pharmacokinetics; then 50 mg, 100 mg, 200 mg and 400 mg twice daily in successive weeksTwice dailyOral5 weeks: a single-blind placebo week followed by 4 weeks of symptom-driven escalationNone describedNature Communications (PubMed)2018
Clinical Global Impression scores improved significantly from baseline to week 5 and parental ratings improved in the subgroup with the most disruptive variants, with no more adverse events on drug than during the placebo week. The study was open-label and uncontrolled after week 1, so the improvement cannot be separated from expectation. Registered as NCT02286817.
Randomised phase 2/3 trial in adolescents with ADHD (registry record)101 adolescents aged 12-17 with ADHD and copy-number variants in mGluR network genes, enrolled at Kennedy Krieger Institute100, 200 or 400 mgTwice daily, optimised over the first 4 weeks then heldOral hard gelatin capsules6 weeksNone describedClinicalTrials.gov2016
This double-blind, placebo-controlled trial sponsored by Aevi Genomic Medicine ran from June 2016 to February 2017 with change in ADHD-RS-5 total score and CGI-I response as co-primary outcomes. The registry lists results with no serious adverse events among nine adverse event types. It remains the only controlled efficacy trial of fasoracetam in any population, and the compound has not been approved for any use.
Pharmacokinetics in elderly versus young men14 healthy men, 7 aged 68-79 and 7 aged 20-32100 mg tabletSingle dose after breakfastOralSingle doseNot applicableInternational Journal of Clinical Pharmacology Research (PubMed)1999
Peak concentration was about 40 percent higher and total exposure about 70 percent higher in the elderly group, with clearance reduced mainly through lower renal clearance that tracked creatinine clearance. The authors advise careful observation in elderly patients, which matters because the compound is cleared by the kidney.
Preclinical2 rows
Memory disruption models in ratsRats with scopolamine, basal forebrain lesion, AF64A, baclofen, ischaemia or electroconvulsive shock induced amnesia10 mg/kg for the acetylcholine release and choline uptake measurementsSingle administration before testingOralAcuteNot applicablePharmacology, Biochemistry and Behavior (PubMed)1999
NS-105 reversed memory disruption across every cholinergic-deficit model tested and also reversed baclofen-induced amnesia, which comparator drugs did not. It increased cortical acetylcholine release and high-affinity choline uptake without changing choline acetyltransferase activity, pointing to cholinergic facilitation plus suppression of GABA-B responses.
Antidepressant models and GABA-B receptor upregulation in ratsRats in forced swimming and learned helplessness tests1-100 mg/kgSingle and repeated administrationOralRepeated dosing in the learned helplessness and receptor-binding experimentsNot applicableEuropean Journal of Pharmacology (PubMed)1997
NS-105 reduced immobility in the forced swim test and reversed escape failure after repeated dosing, and repeated administration increased the number of cortical GABA-B receptors without touching monoamine uptake or levels. This paper is the origin of the community claim that fasoracetam restores GABA-B sensitivity after phenibut or baclofen use; the finding is in rats.
Community-reported3 rows
Community oral and sublingual protocols10-30 mg by mouth or 5-20 mg sublinguallyTwice daily, morning and early afternoonOral, or held under the tongue for 60-90 seconds8 weeks on2 weeks offCommunity resource2026
This stack-planning site suggests starting at 10 mg twice daily and notes that clinical ADHD trials used far higher doses. Its sublingual claim of better bioavailability has no published pharmacokinetic support, and the cycle is convention rather than evidence. It lists sedation, headache and low motivation at higher doses as reported side effects.
Sources for this section (8)
  1. Fasoracetam in adolescents with ADHD and glutamatergic gene network variants disrupting mGluR neurotransmitter signalingNature Communications (PubMed)2018Clinical
  2. Efficacy and Safety of NFC-1 in Adolescents With Genetic Disorders Impacting mGluR and ADHD (NCT02777931)ClinicalTrials.gov2016Clinical
  3. Comparison of pharmacokinetics of NS-105, a novel agent for cerebrovascular disease, in elderly and young subjectsInternational Journal of Clinical Pharmacology Research (PubMed)1999Clinical
  4. Involvement of cholinergic and GABAergic systems in the reversal of memory disruption by NS-105, a cognition enhancerPharmacology, Biochemistry and Behavior (PubMed)1999Preclinical
  5. Effect of a novel cognition enhancer NS-105 on learned helplessness in rats: possible involvement of GABA(B) receptor up-regulation after repeated treatmentEuropean Journal of Pharmacology (PubMed)1997Preclinical

Plus 3 community resources (dosing guides, forum threads and vendor write-ups), reported above but not linked.

Overview

Fasoracetam is a racetam developed by Nippon Shinyaku in Japan as NS-105 for cerebrovascular disease, studied through the 1990s without being approved. It was revived as NFC-1 by Aevi Genomic Medicine for adolescents with ADHD who carry metabotropic glutamate receptor gene variants, with a 2018 open-label study at up to 400 mg twice daily and a registered phase 2/3 trial of 100-400 mg twice daily. Rat studies attribute its effects to cholinergic facilitation and upregulation of GABA-B receptors, and the 10-100 mg a day quoted online is well below any human trial dose.

What researchers are exploring

These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.

  • 1

    Cognitive & neural

    Neuroplasticity, cognition, stress and sleep models.

  • 2

    Open-label dose-escalation study in adolescents with ADHD

    Clinical Global Impression scores improved significantly from baseline to week 5 and parental ratings improved in the subgroup with the most disruptive variants, with no more adverse events on drug than during the.

  • 3

    Randomised phase 2/3 trial in adolescents with ADHD (registry record)

    This double-blind, placebo-controlled trial sponsored by Aevi Genomic Medicine ran from June 2016 to February 2017 with change in ADHD-RS-5 total score and CGI-I response as co-primary outcomes. The registry lists.

  • 4

    Pharmacokinetics in elderly versus young men

    Peak concentration was about 40 percent higher and total exposure about 70 percent higher in the elderly group, with clearance reduced mainly through lower renal clearance that tracked creatinine clearance. The authors.

  • 5

    Memory disruption models in rats

    NS-105 reversed memory disruption across every cholinergic-deficit model tested and also reversed baclofen-induced amnesia, which comparator drugs did not. It increased cortical acetylcholine release and high-affinity.

  • 6

    Antidepressant models and GABA-B receptor upregulation in rats

    NS-105 reduced immobility in the forced swim test and reversed escape failure after repeated dosing, and repeated administration increased the number of cortical GABA-B receptors without touching monoamine uptake or.

What the current evidence can support

Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.

  • Human

    Human studies and registrations

    3 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.

  • Animal

    Preclinical models

    2 protocol rows describe animal, cell or toxicology work. Amounts from these rows do not translate to people.

  • Not graded

    Community-reported use

    3 rows record what blogs, vendor write-ups or forums describe for Fasoracetam. None has been verified against primary literature.

Chemistry identifiers

Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.

Also listed as

NS-105, LAM-105, NFC-1, AEVI-001, N-(5-Oxo-D-prolyl)piperidine, (R)-1-((5-Oxo-2-pyrrolidinyl)carbonyl)piperidine, UNII 42O8UF5CJB, CHEMBL2106179

InChIKey

GOWRRBABHQUJMX-MRVPVSSYSA-N

IUPAC name

(5R)-5-(piperidine-1-carbonyl)pyrrolidin-2-one

Limitations and unknowns

Important limitations

  • Every amount on this page is a report of what a source describes, not a protocol to follow.
  • Preclinical and community rows do not establish a human amount, schedule or route.
  • Formulation, purity and presentation vary by supplier and are not covered by the dossier.

Sources

6 curated references, each with its journal, year and study model, plus 3 community resources reported but not linked.

  1. Fasoracetam (PubChem CID 198695)PubChem, National Library of Medicine2026Not graded
  2. Fasoracetam in adolescents with ADHD and glutamatergic gene network variants disrupting mGluR neurotransmitter signalingNature Communications (PubMed)2018Human
  3. Efficacy and Safety of NFC-1 in Adolescents With Genetic Disorders Impacting mGluR and ADHD (NCT02777931)ClinicalTrials.gov2016Human
  4. Comparison of pharmacokinetics of NS-105, a novel agent for cerebrovascular disease, in elderly and young subjectsInternational Journal of Clinical Pharmacology Research (PubMed)1999Human
  5. Involvement of cholinergic and GABAergic systems in the reversal of memory disruption by NS-105, a cognition enhancerPharmacology, Biochemistry and Behavior (PubMed)1999Animal
  6. Effect of a novel cognition enhancer NS-105 on learned helplessness in rats: possible involvement of GABA(B) receptor up-regulation after repeated treatmentEuropean Journal of Pharmacology (PubMed)1997Animal