“…Prior work suggests that partial agonists with lower efficacy than nicotine could serve as effective smoking-cessation drugs (Rose, et al, 1994), and efforts continue in that direction (Rollema & Hurst, 2018). Another plant alkaloid, (-)-cytisine (also called cytisinicline and Tabex®), an α4β2 nAChR partial agonist, served as a basis for the synthesis of analogs which have not yet entered the clinic (Chellappan, Xiao, Tueckmantel, Kellar, & Kozikowski, 2006;Houllier, Gouault, Lasne, & Rouden, 2006;Imming, Klaperski, Stubbs, Seitz, & Gundisch, 2001;Kozikowski, et al, 2007;Marcaurelle, Johannes, Yohannes, Tillotson, & Mann, 2009;Philipova, et al, 2015;Rouden, et al, 2002). Varenicline (Chantix®) has four rings, two more than nicotine or cytisine, and is currently the only FDA-approved smoking-cessation drug, but the modest quit rate of ~18% at 12 months invites further investigation (Coe, et al, 2005;Mills, Wu, Spurden, Ebbert, & Wilson, 2009).…”