The pre-clinical characterization of the aryl piperazinyl urea inhibitor of fatty acid amide hydrolase (FAAH) JNJ-42165279 is described. JNJ-42165279 covalently inactivates the FAAH enzyme, but is highly selective with regard to other enzymes, ion channels, transporters, and receptors. JNJ-42165279 exhibited excellent ADME and pharmacodynamic properties as evidenced by its ability to block FAAH in the brain and periphery of rats and thereby cause an elevation of the concentrations of anandamide (AEA), oleoyl ethanolamide (OEA), and palmitoyl ethanolamide (PEA). The compound was also efficacious in the spinal nerve ligation (SNL) model of neuropathic pain. The combination of good physical, ADME, and PD properties of JNJ-42165279 supported it entering the clinical portfolio. KEYWORDS: FAAH, covalent, ethanolamides, enzyme, anandamide T he fatty acid amide hydrolases 1,2 interrupt the actions, through degradation, of a variety of endogenous lipid signaling molecules.3 FAAH rapidly degrades several fatty acid ethanolamides, including FAAH's primary substrate, AEA (N-arachidonyl ethanolamide or anandamide), 4 PEA (N-palmitoyl ethanolamide), 5,6 and OEA (N-oleoyl ethanolamide).7 In contrast, FAAH-2 catabolizes ethanolamides less efficiently, but will hydrolyze long-chain primary amides. The likely source of AEA's analgesic pharmacology is its ability to agonize the cannabinoid receptor CB 1 .8â10 However, AEA is synthesized on demand and then rapidly broken down locally, which mitigates the side-effects observed as a result of systemic CB 1 agonism (e.g., Î 9 THC pharmacology). As AEA is synthesized in a localized manner, one might hypothesize that inhibiting FAAH could lead to elevated concentrations of AEA in relevant tissues. Indeed, prior reports have described an increase in AEA levels in the plasma and brains 11â14 of rats and in the plasma of humans upon inhibition of FAAH.Small molecule interruption of FAAH activity has been examined in numerous laboratories (Figure 1)