PMID- 37952092 OWN - NLM STAT- MEDLINE DCOM- 20240202 LR - 20240401 IS - 1945-2403 (Electronic) IS - 0146-4760 (Print) IS - 0146-4760 (Linking) VI - 48 IP - 1 DP - 2024 Jan 31 TI - Five cases of unintentional exposure to BZO-4en-POXIZID among nightclub attendees in New York City. PG - 75-80 LID - 10.1093/jat/bkad086 [doi] AB - A new class of synthetic cannabinoids called OXIZIDs has emerged in recent years. This class consists of compounds with oxindole cores and hydrazide/hydrazone linker moieties and has often been described as being designed to circumvent a Chinese class-wide ban that was effective as of 1 July 2021. However, through hair testing of nightclub attendees in New York City-a high-risk population for recreational drug use-we have evidence suggesting exposures to an OXIZID called BZO-4en-POXIZID (4en-pentyl MDA-19) prior to the effective ban. Through analysis of 6 cm segmented hair samples from attendees collected in 2021, we detected five cases of exposure. Specifically, we detected a cluster of three cases based on hair samples collected on 20 June 2021, and then two additional cases from samples collected on 16 July 2021. Four of these hair samples were long enough to analyze two 6 cm hair segments (representing approximately two 6-month timeframes) and three of four of these cases tested positive for repeated exposure (for an estimated exposure over 6 months prior to hair collection). All cases included young adult females reporting past-year cannabis use but all tested negative for tetrahydrocannabinol exposure. Three cases also reported past-year use of cocaine, ecstasy, and/or ketamine, and four cases tested positive for exposure to cocaine, 3,4-methylenedioxymethamphetamine (MDMA), 3,4-methylenedioxyamphetamine (MDA), methamphetamine and/or eutylone. These subjects were exposed to BZO-4en-POXIZID-likely as an adulterant in other drugs, and these cases are among the first documented cases which occurred approximately half a year before the Chinese legislative ban. CI - (c) The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Palamar, Joseph J AU - Palamar JJ AUID- ORCID: 0000-0002-8565-9415 AD - Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, Room 1752, New York, NY 10016, USA. FAU - Massano, Marta AU - Massano M AD - Department of Chemistry, University of Turin, via Giuria 5, Turin 10125, Italy. FAU - Salomone, Alberto AU - Salomone A AD - Department of Chemistry, University of Turin, via Giuria 5, Turin 10125, Italy. AD - Centro Regionale Antidoping, Regione Gonzole 10, Orbassano (TO) 10043, Italy. LA - eng GR - R01 DA044207/DA/NIDA NIH HHS/United States GR - R01 DA057289/DA/NIDA NIH HHS/United States PT - Journal Article PL - England TA - J Anal Toxicol JT - Journal of analytical toxicology JID - 7705085 RN - 0 (Illicit Drugs) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - 44RAL3456C (Methamphetamine) RN - 4764-17-4 (3,4-Methylenedioxyamphetamine) RN - I5Y540LHVR (Cocaine) SB - IM MH - Female MH - Young Adult MH - Humans MH - New York City/epidemiology MH - *Illicit Drugs/analysis MH - *N-Methyl-3,4-methylenedioxyamphetamine/analysis MH - *Methamphetamine/analysis MH - *3,4-Methylenedioxyamphetamine/analysis MH - *Cocaine/analysis PMC - PMC10981447 EDAT- 2023/11/12 06:42 MHDA- 2024/02/02 06:42 PMCR- 2024/11/10 CRDT- 2023/11/12 03:40 PHST- 2023/05/18 00:00 [received] PHST- 2023/10/29 00:00 [revised] PHST- 2023/11/09 00:00 [accepted] PHST- 2024/11/10 00:00 [pmc-release] PHST- 2024/02/02 06:42 [medline] PHST- 2023/11/12 06:42 [pubmed] PHST- 2023/11/12 03:40 [entrez] AID - 7408625 [pii] AID - bkad086 [pii] AID - 10.1093/jat/bkad086 [doi] PST - ppublish SO - J Anal Toxicol. 2024 Jan 31;48(1):75-80. doi: 10.1093/jat/bkad086.