drugs in development for depression/anxiety, sleep disorders, schizophrenia, bipolar disorder, and...

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Drugs in Development for Drugs in Development for Depression, Depression, Anxiety, Anxiety, Sleep disorders, Sleep disorders, Bipolar Disorder, Bipolar Disorder, Schizophrenia, Schizophrenia, and Attention-Deficit Hyperactivity and Attention-Deficit Hyperactivity Disorder (ADHD) Disorder (ADHD) Updated 9/18/2009 *COLOR KEY: ____ - indicates update ____ - indicates discontinued Depression/Anxiety Drug Name Pharmacologi c Action Company Indicati on Developmenta l Phase Links Vilazodone 5-HT 1A antagonist, SSRI Clinical Data Online, Inc. Depression , Anxiety NDA anticipated in late-2009 1/06 press release Valdoxan™ (agomelatine, AGO 178) Melatonin agonist, 5- HT 2B/2C antagonist Servier , Novartis Depression , Anxiety US: Phase III delayed (results not expected until 2011) EU: Approved and launched Oct ’05 press release Lu AA21004 5-HT 1A partial agonist, 5-HT 3 antagonist Lundbeck , Takeda Depression , Anxiety Phase III delayed (results not expected until 2011) LY2216684 Norepinephrine Reuptake Inhibitor Lilly Depression , ADHD Phase III F2695, Levomilnacipra n NE/5-HT reuptake inhibitor, enantiomer of Milnacipran Forest , Pierre Fabre Depression , Anxiety Phase III SEP-227162 DA/NE/5-HT reuptake inhibitor Sepracor Depression , Anxiety Phase II Lu AA24530 5-HT 3 , 5-HT2 c antagonism, Lundbeck , Takeda Depression , Anxiety Phase II June ’09 press

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Clinical drug compounds in research and development for Major Depressive Disorder and Anxiety, Sleep/Insomnia disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

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Page 1: Drugs in Development for Depression/Anxiety, Sleep disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

Drugs in Development for Drugs in Development for Depression, Depression,

Anxiety, Anxiety, Sleep disorders, Sleep disorders, Bipolar Disorder, Bipolar Disorder, Schizophrenia, Schizophrenia,

and Attention-Deficit Hyperactivity Disorderand Attention-Deficit Hyperactivity Disorder (ADHD)(ADHD)

Updated 9/18/2009*COLOR KEY: ____ - indicates update ____ - indicates discontinued

Depression/Anxiety

Drug NamePharmacolog

ic ActionCompany

Indication

Developmental Phase

Links

Vilazodone5-HT1A antagonist, SSRI

Clinical Data Online, Inc.

Depression, Anxiety

NDA anticipated in late-2009

1/06 press release

Valdoxan™ (agomelatine, AGO 178)

Melatonin agonist, 5-HT2B/2C

antagonist

Servier, Novartis

Depression, Anxiety

US: Phase III delayed (results not expected until 2011)EU: Approved and launched

Oct ’05 press release

Lu AA21004

5-HT1A partial

agonist, 5-HT3

antagonist

Lundbeck, Takeda

Depression, Anxiety

Phase III delayed(results not expected until 2011)

LY2216684Norepinephrine Reuptake Inhibitor

LillyDepression, ADHD Phase III

F2695, Levomilnacipran

NE/5-HT reuptake inhibitor, enantiomer of Milnacipran

Forest, Pierre Fabre

Depression, Anxiety

Phase III

SEP-227162DA/NE/5-HT reuptake inhibitor

SepracorDepression, Anxiety Phase II

Lu AA24530

5-HT3, 5-HT2c antagonism, reuptake inhibitor mechanism?

Lundbeck, Takeda

Depression, Anxiety Phase II June ’09 press

release

SEP-225289DA/NE/5-HT reuptake inhibitor

SepracorDepression, Anxiety Phase II

TC-5214Non-selective Nicotinic antagonist

Targacept Depression Phase II

Lu AA34893 Undisclosed monoamine

Lundbeck Depression, Bipolar

Phase II

Page 2: Drugs in Development for Depression/Anxiety, Sleep disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

modulator DisorderLosmapimod, GSK 856553

P38 kinase inhibitor

GSK Depression Phase II

Orvepitant, GW823296

NK-1 antagonist GSK Depression, Anxiety

Phase II

AZD6765 NMDA antagonist AstraZeneca Depression, Anxiety

Phase II

ONO-2333Ms CRF-1 antagonistOno Pharmaceuticals

Depression, Anxiety Phase II

OPC-34712 Otsuka Depression Phase II

Nemifitide (INN 00835)

Pentapeptide of melanocyte-inhibiting factor (MIF-1)

Tetragenex Depression Phase II [Innapharma’s info ]

SSR 411298 FAAH inhibitor Sanofi-AventisDepression [in the Elderly]

Phase II

BCI-540 BrainCells, Inc.

Depression Phase II

ORG 26576 AMPA modulatorMerck, Schering-Plough

Depression Phase II

TIK-101/D-Cycloserine

NMDA antagonist Tikvah Therapeutics

Anxiety, OCD

Phase II

ORG (34517/34850) GR antagonist

Merck, Schering-Plough

Depression Phase II

GSK561679 GSKDepression [in women only]

Phase II

Tyrima™, CX157

Reversible MAOI CeNeRx Depression, Anxiety

Phase II

RO4917523, EVT101

NMDA antagonist Evotec, Roche Depression Phase II

GSK 588045 5-HT1 antagonist GSK Depression, Anxiety

Phase II

RX-10100Unknown 5-HT and DA modulator

Rexahn Depression Phase II

AZD7325 GABA partial agonist

AstraZeneca Anxiety Phase II

AZD2327 Enkephalinergic modulator

AstraZeneca Anxiety Phase II

SA4503 Sigma agonist Eisai, M's Science

Depression Phase II (Europe)

PRE703 MgluR agonist Prescient Anxiety Phase IJNJ-19567470, TS-041

CRF-1 antagonist Janssen (J & J) , Taisho

Depression, Anxiety

Phase I Taisho’s press release

SSR 125543 CRF-1 antagonist Sanofi-Aventis Depression, Anxiety

Phase I

YKP3089Undisclosed mechanism of action

SK Pharmaceuticals

Anxiety Phase I

GSK 163090 5-HT1 antagonist GSK Depression, Anxiety

Phase I

Page 3: Drugs in Development for Depression/Anxiety, Sleep disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

GABA-A agonist Bristol-Myers Squibb

Anxiety Phase I

DA/NE/5-HT reuptake inhibitor

Bristol-Myers Squibb

Depression, Anxiety Phase I

TC-2216Nicotinic alpha4beta2 antagonist

Targacept Depression Phase I

URB597 FAAH inhibitorMerck, Schering-Plough

Depression, Anxiety Phase I

AZD6280 GABA partial agonist

AstraZeneca Anxiety Phase I

PSN0041 Undisclosed polypeptide

Psylin Neurosciences

Depression Phase I Press release

Sleep disorders

Drug NamePharmacologic Action

Company

Indication

Developmental Phase

Links

Ciltyri® (Eplivanserin)

5-HT2A antagonist

Sanofi-Aventis

Sleep disorders

FDA issued complete response (9/17/09) citing benefit-risk problems. Talks ongoingEU decision expected in Q4’09

[SR 46349 is selective for 5-HT2A receptors]

ORG 50081 (Esmirtazapine)

5-HT2 antagonist, H1 antagonist, alpha-adrenergic antagonist

Merck, Schering-Plough

Sleep disorders, hot flashes

Phase III

Tasimelteon, VEC-162

Melatonin agonist

Vanda Pharm.

Sleep disorders, Depression

Phase III

Almorexant, ACT-078573

Orexin antagonist

GSK, Actelion

Sleep disorders

Phase III

PD-6735 Melatonin agonist

Phase 2 Discovery

Sleep disorders

Phase II

Pimavanserin, ACP-103

5-HT2A inverse agonist

Acadia, Biovail

Parkinson’s-induced psychosis, Sleep

Phase II 9/2004 Press release

PD 200-390Alpha-2delta Calcium channel blocker

PfizerSleep disorders Phase II

DISCONTINUED

EVT 201GABA-A partial agonist Evotec

Sleep disorders Phase II

LY2624803, HY10275

5-HT2A and H1 antagonist

Lilly, Hypnion

Sleep disorders

Phase II

TIK-301, LY156735

Melatonin agonist, 5-HT2B/2C

antagonist

Tikvah Therapeutics, Phase 2 Discovery

Sleep disorders

Phase II

MK4305 MerckSleep disorders

Phase II

Page 4: Drugs in Development for Depression/Anxiety, Sleep disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

Psychosis/Bipolar disorder

Drug NamePharmacolog

ic ActionCompany

Indication

Developmental Phase

Links

Fanapt® (Iloperidone)

5-HT2A, D2/D3, and α1 adrenergic antagonist

Vanda Pharm. Psychosis APPROVED (5/6/09)

Saphris™ (Asenapine,ORG 5222)

5-HT2 antagonist, D2 partial agonist

Merck, Schering-Plough

Psychosis APPROVED (8/14/09)

Serdolect® (Sertindole)

5-HT2, 5-HT6, α1 adrenergic, and D2 antagonist

Lundbeck PsychosisNDA submitted to FDA. Approved in EU.

Bifeprunox (DU-127090)

D2/5-HT1A partial agonist Solvay, Wyeth Psychosis

Phase III (resubmission planned for ’09)

Discontinued

Corlux ®, CORT 108297 (mifespristone)

Cortisol antagonist Corcept

Psychosis, Depression Phase III Corlux info

Pardoprunox, SLV 308

D2/ D3 partial agonist, 5-HT1A

agonistSolvay

Psychosis, Parkinson’s Phase III

LIC477D (Licarbazepine)

NA+ current blocker

Novartis Bipolar disorder

Phase III

Pimavanserin, ACP-103

5-HT2A inverse agonist Acadia, Biovail

Parkinson’s-induced psychosis

Phase III9/2004 Press release

ORG 34517/34850 GR antagonist

Merck, Schering-Plough

Depression, Psychosis Phase II

ORG 24448 AMPA modulatorMerck, Schering-Plough, Cortex

Psychosis, Depression Phase II

Lurasidone (SM13496)

D2, 5-HT2A

antagonistMerck, Sumitomo

Psychosis Phase II

RG2417 (triacetyluridine)

Prodrug of uridine Repligen

Bipolar disorder Phase II

10/21/05 press release

Lonasen (blonanserin)

D2, 5-HT2A

antagonist

Dainippon Pharmaceuticals

Psychosis Phase II

R1678 mGluR modulator Roche Psychosis Phase IILY2140023 mGlu2/3 prodrug Lilly Psychosis Phase IIMirapex ® (pramipexole)

D2, D3 agonist Boehringer-Ingelheim

Bipolar disorder

Phase II

LU-31-130D1/D2 antagonist/5-HT2a antagonist

Lundbeck Psychosis Phase II

SM 13496 (Lurasidone)

Sumitomo Psychosis Phase II

Lu AA34893Undisclosed monoaminergic modulator

LundbeckDepression, Bipolar Disorder

Phase II

Lu AA39959 Undisclosed ion channel

Lundbeck Bipolar Disorder,

Phase II

Page 5: Drugs in Development for Depression/Anxiety, Sleep disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

modulator PsychosisCaripazine, RGH-188

D2/D3 antagonist Forest Laboratories

Psychosis Phase II

Talnetant (SB-223412)

NK-3 antagonist GSK Psychosis, IBS

Phase II

AVE 1625 CB1 antagonist Sanofi-Aventis Psychosis Phase II

GW742457 5-HT6 antagonist GSK Psychosis, Alzheimer’s

Phase II

Vabicaserin (SCA-136)

5-HT2c agonist Wyeth Depression Phase II

P-101 Alpha-2 antagonist

Potomac Pharma

Phase II

Org 25935 GLYT1 inhibitorMerck, Schering-Plough

Psychosis Phase II

RG1068, Secretin

endogenous pancreatic hormone 

RepligenPsychosis, Autism, Anxiety

Phase II

ADX63365 MgluR agonist Merck Psychosis Phase IIBL-1020 GABA agonist BioLineRx Psychosis Phase IITS-032 mGluR modulator Pfizer Psychosis Phase IIPF-217830 Pfizer Psychosis Phase IIPF-2545920 Pfizer Psychosis Phase IISLV 313 5-HT2A antagonist Solvay Psychosis Phase II

ABT-089Nicotinic, Acetylcholine agonist

Abbott Psychosis Phase I

GW773812 D2/5-HT antagonist

GSK Psychosis Phase I

SSR 103800 GLYT1 inhibitor Sanofi-Aventis Psychosis Phase I

TC-1827

Alpha/4beta2 nicotinic acetylcholine receptor

TargaceptAntipsychotic-induced side effects

Phase I

YKP 1358SK Pharmaceuticals

Psychosis Phase I

JNJ-17305600 GLYT1 inhibitor Johnson & Johnson

Psychosis Phase I

XY 2401

glycine-site specific modulator of NMDA

Xytis Psychosis Phase I

PNU 170413 Pfizer Psychosis Phase IRGH-188 D2, D3 antagonist Forrest Psychosis Phase I

Attention Deficit Hyperactivity Disorder (ADHD)

Drug Name

Pharmacologic Action

CompanyIndicatio

nDevelopment

al PhaseLinks

SPD-465 (longer acting Adderall

Long-acting amphetamine product

Shire Pharmaceuticals

ADHD Approvable, awaiting final FDA approval

DISCO’D???

Page 6: Drugs in Development for Depression/Anxiety, Sleep disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

XR®)Intuniv® (SPD503, guanfacine)

Alpha-2a-adrenoceptor agonist

Shire Pharmaceuticals

ADHD Approvable, expected launch for late ‘09

Altropane Highly selective DA transporter radioligand

Boston Life Sciences

ADHD Phase II

ABT-089 nicotinic (nAChR) modulator

Abbott ADHD Phase II

ABT-894 nicotinic (nAChR) modulator

Abbott ADHD Phase II

PF-03654746

H3 antagonist? Pfizer ADHD Phase II

MEM3454 Nicotinic alpha7 partial agonist

Memory Pharm./ Roche

ADHD Phase II Memory’s drug profile

Eltroprazine 5-HT1A/1B agonist PsychoGenics ADHD Phase II

DOV-102677 DA/NE/5-HT reuptake inhibitor (with preferential action on the dopamine transporter)

DOV Pharmaceuticals

ADHD, Depression

Phase I

SON-216 (bifemelane)

Sosei ADHD Phase I

SPD-483 ATS (Amphetamine Transdermal System)

Shire Pharmaceuticals

ADHD Preclinical

APPENDIX 1

Terms glossary

Phase I:Phase I includes the initial introduction of an investigational new drug into humans. Phase I studies are typically closely monitored and may be conducted in patients or normal volunteer subjects. These studies are designed to determine the metabolism and pharmacologic actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase I, sufficient information about the drug's pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid, Phase II studies. The total number of subjects and patients included in Phase I studies varies with the drug, but is generally in the range of 20 to 80.

Phase II:

Page 7: Drugs in Development for Depression/Anxiety, Sleep disorders, Schizophrenia, Bipolar Disorder, and Attention-Deficit Hyperactivity Disorder (ADHD)

Phase II includes the controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks associated with the drug. Phase II studies are typically well controlled, closely monitored, and conducted in a relatively small number of patients, usually involving no more than several hundred subjects.

Phase III:A phase III trial frequently compares a new treatment to a standard treatment or to no treatment, and treatment allocation may be randomly assigned and the data masked.  These studies usually involve a large number of participants followed for longer periods of treatment exposure. Phase III studies are expanded controlled and uncontrolled trials. Phase III studies usually include from several hundred to several thousand subjects.

NDA: New Drug Application. NDA refers to the data that the drug company submits to the FDA at the time of the drug’s application filing.

Approvable: The term given to a drug’s tentative approval status by the FDA. Before the drug can be launched, the company has to fulfill ongoing clinical and manufacturing concerns brought up by the FDA.