List of investigational antidepressants explained

This is a list of investigational antidepressants, or drugs that are currently under development for clinical use in the treatment of depression but are not yet approved. Specific indications include major depressive disorder, treatment-resistant depression, dysthymia, bipolar depression, and postpartum depression, among others.

Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses.

This list was last comprehensively updated in August 2024. It is likely to become outdated with time.

Under development

Preregistration

Phase 3

Phase 2/3

Phase 2

Phase 1/2

Phase 1

Preclinical

Research

Phase unknown

Not under development

Development suspended

No development reported

Development discontinued

Preregistration submission withdrawal

Formal development never or not yet started

Clinically used drugs

See main article: List of antidepressants.

Approved drugs

See also

Further reading

External links

Notes and References

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  139. Web site: 3,4-Methylenedioxymethamphetamine microneedle patch - PharmaTher/Revive Therapeutics - AdisInsight. adisinsight.springer.com.
  140. Web site: Alcohol-use disorder and depression therapeutic - Lohocla Research - AdisInsight. adisinsight.springer.com.
  141. Web site: NLX 101 - AdisInsight. adisinsight.springer.com.
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  168. Web site: ETX 155 - AdisInsight. adisinsight.springer.com.
  169. Web site: Ganaxolone - Marinus Pharmaceuticals - AdisInsight. adisinsight.springer.com.
  170. Web site: AAG 561 - AdisInsight. adisinsight.springer.com.
  171. Web site: Adinazolam - Solvay - AdisInsight. adisinsight.springer.com.
  172. Web site: Amitifadine - AdisInsight. adisinsight.springer.com.
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  174. Web site: ANAVEX 1 41 - AdisInsight. adisinsight.springer.com.
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  176. Web site: Arketamine - Jiangsu Hengrui Medicine - AdisInsight. adisinsight.springer.com.
  177. Web site: AZD 8108 - AdisInsight. adisinsight.springer.com.
  178. Web site: BCI 632 - AdisInsight. adisinsight.springer.com.
  179. Web site: BCI 838 - AdisInsight. adisinsight.springer.com.
  180. Web site: BMS 866949 - AdisInsight. adisinsight.springer.com.
  181. Web site: BNC 210 - AdisInsight. adisinsight.springer.com.
  182. Web site: Bryostatin 1 - Synaptogenix - AdisInsight. adisinsight.springer.com.
  183. Web site: BTRX 246040 - AdisInsight. adisinsight.springer.com.
  184. Web site: Bupropion/naltrexone - Currax Pharmaceuticals - AdisInsight. adisinsight.springer.com.
  185. Web site: Cericlamine - AdisInsight. adisinsight.springer.com.
  186. Web site: Citalopram/pipamperone - PharmaNeuroBoost - AdisInsight. adisinsight.springer.com.
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  188. Web site: R-sibutramine metabolite - Sepracor - AdisInsight. adisinsight.springer.com.
  189. Web site: Dipraglurant - Addex Therapeutics - AdisInsight. adisinsight.springer.com.
  190. Web site: Erteberel - Eli Lilly and Company - AdisInsight. adisinsight.springer.com.
  191. Web site: Esketamine - Celon Pharma - AdisInsight. adisinsight.springer.com.
  192. Web site: Eszopiclone - Sumitomo Pharma America - AdisInsight. adisinsight.springer.com.
  193. Web site: EVT 101 - AdisInsight. adisinsight.springer.com.
  194. Web site: Fananserin - AdisInsight. adisinsight.springer.com.
  195. Web site: Fibroblast growth factor 1 - Zhittya Genesis Medicine - AdisInsight. adisinsight.springer.com.
  196. Web site: Filorexant - AdisInsight. adisinsight.springer.com.
  197. Web site: GEA 857 - AdisInsight. adisinsight.springer.com.
  198. Web site: GSK 588045 - AdisInsight. adisinsight.springer.com.
  199. Web site: GSK 1360707 - AdisInsight. adisinsight.springer.com.
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  203. Web site: Igmesine - AdisInsight. adisinsight.springer.com.
  204. Web site: Imiloxan - AdisInsight. adisinsight.springer.com.
  205. Web site: IN ASTR 001 - AdisInsight. adisinsight.springer.com.
  206. Web site: Ketamine transdermal patch - Shenox Pharmaceuticals - AdisInsight. adisinsight.springer.com.
  207. Web site: Ketamine sublingual - iX Biopharma - AdisInsight. adisinsight.springer.com.
  208. Web site: KFM 19 - AdisInsight. adisinsight.springer.com.
  209. Web site: LSM 6 - AdisInsight. adisinsight.springer.com.
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  212. Web site: Methylenedioxymetamfetamine - Mindmed - AdisInsight. adisinsight.springer.com.
  213. Web site: Mitizodone phosphate - Sunshine Lake Pharma - AdisInsight. adisinsight.springer.com.
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  217. Web site: Omiloxetine - AdisInsight. adisinsight.springer.com.
  218. Web site: Oxitriptan - Evecxia - AdisInsight. adisinsight.springer.com.
  219. Web site: Pseudohypericin - AdisInsight. adisinsight.springer.com.
  220. Web site: Psilocybin - Cybin - AdisInsight. adisinsight.springer.com.
  221. Web site: Psilocybin - PsyBio Therapeutics - AdisInsight. adisinsight.springer.com.
  222. Web site: QRX 002 - AdisInsight. adisinsight.springer.com.
  223. Web site: RG 7351 - AdisInsight. adisinsight.springer.com.
  224. Web site: Riluzole sublingual - Biohaven Pharmaceuticals - AdisInsight. adisinsight.springer.com.
  225. Web site: Risperidone - Janssen - AdisInsight .
  226. Web site: SAR 102779 - AdisInsight. adisinsight.springer.com.
  227. Web site: SD 254 - AdisInsight. adisinsight.springer.com.
  228. Web site: SEP 378614 - AdisInsight. adisinsight.springer.com.
  229. Web site: SNA 1 - AdisInsight. adisinsight.springer.com.
  230. Web site: SPL 801 B - AdisInsight. adisinsight.springer.com.
  231. Web site: Tropomyosin-related kinase B receptor antagonist - Celon Pharma - AdisInsight. adisinsight.springer.com.
  232. Web site: YDP 2225 - AdisInsight. adisinsight.springer.com.
  233. Web site: ABT 436 - AdisInsight. adisinsight.springer.com.
  234. Web site: Adatanserin - AdisInsight. adisinsight.springer.com.
  235. Web site: ADX 71149 - AdisInsight. adisinsight.springer.com.
  236. Web site: Amesergide - AdisInsight. adisinsight.springer.com.
  237. Web site: Amibegron - sanofi-aventis - AdisInsight. adisinsight.springer.com.
  238. Rupniak NM, Kramer MS . NK1 receptor antagonists for depression: Why a validated concept was abandoned . J Affect Disord . 223 . 121–125 . December 2017 . 28753469 . 10.1016/j.jad.2017.07.042 .
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  240. Web site: Aprepitant Completed Phase 3 Trials for Major Depressive Disorder (MDD) Treatment . DrugBank Online . 9 August 2024.
  241. Web site: ARA 014418 - AdisInsight. adisinsight.springer.com.
  242. Web site: Armodafinil - Teva Pharmaceutical Industries - AdisInsight. adisinsight.springer.com.
  243. Web site: Atipamezole - AdisInsight. adisinsight.springer.com.
  244. Web site: Atomoxetine - Eli Lilly and Company - AdisInsight. adisinsight.springer.com.
  245. Web site: AZD 2066 - AdisInsight. adisinsight.springer.com.
  246. Web site: AZD 2327 - AdisInsight. adisinsight.springer.com.
  247. Web site: AZD 7268 - AdisInsight. adisinsight.springer.com.
  248. Web site: AZD 8129 - AdisInsight. adisinsight.springer.com.
  249. Web site: Basimglurant - Noema Pharma - AdisInsight. adisinsight.springer.com.
  250. Web site: Befloxatone - AdisInsight. adisinsight.springer.com.
  251. Web site: BMS 181101 - AdisInsight. adisinsight.springer.com.
  252. Web site: Buspirone transdermal - Bristol-Myers Squibb/Elan - AdisInsight. adisinsight.springer.com.
  253. Trist DG, Ratti E, Bye A . Why receptor reserve matters for neurokinin1 (NK1) receptor antagonists . J Recept Signal Transduct Res . 33 . 6 . 333–7 . December 2013 . 24106886 . 10.3109/10799893.2013.843194 .
  254. Web site: Centpropazine - AdisInsight. adisinsight.springer.com.
  255. Ashrafuzzaman . Md. . Ji . Su Hyun . Ahn . Hyomin . Chung . Hwan Won . Choi . Daeun . Park . Ju Jin . Go . Minji . Pyo . Jung In . Shafioul . Azam Sharif Mohammed . Lee . Duck-Hyung . Chi . Sung-Gil . Song . Chiman . Cheong . Chan Seong . Han . Seo-Jung . Identification of 1-phenoxy-3-(piperazin-1-yl)propan-2-ol derivatives as novel triple reuptake inhibitors . Bulletin of the Korean Chemical Society . Wiley . 44 . 7 . 29 March 2023 . 1229-5949 . 10.1002/bkcs.12693 . free . 596–599 . Centpropazine, possessing the 1-aryloxy-3-(piperazin-1-yl)propan-2-ol scaffold is an antidepressant, only marketed in India, and has never been clinically approved likely due to its low bioavailability (Figure 2).10 To the best of our knowledge, the exact modes of action of centpropazine are unclear. The fact that centpropazine possesses antidepressant effects is remarkable. Although its efficacy in treating depressive symptoms has been previously investigated,11-13 its pharmacological studies of the specific monoamines affected have not been reported..
  256. Web site: Cibinetide - Araim Pharmaceuticals - AdisInsight. adisinsight.springer.com.
  257. Web site: Citalopram controlled release - Lundbeck A/S/Bausch Health Companies - AdisInsight. adisinsight.springer.com.
  258. Web site: Clavulanic acid - Opus Genetics - AdisInsight. adisinsight.springer.com.
  259. Balcazar-Ochoa LG, Ventura-Martínez R, Ángeles-López GE, Gómez-Acevedo C, Carrasco OF, Sampieri-Cabrera R, Chavarría A, González-Hernández A . Clavulanic Acid and its Potential Therapeutic Effects on the Central Nervous System . Arch Med Res . 55 . 1 . 102916 . January 2024 . 38039802 . 10.1016/j.arcmed.2023.102916 .
  260. Ochoa-Aguilar A, Ventura-Martinez R, Sotomayor-Sobrino MA, Gómez C, Morales-Espinoza MR . Review of Antibiotic and Non-Antibiotic Properties of Beta-lactam Molecules . Anti-Inflamm Anti-Allergy Agents Med Chem . 15 . 1 . 3–14 . 2016 . 27185396 . 10.2174/1871523015666160517114027 .
  261. Connolly KR, Thase ME . Emerging drugs for major depressive disorder . Expert Opin Emerg Drugs . 17 . 1 . 105–126 . March 2012 . 22339643 . 10.1517/14728214.2012.660146 .
  262. Riesenberg R, Rosenthal J, Moldauer L, Peterson C . Results of a proof-of-concept, dose-finding, double-blind, placebo-controlled study of RX-10100 (Serdaxin®) in subjects with major depressive disorder . Psychopharmacology (Berl) . 221 . 4 . 601–610 . June 2012 . 22203317 . 10.1007/s00213-011-2604-x .
  263. Kost GC, Selvaraj S, Lee YB, Kim DJ, Ahn CH, Singh BB . Clavulanic acid increases dopamine release in neuronal cells through a mechanism involving enhanced vesicle trafficking . Neurosci Lett . 504 . 2 . 170–175 . October 2011 . 21964384 . 3195833 . 10.1016/j.neulet.2011.09.032 .
  264. Web site: Clovoxamine - AdisInsight. adisinsight.springer.com.
  265. Web site: Coluracetam - AdisInsight. adisinsight.springer.com.
  266. Schifano F, Catalani V, Sharif S, Napoletano F, Corkery JM, Arillotta D, Fergus S, Vento A, Guirguis A . Benefits and Harms of 'Smart Drugs' (Nootropics) in Healthy Individuals . Drugs . 82 . 6 . 633–647 . April 2022 . 35366192 . 10.1007/s40265-022-01701-7 .
  267. Zarate CA, Machado-Vieira R . Ketamine: translating mechanistic discoveries into the next generation of glutamate modulators for mood disorders . Mol Psychiatry . 22 . 3 . 324–327 . March 2017 . 28070122 . 5641407 . 10.1038/mp.2016.249 . Because AMPA appeared critical to ketamine's antidepressant effects, researchers reasoned that AMPA positive modulators—also known as AMPAkines—could positively influence mood. Previous studies evaluating AMPAkines in mood disorders achieved mixed results, potentially due to low bioavailability and toxicity profile.20 To overcome the issue of low bioavailability, other AMPAkines were recently developed and tested in initial Phase 1 and 2 studies, particularly coluracetam (BCI-540)21 and ORG-26576.22 Both agents showed preliminary therapeutic effects in major depressive disorder when tested in small samples.23,24.
  268. Web site: CP 316311 - AdisInsight. adisinsight.springer.com.
  269. Web site: Crinecerfont - Neurocrine Biosciences - AdisInsight. adisinsight.springer.com.
  270. Web site: CRL 41789 - AdisInsight. adisinsight.springer.com.
  271. Web site: Cutamesine - AdisInsight. adisinsight.springer.com.
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  274. Web site: Dasotraline - Sumitomo Pharma - AdisInsight. adisinsight.springer.com.
  275. Web site: DDP 225 - AdisInsight. adisinsight.springer.com.
  276. Web site: Decoglurant - AdisInsight. adisinsight.springer.com.
  277. Web site: Delequamine - AdisInsight. adisinsight.springer.com.
  278. Web site: Delucemine - AdisInsight. adisinsight.springer.com.
  279. Web site: Dexmecamylamine - Atacama Therapeutics - AdisInsight. adisinsight.springer.com.
  280. Web site: Dexnafenodone - AdisInsight. adisinsight.springer.com.
  281. Web site: DMP 695 - AdisInsight. adisinsight.springer.com.
  282. Web site: DOV 216303 - AdisInsight. adisinsight.springer.com.
  283. Web site: DPC 368 - AdisInsight. adisinsight.springer.com.
  284. Web site: DSP 1200 - AdisInsight. adisinsight.springer.com.
  285. Web site: Edivoxetine - AdisInsight. adisinsight.springer.com.
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  287. Web site: Emapunil - Dainippon Sumitomo/Novartis - AdisInsight. adisinsight.springer.com.
  288. Web site: Emicerfont - AdisInsight. adisinsight.springer.com.
  289. Web site: Eplivanserin - AdisInsight. adisinsight.springer.com.
  290. Web site: Eptapirone - AdisInsight. adisinsight.springer.com.
  291. Web site: Esreboxetine - Axsome Therapeutics - AdisInsight. adisinsight.springer.com.
  292. Web site: Esuprone - AdisInsight. adisinsight.springer.com.
  293. Web site: Ethyl eicosapentaenoic acid - Amarin - AdisInsight. adisinsight.springer.com.
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  295. Web site: Fasoracetam - Avalo Therapeutics - AdisInsight. adisinsight.springer.com.
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  299. Web site: Flerobuterol - AdisInsight. adisinsight.springer.com.
  300. Web site: Flesinoxan - AdisInsight. adisinsight.springer.com.
  301. Web site: Flibanserin - Sprout Pharmaceuticals - AdisInsight. adisinsight.springer.com.
  302. Web site: R-fluoxetine - AdisInsight. adisinsight.springer.com.
  303. Web site: Fluparoxan - AdisInsight. adisinsight.springer.com.
  304. Web site: Gaboxadol - Lundbeck A/S - AdisInsight. adisinsight.springer.com.
  305. Web site: Girisopam - AdisInsight. adisinsight.springer.com.
  306. Web site: GYKI 52895 - AdisInsight. adisinsight.springer.com.
  307. Web site: CLR 3001 - AdisInsight. adisinsight.springer.com.
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  309. Web site: HT 2157 - AdisInsight. adisinsight.springer.com.
  310. Web site: ICI 170809 - AdisInsight. adisinsight.springer.com.
  311. Web site: Idazoxan - AdisInsight. adisinsight.springer.com.
  312. Web site: Ipsapirone - AdisInsight. adisinsight.springer.com.
  313. Web site: IRFI 165 - AdisInsight. adisinsight.springer.com.
  314. Web site: Istradefylline - Kyowa Kirin - AdisInsight. adisinsight.springer.com.
  315. Web site: JNJ 18038683 - AdisInsight. adisinsight.springer.com.
  316. Web site: JNJ 19567470 - AdisInsight. adisinsight.springer.com.
  317. Web site: JNJ 26489112 - AdisInsight. adisinsight.springer.com.
  318. Web site: JNJ 39393406 - AdisInsight. adisinsight.springer.com.
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  320. Web site: LB 100 - AdisInsight. adisinsight.springer.com.
  321. Web site: Levoprotiline - AdisInsight. adisinsight.springer.com.
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  324. Web site: Litoxetine - IXALTIS - AdisInsight. adisinsight.springer.com.
  325. Web site: Losmapimod - Fulcrum Therapeutics - AdisInsight. adisinsight.springer.com.
  326. Web site: LU AA34893 - AdisInsight. adisinsight.springer.com.
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  329. Web site: Masitinib - AB Science - AdisInsight. adisinsight.springer.com.
  330. Web site: Mecamylamine - Targacept - AdisInsight. adisinsight.springer.com.
  331. Web site: MIN 117 - AdisInsight. adisinsight.springer.com.
  332. Web site: MK 1942 - AdisInsight. adisinsight.springer.com.
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  334. Web site: ML 105 - AdisInsight. adisinsight.springer.com.
  335. Web site: Naloxone/tianeptine - Tonix Pharmaceuticals - AdisInsight. adisinsight.springer.com.
  336. Edinoff AN, Sall S, Beckman SP, Koepnick AD, Gold LC, Jackson ED, Wenger DM, Cornett EM, Murnane KS, Kaye AM, Kaye AD . Tianeptine, an Antidepressant with Opioid Agonist Effects: Pharmacology and Abuse Potential, a Narrative Review . Pain Ther . 12 . 5 . 1121–1134 . October 2023 . 37453966 . 10444703 . 10.1007/s40122-023-00539-5 .
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  338. Web site: Naluzotan - Proximagen - AdisInsight. adisinsight.springer.com.
  339. Web site: NB 415 - AdisInsight. adisinsight.springer.com.
  340. Web site: Neboglamine - AdisInsight. adisinsight.springer.com.
  341. Web site: Nefiracetam - AdisInsight. adisinsight.springer.com.
  342. Narahashi T, Moriguchi S, Zhao X, Marszalec W, Yeh JZ . Mechanisms of action of cognitive enhancers on neuroreceptors . Biol Pharm Bull . 27 . 11 . 1701–1706 . November 2004 . 15516710 . 10.1248/bpb.27.1701 .
  343. Yoshii M, Watabe S, Murashima YL, Nukada T, Shiotani T, Nishizaki T . Neuronal Ca 2+ Channels and Nicotinic ACh Receptors as Functional Targets of the Nootropic Nefiracetam . Psychogeriatrics . 1 . 1 . 2001 . 1346-3500 . 10.1111/j.1479-8301.2001.tb00071.x . 39–49.
  344. Gualtieri F, Manetti D, Romanelli MN, Ghelardini C . Design and study of piracetam-like nootropics, controversial members of the problematic class of cognition-enhancing drugs . Curr Pharm Des . 8 . 2 . 125–38 . 2002 . 11812254 . 10.2174/1381612023396582 . In general, piracetam-like nootropics show no affinity for the most important central receptors (Ki > 10 μM). A modest affinity for muscarinic receptors is shown by aniracetam (Ki = 4.4 μM [58]) and nebracetam (Ki = 6.3 μM [61]). Nefiracetam is the only one showing affinity in the nanomolar range (Ki = 8.5 nM on the GABAA receptor [58]). [...] Nefiracetam (chart (1)) is awaiting approval. It presents a variety of pharmacological actions as it is reported to activate the cholinergic, GABAergic and other monaminergic systems and to modulate N-type calcium channels [78-81]..
  345. Gouliaev AH, Senning A . Piracetam and other structurally related nootropics . Brain Res Brain Res Rev . 19 . 2 . 180–222 . May 1994 . 8061686 . 10.1016/0165-0173(94)90011-6 . As mentioned above, no commonly accepted mechanism for the racetam nootropics has yet been established, They do not seem to act on any well characterised receptor site with the exception of nefiracetam which has high affinity for GABA, receptors (see Table 1). [...] Receptor: GABAA. Receptor ligand: [<sup>3</sup>H]muscimolA. Compound: nefiracetam. IC50: 8.5 nMB. Refs.: 222. [...] From Table 1 it is, however, evident that the piracetam-like nootropics do not exhibit high affinity for any of the receptor types tested so far (except for nefiracetam, which shows some activity at GABAA receptors).
  346. Web site: Nemifitide - AdisInsight. adisinsight.springer.com.
  347. Web site: NS 2359 - AdisInsight. adisinsight.springer.com.
  348. Web site: NS 2389 - AdisInsight. adisinsight.springer.com.
  349. Web site: ORM 10921 - AdisInsight. adisinsight.springer.com.
  350. Web site: Orvepitant - NeRRe therapeutics - AdisInsight. adisinsight.springer.com.
  351. Ratti E, Bettica P, Alexander R, Archer G, Carpenter D, Evoniuk G, Gomeni R, Lawson E, Lopez M, Millns H, Rabiner EA, Trist D, Trower M, Zamuner S, Krishnan R, Fava M . Full central neurokinin-1 receptor blockade is required for efficacy in depression: evidence from orvepitant clinical studies . J Psychopharmacol . 27 . 5 . 424–434 . May 2013 . 23539641 . 10.1177/0269881113480990 .
  352. Web site: Osanetant - Acer Therapeutics - AdisInsight. adisinsight.springer.com.
  353. Web site: Pexacerfont - AdisInsight. adisinsight.springer.com.
  354. Web site: PF 4455242 - AdisInsight. adisinsight.springer.com.
  355. Web site: PT 150 - AdisInsight. adisinsight.springer.com.
  356. Web site: Radafaxine - AdisInsight. adisinsight.springer.com.
  357. Web site: Ramelteon - Takeda - AdisInsight. adisinsight.springer.com.
  358. Web site: Rapastinel - Gate Neurosciences - AdisInsight. adisinsight.springer.com.
  359. Web site: RG 7166 - AdisInsight. adisinsight.springer.com.
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