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Investigational dopamine antagonists for the treatment of schizophrenia

Authors
Wang, Sheng-MinHan, ChangsuLee, Soo-JungJun, Tae-YounPatkar, Ashwin A.Masand, Prakash S.Pae, Chi-Un
Issue Date
2017
Publisher
TAYLOR & FRANCIS LTD
Keywords
Schizophrenia; Investigational antipsychotics; Phase II; agonist; antagonist; dopamine
Citation
EXPERT OPINION ON INVESTIGATIONAL DRUGS, v.26, no.6, pp.687 - 698
Indexed
SCIE
SCOPUS
Journal Title
EXPERT OPINION ON INVESTIGATIONAL DRUGS
Volume
26
Number
6
Start Page
687
End Page
698
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/86303
DOI
10.1080/13543784.2017.1323870
ISSN
1354-3784
Abstract
Introduction: Schizophrenia is a debilitating illness with a chronic impact on social function and daily living. Although various antipsychotics are available, there are still many challenges and unmet needs. Thus, many compounds with diverse mechanisms have been investigated, but all approved antipsychotics still require interactions with dopamine D-2 receptors.Areas covered: We searched for investigational drugs using the key words dopamine' and schizophrenia' in American and European clinical trial registers (clinicaltrials.gov; clinicaltrialsregister.eu). Published articles were searched in PubMed, Embase, Medline, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Web of Science and the Cochrane Central Register of Controlled Trials Library.Expert opinion: The prospect of developing a dopamine antagonist is hopeful. Brexpiprazole and cariprazine, which were agents listed as investigational dopamine antagonists,' just received FDA approval. Novel agents such as BL 1020, ITI-007, and JNJ-37822681 have solid published data available, and agents such as L-THP, Lu AF35700, S33138, and SB-773812 are under vigorous investigation. However, the expected benefits of the newly developed antagonists may not be great because they offer little enhanced efficacy for negative symptoms, cognition and functional outcomes.
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