a Discovery Chemistry , Janssen Research and Development, a division of Janssen-Cilag S.A ., Toledo , Spain.
Expert Opin Ther Pat. 2019 Jul;29(7):497-507. doi: 10.1080/13543776.2019.1637421. Epub 2019 Jul 4.
Positive allosteric modulation of mGlu2 has attracted much interest as an alternative approach to classical orthosteric receptor activation. Two mGlu2 PAMS have advanced into the clinic. The results obtained in schizophrenia and MDD phase 2 clinical trials have tempered the high expectations put on selective mGlu2 receptor activation for treating these conditions; nevertheless, the search for novel therapeutic indications and novel chemotypes continues to be an active field of research.
2013-2018 patent literature on mGlu2 receptor PAMs.
After a decade of intensive research, the mGlu2 PAM field has seen a deceleration in the last five years. Negative phase 2 schizophrenia clinical trials with JNJ-40411813 and AZD8529 seem to have tempered the high expectations of the scientific community on the utility of mGlu2 PAMs for the treatment of schizophrenia. Nevertheless, novel therapeutic indications continue to be explored and AZD8529 is currently in a phase 2 study for smoking cessation. The advances in medicinal chemistry and in pharmacology, with novel indications such as epilepsy, have set the stage in the field of mGlu2 receptor PAMs. Ongoing preclinical and clinical studies will contribute to define their optimal therapeutic indication and potential to become novel therapeutic agents.
作为经典的变构受体激活以外的替代方法,mGlu2 的正变构调节引起了广泛关注。两种 mGlu2 PAMs 已进入临床研究。在精神分裂症和 MDD 的 2 期临床试验中获得的结果降低了人们对选择性 mGlu2 受体激活治疗这些疾病的高度期望;然而,寻找新的治疗适应症和新的化学型仍然是一个活跃的研究领域。
2013-2018 年 mGlu2 受体 PAMs 的专利文献。
经过十年的密集研究,mGlu2 PAM 领域在过去五年中放缓。JNJ-40411813 和 AZD8529 的阴性 2 期精神分裂症临床试验似乎降低了科学界对 mGlu2 PAMs 治疗精神分裂症的实用性的高度期望。然而,新的治疗适应症仍在探索中,AZD8529 目前正在进行戒烟的 2 期研究。在医学化学和药理学方面的进展,以及癫痫等新的适应症,为 mGlu2 受体 PAMs 领域奠定了基础。正在进行的临床前和临床研究将有助于确定其最佳治疗适应症和成为新型治疗药物的潜力。