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DRUG CLASS:

DRD2 antagonist

5d
Clozapine CHAMPION-ECHO Educational Study to Improve Clozapine Use. (clinicaltrials.gov)
P=N/A, N=300, Completed, University of Maryland, Baltimore | Active, not recruiting --> Completed | Trial completion date: Dec 2024 --> Sep 2024
Trial completion • Trial completion date
6d
Pragmatic Trial Comparing Weight Gain in Children With Autism Taking Risperidone Versus Aripiprazole (clinicaltrials.gov)
P4, N=350, Recruiting, Vanderbilt University Medical Center | Trial primary completion date: Jul 2024 --> Jul 2025
Trial primary completion date
10d
Does a brief biofeedback exercise minimise the impact of acute stress on gastric function? (ACTRN12624000607572)
P=N/A, N=36, Completed, University of Auckland, Department of Psychological Medicine | Not yet recruiting --> Completed
Trial completion • Trial initiation date
11d
Lumateperone for the Prevention of Relapse in Patients With Schizophrenia (clinicaltrials.gov)
P3, N=228, Completed, Intra-Cellular Therapies, Inc. | Active, not recruiting --> Completed
Trial completion
11d
OBSERVSPEECH: Voice-Based Biomarkers: a Novel Approach to Monitoring and Predicting Schizophrenia Relapses (clinicaltrials.gov)
P=N/A, N=200, Recruiting, Centre Hospitalier St Anne | Not yet recruiting --> Recruiting
Enrollment open • Adherence
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olanzapine
12d
Development of Small Molecular Hyper-activators of Human Caseinolytic Peptidase P (hClpP) with a [1,8]-Naphthyridinone Scaffold as Novel Anti-cancer Agents. (PubMed, ChemMedChem)
Based on a clinical staged small molecular hClpP activator ONC201, a class of novel hClpP agonists with a [1,8]naphthyridinone scaffold were designed, synthesized and evaluated in a series of biochemical and biological assays. Mechanism studies for the representative compound F20 indicated that it can potently bind to and activate hClpP, efficiently promote the degradation of hClpP substrates, robustly induce ATF4/CHOP regulated integrated stress responses, strongly inhibit cell growth and effectively induce apoptosis in a subset of cancer cell lines. F20 showed good PK profiles when dosed by intravenous injection and exhibited moderate oral bioavailability in mice.
Journal
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ATF4 (Activating Transcription Factor 4)
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dordaviprone (ONC201)
14d
Regulation of ADAM10 activity through microdomain-dependent intracellular calcium changes. (PubMed, Cell Commun Signal)
The calmodulin-inhibitors trifluoperazine and ophiobolin A mediated delayed activation of ADAM10, which apparently did not depend on intracellular Ca2+ in the case of trifluoperazine...Finally, ADAM10 activation was observed after the entry of Ca2+ through certain channels, such as canonical members of transient receptor potential (TRP) channels. Therefore, the opening of particular channels for Ca2+ entry points and subsequent Ca2+ flux as well as the temporal aspects of the consequent increase in Ca2+ levels, must be considered for future therapeutic options involving the increasing or decreasing ADAM10 activity.
Journal
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ADAM10 (ADAM Metallopeptidase Domain 10)
15d
B2R-D2R interaction in prolactinomas and non-functional adenomas: impact on dopamine resistance. (PubMed, Endocrinology)
Importantly, B2R-D2R complexes were detected in human prolactinomas and nonfunctioning pituitary adenomas (NFPA), but not in mixed (prolactin + growth hormone) secreting adenomas. These results suggest that overexpression of B2R in resistant prolactinomas may promote the formation of B2R-D2R complexes, with B2R precluding D2R signaling, thus generating resistance to D2R agonists.
Journal
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DRD2 (Dopamine Receptor D2) • PRL (Prolactin)
17d
Study of Lumateperone as Adjunctive Therapy in the Treatment of Patients With Major Depressive Disorder (clinicaltrials.gov)
P3, N=470, Recruiting, Intra-Cellular Therapies, Inc. | Trial completion date: Oct 2025 --> Oct 2026 | Trial primary completion date: Oct 2025 --> Sep 2026
Trial completion date • Trial primary completion date
18d
CHILL-1: Study on Hibernation-like Therapy Based on Mechanical Thrombectomy (clinicaltrials.gov)
P1, N=32, Recruiting, Capital Medical University | Not yet recruiting --> Recruiting
Enrollment open
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chlorpromazine
18d
Open-label Trial Characterizing the PK of 3 SC Olanzapine Extended-release Formulations in Participants With Schizophrenia/Schizoaffective Disorder (clinicaltrials.gov)
P1, N=95, Active, not recruiting, Teva Branded Pharmaceutical Products R&D, Inc. | Recruiting --> Active, not recruiting
Enrollment closed
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olanzapine
19d
Structural basis for the transmembrane signaling and antidepressant-induced activation of the receptor tyrosine kinase TrkB. (PubMed, Nat Commun)
We verify the structure using mutagenesis and confirm that the conformation corresponds to the active state of the receptor. Subsequent study of TrkB interaction with the antidepressant drug fluoxetine, and the antipsychotic drug chlorpromazine, provides a clear self-consistent model, describing the mechanism by which fluoxetine activates the receptor by binding to its transmembrane domain.
Journal
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NTRK2 (Neurotrophic tyrosine kinase, receptor, type 2)
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chlorpromazine • fluoxetine
21d
New P1 trial
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chlorpromazine
23d
Aripiprazole, but Not Olanzapine, Alters the Response to Oxidative Stress in Fao Cells by Reducing the Activation of Mitogen-Activated Protein Kinases (MAPKs) and Promoting Cell Survival. (PubMed, Int J Mol Sci)
ARI de-sensitizes Fao cells to stress signaling, while OLA has the opposite effect. These findings contribute to our understanding of the metabolic risks associated with prolonged AAP use and may inform future therapeutic strategies.
Journal
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STAT3 (Signal Transducer And Activator Of Transcription 3)
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olanzapine
28d
Preclinical • Journal
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MRC1 (Mannose Receptor C-Type 1)
30d
Effects of 6-week olanzapine treatment on serum IL-2, IL-4, IL-8, IL-10, and TNF-α levels in drug-naive individuals with first-episode schizophrenia. (PubMed, BMC Psychiatry)
Our results indicate that serum IL-2, IL-8, IL-10, and TNF-α levels may be involved in the pathophysiological mechanisms of schizophrenia and correlate with the effects of olanzapine.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • IL2 (Interleukin 2) • IL10 (Interleukin 10) • IL4 (Interleukin 4)
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IL10 elevation
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olanzapine
1m
FOXP3 inhibits proliferation and migration by competitively inhibiting YAP1 in nasopharyngeal carcinoma. (PubMed, Oral Oncol)
Previous studies have shown that chlorpromazine (CPZ) can inhibit YAP1 expression...Collectively, our findings indicate that FOXP3 competitively binds TEAD4 to regulate YAP1 localization in the nucleus and cytoplasm to suppress NPC progression. Consequently, FOXP3 may be a prognostic indicator for HNSCC.
Journal
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YAP1 (Yes associated protein 1) • FOXP3 (Forkhead Box P3) • TEAD4 (TEA Domain Transcription Factor 4)
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FOXP3 expression
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chlorpromazine
1m
Preclinical • Journal
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CLPP (Caseinolytic Mitochondrial Matrix Peptidase Proteolytic Subunit)
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dordaviprone (ONC201) • ONC212
1m
Synergistic combination of perphenazine and temozolomide suppresses patient-derived glioblastoma tumorspheres. (PubMed, Neuro Oncol)
The synergistic combination of PER and TMZ has potential as a novel combination treatment strategy for GBM.
Journal
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DRD2 (Dopamine Receptor D2)
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temozolomide
1m
ONC-201 Maintenance Therapy in Acute Myeloid Leukemia and Myelodysplastic Syndrome After Stem Cell Transplant (clinicaltrials.gov)
P1, N=20, Active, not recruiting, University of Nebraska | Trial primary completion date: Aug 2024 --> Oct 2026
Trial primary completion date
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TP53 (Tumor protein P53) • RUNX1 (RUNX Family Transcription Factor 1) • ASXL1 (ASXL Transcriptional Regulator 1)
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TP53 mutation • ASXL1 mutation
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dordaviprone (ONC201)
1m
CLOZIDPD: Clozapine-related Immunodeficiency in Parkinson's Disease (clinicaltrials.gov)
P4, N=24, Recruiting, Centre Hospitalier Universitaire, Amiens
New P4 trial
1m
Clozapine CHAMPION-ECHO Educational Study to Improve Clozapine Use. (clinicaltrials.gov)
P=N/A, N=300, Active, not recruiting, University of Maryland, Baltimore | Trial primary completion date: Jun 2024 --> Jan 2024
Trial primary completion date
2ms
Olanzapine Anorexia Cachexia (clinicaltrials.gov)
P3, N=164, Completed, Cairo University | Recruiting --> Completed
Trial completion
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olanzapine
2ms
Enrollment change
2ms
L-Dopa Might Be Insufficient to Suppress Development of Prolactinomas in Dihydropteridine Reductase-Deficiency Patients. (PubMed, JCEM Case Rep)
Cabergoline has a stronger affinity for the D2R receptor and longer half-life than L-Dopa, leading to lactotroph apoptosis, tumor shrinkage, and rapid and maintained normalization of PRL levels, with a better side-effect profile. Patients with DHPR deficiency need to be actively monitored for symptomatic hyperprolactinemia, as L-Dopa monotherapy is insufficient to suppress PRL secretion, leading to lactotroph hypertrophy and proliferation over time and development of prolactinomas in later life.
Journal
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PRL (Prolactin)
2ms
Therapeutic strategies for colorectal cancer: antitumor efficacy of dopamine D2 receptor antagonists. (PubMed, Toxicol Res)
Emerging evidences indicate DRD2 is involved in the CRC biology, and the association between DRD2 and CRC could be utilized in treating CRC. This study selected DRD2 antagonists with anticancer activity to elucidate the possibility of DRD2 antagonists as new therapeutics for treating CRC.
Review • Journal
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DRD2 (Dopamine Receptor D2)
2ms
Effects of dopamine receptor antagonists and radiation on mouse neural stem/progenitor cells. (PubMed, Radiother Oncol)
We conclude that a therapeutic window for dopamine receptor antagonists in combination with radiation potentially exists, making it a novel combination therapy against glioblastoma. Normal tissue toxicity following this treatment scheme likely differs depending on age and sex and should be taken into consideration when designing clinical trials.
Preclinical • Journal
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NES (Nestin)
2ms
Enrollment open • Surgery • Bariatric surgery
2ms
In silico study of some plant compounds as potential anticancer agents targeting MALT1 allosteric domain. (PubMed, J Biomol Struct Dyn)
Our findings from this computational study presents cyanidin (-8.822 kcal/mol) as better binder to the allosteric site of MALT1 based on the molecular docking and pharmacokinetic profiling than thioridazine...Hence, cyanidin is a potential allosteric inhibitor of MALT1. However, an urgent need for in vitro and in vivo validations is required to ascertain the efficacy of cyanidin in the fight against cancer and other MALT1-related diseases.
Journal
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MALT1 (MALT1 Paracaspase)
2ms
New trial • Adherence
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olanzapine
2ms
Trial completion • Adverse events
2ms
Clozapine Hematological Monitoring Regulatory Compliance Assessment in Psychiatry (clinicaltrials.gov)
P=N/A, N=20, Completed, Centre Hospitalier Universitaire de Saint Etienne
New trial
2ms
Lipid-Conjugated Reduced Haloperidol in Association with Glucose-Based Nanospheres: A Strategy for Glioma Treatment. (PubMed, Mol Pharm)
Notably, ±RHPC8-CSP was significantly taken up by SR-expressing TAMs thus resulting in macrophage polarization from M2 to M1, as exhibited by markedly reduced expression of immunosuppressive cytokines released by TAMs, including TGF-β, IL-10, and VEGF. In conclusion, the designed ±RHPC8-CSP nanoconjugate presented an effective nanodrug delivery system for brain cancer treatment.
Journal
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IL10 (Interleukin 10) • TGFB1 (Transforming Growth Factor Beta 1)
2ms
PSD-AOFC: Low Dose Amisulpride Vs Olanzapine-Fluoxetine Combination in Post-Schizophrenic Depression (clinicaltrials.gov)
P4, N=60, Completed, All India Institute of Medical Sciences, Bhubaneswar | Recruiting --> Completed
Trial completion
2ms
Randomized, Double-blinded, Placebo-controlled, Evaluating the Treatment With LB-102 in Patients With Acute Schizophrenia (clinicaltrials.gov)
P2, N=350, Active, not recruiting, LB Pharmaceuticals Inc. | Recruiting --> Active, not recruiting
Enrollment closed
2ms
New P1 trial
2ms
Efficacy of chlorpromazine as a adjunctive therapy for esketamine on major depression: a randomized controlled trial (ChiCTR2400084824)
P=N/A, N=338, Suspended, The Affiliated Hospital of Shandong Second Medical University; The Affiliated Hospital of Shandong Second Medical University | Not yet recruiting --> Suspended
Trial suspension
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chlorpromazine
2ms
A Non-Interventional Real-World Study on the Use of Cabergoline in the Treatment of Locally Advanced or Metastatic Prostate Cancer (ChiCTR2400088093)
P=N/A, N=300, Not yet recruiting, The Fifth Affiliated Hospital of Xinjiang Medical University; The Fifth Affiliated Hospital of Xinjiang Medical University
New trial • Real-world evidence • Real-world • Metastases