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Synonyms: BHV-4157 | BHV-4157a | BHV4157 | BHV4157a | FC-4157 | trigriluzole | Vyglxia® (proposed trade name)
Compound class:
Synthetic organic
Comment: Troriluzole (BHV-4157) is a prodrug of the voltage-dependent calcium channel blocker riluzole. Chemically it is riluzole conjugated to a tripeptide carrier (IUPAC sequence H-Gly-Gly-Sar-Unk, where Unk = the riluzole component), and the active moiety is released by peptidases in vivo. The prodrug is more stable than riluzole and is suitable for once-daily dosing. Riluzole also blocks the release of glutamate from cells, thereby reducing extracellular glutamate availability to signal though mGluR1 [1].
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| No information available. |
Summary of Clinical Use ![]() |
| Troriluzole was progressed to clinical evaluation to determine safety and efficacy as a treatment for spinocerebellar ataxia. In addition, since it has been determined that glutamate signaling promotes tumour growth, angiogenesis, migration, and invasiveness (via activation of the PKC, MAPK, and PI3K/AKT pathways) the synergy between troriluzole-mediated glutamate modulation and anti-PD-1 immunotherapy is also being evaluated in the treatment of advanced solid tumours [2]. |
| Clinical Trials | |||||
| Clinical Trial ID | Title | Type | Source | Comment | References |
| NCT04708834 | Long-term Safety Study of Adjunctive Troriluzole in Subjects With Obsessive Compulsive Disorder | Phase 3 Interventional | Biohaven Pharmaceuticals, Inc. | ||
| NCT03829241 | Randomized Trial of Adult Subjects With Generalized Anxiety Disorder | Phase 3 Interventional | Biohaven Pharmaceuticals, Inc. | ||
| NCT03299166 | BHV-4157 in Adult Subjects With Obsessive Compulsive Disorder | Phase 2/Phase 3 Interventional | Biohaven Pharmaceuticals, Inc. | ||
| NCT03605667 | Study of BHV-4157 in Alzheimer's Disease | Phase 2/Phase 3 Interventional | Biohaven Pharmaceuticals, Inc. | ||
| NCT03229278 | Trigriluzole With Nivolumab and Pembrolizumab in Treating Patients With Metastatic or Unresectable Solid Malignancies or Lymphoma | Phase 1 Interventional | Rutgers, The State University of New Jersey | 2 | |