Synonyms: paliflutine | RG1678 | RO-4917838
Compound class:
Synthetic organic
Comment: Bitopertin is a non-competitive glycine transporter 1 (GlyT1) inhibitor (functionally a glycine reuptake inhibitor) that was developed by Roche as a potential anti-schizophrenia drug. Its chemical structure is represented in ChEMBL by the R-isomer, CHEMBL1169880.
Ligand Activity Visualisation ChartsThese are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts. ✖ |
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No information available. |
Summary of Clinical Use |
Bitopertin was investigated as an anti-schzophrenia drug [4,6]. Treatment with bitopertin produced promising results for treatment of negative symptoms in schizophrenia in phase 2, but this efficacy was not confirmed in larger phase 3 trials. As a result Roche terminated development in schizphrenia following the disappointing Phase 3 trial results [2-3]. Phase 2 evaluation of bitopertin plus SSRI therapy in patients with obsessive-compulsive disorder has been completed (NCT01674361). Click here to link to to ClinicalTrials.gov's list of registered bitopertin trials. |
Mechanism Of Action and Pharmacodynamic Effects |
Bitopertin is a glycine transporter type 1 (GlyT1, SLC6A9) inhibitor [5]. Inhibition of this transporter increases levels of the excitatory neurotransmitter, glycine, by inhibiting its reuptake from the synaptic cleft. Glycine, alongside glutamate, is required as a co-agonist at N-methyl-D-aspartate (NMDA) receptors. Dysfunction of NMDA receptors is believed to play a role in the pathogenesis of schizophrenia. Bitopertin-induced activation of NMDA receptors improves the symptoms of schizophrenia. |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT01674361 | A Study of Bitopertin (RO4917838) in Combination With Selective Serotonin Reuptake Inhibitors (SSRIs) in Participants With Obsessive-Compulsive Disorder (OCD) | Phase 2 Interventional | Hoffmann-La Roche |