amisulpride
Trade name: BARHEMSYS
Approved
Feb 26, 2020
Amisulpride, sold under the brand names Socian and Barhemsys, is a medication used in the treatment of schizophrenia, acute psychotic episodes, depression, and nausea and vomiting. It is specifically used at lower doses intravenously to prevent and treat postoperative nausea and vomiting; at low doses by mouth to treat depression; and at higher doses by mouth to treat psychosis. — Wikipedia
Clinical trial activity
69 trials · 74 clinical orgs · 1 marketing orgs
Earliest trial started Jan 1, 2001 (NCT00204061)
Timeline
2000s
2020s
- Feb 26, 2020
Acacia Pharma Ltd — Earliest FDA Approval
- Feb 26, 2020
Acacia Pharma Ltd — Marketing Organization
- Feb 26, 2020
Acacia Pharma Ltd — NDA Secondary Org
- Feb 26, 2020
Acacia Pharma Ltd — NDA Organization
Indications
Studied for
- Amisulpride · Early Phase 1
- Anorexia Nervosa · Early Phase 1
- Anxiety Disorders · Phase 3
- Bipolar Disorder · Phase 2
- Cognition Disorders · Phase 4
- Dementia · Phase 3
- Depression · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Gastrointestinal Microbiome · Early Phase 1
- Healthy Volunteers · Phase 1
- Intellectual Disability · Phase 2
- Kidney Failure, Chronic · Phase 1
- Major Depressive Disorder · Phase 1
- Mental Health · Phase 3
- Nausea · Phase 3
- Obsessive-Compulsive Disorder · Phase 1
- Postoperative Nausea and Vomiting · Phase 3
- Psychophysiologic Disorders · Phase 3
- Psychotic Disorders · Phase 4
- Saliva · Phase 3
- Schizophrenia · Phase 4
- Schizophrenia Spectrum and Other Psychotic Disorders · Phase 4
- Schizophrenia, Treatment-Resistant · Phase 4
- Signs and Symptoms · Early Phase 1
- Tardive Dyskinesia · Phase 4
- Therapeutic Equivalency · Phase 1
Mechanism of action
- Serotonin (5-HT) receptorANTAGONIST
Serotonin (5-HT) receptor antagonist
Amisulpride blocks pre- and post synaptic dopamine D2, D3 receptors as well as the 5-HT7a receptor.
The chemical structure of amisulpride contains a chiral center and, thus, is a mixture of two optical isomers: (S)-amisulpride and (R)-amisulpride. The enantiomers bind at dopamine D2/3 and ¿2- adrenoceptors in a stereoselective manner with marked differences in affinity: (S)-amisulpride displays high affinity binding at both D2 and D3 receptors. On the other hand, the isomers display reversed stereoselectivity (but weaker affinity) at ¿2-adrenoceptors.
- 5-hydroxytryptamine receptor 1F (HTR1F) ↗
- 5-hydroxytryptamine receptor 2B (HTR2B) ↗
- 5-hydroxytryptamine receptor 4 (HTR4) ↗
- 5-hydroxytryptamine receptor 1B (HTR1B) ↗
- 5-hydroxytryptamine receptor 3A (HTR3A) ↗
- 5-hydroxytryptamine receptor 1A (HTR1A) ↗
- 5-hydroxytryptamine receptor 1D (HTR1D) ↗
- 5-hydroxytryptamine receptor 2A (HTR2A) ↗
- 5-hydroxytryptamine receptor 2C (HTR2C) ↗
- 5-hydroxytryptamine receptor 1E (HTR1E) ↗
- 5-hydroxytryptamine receptor 7 (HTR7) ↗
- 5-hydroxytryptamine receptor 6 (HTR6) ↗
- 5-hydroxytryptamine receptor 5A (HTR5A) ↗
- 5-hydroxytryptamine receptor 3E (HTR3E) ↗
- 5-hydroxytryptamine receptor 3B (HTR3B) ↗
- 5-hydroxytryptamine receptor 3D (HTR3D) ↗
- 5-hydroxytryptamine receptor 3C (HTR3C) ↗
- Serotonin 1a (5-HT1a) receptor
- Serotonin 1d (5-HT1d) receptor
- Serotonin 1b (5-HT1b) receptor
- Serotonin 2a (5-HT2a) receptor
- Serotonin 2c (5-HT2c) receptor
- Serotonin 3a (5-HT3a) receptor
- Serotonin 4 (5-HT4) receptor
- Serotonin 2b (5-HT2b) receptor
- Serotonin 1f (5-HT1f) receptor
- Serotonin 7 (5-HT7) receptor
- Serotonin 1e (5-HT1e) receptor
- Serotonin 5a (5-HT5a) receptor
- Serotonin 6 (5-HT6) receptor
- Serotonin 3 (5-HT3) receptor
- Serotonin 2 (5-HT2) receptor
- Serotonin 1 receptors; 5-HT1B & 5-HT1D
- Serotonin 2 receptors; 5-HT2a & 5-HT2c
- Serotonin receptor (2b and 2c)
- Serotonin 3 (5-HT3) receptor
- Serotonin 1 (5-HT1) receptor
- Serotonin 3b (5-HT3b) receptor
- 5-hydroxytryptamine receptor 3A/3E
- 5-hydroxytryptamine receptor 3A/3C
- 5-HT1A/5-HT1F
- 5-HT1D/5-HT1F
- 5-HT1B/5-HT1F
- Dopamine receptors; D2 & D3ANTAGONIST
Dopamine receptors; D2 & D3 antagonist
Amisulpride blocks pre- and post synaptic dopamine D2, D3 receptors as well as the 5-HT7a receptor.
The chemical structure of amisulpride contains a chiral center and, thus, is a mixture of two optical isomers: (S)-amisulpride and (R)-amisulpride. The enantiomers bind at dopamine D2/3 and ¿2- adrenoceptors in a stereoselective manner with marked differences in affinity: (S)-amisulpride displays high affinity binding at both D2 and D3 receptors. On the other hand, the isomers display reversed stereoselectivity (but weaker affinity) at ¿2-adrenoceptors.
Approval history
- approvedFeb 26, 2020
Chemistry & pharmacology
SMILES
CCN1CCCC1CNC(=O)c1cc(S(=O)(=O)CC)c(N)cc1OC- Mol. weight
- 369.49 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaAmisulpride ↗
- ChEMBLCHEMBL4594422 ↗
- ChEMBLCHEMBL277945 ↗
- ChEMBLCHEMBL243712 ↗
Also known as
- 4-amino-n-((1-ethyl-2-pyrrolidinyl)methyl)-5-(ethylsulfonyl)-2-methoxybenzamide
- 4-amino-n-((1-ethyl-2-pyrrolidinyl)methyl)-5-(ethylsulfonyl)-2-methoxybenzamide
- 4-amino-n-((1-ethyl-2-pyrrolidinyl)methyl)-5-(ethylsulfonyl)-o-anisamide
- 4-amino-n-((1-ethyl-2-pyrrolidinyl)methyl)-5-(ethylsulfonyl)-o-anisamide
- aminosultopride
- aminosultopride
- aminosultopride
- amisulprida
- amisulprida
- amisulpride
- amisulpride
- amisulpride
- amisulpride
- amisulpride
- amisulpride
- amisulpride
- amisulpride
- amisulpride
- amisulpridum
- amisulpridum
- apd421
- barnetil
- barnetil
- dan 2163
- deniban
- lin 1418
- n-(ethyl-1-pyrrolidinyl- 2-methyl)methoxy-2-ethylsulfonyl-5-benzamide
- solian
- solian
- solian
- solian
- solian
- solian 100
- solian 200
- solian 400
- solian 50
- sultopride
- sultopride
- sultopride
- (+/-)-sultopride
- sultopride hcl
- sultopride hcl
- sultopride hcl
- sultopride hcl
- sultopride hydrochloride
- sultopride hydrochloride
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06887621 | Phase 2 | Apr 10, 2025 | Instituto do Cancer do Estado de São Paulo, University of Groningen, University of Sao Paulo |
| NCT06585540 | Phase 3 | Sep 13, 2024 | Virginia Mason Medical Center |
| NCT06179108 | Phase 2 | Dec 4, 2023 | LB Pharmaceuticals Inc., The Zucker Hillside Hospital |
| NCT05956600 | N/A | Nov 30, 2023 | University of California, Los Angeles |
| NCT06066112 | Phase 1 | Sep 20, 2023 | Qingdao University |
| NCT05822713 | Phase 3 | Apr 29, 2023 | Peking University, Qilu Pharmaceutical Co., Ltd. |
| NCT05546359 | Phase 2/Phase 3 (Phase 3) | Dec 19, 2022 | Acacia Pharma Ltd, Amicus Therapeutics, Premier Research Group |
| NCT05347199 | Phase 1 | May 31, 2022 | Boehringer Ingelheim, Humboldt University, Medical School Berlin |
| NCT05039489 | N/A | Sep 6, 2021 | Central South University |
| NCT04674670 | N/A | Aug 16, 2021 | Balgrist Universitaets |
| NCT04849650 | Phase 1 | Jun 3, 2021 | Acacia Pharma Ltd, University of California, San Francisco |
| NCT04446234 | Phase 4 | May 31, 2021 | Jiao Tong University |
| NCT04876521 | Phase 4 | May 4, 2021 | All India Institute of Medical Sciences |
| NCT04588129 | Phase 1 | Dec 21, 2020 | LB Pharmaceuticals Inc., Washington University in St. Louis |
| NCT04533724 | Early Phase 1 (Phase 1) | Oct 1, 2020 | Jiao Tong University |
| NCT04529226 | Phase 2 | Sep 30, 2020 | Andalusian Health Service, Fundación Pública Andaluza |
| NCT04341467 | N/A | May 31, 2020 | Tianjin Medical University |
| NCT04218981 | N/A | Jan 31, 2020 | Central South University |
| NCT04128683 | Early Phase 1 (Phase 1) | Dec 31, 2019 | University of California, San Diego |
| NCT04187560 | Phase 1 | Dec 23, 2019 | LB Pharmaceuticals Inc., Medpace, Inc. |
Organizations
Research & Development (74)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Acacia Pharma Ltd | For profit | 12 | 12 | 3 | 2011 |
| Sanofi | For profit | 8 | 6 | 3 | 2003 |
| Jiao Tong University | Academic/Hospital | 4 | 4 | 2 | 2017 |
| University of London | Academic/Hospital | 4 | 1 | 2 | 2008 |
| LB Pharmaceuticals Inc. | For profit | 3 | 3 | 2 | 2019 |
| Technical University of Munich | Academic/Hospital | 3 | 2 | 2 | 2009 |
| University of Cologne | Academic/Hospital | 3 | 2 | 3 | 2001 |
| Utrecht University | Academic/Hospital | 3 | 0 | 2 | 2008 |
| Central South University | Academic/Hospital | 2 | 2 | 1 | 2020 |
| Government of Taiwan | Government | 2 | 1 | 1 | 2003 |
| Harvard University | Academic/Hospital | 2 | 0 | 1 | 2012 |
| Ludwig Maximilians University | Academic/Hospital | 2 | 0 | 1 | 2001 |
| Mclean Hospital | Academic/Hospital | 2 | 2 | 1 | 2012 |
| National Institute of Mental Health (NIMH) | Government | 2 | 0 | 1 | 2012 |
| Technion University | Academic/Hospital | 2 | 1 | 2 | 2008 |
| University of Copenhagen | Academic/Hospital | 2 | 2 | 1 | 2008 |
| University of Duesseldorf | Academic/Hospital | 2 | 1 | 1 | 2001 |
| University of Heidelberg | Academic/Hospital | 2 | 2 | 2 | 2004 |
| University of Manchester | Academic/Hospital | 2 | 0 | 1 | 2011 |
| All India Institute of Medical Sciences | Academic/Hospital | 1 | 1 | 1 | 2021 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Acacia Pharma Ltd | For profit | SYN | Feb 26, 2020 |
| Acacia Pharma Ltd | For profit | MKTG | Feb 26, 2020 |
| Acacia Pharma Ltd | For profit | NDA2 | Feb 26, 2020 |
| Acacia Pharma Ltd | For profit | NDA | Feb 26, 2020 |