ezogabine
Trade name: potiga
Approved
Jun 10, 2011
Ezogabine (U.S. adopted name) or retigabine (international nonproprietary name) is one of a family of aminopyrroles with anticonvulsant activity. It is used as an adjunctive treatment for partial epilepsies in treatment-experienced adult patients. The drug was approved by the European Medicines Agency under the trade name Trobalt and by the United States Food and Drug Administration (FDA), under the trade name Potiga. The mechanism by which ezogabine exerts its therapeutic effects has not been fully elucidated. In vitro studies indicate that ezogabine enhances transmembrane potassium currents mediated by the KCNQ (Kv7.2 to 7.5) family of ion channels. By activating KCNQ channels, ezogabine is thought to stabilize the resting membrane potential and reduce brain excitability. This mechanism of action is unique among antiepileptic drugs, and may hold promise for the treatment of other neurologic conditions, including migraine, tinnitus and neuropathic pain. In vitro studies suggest that ezogabine may also exert therapeutic effects through augmentation of GABA-mediated currents. — NCATS
Clinical trial activity
24 trials · 11 clinical orgs · 2 marketing orgs
Earliest trial started Sep 1, 2005 (NCT00232596)
Timeline
2000s
- Jan 1, 2005
GlaxoSmithKline — Earliest Phase 3 Sponsor(trial)
- Jan 1, 2007
Bausch Health Companies — Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2011
GlaxoSmithKline — Earliest Phase 1 Sponsor(trial)
- Jun 10, 2011
Bausch Health Companies — Earliest FDA Approval
- Jun 10, 2011
GlaxoSmithKline — NDA Secondary Org
- Jun 10, 2011
Bausch Health Companies — NDA Organization
Indications
Approved for
Studied for
- Amyotrophic Lateral Sclerosis · Phase 2
- Anhedonia · Phase 2
- Brain Diseases · Phase 3
- Central Nervous System Diseases · Phase 3
- Depression · Phase 2
- Depressive Disorder · Phase 2
- Disease · Phase 3
- Epilepsies, Partial · Phase 1
- Epileptic Syndromes · Phase 3
- Major Depressive Disorder · Phase 2
- Nervous System Diseases · Phase 3
- Neuralgia, Postherpetic · Phase 2
Mechanism of action
- KCNQ (Kv7) potassium channelBLOCKER
KCNQ (Kv7) potassium channel blocker
- Potassium voltage-gated channel subfamily KQT member 1 (KCNQ1) ↗
- Potassium voltage-gated channel subfamily KQT member 2 (KCNQ2) ↗
- Potassium voltage-gated channel subfamily KQT member 3 (KCNQ3) ↗
- Potassium voltage-gated channel subfamily KQT member 5 (KCNQ5) ↗
- Potassium voltage-gated channel subfamily KQT member 4 (KCNQ4) ↗
- Voltage-gated potassium channel subunit Kv7.2
- Voltage-gated potassium channel subunit Kv7.4
- Voltage-gated potassium channel subunit Kv7.5
- Voltage-gated potassium channel subunit Kv7.1
- Voltage-gated potassium channel subunit Kv7.3
- Voltage-gated potassium channel, KQT; KCNQ2(Kv7.2)/KCNQ3(Kv7.3)
- Voltage-gated potassium channel KCNQ3/KCNQ4
- Voltage-gated potassium channel KCNQ3/KCNQ5
- KCNQ4/KCNQ5
KCNQ (Kv7) potassium channel opener
- Potassium voltage-gated channel subfamily KQT member 1 (KCNQ1) ↗
- Potassium voltage-gated channel subfamily KQT member 2 (KCNQ2) ↗
- Potassium voltage-gated channel subfamily KQT member 3 (KCNQ3) ↗
- Potassium voltage-gated channel subfamily KQT member 5 (KCNQ5) ↗
- Potassium voltage-gated channel subfamily KQT member 4 (KCNQ4) ↗
- Voltage-gated potassium channel subunit Kv7.2
- Voltage-gated potassium channel subunit Kv7.4
- Voltage-gated potassium channel subunit Kv7.5
- Voltage-gated potassium channel subunit Kv7.1
- Voltage-gated potassium channel subunit Kv7.3
- Voltage-gated potassium channel, KQT; KCNQ2(Kv7.2)/KCNQ3(Kv7.3)
- Voltage-gated potassium channel KCNQ3/KCNQ4
- Voltage-gated potassium channel KCNQ3/KCNQ5
- KCNQ4/KCNQ5
Approval history
- approvedJun 10, 2011
Chemistry & pharmacology
SMILES
CCOC(=O)NC1=CC=C(NCC2=CC=C(F)C=C2)C=C1N- Mol. weight
- 303.3314 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Discontinued
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaRetigabine ↗
- NCATS12G01I6BBU ↗
- ChEMBLCHEMBL41355 ↗
Also known as
- awd-21360
- awd-21360
- d 20443
- d-20443
- d-20443
- d-20443
- d-20443
- d-20443
- d-20443
- d 23129
- d-23129
- d-23129
- d-23129
- ethyl {2-amino-4-[(4-fluorobenzyl)amino]phenyl}carbamate
- ethyl {2-amino-4-[(4-fluorobenzyl)amino]phenyl}carbamate
- ethyl 2-amino-4-((p-fluorobenzyl)amino)carbanilate
- ethyl 2-amino-4-((p-fluorobenzyl)amino)carbanilate
- ethyl n-(2-amino-4-(4-fluorobenzylamino)phenyl)carbamate hydrochloride
- ezg
- ezg
- ezogabine
- ezogabine
- ezogabine
- ezogabine
- ezogabine
- ezogabine
- ezogabine
- ezogabine
- gke-841
- gke-841
- gw582892x
- gw582892x
- gw 582892x
- ke 841
- n-(2-amino-4-(4-fluorobenzylamino)-phenyl) carbamic acid ethyl ester
- n-(2-amino-4-(4-fluorobenzylamino)-phenyl) carbamic acid ethyl ester
- n-(2-amino-4-(4-fluorobenzylamino)phenyl)carbamic acid ethyl ester
- n-(2-amino-4-(4-fluorobenzylamino)phenyl)carbamic acid ethyl ester
- n-(2-amino-4-(4-fluorobenzylamino)phenyl)carbamic acid ethyl ester
- potiga
- potiga
- potiga
- potiga
- retigabine
- retigabine
- retigabine
- retigabine
- retigabine
- retigabine
- retigabine
- retigabine
- rtg
- rtg
- trobalt
- trobalt
- trobalt
- trobalt
- way 143841
- way-143841
- way-143841
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04912856 | Phase 3 | Aug 17, 2021 | Xenon Pharmaceuticals Inc. |
| NCT04639310 | Phase 3 | Dec 31, 2020 | Xenon Pharmaceuticals Inc. |
| NCT03043560 | Phase 2 | Jun 1, 2017 | Baylor University, Icahn School of Medicine at Mount Sinai, National Institute of Mental Health (NIMH) |
| NCT02450552 | Phase 2 | Jun 1, 2015 | ALS Association, GlaxoSmithKline, Harvard University |
| NCT02149836 | Phase 2 | Aug 1, 2014 | Icahn School of Medicine at Mount Sinai |
| NCT01777139 | Phase 3 | Apr 1, 2013 | GlaxoSmithKline |
| NCT01823159 | Phase 3 | Apr 1, 2013 | CHU Mont-Godinne, GlaxoSmithKline, Université catholique de Louvain |
| NCT01607346 | Phase 4 | Mar 27, 2013 | GlaxoSmithKline |
| NCT01721317 | Phase 4 | Dec 1, 2012 | Bausch Health Companies, GlaxoSmithKline |
| NCT01691872 | Phase 1 | Oct 1, 2012 | GlaxoSmithKline |
| NCT01668654 | Phase 3 | Sep 1, 2012 | Bausch Health Companies, GlaxoSmithKline |
| NCT01648101 | Phase 3 | Aug 1, 2012 | GlaxoSmithKline |
| NCT01494584 | Phase 2 | Jul 25, 2012 | Bausch Health Companies, GlaxoSmithKline |
| NCT01462669 | Phase 1 | Apr 10, 2012 | GlaxoSmithKline |
| NCT01583036 | Phase 1 | Jan 16, 2012 | GlaxoSmithKline |
| NCT01480609 | Phase 1 | Nov 1, 2011 | GlaxoSmithKline |
| NCT01336621 | Phase 3 | Feb 1, 2011 | GlaxoSmithKline |
| NCT01332513 | Phase 1 | Feb 1, 2011 | GlaxoSmithKline |
| NCT01227902 | Phase 3 | Jul 1, 2010 | GlaxoSmithKline |
| NCT00612105 | Phase 2 | Oct 1, 2007 | Bausch Health Companies, Sponsor GmbH |
Organizations
Research & Development (11)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| GlaxoSmithKline | For profit | 19 | 17 | 4 | 2005 |
| Bausch Health Companies | For profit | 6 | 1 | 3 | 2005 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 2 | 2 | 1 | 2014 |
| Xenon Pharmaceuticals Inc. | For profit | 2 | 2 | 1 | 2020 |
| ALS Association | Academic/Hospital | 1 | 0 | 1 | 2015 |
| Baylor University | Academic/Hospital | 1 | 0 | 1 | 2017 |
| CHU Mont-Godinne | Academic/Hospital | 1 | 1 | 1 | 2013 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2015 |
| National Institute of Mental Health (NIMH) | Government | 1 | 0 | 1 | 2017 |
| Sponsor GmbH | Academic/Hospital | 1 | 0 | 1 | 2007 |
| Université catholique de Louvain | Academic/Hospital | 1 | 0 | 1 | 2013 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Bausch Health Companies | For profit | NDA | Jun 10, 2011 |
| GlaxoSmithKline | For profit | NDA2 | Jun 10, 2011 |