ganaxolone
Trade name: Ztalmy
Approved
Mar 18, 2022
Ganaxolone, sold under the brand name Ztalmy, is a medication used to treat seizures in people with cyclin-dependent kinase-like 5 (CDKL5) deficiency disorder. Ganaxolone is a neuroactive steroid gamma-aminobutyric acid (GABA) A receptor positive modulator. — Wikipedia
Clinical trial activity
23 trials · 10 clinical orgs · 1 marketing orgs
Earliest trial started Jan 1, 2007 (NCT00442104)
Timeline
2000s
- Jan 1, 2007
Marinus Pharmaceuticals — Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2013
Marinus Pharmaceuticals — Earliest Phase 3 Sponsor(trial)
- Jun 28, 2017
Orphan Drug Designation
2020s
- Mar 18, 2022
Marinus Pharmaceuticals — Earliest FDA Approval
- Mar 18, 2022
Marinus Pharmaceuticals — Marketing Organization
- Mar 18, 2022
Marinus Pharmaceuticals — NDA Secondary Org
- Mar 18, 2022
Marinus Pharmaceuticals — NDA Organization
Indications
Studied for
- Behavioral Symptoms · Phase 2
- Deficiency Diseases · Phase 3
- Depression · Phase 2
- Depression, Postpartum · Phase 2
- Depressive Disorder · Phase 2
- Epilepsies, Partial · Phase 2
- Epilepsy · Phase 3
- Epilepsy, Complex Partial · Phase 2
- Fragile X Syndrome · Phase 2
- Mental Disorders · Phase 2
- Mood Disorders · Phase 2
- Postpartum Period · Phase 2
- Pregnancy Complications · Phase 2
- Puerperal Disorders · Phase 2
- Seizures · Phase 3
- Smoking Cessation · Phase 2
- Spasms, Infantile · Phase 2
- Status Epilepticus · Phase 3
- Stress Disorders, Post-Traumatic · Phase 2
- Tuberculin · Phase 2
- Tuberous Sclerosis · Phase 2
Mechanism of action
- GABA-A receptor; anion channelPOSITIVE ALLOSTERIC MODULATOR
GABA-A receptor; anion channel positive allosteric modulator
It binds to both, synaptic and extrasynaptic GABA A receptors and acts most potently and effectively at GABA A receptors containing the delta-subunits, potentiating both tonic and phasic inhibition.
- Gamma-aminobutyric acid receptor subunit alpha-1 (GABRA1) ↗
- Gamma-aminobutyric acid receptor subunit beta-2 (GABRB2) ↗
- Gamma-aminobutyric acid receptor subunit gamma-2 (GABRG2) ↗
- Gamma-aminobutyric acid receptor subunit beta-3 (GABRB3) ↗
- Gamma-aminobutyric acid receptor subunit alpha-4 (GABRA4) ↗
- Gamma-aminobutyric acid receptor subunit gamma-3 (GABRG3) ↗
- Gamma-aminobutyric acid receptor subunit theta (GABRQ) ↗
- Gamma-aminobutyric acid receptor subunit alpha-3 (GABRA3) ↗
- Gamma-aminobutyric acid receptor subunit pi (GABRP) ↗
- Gamma-aminobutyric acid receptor subunit delta (GABRD) ↗
- Gamma-aminobutyric acid receptor subunit gamma-1 (GABRG1) ↗
- Gamma-aminobutyric acid receptor subunit beta-1 (GABRB1) ↗
- Gamma-aminobutyric acid receptor subunit epsilon (GABRE) ↗
- Gamma-aminobutyric acid receptor subunit alpha-2 (GABRA2) ↗
- Gamma-aminobutyric acid receptor subunit alpha-5 (GABRA5) ↗
- Gamma-aminobutyric acid receptor subunit alpha-6 (GABRA6) ↗
- GABA receptor alpha-1 subunit
- GABA receptor beta-2 subunit
- GABA receptor alpha-4 subunit
- GABA receptor delta subunit
- GABA receptor alpha-5 subunit
- GABA receptor alpha-6 subunit
- GABA receptor beta-3 subunit
- GABA receptor alpha-3 subunit
- GABA receptor alpha-2 subunit
- GABA-A receptor; GABA-A site (alpha1/beta2 interface)
- GABA-A receptor; alpha-3/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-3/gamma-2
- GABA-A receptor; alpha-5/beta-3/gamma-2
- GABA-A receptor; alpha-2/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-2/gamma-2
- GABA-A receptor; alpha-6/beta-3/gamma-2
- GABA-A receptor; benzodiazepine site
- GABA-A receptor; agonist GABA site
- GABA A receptor alpha-2/beta-2/gamma-2
- GABA A receptor alpha-3/beta-2/gamma-2
- GABA A receptor alpha-6/beta-2/gamma-2
- GABA A receptor alpha-1/beta-1/gamma-2
- GABA A receptor alpha-4/beta-3/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta3/delta
- Gamma-aminobutyric acid receptor subunit alpha-1/ beta-1
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3/theta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-6/beta-3
- GABA-A receptor alpha-1/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/beta-2/delta
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/delta
- Gamma-aminobutyric acid receptor subunit beta-1/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/alpha-2/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-1/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-1/delta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2/gamma-2
- GABA receptor beta-1 subunit
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-1/gamma-2
Approval history
- approvedPriority reviewMar 18, 2022
Chemistry & pharmacology
SMILES
CC(=O)[C@H]1CC[C@H]2[C@@H]3CC[C@H]4C[C@](C)(O)CC[C@]4(C)[C@H]3CC[C@]12C- Mol. weight
- 332.53 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaGanaxolone ↗
- ChEMBLCHEMBL1568698 ↗
Also known as
- 3alpha-hydroxy-3beta-methyl-5alpha-pregnan-20-one
- ccd 1042
- ccd-1042
- ccd-1042
- ccd-1042
- ganaxolone
- ganaxolone
- ganaxolone
- ganaxolone
- ganaxolone
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05814523 | Phase 3 | Sep 30, 2023 | Marinus Pharmaceuticals |
| NCT05249556 | Phase 3 | May 31, 2023 | Marinus Pharmaceuticals |
| NCT05757544 | Phase 2 | Apr 1, 2023 | Marinus Pharmaceuticals |
| NCT04391569 | Phase 3 | Aug 31, 2020 | Marinus Pharmaceuticals |
| NCT04285346 | Phase 2 | Apr 30, 2020 | Marinus Pharmaceuticals |
| NCT03865732 | Phase 3 | May 31, 2019 | Marinus Pharmaceuticals |
| NCT03572933 | Phase 3 | Jun 30, 2018 | Marinus Pharmaceuticals |
| NCT03350035 | Phase 2 | Feb 19, 2018 | Marinus Pharmaceuticals |
| NCT03460756 | Phase 2 | Dec 28, 2017 | Marinus Pharmaceuticals |
| NCT03228394 | Phase 2 | Jun 27, 2017 | Marinus Pharmaceuticals |
| NCT02900092 | N/A | Nov 1, 2016 | Harvard University |
| NCT02358538 | Phase 2 | Mar 1, 2015 | Marinus Pharmaceuticals, Sponsor GmbH |
| NCT02519439 | Phase 3 | Feb 1, 2015 | Marinus Pharmaceuticals |
| NCT01963208 | Phase 3 | Oct 1, 2013 | Marinus Pharmaceuticals |
| NCT01857531 | Phase 2 | Jun 1, 2013 | Duke University, National Institute on Drug Abuse (NIDA) |
| NCT01725152 | Phase 2 | Nov 1, 2012 | Marinus Pharmaceuticals, United States Army, University of Antwerp, University of California, Davis |
| NCT01339689 | Phase 2 | Apr 1, 2011 | Boston University, Duke University, INTRuST, Marinus Pharmaceuticals, United States Army |
| NCT01002820 | Phase 2 | Oct 1, 2009 | Marinus Pharmaceuticals |
| NCT00512317 | Phase 2 | Jun 1, 2007 | Marinus Pharmaceuticals |
| NCT00465517 | Phase 2 | Feb 1, 2007 | Marinus Pharmaceuticals |
Organizations
Research & Development (10)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Marinus Pharmaceuticals | For profit | 21 | 21 | 3 | 2007 |
| Duke University | Academic/Hospital | 2 | 1 | 1 | 2011 |
| United States Army | Government | 2 | 0 | 1 | 2011 |
| Boston University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2016 |
| INTRuST | Academic/Hospital | 1 | 0 | 1 | 2011 |
| National Institute on Drug Abuse (NIDA) | Government | 1 | 0 | 1 | 2013 |
| Sponsor GmbH | Academic/Hospital | 1 | 0 | 1 | 2015 |
| University of Antwerp | Academic/Hospital | 1 | 0 | 1 | 2012 |
| University of California, Davis | Academic/Hospital | 1 | 0 | 1 | 2012 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Marinus Pharmaceuticals | For profit | MKTG | Mar 18, 2022 |
| Marinus Pharmaceuticals | For profit | NDA2 | Mar 18, 2022 |
| Marinus Pharmaceuticals | For profit | NDA | Mar 18, 2022 |