bitopertin   Click here for help

GtoPdb Ligand ID: 7546

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.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 6
Hydrogen bond donors 0
Rotatable bonds 8
Topological polar surface area 88.19
Molecular weight 543.11
XLogP 5.38
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES Fc1cc(cnc1N1CCN(CC1)C(=O)c1cc(ccc1OC(C(F)(F)F)C)S(=O)(=O)C)C(F)(F)F
Isomeric SMILES Fc1cc(cnc1N1CCN(CC1)C(=O)c1cc(ccc1O[C@H](C(F)(F)F)C)S(=O)(=O)C)C(F)(F)F
InChI InChI=1S/C21H20F7N3O4S/c1-12(20(23,24)25)35-17-4-3-14(36(2,33)34)10-15(17)19(32)31-7-5-30(6-8-31)18-16(22)9-13(11-29-18)21(26,27)28/h3-4,9-12H,5-8H2,1-2H3/t12-/m0/s1
InChI Key YUUGYIUSCYNSQR-LBPRGKRZSA-N
No information available.
Summary of Clinical Use Click here for help
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 Click here for help
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