Chemistry:AZD-2327

From HandWiki

AZD-2327 is a δ-opioid receptor agonist which was under development for the treatment of depressive disorders and anxiety disorders but was never marketed.[1][2][3][4][5] It is taken by mouth.[1]

Pharmacology

The drug showed antidepressant- and anxiolytic-like effects as well as locomotor-stimulating effects in animal models.[3][4] It had reduced induction of seizures and locomotor hyperactivity compared to other δ-opioid receptor agonists.[3][4] The doses required for stimulant-like activity were 3- to 10-fold greater than the doses that produced antidepressant- and anxiolytic-like effects.[4] The drug appears to have a very low misuse potential based on animal studies.[3][6] In addition to its δ-opioid receptor agonist activity, AZD-2327 has been reported to act as a cytochrome P450 CYP3A4 inhibitor.[7]

It has been found to inhibit the release of norepinephrine caused by anxiety and was able to do so as much as the benzodiazepine diazepam.[8] However, AZD-2327 could be advantageous to benzodiazepines because these drugs often cause rapid tolerance and dependence.[9] In contrast to benzodiazepines, AZD-2327 may have less or no potential for tolerance in terms of its anxiolytic-like effects.[8]

History

AZD-2327 was first described by 2004 and was first described in the scientific literature in 2009.[3] The development of AZD-2327 was discontinued in 2010.[3][1] It reached phase 2 clinical trials for both depressive disorders and anxiety disorders prior to its discontinuation.[1] No reason was given for the discontinuation of its development.[3] However, the drug was found to be ineffective for major depressive disorder in a phase 2 clinical trial.[10][11] AZD-2327 was developed by AstraZeneca.[1][2]

See also

References

  1. 1.0 1.1 1.2 1.3 1.4 "AZD 2327". 5 November 2023. https://adisinsight.springer.com/drugs/800024943. 
  2. 2.0 2.1 "Delving into the Latest Updates on AZD-2327 with Synapse". 19 October 2024. https://synapse.patsnap.com/drug/bd0f9b65bcbc41b3ad7962bc57bd44ab. 
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 "Discontinued anxiolytic drugs (2009 - 2014)". Expert Opinion on Investigational Drugs 24 (4): 557–573. April 2015. doi:10.1517/13543784.2014.998335. PMID 25557457. 
  4. 4.0 4.1 4.2 4.3 "Delta Opioid Receptors and Modulation of Mood and Emotion". Delta Opioid Receptor Pharmacology and Therapeutic Applications. Handbook of Experimental Pharmacology. 247. 2018. pp. 179–197. doi:10.1007/164_2017_42. ISBN 978-3-319-95131-7. 
  5. "A randomized, placebo-controlled pilot trial of the delta opioid receptor agonist AZD2327 in anxious depression". Psychopharmacology 233 (6): 1119–1130. March 2016. doi:10.1007/s00213-015-4195-4. PMID 26728893. 
  6. "Effects of the δ opioid agonist AZD2327 upon operant behaviors and assessment of its potential for abuse". Pharmacology, Biochemistry, and Behavior 124: 48–57. September 2014. doi:10.1016/j.pbb.2014.05.009. PMID 24857840. 
  7. "Physiologically based pharmacokinetic modeling to predict complex drug-drug interactions: a case study of AZD2327 and its metabolite, competitive and time-dependent CYP3A inhibitors". Biopharmaceutics & Drug Disposition 36 (8): 507–519. November 2015. doi:10.1002/bdd.1962. PMID 26081137. 
  8. 8.0 8.1 "Preclinical pharmacology of AZD2327: a highly selective agonist of the δ-opioid receptor". The Journal of Pharmacology and Experimental Therapeutics 338 (1): 195–204. July 2011. doi:10.1124/jpet.111.179432. PMID 21444630. 
  9. "Time course for development of benzodiazepine tolerance and physical dependence". Neuroscience and Biobehavioral Reviews 9 (1): 123–131. March 1985. doi:10.1016/0149-7634(85)90038-7. PMID 2858077. 
  10. "Novel Antidepressants in the Pipeline (Phase II and III): A Systematic Review of the US Clinical Trials Registry". Pharmacopsychiatry 55 (4): 193–202. July 2022. doi:10.1055/a-1714-9097. PMID 35045580. 
  11. "New agents and perspectives in the pharmacological treatment of major depressive disorder". Progress in Neuro-Psychopharmacology & Biological Psychiatry 106. March 2021. doi:10.1016/j.pnpbp.2020.110157. PMID 33159975.