Chemistry:Balovaptan

From HandWiki

Balovaptan (INN; developmental code name RG7314), is a selective small molecule antagonist of the vasopressin V1A receptor which is under development by Roche for the treatment of post-traumatic stress disorder (PTSD).[1]

Research

Post-traumatic stress disorder

It was in a phase III clinical trial for adults and a phase II clinical trial for children for post-traumatic stress disorder.[2]

Autism

In January 2018, Roche announced that the US Food and Drug Administration (FDA) had granted breakthrough therapy designation for balovaptan in people with autism spectrum disorder (ASD).[3] The FDA granted this based on the results of the adult phase II clinical trial called VANILLA (Vasopressin ANtagonist to Improve sociaL communication in Autism) study.[4]

The phase III study concluded that balovaptan did not improve social communication in autistic adults.[5]

Stroke

It was also in phase II studies for the treatment of stroke. However, it has since been discontinued for both of those indications.[6]

References

  1. "Roche - Pipeline". 2023. http://www.roche.com/research_and_development/who_we_are_how_we_work/pipeline.htm. 
  2. Clinical trial number NCT01793441 for "Study of RG7314 to Investigate Efficacy and Safety in Individuals With Autism Spectrum Disorders" at ClinicalTrials.gov
  3. "FDA grants Breakthrough Therapy Designation for Roche's balovaptan in autism spectrum disorder" (Press release). 2018-01-29. Retrieved 2018-02-06.
  4. "A phase 2 clinical trial of a vasopressin V1a receptor antagonist shows improved adaptive behaviors in men with autism spectrum disorder". Science Translational Medicine 11 (491). May 2019. doi:10.1126/scitranslmed.aat7838. PMID 31043521. 
  5. "Efficacy and safety of balovaptan for socialisation and communication difficulties in autistic adults in North America and Europe: a phase 3, randomised, placebo-controlled trial". The Lancet. Psychiatry 9 (3): 199–210. March 2022. doi:10.1016/s2215-0366(21)00429-6. PMID 35151410. 
  6. "Balovaptan". Adis Insight. Springer Nature Switzerland AG. https://adis.springer.com/drugs/800035102.