Suvorexant
![](//web.archive.org./web/20130505221236im_/http://upload.wikimedia.org/wikipedia/commons/thumb/8/8f/MK4305_structure.png/220px-MK4305_structure.png) |
Systematic (IUPAC) name |
[(7R)-4-(5-chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-diazepan-1-yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone |
Clinical data |
Pregnancy cat. |
? |
Legal status |
Investigational |
Identifiers |
CAS number |
1030377-33-3 N |
ATC code |
None |
PubChem |
CID 24965990 |
ChemSpider |
24662178 |
Chemical data |
Formula |
C23H23ClN6O2 |
Mol. mass |
450.920 g/mol (free base) |
- n5ccnn5-c3ccc(C)cc3C(=O)N2CCN(CCC2C)c(nc1c4)oc1ccc4Cl
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InChI=1S/C23H23ClN6O2/c1-15-3-5-20(30-25-8-9-26-30)18(13-15)22(31)29-12-11-28(10-7-16(29)2)23-27-19-14-17(24)4-6-21(19)32-23/h3-6,8-9,13-14,16H,7,10-12H2,1-2H3/t16-/m1/s1
Key:JYTNQNCOQXFQPK-MRXNPFEDSA-N
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N (what is this?) (verify)
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Suvorexant (MK-4305) is a dual orexin receptor antagonist in development by Merck & Co.[1][2][3] Suvorexant works by turning off wakefulness rather than by inducing sleep.[4] It is not currently approved for commercial use, but it has completed three Phase III trials.[5] It is one of two such compounds currently in development, the other being GlaxoSmithKline's SB-649,868.[citation needed]
[edit] References
- ^ Cox, Christopher D.; Breslin, Michael J.; Whitman, David B.; Schreier, John D.; McGaughey, Georgia B.; Bogusky, Michael J.; Roecker, Anthony J.; Mercer, Swati P. et al. (2010). "Discovery of the Dual Orexin Receptor Antagonist [(7R)-4-(5-Chloro-1,3-benzoxazol-2-yl)-7-methyl-1,4-diazepan-1-yl][5-methyl-2-(2H-1,2,3-triazol-2-yl)phenyl]methanone (MK-4305) for the Treatment of Insomnia". Journal of Medicinal Chemistry 53 (14): 5320–32. doi:10.1021/jm100541c. PMID 20565075. edit
- ^ Baxter, Carl A.; Cleator, Ed; Brands, Karel M. J.; Edwards, John S.; Reamer, Robert A.; Sheen, Faye J.; Stewart, Gavin W.; Strotman, Neil A. et al. (2011). "The First Large-Scale Synthesis of MK-4305: A Dual Orexin Receptor Antagonist for the Treatment of Sleep Disorder". Organic Process Research & Development 15 (2): 367–75. doi:10.1021/op1002853. edit
- ^ Winrow, Christopher J.; Gotter, Anthony L.; Cox, Christopher D.; Doran, Scott M.; Tannenbaum, Pamela L.; Breslin, Michael J.; Garson, Susan L.; Fox, Steven V. et al. (2011). "Promotion of Sleep by Suvorexant—A Novel Dual Orexin Receptor Antagonist". Journal of Neurogenetics 25 (1–2): 52–61. doi:10.3109/01677063.2011.566953. PMID 21473737. edit
- ^ Kahn, Howie (June 1, 2012). "Sleep Better". In Koerth-Baker, Maggie. 32 Innovations That Will Change Your Tomorrow. New York Times. Retrieved November 29, 2012.
- ^ Three completed trials:
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GABAA
agonists/PAMs |
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GABAB
agonists |
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H1 inverse
agonists |
Antihistamines: Captodiame • Cyproheptadine • Diphenhydramine • Doxylamine • Hydroxyzine • Methapyrilene • Pheniramine • Promethazine • Propiomazine
Antidepressants: Tricyclic antidepressants ( Amitriptyline, Doxepin, Trimipramine, etc.) • Tetracyclic antidepressants ( Mianserin, Mirtazapine, etc.)
Antipsychotics: Typical antipsychotics ( Chlorpromazine, Thioridazine, etc.) • Atypical antipsychotics ( Olanzapine, Quetiapine, Risperidone, etc.)
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α1-Adrenergic
antagonists |
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α2-Adrenergic
agonists |
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5-HT2A
antagonists |
Antidepressants: Serotonin antagonists and reuptake inhibitors ( Trazodone) • Tricyclic antidepressants ( Amitriptyline, Doxepin, Trimipramine, etc.) • Tetracyclic antidepressants ( Mianserin, Mirtazapine, etc.)
Antipsychotics: Typical antipsychotics ( Chlorpromazine, Thioridazine, etc.) • Atypical antipsychotics ( Olanzapine, Quetiapine, Risperidone, etc.)
Others: Eplivanserin • Niaprazine • Pruvanserin • Volinanserin
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Melatonin
agonists |
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Orexin
antagonists |
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Others |
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Cholecystokinin |
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CRH |
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Galanin |
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Ghrelin |
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GnRH |
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MCH |
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Melanocortin |
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Neuropeptide S |
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Neuropeptide Y |
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Neurotensin |
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Orexin |
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Oxytocin |
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Tachykinin |
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- Agonists: Substance P
Antagonists: Aprepitant
- Befetupitant
- Casopitant
- CI-1021
- CP-96,345
- CP-99,994
- CP-122,721
- Dapitant
- Ezlopitant
- FK-888
- Fosaprepitant
- GR-203,040
- GW-597,599
- HSP-117
- L-733,060
- L-741,671
- L-743,310
- L-758,298
- Lanepitant
- LY-306,740
- Maropitant
- Netupitant
- NKP-608
- Nolpitantium
- Orvepitant
- RP-67,580
- SDZ NKT 343
- Vestipitant
- Vofopitant
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Vasopressin |
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Actelion's research team is targeting the G-Protein coupled receptors, OX1 and OX2, which mediate the actions of orexins.