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Discovery of cariprazine (RGH-188): A novel antipsychotic acting on dopamine Db>3b>/Db>2b> receptors
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摘要
Medicinal chemistry optimization of an impurity isolated during the scale-up synthesis of a pyridylsulfonamide type dopamine Db>3b>/Db>2b> compound (boldFont">1) led to a series of new piperazine derivatives having affinity to both dopamine Db>3b> and Db>2b> receptors. Several members of this group showed excellent pharmacokinetic and pharmacodynamic properties as demonstrated by outstanding activities in different antipsychotic tests. The most promising representative, boldFont">2m (cariprazine) had good absorption, excellent brain penetration and advantageous safety profile. Based on its successful clinical development we are looking forward to the NDA filing of cariprazine in 2012.

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