MedPath

Vilazodone

Generic Name
Vilazodone
Brand Names
Viibryd
Drug Type
Small Molecule
Chemical Formula
C26H27N5O2
CAS Number
163521-12-8
Unique Ingredient Identifier
S239O2OOV3
Background

Vilazodone is a novel compound with combined high affinity and selectivity for the 5-hydroxytryptamine (5-HT) transporter and 5-HT(1A) receptors. Vilazodone may also be associated with less sexual dysfunction and weight gain. Vilazodone was given FDA approval on January 21, 2011.

Indication

用于治疗成人重度抑郁症(MDD)。

Associated Conditions
Major Depressive Disorder (MDD)

FDA Approves Spravato (Esketamine) Nasal Spray as Standalone Treatment for Treatment-Resistant Depression

• The FDA has approved Spravato (esketamine) nasal spray as a monotherapy for adults with treatment-resistant depression (TRD). • Spravato demonstrated rapid and superior improvement in depressive symptoms compared to placebo in clinical trials. • The approval was based on a study where 22.5% of patients achieved remission with Spravato compared to 7.6% with placebo. • Due to risks, Spravato is only available through a restricted program under the supervision of a healthcare provider.

Intra-Cellular Therapies Seeks FDA Approval for Caplyta as Adjunctive MDD Treatment

• Intra-Cellular Therapies has submitted an sNDA to the FDA for Caplyta (lumateperone) as an adjunctive treatment for major depressive disorder (MDD). • The sNDA is supported by positive Phase 3 results, demonstrating significant antidepressant efficacy and a favorable safety profile for Caplyta. • If approved, Caplyta would address a critical need for effective and well-tolerated medicines for the millions of adults with MDD who do not adequately respond to antidepressants alone. • Caplyta, an oral, once-daily atypical antipsychotic, is already approved for schizophrenia and bipolar depression, potentially expanding its utility.

SAINT iTBS Protocol Shows Promise for Bipolar I Depression

• A refined protocol of repetitive transcranial magnetic stimulation (rTMS), SAINT, shows promise in reducing depressive symptoms of bipolar I disorder. • The open-label trial demonstrated a 60% remission rate among participants within one month following the SAINT treatment. • The SAINT protocol was not associated with adverse cognitive effects or the emergence of manic symptoms in the study. • Further investigation is warranted through double-blind, sham-controlled trials with larger samples and extended follow-up.

Antidepressant Vortioxetine Shows Promise in Treating Glioblastoma in Preclinical Studies

• Researchers have identified vortioxetine, an FDA-approved antidepressant, as a potential treatment for glioblastoma, an aggressive brain tumor, due to its ability to cross the blood-brain barrier. • Preclinical studies in cell cultures and mice demonstrated that vortioxetine effectively suppressed glioblastoma cell growth, especially when combined with standard treatments like chemotherapy and radiation. • The research team is preparing for clinical trials to evaluate the efficacy of vortioxetine in human glioblastoma patients, with cautious optimism about its potential to improve treatment outcomes. • Experts caution against self-medication with vortioxetine, emphasizing the need for clinical trials to determine appropriate dosages and confirm its effectiveness and safety in humans.

FDA Approves Cobenfy, a Novel Schizophrenia Treatment Targeting Cholinergic Receptors

• The FDA has approved Cobenfy (xanomeline and trospium chloride) as the first new class of drug for schizophrenia in over 30 years, offering a novel approach to treatment. • Cobenfy targets muscarinic receptors, unlike traditional antipsychotics that focus on dopamine, potentially reducing side effects like weight gain and movement disorders. • Clinical trials demonstrated Cobenfy significantly reduced schizophrenia symptoms compared to placebo, marking a transformative moment in managing this challenging condition. • Expected to launch in late October, Cobenfy offers a new option for adults with schizophrenia, with ongoing studies exploring its potential in Alzheimer's psychosis and other conditions.

Abbott's TRANSCEND Trial to Evaluate DBS for Treatment-Resistant Depression

• Abbott has initiated the TRANSCEND study, a pivotal clinical trial, to assess its deep brain stimulation (DBS) system for treatment-resistant depression (TRD). • The FDA granted Abbott Breakthrough Device designation for DBS in TRD, expediting the review of this innovative technology. • The TRANSCEND study is a multi-center, double-blind, randomized, sham-controlled trial enrolling 100 participants who have failed multiple antidepressant treatments.
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