Dihydrexidine

Last updated
Dihydrexidine
Dihydrexidine structure.png
Clinical data
ATC code
  • none
Identifiers
  • 5,6,6a,7,8,12b-hexahydro-benzo(a)phenanthridine-10,11-diol
CAS Number
PubChem CID
ChemSpider
UNII
ChEMBL
CompTox Dashboard (EPA)
Chemical and physical data
Formula C17H17NO2
Molar mass 267.328 g·mol−1
3D model (JSmol)
  • c1ccc2c(c1)CN[C@H]3[C@H]2c4cc(c(cc4CC3)O)O
  • InChI=1S/C17H17NO2/c19-15-7-10-5-6-14-17(13(10)8-16(15)20)12-4-2-1-3-11(12)9-18-14/h1-4,7-8,14,17-20H,5-6,9H2/t14-,17-/m1/s1 X mark.svgN
  • Key:BGOQGUHWXBGXJW-RHSMWYFYSA-N X mark.svgN
 X mark.svgNYes check.svgY  (what is this?)    (verify)

Dihydrexidine (DAR-0100) is a moderately selective full agonist at the dopamine D1 and D5 receptors. [1] It has approximately 10-fold selectivity for D1 and D5 over the D2 receptor. [2] Although dihydrexidine has some affinity for the D2 receptor, it has functionally selective (highly biased) D2 signaling, [3] thereby explaining why it lacks D2 agonist behavioral qualities. [4]

Dihydrexidine has shown impressive antiparkinson effects in the MPTP-primate model, [5] and has been investigated for the treatment of Parkinson's disease. [6] In an early clinical trial the drug was given intravenously and led to profound hypotension so development was halted. [7] The drug was resurrected when it was shown that smaller subcutaneous doses were safe. [8] This led to a pilot study in schizophrenia [9] and current clinical trials to assess its efficacy in improving the cognitive and working memory deficits in schizophrenia and schizotypal disorder.

There have been several reviews of relevance to the compound. [10] [11] [12]

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References

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  3. Kilts, JD.; et al. (2002). "Functional selectivity of dopamine receptor agonists. II. Actions of dihydrexidine in D2L receptor-transfected MN9D cells and pituitary lactotrophs". J Pharmacol Exp Ther. 301 (3): 1179–89. doi:10.1124/jpet.301.3.1179. PMID   12023553.
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