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| Other names | RU-47213; RU47213 |
| Drug class | Non-selective muscarinic acetylcholine receptor agonist |
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| Formula | C14H15ClN2O3 |
| Molar mass | 294.74 g·mol−1 |
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Itameline (INN ; developmental code name RU-47213) is a non-selective muscarinic acetylcholine receptor agonist which was under development for the treatment of Alzheimer's disease and memory disorders but was never marketed. [1] [2] [3] It has been referred to as a "nootropic" (cognitive enhancer). [4] [5]
Itameline is a prodrug of RU-35963, an arecoline derivative. [6] [7] [2] It is an agonist of the muscarinic acetylcholine M1 receptor as well as of other muscarinic acetylcholine receptors. [8] [6] [9] [7] [2] Itameline is described as being superior to arecoline in terms of potency, central selectivity, and duration of action. [6] [7] The drug shows antiamnesic effects in animals, for instance reversing scopolamine-induced memory deficits. [10] [6] [2] [3] Structurally, it is a tetrahydropyridine similarly to xanomeline and milameline. [11]
Itameline was first described in the scientific literature by 1992. [3] It was under development by Hoechst Marion Roussel and reached phase 2 clinical trials by 1998 prior to the discontinuation of its development. [12] [7] [4]