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Other names | Ketamir; Oral ketamine analogue; 1-(2-Chlorophenyl)-N-methyl-2-oxocyclopentan-1-amine |
Routes of administration | Oral |
Drug class | NMDA receptor antagonist |
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Chemical and physical data | |
Formula | C12H14ClNO |
Molar mass | 223.70 g·mol−1 |
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Ketamir-2, or simply Ketamir, also known as oral ketamine analogue or as 1-(2-chlorophenyl)-N-methyl-2-oxocyclopentan-1-amine, is an NMDA receptor antagonist closely related ketamine and other arylcyclohexylamines which is under development for the treatment of depressive disorders and other conditions such as neuropathic pain. [1] [2] [3] [4] It is the analogue of ketamine in which the 6-membered cyclohexane ring has been replaced with a 5-membered cyclopentane ring. [3] Ketamir-2 is orally active. [3]
Ketamir-2 is a very low-affinity antagonist of the phencyclidine (PCP) site of the NMDA receptor. [3] Its affinity (IC50 ) for the PCP site of the NMDA receptor is approximately 100 μM, whereas that of ketamine (Ki) has been found to be about 660 nM (which is ~150-fold higher affinity). [3] [5] Ketamir-2 also has a major active metabolite, desmethylketamir (norketamir), which has an affinity (IC50) for the PCP site of the NMDA receptor of about 470 μM. [3] Ketamir-2 showed no activity at other sites besides the PCP site of the NMDA receptor when screened against a panel of 40 receptors, transporters, enzymes, and ion channels. [3] This is in contrast to ketamine, which shows appreciable affinities for a variety of other targets. [3] As such, Ketamir-2 is claimed to be more selective than ketamine. [3]
Whereas ketamine is a substrate for P-glycoprotein and this might impede its absorption and distribution, Ketamir-2 does not bind to this protein. [3] [4] Relatedly, Ketamir-2 shows improved oral bioavailability relative to ketamine and might have better blood–brain barrier permeability. [3] [4] Ketamir-2 displays a pharmacokinetic profile in animals of rapid absorption and short elimination half-life. [3] Whereas ketamine produces hyperlocomotion in rodents, a stimulant- and putatively psychotic-like effect, Ketamir-2, depending on the dose, either did not affect locomotor activity or decreased it. [3] Ketamir-2 showed antidepressant-like, anxiolytic-like, and analgesic-like effects in animal models. [3]
Ketamir-2 is under development by MIRA Pharmaceuticals. [1] [2] As of July 2024, it is in the preclinical research stage of development. [1] [2] In June 2025, the first journal article about Ketamir-2 was published. [3] According to the Drug Enforcement Administration (DEA), Ketamir-2 is not a controlled substance in the United States as of 2024. [4]