Abstract
Provided herein are novel phenylalkylamines as 5-HT2A agonists, pharmaceutical compositions, use of such compounds in treating psychiatric disorders, and processes for preparing such compounds.

Important Compound Classes

Title
Novel Phenylalkylamines and Their Use in the Treatment of Psychiatric Disorders
Patent Publication Number
WO 2025/059373 A1
URL
Publication Date
March 20, 2025
Priority Application
US 63/537,925 and US 63/543,940
Priority Date
September 12, 2023 and October 13, 2023
Inventors
Kruegel, A. C.; Cunningham, M. J.
Assignee Company
Gilgamesh Pharmaceuticals Inc., USA
Disease Area
Psychiatric disorders
Biological Target
5-HT2A
Summary
Psychiatric disorders are mental disorders that cause abnormal thinking and perceptions. Psychiatric disorders include depressive disorders, anxiety, panic disorders, schizophrenia, eating disorders, substance use disorders, post-traumatic stress disorders, attention deficit disorder, and obsessive-compulsive disorder.
Psychedelics (serotonergic hallucinogens) are powerful psychoactive substances that alter perception and mood and affect numerous cognitive processes. After the discovery of (5R,8R)-(+)-lysergic acid-N,N-diethylamide (LSD) and the identification of serotonin in the brain, early research focused intensively on LSD. Today, there is consensus that psychedelics are agonists or partial agonists at brain serotonin 5-hydroxytryptamine 2A (5-HT2A) receptors. Psychedelics have both rapid onset and persisting effects, which includes changes in mood and brain function. The classical psychotic agents include LSD, psilocybin, or mescaline.
The 5-HT2A receptor plays an important role in emotional responses and is an important target to be considered in the action of 5-HT2A agonist psychedelics. In fact, a majority of known 5-HT2A agonists produce hallucinogenic effects in humans. Psilocybin activates 5HT1A receptors, which may contribute to antidepressant/antianxiety effects.
Psychosis is often referred to as an abnormal state of mind that is characterized by hallucinatory experiences, delusional thinking and disordered thoughts. Anecdotal evidence suggests that low, nonhallucinogenic doses of psychedelics can reduce symptoms of schizophrenia and psychosis.
The present application describes a series of novel phenylalkylamines as 5-HT2A agonists for the treatment of psychiatric disorders. Further, the application discloses compounds, their preparation, use, pharmaceutical composition, and treatment.
Definitions
R1 = H, methyl, ethyl, −CH2–OH, −CH2–O–(methyl), −CH2F, or −CH2CH2F;
R2 = H, C1–C5 alkyl, C3–C5 alkenyl, C3–C5 alkynyl, or C3–C5 cycloalkyl, wherein alkyl, alkenyl, alkynyl, and cycloalkyl are optionally substituted with one or more F;
R3 = H, C1–C3 alkyl, cyclopropyl or F, wherein alkyl and cyclopropyl are optionally substituted with one or more F;
R4 = C2–C8 alkyl, C2–C8 alkenyl, C2–C8 alkynyl, C3–C10 cycloalkyl, −(C2–C8 alkyl)–(C3–C10 cycloalkyl), −S–(C1–C8 alkyl), −S–(C3–C8 alkenyl), −S–(C3–C8 alkynyl)–, −S–(C3–C10 cycloalkyl), Cl, Br, I, CF3, NO2, or SF5;
R5 = C1–C5 alkyl, C2–C5 alkenyl, C2–C5 alkynyl, or C3–C5 cycloalkyl, wherein alkyl, alkenyl, alkynyl, and cycloalkyl are optionally substituted with one or more F; and
R6 = H, C1–C3 alkyl, cyclopropyl or F, wherein alkyl and cyclopropyl are optionally substituted with one or more F.
Key Structures
Biological Assay
The 5-HT2A receptor FLIPR functional assay was performed. The compounds described in this application were tested for agonist activity at 5-HT2A receptor. The 5-HT2A EC50 values (nM) are shown in the following Table.
Biological Data
Table below shows representative compounds that were tested for agonist activity at 5-HT2A. The biological data obtained from testing representative examples are listed in the following Table.
Claims
Total claims: 81
Compound claims: 64
Pharmaceutical composition claims: 4
Method of treatment claims: 13
Recent Review Articles
See References − .
The author declares no competing financial interest.
Published as part of ACS Medicinal Chemistry Letters special issue “Psychedelics and Entactogens”.
References
- Schimmelpfennig J., Jankowiak-Siuda K.. Exploring DMT: Endogenous role and therapeutic potential. Neuropharmacology. 2025;268:110314. doi: 10.1016/j.neuropharm.2025.110314. [DOI] [PubMed] [Google Scholar]
- Miranda L.. Antidepressant and anxiolytic effects of activating 5-HT2A receptors in the anterior cingulate cortex and the theoretical mechanisms underlying them - A scoping review of available literature. Brain Res. 2025;1846:149226. doi: 10.1016/j.brainres.2024.149226. [DOI] [PubMed] [Google Scholar]
- Gupta, S. ; Bhatnagar, R. K. ; Gupta, D. ; Kumari, M. K. ; Chopra, A. . The evolution of N,N-dimethyltryptamine: from metabolic pathways to brain connectivity. Psychopharmacology 2025, in press. 10.1007/s00213-025-06777-z. [DOI] [PubMed] [Google Scholar]
- Cummins, B. R. ; Billac, G. B. ; Nichols, D. E. ; Nichols, C. D. . 5-HT2A receptors: Pharmacology and functional selectivity. Pharmacol. Rev. 2025, in press. 10.1016/j.pharmr.2025.100059 https://www.sciencedirect.com/science/article/pii/S0031699725074678. [DOI] [PubMed] [Google Scholar]
- Sabnis R. W., Sabnis A. R.. Novel pyridine derivatives as 5-HT2A agonists for treating psychiatric disorders. ACS Med. Chem. Lett. 2025;16:192–193. doi: 10.1021/acsmedchemlett.4c00629. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weiss F., Magnesa A., Gambini M., Gurrieri R., Annuzzi E., Elefante C., Perugi G., Marazziti D.. Psychedelic-induced neural plasticity: A comprehensive review and a discussion of clinical implications. Brain Sci. 2025;15:117. doi: 10.3390/brainsci15020117. [DOI] [PMC free article] [PubMed] [Google Scholar]


