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. 2017 Oct 16;7(6):611–622. doi: 10.1016/j.apsb.2017.09.001

Table 1.

α7 nAChR agonists and PAM in clinical trials.

Compound Classification Potency & efficacy Animal model on CNS disorders Indication Clinical status (Sponsor)
Tropisetron Partial agonist Binding affinity: Mice: phencyclidine-induced cognitive deficits75. Pain Phase IV (completed in 2009)
Image 2 Ki: 6.9 nmol/L (in rα7)73
(University Hospital, Clermont-Ferrand)
Electrophysiology activity: Rats: young and aged rats76; naloxone-induced place aversion77.
Hα7 in oocytes: EC50 = 0.6 μmol/L; Emax = 25%74
Smoking cessation; schizophrenia Phase III (completed in 2011)
Mα7 in oocytes: EC50 = 1.3 μmol/L; Emax = 36%73
(Baylor College of Medicine)
GTS-21/DMXB-A Partial agonist Binding affinity: Rats: normal or isoflurane-induced cognitive impairment aged rats80., 81., 82.; ibotenic acid-induced dementia83; mecamylamine-caused learning impairment84; auditory gating in isolation-reared rats85; apomorphine/MK-801-elicited PPI deficits86., 87.. Schizophrenia Phase II (completed in 2015)
Image 3
Ki: 2000 nmol/L (in hα7)78
Electrophysiology activity:
Hα7 in oocytes: EC50 = 11.0 μmol/L; Emax = 9%79 (University of Colorado)
Rα7 in oocytes: EC50 = 5.2 μmol/L; Emax = 32%79 AD; ADHD Phase II (completed in 2008)
(CoMentis)
Mice: Aβ-induced cognitive deficits45; deficient sensory inhibition88; aggressive behavior in mouse models89.
Tobacco use disorder Phase II (not yet recruiting)
Rabits: aged rabbits90., 91..
(University of Florida)
Monkeys: normal monkeys in DMTS task78; Ketamine-induced cognitive deficit92.
ABT-126 Agonist Binding affinity: Monkeys: Parkinsonian monkeys95. AD Phase II (terminated in 2014)
Image 4 Ki: 12–14 nmol/L (in hα7, rα7 and mα7)93., 94.
(AbbVie)
Schizophrenia Phase II (terminated in 2014)
(AbbVie)
AZD0328 Partial agonist Binding affinity: Mice: NOR in normal mice96., 97.. AD Phase I (completed in 2008)
Image 5 Ki: 3.0 and 4.7 nmol/L (in hα7 and rα7)96
Electrophysiology activity: Monkeys: normal monkeys in delayed response task98.
Hα7 in oocytes: EC50 = 338 nmol/L; Emax = 64.7%96 (AstraZeneca)
Schizophrenia Phase II (terminated in 2008)
Rα7 in oocytes: EC50 = 150 nmol/L; Emax = 61.0%96
(AstraZeneca)
BMS-933043 Partial agonist Binding affinity: Rats: MK-801-induced cognitive deficits73; S(+)ketamine-induced sensory gating deficits73. Schizophrenia Phase I (completed in 2013)
Image 6 Ki: 8.1 and 3.3 nmol/L (in hα7 and rα7)73
Ca2+ flux assays:
Hα7 in HEK293 cell line: EC50 = 23.4 nmol/L73 (Bristol-Myers Squibb)
Electrophysiology activity:
Hα7 in oocytes: EC50 = 0.29 μmol/L;Emax = 24%73
Rα7 in oocytes: EC50 = 0.14 μmol/L; Emax = 27%73
Mice: MK-801-induced cognitive deficits73.
EVP-6124/ Encenicline Partial agonist Binding affinity: Rats: scopolamine-induced deficit99; delay-dependent forgetting in the NOR100; low attentive rats101. AD; dementia Phase III (terminated in 2017)
Ki: 9.98 nmol/L (in rα7)99
Image 7 (FORUM)
Electrophysiology activity:
Hα7 in oocytes: EC50 = 0.39 μmol/L; Emax = 42%99 Schizophrenia; impaired cognition Phase III (completed in 2016)
(FORUM)
Nicotine dependence; smoking cessation Phase II (terminated in 2015)
(A. Eden Evins)
MEM3454/RG3487 Partial agonist Binding affinity: Rats: attentional performance in normal rats103; aged rats102; apomorphine-induced deficits in sensorimotor gating102. AD Phase II (completed in 2007)
Image 8 Ki: 6 nmol/L (in rα7)102
Electrophysiology activity: (Memory)
Hα7 in oocytes: EC50 = 0.8 μmol/L; Emax = 63%102
Schizophrenia Phase II (unknown)
Hα7 in QM cell line: EC50 = 7.7 μmol/L; Emax = 69%102 (Memory)
AQW051 Partial agonist Binding affinity: Rats: aged rats05105 Schizophrenia Phase II (completed in 2013)
Image 9 Ki: 27 nmol/L104
Ca2+ flux assays: Mice: NOR in normal mice105
Hα7: EC50 = 7.4 μmol/L; Emax = 73%105 Monkeys: Parkinsonian monkeys106 (Novartis)
Electrophysiology activity:
Hα7 in oocytes: EC50 = 7.5 μmol/L; Emax = 75%105 Levodopa-induced dyskinesia in PD Phase II (completed in 2013)
(Novartis)
AD Phase II (terminated in 2009)
(Novartis)
TC-5619 Full agonist Binding affinity: Mice: th(tk)/th(tk) mice108; apomorphine-induced PPI deficits108; NOR in normal mice108. Schizophrenia Phase II (completed in 2013)
Image 10
Ki: 1 and 1.4 nmol/L (in hα7 and rα7)107., 108.
Electrophysiology activity: (Targacept)
Hα7 in oocytes: EC50 = 33 nmol/L; Emax = 100%108., 109. AD Phase I (completed in 2011)
Rα7 in GH4C1 cell line: EC50 = 17 nmol/L; Emax = 76%107 (Targacept)
ADHD Phase II (completed in 2012)
(Targacept)
SSR-180711 Partial agonist Binding affinity: Rats: MK-801/PCP-induced cognitive deficits111; depressive disorders rates111; neurodevelopmental latent inhibition models of schizophrenia112. AD Phase II (terminated in 2008)
Image 11 Ki: 14 and 22 nmol/L (in hα7 and rα7)110
(Sanofi)
Electrophysiology activity:
Hα7 in oocytes: EC50 = 4.4 μmol/L; Emax = 51%110 Mice: chronic mild stress model113; Aβ-induced memory deficits114; phencyclidine-induced cognitive deficits115; forced swim and tail suspension tests116
Hα7 in GH4C1 cell line: EC50 = 0.9 μmol/L; Emax = 36%110
APN1125 Partial agonist Electrophysiology activity: Rats: NOR in normal rats117 Schizophrenia Phase I / Phase II (suspended in 2016)
(Structure Undisclosed) Hα7 in oocytes: EC50 = 1.16 μmol/L; Emax = 41%117
(CoMentis)
AVL-3288/XY4083/CCMI Type I PAM Electrophysiology activity: Mice: DBA/2 mouse model of sensory-gating deficit118; MK-801-induced hyperlocomotion mode eight-arm radial maze in normal mice118; NOR in normal mice119. Schizophrenia; schizoaffective disorder Phase I (recruiting)
Image 12
Hα7 in oocytes: EC50 = 0.7 μmol/L; Emax = 9 folds118 (New York State Psychiatric Institute; University of Colorado)
Rats: 5-CSRTT in normal rats119; ketamine-induced cognitive deficits and social withdrawal120.

DMTS, delayed matching-to-sample; NOR, novel object recognition; PCP, neonatal phencyclidine; 5-CSRTT, five-choice serial reaction time task.

Indications and clinical status of α7 nAChR modulators above are obtained from https://clinicaltrials.gov/.