Agomelatine

drug
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Also known as AgomelatinaS-20098S20098ThymanaxValdoxanSID174006904SID170466417AgomelatineÊAgomelatineÂ

Summary

Agomelatine (CHEMBL10878) is an approved small molecule (ATC N06AX22) targeting MTNR1A, MTNR1B, and HTR2A; indicated across 6 conditions including major depressive disorder and depressive disorder.

At a glance

  • Status: Approved (max clinical phase 4)
  • Modality: Small molecule
  • ATC class: N06AX22
  • Targets: 5 (MTNR1A, MTNR1B, HTR2A…)
  • Indications: 6 conditions
  • Clinical trials: 18
  • Chemistry: 243.3 Da · C15H17NO2

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL10878
NameAgomelatine
TypeSmall molecule
Max phase4
FDA approvedno
PubChem CID82148
ATCN06AX22
Molecular formulaC15H17NO2
Molecular weight243.3
InChIKeyYJYPHIXNFHFHND-UHFFFAOYSA-N

SMILES: CC(=O)NCCC1=CC=CC2=C1C=C(C=C2)OC

IUPAC name: N-[2-(7-methoxynaphthalen-1-yl)ethyl]acetamide

Also known as: Agomelatina, Agomelatine, S-20098, S20098, Thymanax, Valdoxan, agomelatine, AGOMELATINE, SID174006904, SID170466417, AgomelatineÊ, AgomelatineÂ

Patent coverage: 1,398 distinct patent families (4,528 SureChEMBL compound mentions), from 3 matched compound structure(s). One matched structure accounts for 4,510 (100%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.

Targets

Targets

Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).

GeneTargetActionpAffinityCancer dependencyUniProt
MTNR1AMT1 receptorFull agonist10.40%P48039
MTNR1BMT2 receptorFull agonist10.50.2%P49286
HTR2A5-HT2A receptorAntagonist5.40%P28223
HTR2B5-HT2B receptorAntagonist6.60.4%P41595
HTR2C5-HT2C receptorAntagonist6.20%P28335

Broader ChEMBL bioactivity targets: 6 (assay-derived). Sample: 5-hydroxytryptamine receptor 2B, Melatonin receptor type 1A, Melatonin receptor type 1B, Melatonin receptor, Melatonin receptor, 5-hydroxytryptamine receptor 2C.

Bioactivity

ChEMBL activities: 52 potent at pChembl ≥ 5 of 54 total. Top 100 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
MTNR1B10.38Ki0.04nMCHEMBL_ACT_28446206
MTNR1A10.22Ki0.06nMCHEMBL_ACT_202831
MTNR1A10.22Ki0.06nMCHEMBL_ACT_2466319
MTNR1B10.16EC500.07nMCHEMBL_ACT_18001593
MTNR1A10.12IC500.08nMCHEMBL_ACT_632006
MTNR1B10Ki0.1nMCHEMBL_ACT_12634715
MTNR1A10Ki0.1nMCHEMBL_ACT_12634737
MTNR1A10Ki0.1nMCHEMBL_ACT_17957836
MTNR1A10Ki0.1nMCHEMBL_ACT_18685691
MTNR1B10EC500.1nMCHEMBL_ACT_202837
MTNR1B10EC500.1nMCHEMBL_ACT_2482278
MTNR1A10Ki0.1nMCHEMBL_ACT_25871540
MTNR1B10EC500.1nMCHEMBL_ACT_3290833
MTNR1A10Ki0.1nMCHEMBL_ACT_526334
MTNR1A9.92Ki0.12nMCHEMBL_ACT_16460965
MTNR1A9.92Ki0.12nMCHEMBL_ACT_18001517
MTNR1A9.92Ki0.12nMCHEMBL_ACT_22469756
MTNR1B9.9Ki0.13nMCHEMBL_ACT_25871541
MTNR1A9.74Ki0.18nMCHEMBL_ACT_1099141
MTNR1B9.74EC500.18nMCHEMBL_ACT_16461018
MTNR1B9.74EC500.18nMCHEMBL_ACT_17957891
MTNR1B9.74EC500.18nMCHEMBL_ACT_18685805
MTNR1B9.7Ki0.2nMCHEMBL_ACT_17957837
MTNR1A9.7EC500.2nMCHEMBL_ACT_18001592
MTNR1B9.7Ki0.2nMCHEMBL_ACT_18685721
MTNR1A9.7Ki0.2nMCHEMBL_ACT_28117052
MTNR1A9.7Ki0.2nMCHEMBL_ACT_28446203
MTNR1B9.68Ki0.21nMCHEMBL_ACT_16460985
MTNR1B9.68Ki0.21nMCHEMBL_ACT_22469771
MTNR1B9.68EC500.21nMCHEMBL_ACT_22469804
MTNR1B9.57Ki0.27nMCHEMBL_ACT_202832
MTNR1B9.57Ki0.27nMCHEMBL_ACT_2466340
MTNR1B9.42Ki0.38nMCHEMBL_ACT_18001526
MTNR1B9.35Ki0.45nMCHEMBL_ACT_1099142
P492859.28Ki0.53nMCHEMBL_ACT_1099140
P492859.27Ki0.54nMCHEMBL_ACT_1077730
P492859.27Ki0.54nMCHEMBL_ACT_239989
P492859.27Ki0.54nMCHEMBL_ACT_820927
MTNR1A8.85EC501.4nMCHEMBL_ACT_16461004
MTNR1A8.85EC501.4nMCHEMBL_ACT_17957881
MTNR1A8.85EC501.4nMCHEMBL_ACT_18685781
MTNR1A8.81EC501.56nMCHEMBL_ACT_202834
MTNR1A8.81EC501.56nMCHEMBL_ACT_22469782
MTNR1A8.8EC501.6nMCHEMBL_ACT_3290836
P492858EC5010.1nMCHEMBL_ACT_820928
HTR2C6.2Ki630nMCHEMBL_ACT_16461060
HTR2C6.15Ki708nMCHEMBL_ACT_18001535
HTR2C6.15Ki708nMCHEMBL_ACT_18685751
HTR2C6.15Ki708nMCHEMBL_ACT_8026533
HTR2B6.06AC50879.5nMCHEMBL_ACT_25164127
HTR2B5.68AC502075nMCHEMBL_ACT_25227559
HTR2C5.28AC505200nMCHEMBL_ACT_25131844

Target pathways

Aggregated over 5 target gene(s): MTNR1A, MTNR1B, HTR2A, HTR2B, HTR2C.

Top Reactome pathways

9 total, by targets touching each:

PathwayTargetsGenes
Signal Transduction5HTR2A, HTR2B, HTR2C, MTNR1A, MTNR1B
Signaling by GPCR5HTR2A, HTR2B, HTR2C, MTNR1A, MTNR1B
Class A/1 (Rhodopsin-like receptors)5HTR2A, HTR2B, HTR2C, MTNR1A, MTNR1B
GPCR downstream signalling5HTR2A, HTR2B, HTR2C, MTNR1A, MTNR1B
GPCR ligand binding5HTR2A, HTR2B, HTR2C, MTNR1A, MTNR1B
Amine ligand-binding receptors3HTR2A, HTR2B, HTR2C
Serotonin receptors3HTR2A, HTR2B, HTR2C
G alpha (q) signalling events3HTR2A, HTR2B, HTR2C
G alpha (i) signalling events2MTNR1A, MTNR1B

Dominant GO biological processes

GO termTargets
G protein-coupled receptor signaling pathway5
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger5
signal transduction5
chemical synaptic transmission4
intracellular calcium ion homeostasis3
phospholipase C-activating serotonin receptor signaling pathway3
serotonin receptor signaling pathway3
positive regulation of phosphatidylinositol biosynthetic process3
release of sequestered calcium ion into cytosol3
positive regulation of ERK1 and ERK2 cascade3
G protein-coupled serotonin receptor signaling pathway3
positive regulation of cell population proliferation2
response to xenobiotic stimulus2
positive regulation of fat cell differentiation2
obsolete cGMP-mediated signaling2

Indications & clinical

Indications

2 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).

IndicationPhaseMONDOEFO
major depressive disorder4MONDO:0002009MONDO:0002009
depressive disorder4MONDO:0002050MONDO:0002050

3 diseases in clinical trials (phase 1–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.

Disease (in trials)PhaseMONDOEFO
anxiety3MONDO:0011918EFO:0005230
dementia3MONDO:0001627HP:0000726
obsessive-compulsive disorder2MONDO:0008114EFO:0004242

1 further indication record had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.

Clinical trials

Total trials: 18.

Phase distribution

PhaseTrials
PHASE39
PHASE47
Not specified2

Top trials by phase / activity

NCTPhaseStatusTitle
NCT07011693PHASE4NOT_YET_RECRUITINGSwitching Medication and Augmentation Strategies for SSRI-Resistant Adolescent Depression(SMART-I)
NCT01483053PHASE4UNKNOWNCardiovascular Effects of Agomelatine and Escitalopram in Patients With Major Depressive Disorder (MDD)
NCT01822418PHASE4COMPLETEDAgomelatine Treatment of Depression in Schizophrenia (AGOPSYCH)
NCT04181567PHASE4COMPLETEDComparison of the Efficacy, Safety, and Relapse of ECT to ECT Plus Agomelatine for Depressed Patients
NCT04589143PHASE4COMPLETEDA Double-blind, Placebo-controlled Study of Antidepressant Augmentation With Agomelatine
NCT05426304PHASE4UNKNOWNProphylactic Effects of Agomelatine for Poststroke Depression
NCT05646264PHASE4UNKNOWNA Study on the Efficacy of Agomelatine Combined With Antipsychotics to Treat Negative Symptoms in Schizophrenia
NCT00411099PHASE3COMPLETEDEfficacy, Safety and Tolerability of Agomelatine in the Treatment of Major Depressive Disorder
NCT00411242PHASE3COMPLETEDEfficacy, Safety and Tolerability of Agomelatine in the Treatment of Major Depressive Disorder
NCT00463242PHASE3COMPLETEDA Placebo- and Paroxetine-controlled Study of the Efficacy, Safety and Tolerability of Agomelatine (25 or 50 mg) in the Treatment of Major Depressive Disorder (MDD)
NCT00467402PHASE3COMPLETEDEfficacy, Safety and Tolerability of Agomelatine in the Prevention of Relapse of Major Depressive Disorder
NCT01110889PHASE3COMPLETEDEfficacy, Safety and Tolerability of Agomelatine Sublingual Tablets in the Treatment of Major Depressive Disorder
NCT01110902PHASE3COMPLETEDEfficacy, Safety and Tolerability of Agomelatine Sublingual Tablets in the Treatment of Major Depressive Disorder (MDD)
NCT01488071PHASE3COMPLETEDA Study of Vortioxetine (Lu AA21004) in Comparison to Agomelatine in Adults Suffering From Major Depression With Inadequate Response to Previous Medication
NCT02374567PHASE3TERMINATEDPharmacovigilance in Gerontopsychiatric Patients
NCT03852160PHASE3WITHDRAWNA Study of Esketamine Nasal Spray Plus a New Standard-of-care Oral Antidepressant or Placebo Nasal Spray Plus a New Standard-of-care Oral Antidepressant in Adult and Elderly Participants With Treatment-resistant Depression
NCT00451490Not specifiedWITHDRAWNThe Effect of Agomelatine or Fluoxentine on Heart Rate Variability in Patients With Major Depressive Disorder
NCT01731899Not specifiedCOMPLETEDAgomelatine in Depressed Patients With Fibromyalgia

Clinical evidence (CIViC)

No CIViC predictive evidence (expected for non-precision-medicine drugs).

Pharmacology

Pharmacogenomics

No CPIC/DPWG dosing guideline, but PharmGKB curates 1 clinical and 2 variant annotation(s) for this drug (gene-keyed; see PharmGKB).

Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.

566 molecules share ≥1 primary target. Top 100 by shared-target count:

MoleculeSourceStatusShared targets
MEBUFOTENINChEMBLPhase 2HTR2A, HTR2B, HTR2C, MTNR1A, MTNR1B
DIHYDROERGOTAMINEChEMBL + PubChemPhase 4 (approved)HTR2A, HTR2B, HTR2C
FIDAXOMICINChEMBL + PubChemPhase 4 (approved)HTR2A, HTR2B, HTR2C
PIMAVANSERINChEMBL + PubChemPhase 4 (approved)HTR2A, HTR2B, HTR2C
PROPOXYPHENEChEMBL + PubChemPhase 4 (approved)HTR2A, HTR2B, HTR2C
ALOSETRONChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
AMIODARONEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
AMITRIPTYLINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
AMLODIPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
AMOXAPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
APOMORPHINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ARIPIPRAZOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ASENAPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ASTEMIZOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ATOMOXETINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
AZATADINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
AZELASTINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
BENFLUOREXChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
BENPERIDOLChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
BENZQUINAMIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
BENZTROPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
BREXPIPRAZOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
BROMOCRIPTINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
BUSPIRONEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CANNABIDIOLChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CARIPRAZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CARVEDILOLChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CHLORHEXIDINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CHLORPROMAZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CINACALCETChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CISAPRIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CITALOPRAMChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CLEMASTINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CLOMIPRAMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CLOTRIMAZOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CLOZAPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CYCLIZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CYCLOBENZAPRINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
CYPROHEPTADINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DAPIPRAZOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DASATINIBChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DESIPRAMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DESLORATADINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DICYCLOMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DIETHYLSTILBESTROLChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DIMENHYDRINATEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DIPHENHYDRAMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DOMPERIDONEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DOTHIEPINChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DOXAZOSINChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DOXEPINChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DROPERIDOLChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
DULOXETINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
EBASTINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ECONAZOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ENCAINIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ERGOTAMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
FLUOXETINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
FLUPHENAZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
FLUSPIRILENEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
GUANABENZChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
GUANFACINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
HALOPERIDOLChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ILOPERIDONEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
IMIPRAMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
IPRINDOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
KETANSERINChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
KETOTIFENChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
LASOFOXIFENEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
LORCASERINChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
LOXAPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
LURASIDONEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
MAPROTILINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
MELATONINChEMBLPhase 4 (approved)HTR2B, MTNR1A, MTNR1B
MEPAZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
METHAPYRILENEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
METHYLERGONOVINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
METHYSERGIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
METOCLOPRAMIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
MIANSERINChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
MICONAZOLEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
MIRTAZAPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
NEBIVOLOLChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
NEFAZODONEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
NEFOPAMChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
NITAZOXANIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
NORTRIPTYLINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
OLANZAPINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
ORPHENADRINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
OSIMERTINIBChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
OXYMETAZOLINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
OXYPERTINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PERGOLIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PERPHENAZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PHENOXYBENZAMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PHENTOLAMINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PIMOZIDEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PIPAMAZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PIPERACETAZINEChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C
PONATINIBChEMBLPhase 4 (approved)HTR2A, HTR2B, HTR2C