Lurasidone

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Also known as LurasidonaSM-13496 FREE BASELurasidone HCl

Summary

Lurasidone (CHEMBL1237021) is an approved small-molecule adrenergic antagonist (ATC N05AE05) targeting HTR7, HTR1A, and DRD2; indicated across 8 conditions including psychotic disorder and autism.

At a glance

  • Status: Approved (max clinical phase 4)
  • Modality: Small molecule
  • ATC class: N05AE05
  • Targets: 6 (HTR7, HTR1A, DRD2…)
  • Indications: 8 conditions
  • Clinical trials: 68
  • Chemistry: 492.7 Da · C28H36N4O2S

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL1237021
NameLurasidone
TypeSmall molecule
Max phase4
FDA approvedyes
PubChem CID213046
ChEBICHEBI:70735
ATCN05AE05
Molecular formulaC28H36N4O2S
Molecular weight492.7
InChIKeyPQXKDMSYBGKCJA-CVTJIBDQSA-N

SMILES: C1CC[C@H]([C@@H](C1)CN2CCN(CC2)C3=NSC4=CC=CC=C43)CN5C(=O)[C@H]6[C@@H]7CC[C@@H](C7)[C@H]6C5=O

IUPAC name: (1R,2S,6R,7S)-4-[[(1R,2R)-2-[[4-(1,2-benzothiazol-3-yl)piperazin-1-yl]methyl]cyclohexyl]methyl]-4-azatricyclo[5.2.1.02,6]decane-3,5-dione

ChEBI definition: An N-arylpiperazine that is (3aR,4S,7R,7aS)-2-{[(1R,2R)-2-(piperazin-1-ylmethyl)cyclohexyl]methyl}hexahydro-1H-4,7-methanoisoindole-1,3(2H)-dione in which position N4 of the piperazine ring is substituted by a 1,2-benzothiazol-3-yl group. Lurasidone is used (generally as the hydrochloride salt) as an atypical antipsychotic for the treatment of schizophrenia.

Pharmacological roles (ChEBI): adrenergic antagonist, dopaminergic antagonist, serotonergic antagonist, second generation antipsychotic.

Also known as: Lurasidona, Lurasidone, SM-13496 FREE BASE, LURASIDONE, lurasidone, Lurasidone HCl

Parent form; salt/anhydrous children: CHEMBL1615372

Patent coverage: 1,018 distinct patent families (2,517 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 2,310 (92%) 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
HTR75-HT7 receptorAntagonist9.310.8%P34969
HTR1A5-HT1A receptorPartial agonist8.170%P08908
DRD2D2 receptorAntagonist8.770%P14416
ADRA2Aα2A-adrenoceptorAntagonist7.40.1%P08913
ADRA2Cα2C-adrenoceptorAntagonist80%P18825
HTR2A5-HT2A receptorAntagonist8.690%P28223

Broader ChEMBL bioactivity targets: 29 (assay-derived). Sample: 5-hydroxytryptamine receptor 2B, Alpha-2A adrenergic receptor, Cholecystokinin receptor type A, Alpha-2C adrenergic receptor, Alpha-2B adrenergic receptor, Sodium channel protein type 5 subunit alpha, D(1A) dopamine receptor, Thromboxane A2 receptor, Muscarinic acetylcholine receptor M2, 5-hydroxytryptamine receptor 1A.

Bioactivity

ChEMBL activities: 36 potent at pChembl ≥ 5 of 45 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
HTR79.3Ki0.5nMCHEMBL_ACT_18891537
HTR79.3Ki0.5nMCHEMBL_ACT_20711558
P611698.78Ki1.68nMCHEMBL_ACT_20711470
DRD28.77Ki1.7nMCHEMBL_ACT_18891557
HTR2A8.7Ki2nMCHEMBL_ACT_18891569
P148428.69Ki2.03nMCHEMBL_ACT_20711440
DRD38.38AC504.2nMCHEMBL_ACT_25194760
HTR1A8.17Ki6.7nMCHEMBL_ACT_18891606
P193278.17Ki6.75nMCHEMBL_ACT_20711455
HTR1A8.08AC508.4nMCHEMBL_ACT_25165268
HTR77.8IC5015.72nMCHEMBL_ACT_23176969
DRD27.75AC5018nMCHEMBL_ACT_25140489
HTR2A7.64AC5023nMCHEMBL_ACT_25225313
HTR1A7.2AC5063nMCHEMBL_ACT_25216134
Q018277.16AC5069.9nMCHEMBL_ACT_25197379
HTR2B7.15AC5071nMCHEMBL_ACT_25227670
ADRA1A7.12AC5075.4nMCHEMBL_ACT_25219054
HTR1A7.02AC5095nMCHEMBL_ACT_25165668
DRD16.88AC50131nMCHEMBL_ACT_25115454
ADRA1A6.88AC50132nMCHEMBL_ACT_25218177
ADRA2A6.67AC50215.5nMCHEMBL_ACT_25156673
ADRA2B6.64AC50230nMCHEMBL_ACT_25143855
DRD36.37AC50430nMCHEMBL_ACT_25193681
ADRA2A6.3AC50500nMCHEMBL_ACT_25220038
KCNH26.28AC50530nMCHEMBL_ACT_25118085
ADRA2C5.96AC501100nMCHEMBL_ACT_25148032
ACHE5.89AC501300nMCHEMBL_ACT_25142214
ADRA2A5.78AC501661nMCHEMBL_ACT_25157083
CHRM25.68AC502100nMCHEMBL_ACT_25213882
DRD15.51AC503100nMCHEMBL_ACT_25181269

Target pathways

Aggregated over 6 target gene(s): HTR7, HTR1A, DRD2, ADRA2A, ADRA2C, HTR2A.

Top Reactome pathways

24 total, by targets touching each:

PathwayTargetsGenes
Signal Transduction5ADRA2A, ADRA2C, HTR1A, HTR2A, HTR7
Signaling by GPCR5ADRA2A, ADRA2C, HTR1A, HTR2A, HTR7
Class A/1 (Rhodopsin-like receptors)5ADRA2A, ADRA2C, HTR1A, HTR2A, HTR7
Amine ligand-binding receptors5ADRA2A, ADRA2C, HTR1A, HTR2A, HTR7
GPCR ligand binding5ADRA2A, ADRA2C, HTR1A, HTR2A, HTR7
GPCR downstream signalling4ADRA2A, ADRA2C, HTR2A, HTR7
Serotonin receptors3HTR1A, HTR2A, HTR7
Hemostasis2ADRA2A, ADRA2C
Metabolism2ADRA2A, ADRA2C
Integration of energy metabolism2ADRA2A, ADRA2C
Adrenoceptors2ADRA2A, ADRA2C
Adrenaline signalling through Alpha-2 adrenergic receptor2ADRA2A, ADRA2C
Metabolism of proteins2ADRA2A, ADRA2C
Adrenaline,noradrenaline inhibits insulin secretion2ADRA2A, ADRA2C
G alpha (i) signalling events2ADRA2A, ADRA2C
G alpha (z) signalling events2ADRA2A, ADRA2C
Regulation of insulin secretion2ADRA2A, ADRA2C
Surfactant metabolism2ADRA2A, ADRA2C
Platelet activation, signaling and aggregation2ADRA2A, ADRA2C
Platelet Aggregation (Plug Formation)2ADRA2A, ADRA2C
Dopamine receptors1DRD2
G alpha (q) signalling events1HTR2A
G alpha (s) signalling events1HTR7
RHOBTB3 ATPase cycle1HTR7

Dominant GO biological processes

GO termTargets
signal transduction6
G protein-coupled receptor signaling pathway6
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger3
chemical synaptic transmission3
G protein-coupled serotonin receptor signaling pathway3
positive regulation of cell population proliferation3
regulation of vasoconstriction3
negative regulation of insulin secretion3
presynaptic modulation of chemical synaptic transmission3
serotonin receptor signaling pathway2
adult behavior2
adenylate cyclase-activating G protein-coupled receptor signaling pathway2
temperature homeostasis2
intracellular calcium ion homeostasis2
response to xenobiotic stimulus2

Indications & clinical

Indications

8 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).

IndicationTrial phaseMONDOEFO
psychotic disorder3MONDO:0005485EFO:0005407
autism3MONDO:0005260EFO:0003758
schizoaffective disorder3MONDO:0005487EFO:0005411
major depressive disorder3MONDO:0002009MONDO:0002009
depressive disorder3MONDO:0002050MONDO:0002050
bipolar disorder3MONDO:0004985EFO:0009963

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

Clinical trials

Total trials: 68.

Phase distribution

PhaseTrials
PHASE331
PHASE111
PHASE410
Not specified8
PHASE26
PHASE2/PHASE32

Top trials by phase / activity

NCTPhaseStatusTitle
NCT06433635PHASE4ACTIVE_NOT_RECRUITINGSequential Multiple Assignment Randomized Trial for Bipolar Depression
NCT01569659PHASE4COMPLETEDHigh Dose Lurasidone for Patients With Treatment Resistant Schizophrenia
NCT02199743PHASE4COMPLETEDLurasidone Effects on Tissue Glutamate in Schizophrenia
NCT02282085PHASE4UNKNOWNTreatment Study Comparing Aripiprazole Once Monthly With Standard of Care Medication in Outpatients With Schizophrenia
NCT03304457PHASE4COMPLETEDLurasidone Vs Olanzapine on Neurotrophic Biomarkers and Cardiometabolic Parameters in Unmedicated Schizophrenia
NCT03393026PHASE4COMPLETEDA Study of Lurasidone HCl in Subjects With Schizophrenia
NCT03902613PHASE4COMPLETED18F-DOPA PET to Elucidate the Antidepressant Mechanism of Lurasidone in Bipolar Disorder
NCT05011669PHASE4COMPLETEDThe Safety and Efficacy of Lurasidone With Different Initiation Dose in Chinese Acute Phase Patients With Schizophrenia
NCT05213143PHASE4TERMINATEDThe Safety and Efficacy of Lurasidone In Subjects With Schizophrenia Switched From Olanzapine
NCT05351736PHASE4UNKNOWNImpact of Structural and Myelin Abnormalities on Cognitive Impairments in Recent-onset Schizophrenia - Before and After Lurasidone Treatment (MARYLU)
NCT00549718PHASE3COMPLETEDLurasidone HCl: A Phase 3 Study of Patients With Acute Schizophrenia
NCT00615433PHASE3COMPLETEDLurasidone HCl A Phase 3 Study of Patients With Acute Schizophrenia
NCT00641745PHASE3COMPLETEDLurasidone HCl - A Long Term Safety Phase 3 Study of Patients With Clinically Stable Schizophrenia
NCT00789698PHASE3COMPLETEDLurasidone HCl - A Long Term Phase 3 Study of Patients With Chronic Schizophrenia
NCT00790192PHASE3COMPLETEDLurasidone HCL - A 6-week Phase 3 Study of Patients With Acute Schizophrenia.
NCT00868452PHASE3COMPLETEDLurasidone - A 6-week Study of Patients With Bipolar I Depression (Add-on)
NCT00868699PHASE3COMPLETEDLurasidone - A 6-week Study of Patients With Bipolar I Depression (Monotherapy)
NCT00868959PHASE3COMPLETEDLurasidone - A 24-week Extension Study of Patients With Bipolar I Depression
NCT01143077PHASE3COMPLETEDA Study Evaluating Lurasidone for The Treatment of Schizophrenia or Schizoaffective Disorder in Subjects Switched From Other Antipsychotic Agents
NCT01143090PHASE3COMPLETEDA Study of Subjects Switched to Lurasidone for the Treatment of Schizophrenia or Schizoaffective Disorder
NCT01284517PHASE3COMPLETEDLurasidone HCI - A 6-week Phase 3 Study of Patients With Bipolar I Depression
NCT01358357PHASE3COMPLETEDBipolar Maintenance Study of Lurasidone Adjunctive to Lithium or Divalproex
NCT01421134PHASE3COMPLETEDMajor Depressive Disorder (MDD) With Mixed Features - Flexible Dose
NCT01423240PHASE3WITHDRAWNMajor Depressive Disorder With Mixed Features
NCT01423253PHASE3COMPLETEDMajor Depressive Disorder With Mixed Features - Extension
NCT01435928PHASE3COMPLETEDPEARL Schizophrenia Maintenance
NCT01485640PHASE3COMPLETEDLurasidone Extended Use Study
NCT01566162PHASE3COMPLETEDA Twelve Week, Open Label Extension Study in Patients With Schizophrenia
NCT01575561PHASE3COMPLETEDThis is an Open-label, Multi-center, Extension Study Designed to Evaluate the Longer Term Safety, Tolerability and Effectiveness of Lurasidone, Flexibly Dosed, Adjunctive to Lithium or Divalproex for the Treatment of Subjects With Bipolar I Disorder Who Have Participated in Study D1050296
NCT01821378PHASE3COMPLETEDLurasidone Low-Dose - High-Dose Study Study
NCT01911429PHASE3COMPLETEDPediatric Schizophrenia Efficacy and Safety Study
NCT01911442PHASE3COMPLETEDLurasidone Pediatric Autism Study
NCT01914393PHASE3COMPLETEDPediatric Open-Label Extension Study
NCT01979679PHASE3COMPLETEDA D2 Receptor Occupancy and fMRI Study in Schizophrenic Subjects Treated With Lurasidone
NCT02002832PHASE3COMPLETEDA Clinical Trial of Lurasidone in Treatment of Schizophrenia
NCT02046369PHASE3COMPLETEDLurasidone Pediatric Bipolar Study
NCT02147379PHASE3COMPLETEDLurasidone and Cognition in Bipolar I Disorder
NCT02731612PHASE3COMPLETEDStudy of the Efficacy of Lurasidone in Cognitive Functioning in Bipolar Patients
NCT03395392PHASE2/PHASE3COMPLETEDNRX-101 for Bipolar Depression With Subacute Suicidal Ideation
NCT03396068PHASE3UNKNOWNNRX-101 for Maintenance of Remission From Severe Bipolar Depression in Patients With Suicidal Ideation

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 5 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.

817 molecules share ≥1 primary target. Top 60 by shared-target count:

MoleculeSourceStatusShared targets
BREXPIPRAZOLEChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
CLOZAPINEChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
DihydroergotamineChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
OLANZAPINEChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
PRAMIPEXOLEChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
TAMSULOSINChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
TEGASERODChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
AMOXAPINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
ARIPIPRAZOLEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
ASTEMIZOLEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
CARIPRAZINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
CARVEDILOLChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
CHLORPROMAZINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
CISAPRIDEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
CYPROHEPTADINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
DOXEPINChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
FLUPHENAZINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
HALOPERIDOLChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
LOXAPINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
METHYSERGIDEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
MIANSERINChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
NEFAZODONEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
PERPHENAZINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
PROMAZINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
QUETIAPINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
RISPERIDONEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
THIORIDAZINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
THIOTHIXENEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
ZIPRASIDONEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
FANANSERINChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
IPSAPIRONEChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
METERGOLINEChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
PIZOTYLINEChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
RITANSERINChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
SPIPERONEChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
SPIRAMIDEChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
SPIROXATRINEChEMBLPhase 2ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
PyrazinamidePubChemApprovedADRA2A, ADRA2C, DRD2, HTR1A, HTR2A, HTR7
chenodiolChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
DESLORATADINEChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
FidaxomicinChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
GENTIAN VIOLETChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
PALIPERIDONEChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR2A, HTR7
PropoxypheneChEMBL + PubChemPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
ACETOPHENAZINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
AMISULPRIDEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR2A, HTR7
AMITRIPTYLINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
AMLODIPINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
APOMORPHINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
ASENAPINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
AZELASTINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR2A, HTR7
BAZEDOXIFENEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
BENPERIDOLChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
BOSUTINIBChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
BROMOCRIPTINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
BROMPERIDOLChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
BUSPIRONEChEMBLPhase 4 (approved)ADRA2C, DRD2, HTR1A, HTR2A, HTR7
CABERGOLINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
CHLORHEXIDINEChEMBLPhase 4 (approved)ADRA2A, ADRA2C, DRD2, HTR1A, HTR2A
CINACALCETChEMBLPhase 4 (approved)ADRA2C, DRD2, HTR1A, HTR2A, HTR7