Methylphenidate
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Also known as Cotempla xr-odtDaytranaMethylphenidate extended releaseMetilfenidatoPrc-063Threo-dl-methylphenidate(+/-)-methylphenidate
Summary
Methylphenidate (CHEMBL796) is an approved small molecule (ATC N06BA04) targeting SLC6A2 and SLC6A3; indicated across 31 conditions including attention deficit-hyperactivity disorder and narcolepsy.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: N06BA04
- Targets: 2 (SLC6A2, SLC6A3)
- Indications: 31 conditions
- Clinical trials: 265
- Chemistry: 233.31 Da · C14H19NO2
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL796 |
| Name | Methylphenidate |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 4158 |
| ChEBI | CHEBI:84276 |
| ATC | N06BA04 |
| Molecular formula | C14H19NO2 |
| Molecular weight | 233.31 |
| InChIKey | DUGOZIWVEXMGBE-UHFFFAOYSA-N |
SMILES: COC(=O)C(C1CCCCN1)C2=CC=CC=C2
IUPAC name: methyl 2-phenyl-2-piperidin-2-ylacetate
ChEBI definition: A amino acid ester that is methyl phenylacetate in which one of the hydrogens α to the carbonyl group is replaced by a piperidin-2-yl group.
Also known as: Cotempla xr-odt, Daytrana, Methylphenidate, Methylphenidate extended release, Metilfenidato, Prc-063, Threo-dl-methylphenidate, methylphenidate, METHYLPHENIDATE, (+/-)-methylphenidate
Parent form; salt/anhydrous children: CHEMBL1722
Patent coverage: 9,000 distinct patent families (31,999 SureChEMBL compound mentions), from 1 matched compound structure(s). 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).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| SLC6A2 | NET | Inhibition | 7.21 | 0.4% | P23975 |
| SLC6A3 | DAT | Inhibition | 7.1 | 0.2% | Q01959 |
Broader ChEMBL bioactivity targets: 4 (assay-derived). Sample: Sodium-dependent noradrenaline transporter, Sodium-dependent serotonin transporter, Sodium-dependent dopamine transporter, Sodium-dependent dopamine transporter.
Bioactivity
ChEMBL activities: 9 potent at pChembl ≥ 5 of 10 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| SLC6A3 | 7.77 | IC50 | 17 | nM | CHEMBL_ACT_1146651 |
| SLC6A3 | 7.47 | Ki | 34 | nM | CHEMBL_ACT_15029274 |
| SLC6A2 | 7.21 | IC50 | 61 | nM | CHEMBL_ACT_1801934 |
| SLC6A3 | 7.1 | IC50 | 79 | nM | CHEMBL_ACT_1801932 |
| P23977 | 7.08 | IC50 | 83 | nM | CHEMBL_ACT_1146653 |
| SLC6A3 | 6.96 | Ki | 110 | nM | CHEMBL_ACT_1801929 |
| SLC6A2 | 6.47 | Ki | 340 | nM | CHEMBL_ACT_15029275 |
| SLC6A2 | 6.18 | Ki | 660 | nM | CHEMBL_ACT_1801931 |
| SLC6A4 | 5.29 | IC50 | 5100 | nM | CHEMBL_ACT_1801933 |
Target pathways
Aggregated over 2 target gene(s): SLC6A2, SLC6A3.
Top Reactome pathways
14 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Disease | 2 | SLC6A2, SLC6A3 |
| Transport of small molecules | 2 | SLC6A2, SLC6A3 |
| R-HSA-425366 | 2 | SLC6A2, SLC6A3 |
| SLC-mediated transmembrane transport | 2 | SLC6A2, SLC6A3 |
| SLC-mediated transport of neurotransmitters | 2 | SLC6A2, SLC6A3 |
| SLC transporter disorders | 2 | SLC6A2, SLC6A3 |
| Disorders of transmembrane transporters | 2 | SLC6A2, SLC6A3 |
| Neurotransmitter clearance | 1 | SLC6A3 |
| Transmission across Chemical Synapses | 1 | SLC6A3 |
| Neuronal System | 1 | SLC6A3 |
| Dopamine clearance from the synaptic cleft | 1 | SLC6A3 |
| Defective neurotransmitter clearance by SLC6A3 causes Parkinsonism-dystonia infantile (PKDYS) | 1 | SLC6A3 |
| Defective SLC6A2 causes orthostatic intolerance (OI) | 1 | SLC6A2 |
| Defective transport of neurotransmitters by SLC6A3 causes Parkinsonism-dystonia infantile (PKDYS) | 1 | SLC6A3 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| neurotransmitter transport | 2 |
| amino acid transport | 2 |
| response to xenobiotic stimulus | 2 |
| obsolete monoamine transport | 2 |
| sodium ion transmembrane transport | 2 |
| dopamine uptake involved in synaptic transmission | 2 |
| norepinephrine uptake | 2 |
| transmembrane transport | 2 |
| chemical synaptic transmission | 1 |
| obsolete norepinephrine transport | 1 |
| response to pain | 1 |
| neuron cellular homeostasis | 1 |
| catecholamine uptake | 1 |
| neurotransmitter reuptake | 1 |
| chloride transmembrane transport | 1 |
Indications & clinical
Indications
31 indications (2 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).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| attention deficit-hyperactivity disorder | 4 | MONDO:0007743 | EFO:0003888 |
| narcolepsy | 4 | MONDO:0021107 | MONDO:0016158 |
| brain neoplasm | 3 | MONDO:0021211 | EFO:0003833 |
| nicotine dependence | 3 | MONDO:0008575 | EFO:0003768 |
| lymphoid neoplasm | 3 | MONDO:0005157 | EFO:0001642 |
| dementia | 3 | MONDO:0001627 | HP:0000726 |
| delirium | 3 | MONDO:0045057 | EFO:0009267 |
| major depressive disorder | 3 | MONDO:0002009 | MONDO:0002009 |
| depressive disorder | 3 | MONDO:0002050 | MONDO:0002050 |
| Alzheimer disease | 3 | MONDO:0004975 | MONDO:0004975 |
| multiple sclerosis | 3 | MONDO:0005301 | MONDO:0005301 |
| sickle cell disease | 3 | MONDO:0011382 | MONDO:0011382 |
| bipolar disorder | 3 | MONDO:0004985 | MONDO:0004985 |
| neoplasm | 3 | MONDO:0005070 | MONDO:0004992 |
| methamphetamine dependence | 2 | MONDO:0005419 | EFO:0004701 |
| eating disorder | 2 | MONDO:0005451 | EFO:0005203 |
| post-traumatic stress disorder | 2 | MONDO:0005146 | EFO:0001358 |
| prostate carcinoma | 2 | MONDO:0005159 | EFO:0001663 |
| cocaine dependence | 2 | MONDO:0005186 | EFO:0002610 |
| drug dependence | 2 | MONDO:0005303 | EFO:0003890 |
| brain injury | 2 | MONDO:0043510 | MONDO:0043510 |
| Parkinson disease | 2 | MONDO:0005180 | MONDO:0005180 |
| orthostatic hypotension | 1 | MONDO:0005469 | EFO:0005252 |
| opiate dependence | 1 | MONDO:0005530 | EFO:0005611 |
| alcohol abuse | 1 | MONDO:0002046 | MONDO:0007079 |
6 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 265.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE4 | 84 |
| Not specified | 57 |
| PHASE3 | 41 |
| PHASE2 | 31 |
| PHASE1 | 25 |
| EARLY_PHASE1 | 12 |
| PHASE2/PHASE3 | 11 |
| PHASE1/PHASE2 | 4 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00768820 | PHASE4 | RECRUITING | The Psychiatric and Cognitive Phenotypes in Velocardiofacial Syndrome |
| NCT02951754 | PHASE4 | RECRUITING | Methylphenidate in Adults With Attention Deficit/Hyperactivity Disorder |
| NCT03781752 | PHASE4 | RECRUITING | Carboxylesterase 1 Genetic Variation and Methylphenidate in ADHD |
| NCT03781765 | PHASE4 | RECRUITING | Stimulant vs. Non-stimulant Treatments and Reward Processing in Drug-naive Youth at SUD Risk |
| NCT04419272 | PHASE4 | RECRUITING | Methylphenidate for the Treatment of Epilepsy-related Cognitive Deficits |
| NCT04421248 | PHASE4 | RECRUITING | Biomarker Validation in Motor System Physiology in Attention Deficit Hyperactivity Disorder |
| NCT04781972 | PHASE4 | RECRUITING | Multimodal Brain Imaging of the Neural Effects of Methylphenidate in Patients With ADHD |
| NCT05469386 | PHASE4 | ACTIVE_NOT_RECRUITING | Single and Combined Effects of Behavioral, Academic, and Medication Treatments for ADHD in the Classroom |
| NCT05776056 | PHASE4 | RECRUITING | Methylphenidate for the Treatment of PTSD With Associated Neurocognitive Complaints |
| NCT06577779 | PHASE4 | RECRUITING | An Open-Label Treatment With Randomization Observation, Investigator-Initiated Study, on the Duration and Efficacy of Jornay PM (Methylphenidate Hydrochloride Extended-Release Capsules) on Adult ADHD Symptoms and Executive Function and Emotional Regulation Throughout the Day Into Early Evening |
| NCT06580041 | PHASE4 | ENROLLING_BY_INVITATION | Precision Care for Major Depressive Disorder |
| NCT07300956 | PHASE4 | NOT_YET_RECRUITING | Treating Young Children With Attention Deficit Hyperactivity Disorder |
| NCT07594652 | PHASE4 | RECRUITING | Medication Treatment of ADHD in Pediatric Epilepsy |
| NCT00015301 | PHASE4 | COMPLETED | Methylphenidate Raclopride Positron Emission Tomography (PET) Test - 11 |
| NCT00035139 | PHASE4 | COMPLETED | Pediatric Traumatic Brain Injury: Methylphenidate Effects on Early Recovery |
| NCT00169611 | PHASE4 | COMPLETED | NF1-Attention: Study of Children With Neurofibromatosis Type 1 Treated by Methylphenidate |
| NCT00181571 | PHASE4 | COMPLETED | A Double-Blind Comparison of Concerta and Placebo in Adults With Attention Deficit Hyperactivity Disorder |
| NCT00181714 | PHASE4 | COMPLETED | Prevention of Cigarette Smoking in Attention Deficit Hyperactivity Disorder (ADHD) Youth With Concerta |
| NCT00181987 | PHASE4 | COMPLETED | Concerta in the Treatment of ADHD in Youth and Adults With Bipolar Disorder |
| NCT00183391 | PHASE4 | COMPLETED | Stimulant Versus Nonstimulant Medication for Attention Deficit Hyperactivity Disorder in Children |
| NCT00223561 | PHASE4 | COMPLETED | Methylphenidate and Driving Ability in Adult Patients With Attention-Deficit Hyperactivity Disorder |
| NCT00228046 | PHASE4 | COMPLETED | Medication Strategies for Treating Aggressive Behavior in Youth With Attention Deficit Hyperactivity Disorder |
| NCT00254033 | PHASE4 | COMPLETED | Apathy Associated With Alzheimer’s Disease |
| NCT00261872 | PHASE4 | COMPLETED | Treatment of Patients With Alcoholism and Attention Deficit Disorder |
| NCT00381758 | PHASE4 | COMPLETED | The COMACS Study: A Comparison of Methylphenidates in an Analog Classroom Setting |
| NCT00396058 | PHASE4 | TERMINATED | The Effect of Methylphenidate on Motor Learning in Stroke Patients |
| NCT00429273 | PHASE4 | COMPLETED | Single Versus Combination Medication Treatment for Children With Attention Deficit Hyperactivity Disorder |
| NCT00434213 | PHASE4 | COMPLETED | Characterization of Dermal Reactions in Pediatric Patients With ADHD Using DAYTRANA |
| NCT00495820 | PHASE4 | COMPLETED | Methylphenidate for Apathy in Alzheimer’s Dementia: A Controlled Study |
| NCT00517504 | PHASE4 | COMPLETED | Methylphenidate Study in Young Children With Developmental Disorders |
| NCT00526630 | PHASE4 | COMPLETED | Methylphenidate for the Treatment of Gait Impairment in Parkinson’s Disease |
| NCT00536419 | PHASE4 | UNKNOWN | Impact of Attention Deficit/Hyperactivity Disorder and Substance Use Disorder on Motorcycle Traffic Accidents |
| NCT00552266 | PHASE4 | UNKNOWN | Methylphenidate in ADHD With Trichotillomania |
| NCT00576472 | PHASE4 | COMPLETED | Learning Impairments Among Survivors of Childhood Cancer |
| NCT00586157 | PHASE4 | COMPLETED | Study of Medication Patch to Treat Children Ages 6-12 With ADHD |
| NCT00593112 | PHASE4 | COMPLETED | Proton Magnetic Spectroscopy in Children and Adolescents With ADHD Before and After Treatment With OROS Methylphenidate |
| NCT00602290 | PHASE4 | COMPLETED | Effectiveness of Methylphenidate in Improving Cognition and Function in Older Adults With Depression |
| NCT00663442 | PHASE4 | COMPLETED | Basic and Clinical Research on Attention Deficit Hyperactivity Disorder (ADHD) |
| NCT00754208 | PHASE4 | COMPLETED | Long Acting Stimulant Treatment of Attention Deficit Hyperactivity Disorder (ADHD) in Young Children |
| NCT00758160 | PHASE4 | COMPLETED | The Impact of Osmotic Release Oral Delivery System Methylphenidate (OROS MPH) Upon Family of Children and Adolescents With Attention Deficit Hyperactivity Disorder (ADHD) |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
PharmGKB dosing guidelines (2) — CPIC / DPWG genotype-guided dosing for this drug (drug × pharmacogene):
| Guideline | Source | Gene(s) | Dosing | Recommendation |
|---|---|---|---|---|
| Annotation of DPWG Guideline for methylphenidate and CYP2D6 | DPWG | CYP2D6 | ||
| Annotation of DPWG Guideline for methylphenidate and COMT | DPWG | COMT |
PharmGKB also curates 50 clinical and 194 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
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.
585 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| Afatinib | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| AMITRIPTYLINE | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CRIZOTINIB | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| DACOMITINIB | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| GENTIAN VIOLET | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| Idelalisib | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| Olodaterol | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| PIMAVANSERIN | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| REGORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| TAFENOQUINE | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| UMECLIDINIUM | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| VORAPAXAR | ChEMBL + PubChem | Phase 4 (approved) | SLC6A2, SLC6A3 |
| ACETOPHENAZINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| AMINOCAPROIC ACID | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| AMIODARONE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| AMLODIPINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| AMODIAQUINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| AMOXAPINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| ARIPIPRAZOLE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| ASENAPINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| ASTEMIZOLE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| ATOMOXETINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| AZELASTINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BAZEDOXIFENE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENFLUOREX | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENOXINATE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENPERIDOL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENZIODARONE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENZPHETAMINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENZTROPINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENZYDAMINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BENZYL BENZOATE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BEPRIDIL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BEXAROTENE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BITHIONOL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BOSUTINIB | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BREXPIPRAZOLE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BROMHEXINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BROMODIPHENHYDRAMINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BROMPERIDOL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BROMPHENIRAMINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| BUPROPION | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CABERGOLINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CALCITRIOL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CANDESARTAN CILEXETIL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CANNABIDIOL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CARBINOXAMINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CARVEDILOL | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CASPOFUNGIN | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CELECOXIB | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CETIRIZINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CHLORHEXIDINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CHLORPHENIRAMINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CHLORPHENTERMINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CHLORPROMAZINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CHLORPROTHIXENE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CINACALCET | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CINNARIZINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CITALOPRAM | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
| CLEMASTINE | ChEMBL | Phase 4 (approved) | SLC6A2, SLC6A3 |
Related Atlas pages
- Genes: SLC6A2, SLC6A3
- Diseases: attention deficit-hyperactivity disorder, narcolepsy, brain neoplasm, nicotine dependence, lymphoid neoplasm, dementia, delirium, major depressive disorder, depressive disorder, Alzheimer disease, multiple sclerosis, sickle cell disease, bipolar disorder, neoplasm
- Drugs: Afatinib, Amitriptyline, Crizotinib, Dacomitinib, Idelalisib, Olodaterol, Pimavanserin, Regorafenib, Tafenoquine, Umeclidinium, Vorapaxar, Acetophenazine, Aminocaproic Acid, Amiodarone, Amlodipine, Amodiaquine, Amoxapine, Aripiprazole, Asenapine, Astemizole, Atomoxetine, Azelastine, Bazedoxifene, Benfluorex, Benoxinate, Benperidol, Benziodarone, Benzphetamine, Benztropine, Benzydamine, Benzyl Benzoate, Bepridil, Bexarotene, Bithionol, Bosutinib, Brexpiprazole, Bromhexine, Bromodiphenhydramine, Bromperidol, Brompheniramine, Bupropion, Cabergoline, Calcitriol, Candesartan Cilexetil, Cannabidiol, Carbinoxamine, Carvedilol, Caspofungin, Celecoxib, Cetirizine, Chlorhexidine, Chlorpheniramine, Chlorphentermine, Chlorpromazine, Chlorprothixene, Cinacalcet, Cinnarizine, Citalopram, Clemastine