Rasagiline
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Also known as AGN-1135NSC-759639RasagilinaTV-1030rasR(+)RasagilineRasaglineAzilectRASAGILINE MESILATERasagiline mesylate[N-Propargyl-1R(+)-aminoindan]
Summary
Rasagiline (CHEMBL887) is an approved small-molecule EC 1.4.3.4 (monoamine oxidase) inhibitor (ATC N04BD02) targeting MAOB; indicated across 5 conditions including parkinson disease and progressive supranuclear palsy.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: N04BD02
- Targets: 1 (MAOB)
- Indications: 5 conditions
- Clinical trials: 51
- Chemistry: 171.24 Da · C12H13N
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL887 |
| Name | Rasagiline |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 3052776 |
| ChEBI | CHEBI:63620 |
| ATC | N04BD02 |
| Molecular formula | C12H13N |
| Molecular weight | 171.24 |
| InChIKey | RUOKEQAAGRXIBM-GFCCVEGCSA-N |
SMILES: C#CCN[C@@H]1CCC2=CC=CC=C12
IUPAC name: (1R)-N-prop-2-ynyl-2,3-dihydro-1H-inden-1-amine
ChEBI definition: An indane that consists of 1-aminoindane bearing an N-propargyl substituent. A selective, irreversible monoamine oxidase-B inhibitor.
Pharmacological roles (ChEBI): EC 1.4.3.4 (monoamine oxidase) inhibitor, neuroprotective agent.
Also known as: AGN-1135, NSC-759639, Rasagilina, Rasagiline, TV-1030, ras, R(+)Rasagiline, RASAGILINE, rasagiline, Rasagline, Azilect, RASAGILINE MESILATE
Parent form; salt/anhydrous children: CHEMBL1201142, CHEMBL6067988
Patent coverage: 3,464 distinct patent families (12,978 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 |
|---|---|---|---|---|---|
| MAOB | Monoamine oxidase B | Inhibition | 7.85 | 0% | P27338 |
Broader ChEMBL bioactivity targets: 10 (assay-derived). Sample: Cholinesterase, Alpha-2C adrenergic receptor, Alpha-2B adrenergic receptor, Amine oxidase [flavin-containing] A, Amine oxidase [flavin-containing] B, Acetylcholinesterase, Alpha-1A adrenergic receptor, Amine oxidase [flavin-containing] B, Amine oxidase [flavin-containing] A, 5-hydroxytryptamine receptor 6.
Bioactivity
ChEMBL activities: 122 potent at pChembl ≥ 5 of 136 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| P21396 | 9 | IC50 | 1 | nM | CHEMBL_ACT_15220946 |
| HTR6 | 8.85 | Ki | 1.4 | nM | CHEMBL_ACT_22798737 |
| MAOB | 8.4 | IC50 | 4 | nM | CHEMBL_ACT_16308822 |
| MAOB | 8.4 | IC50 | 4 | nM | CHEMBL_ACT_26595827 |
| P19643 | 8.37 | IC50 | 4.31 | nM | CHEMBL_ACT_19171910 |
| P19643 | 8.36 | IC50 | 4.4 | nM | CHEMBL_ACT_1263327 |
| P19643 | 8.36 | IC50 | 4.4 | nM | CHEMBL_ACT_18916400 |
| P19643 | 8.36 | IC50 | 4.4 | nM | CHEMBL_ACT_19241113 |
| MAOB | 8.36 | IC50 | 4.4 | nM | CHEMBL_ACT_2077436 |
| MAOB | 8.36 | IC50 | 4.4 | nM | CHEMBL_ACT_24995271 |
| MAOB | 8.22 | IC50 | 6 | nM | CHEMBL_ACT_23163314 |
| MAOB | 8.12 | Ki | 7.6 | nM | CHEMBL_ACT_15163795 |
| MAOB | 8.1 | IC50 | 7.87 | nM | CHEMBL_ACT_16766896 |
| MAOB | 8.08 | IC50 | 8.4 | nM | CHEMBL_ACT_19030125 |
| MAOB | 8 | IC50 | 9.97 | nM | CHEMBL_ACT_17961022 |
| MAOB | 8 | IC50 | 10 | nM | CHEMBL_ACT_18387223 |
| MAOB | 7.94 | IC50 | 11.6 | nM | CHEMBL_ACT_20706657 |
| MAOB | 7.89 | IC50 | 13 | nM | CHEMBL_ACT_19048933 |
| MAOB | 7.89 | IC50 | 13 | nM | CHEMBL_ACT_19171925 |
| MAOB | 7.85 | IC50 | 14 | nM | CHEMBL_ACT_12135692 |
| MAOB | 7.85 | IC50 | 14 | nM | CHEMBL_ACT_14545550 |
| MAOB | 7.85 | Ki | 14.2 | nM | CHEMBL_ACT_15163802 |
| MAOB | 7.85 | IC50 | 14 | nM | CHEMBL_ACT_18052500 |
| MAOB | 7.85 | IC50 | 14 | nM | CHEMBL_ACT_18942344 |
| MAOB | 7.85 | IC50 | 14 | nM | CHEMBL_ACT_729190 |
| MAOB | 7.81 | IC50 | 15.4 | nM | CHEMBL_ACT_22798757 |
| MAOB | 7.81 | IC50 | 15.4 | nM | CHEMBL_ACT_24914024 |
| MAOB | 7.77 | IC50 | 17 | nM | CHEMBL_ACT_26132687 |
| ACHE | 7.72 | IC50 | 19 | nM | CHEMBL_ACT_18222961 |
| MAOB | 7.72 | IC50 | 19.05 | nM | CHEMBL_ACT_25659814 |
Target pathways
Aggregated over 1 target gene(s): MAOB.
Top Reactome pathways
5 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Amine Oxidase reactions | 1 | MAOB |
| Biogenic amines are oxidatively deaminated to aldehydes by MAOA and MAOB | 1 | MAOB |
| Metabolism | 1 | MAOB |
| Biological oxidations | 1 | MAOB |
| Phase I - Functionalization of compounds | 1 | MAOB |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| substantia nigra development | 1 |
| dopamine catabolic process | 1 |
| hydrogen peroxide biosynthetic process | 1 |
Indications & clinical
Indications
5 indications (1 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 |
|---|---|---|---|
| Parkinson disease | 4 | MONDO:0005180 | MONDO:0005180 |
| progressive supranuclear palsy | 3 | MONDO:0019037 | MONDO:0019037 |
| restless legs syndrome | 2 | MONDO:0005391 | EFO:0004270 |
| Alzheimer disease | 2 | MONDO:0004975 | MONDO:0004975 |
| amyotrophic lateral sclerosis | 2 | MONDO:0004976 | MONDO:0004976 |
Clinical trials
Total trials: 51.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE4 | 18 |
| PHASE3 | 12 |
| PHASE2 | 8 |
| Not specified | 6 |
| PHASE1 | 5 |
| PHASE2/PHASE3 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00399477 | PHASE4 | COMPLETED | A Non-Blinded Study Demonstrating the Effectiveness and Safety of Azilect Alone or in Combination Therapy in Parkinson’s Disease |
| NCT00492336 | PHASE4 | COMPLETED | Rasagiline in the Treatment of Persistent Negative Symptoms of Schizophrenia |
| NCT00696215 | PHASE4 | UNKNOWN | The Effects of Rasagiline on Cognitive Deficits Associated With Parkinson’s Disease |
| NCT00755027 | PHASE4 | COMPLETED | Rasagiline and Apathy in Parkinson’s Disease |
| NCT00902941 | PHASE4 | COMPLETED | Olfaction in Patients With Parkinson’s Disease Following Treatment With Rasagiline |
| NCT01007630 | PHASE4 | UNKNOWN | A Study Assessing Change in Sense of Smell After Rasagiline Use in Parkinson’s Patients |
| NCT01048229 | PHASE4 | TERMINATED | Evaluation of the Tolerance and Acceptability of Rasagiline in the Treatment of Early-stage Parkinson’s Disease |
| NCT01049984 | PHASE4 | COMPLETED | Rasagiline as Add on to Dopamine Agonists in the Treatment of Parkinson’s Disease |
| NCT01055379 | PHASE4 | COMPLETED | Rasagiline in Cognitive-impairment Related Depression: AzileCt in COgnitive-impairment Related DepressiOn |
| NCT01168596 | PHASE4 | COMPLETED | Rasagiline for the Symptomatic Treatment of Fatigue in Parkinson’s Disease |
| NCT01178047 | PHASE4 | TERMINATED | Multicenter Placebo Controlled Study to Assess the Effect of Rasagiline on Sleep-wake Disturbances in Patients With Parkinson’s Disease |
| NCT01382342 | PHASE4 | COMPLETED | The Effect of Rasagiline on Cognition in Parkinson’s Disease |
| NCT01385735 | PHASE4 | UNKNOWN | Emotion, Mood and Executive Function in Parkinson’s Disease (PD) |
| NCT01442610 | PHASE4 | COMPLETED | Effects of Rasagiline on Sleep Disturbances in Parkinson’s Disease |
| NCT01497652 | PHASE4 | COMPLETED | A Double Blind Placebo Controlled Trial Evaluating Rasagiline Effects on Cognition in Parkinson’s Disease Patients With Mild Cognitive Impairment Receiving Dopaminergic Therapy |
| NCT01723228 | PHASE4 | COMPLETED | Parallel-Group Study to Assess the Effect of Rasagiline on Cognition in Patients With Parkinson’s Disease |
| NCT02068625 | PHASE4 | TERMINATED | Rasagiline (Azilect) - Neuroprotection for Macula-off Retinal Detachment |
| NCT04525729 | PHASE4 | COMPLETED | Rituximab and RASi in Patients with IgAN |
| NCT00203034 | PHASE3 | COMPLETED | Multicenter Study of Rasagiline in Parkinson’s Disease Patients Using Levodopa and Experiencing Motor Fluctuations |
| NCT00203060 | PHASE3 | COMPLETED | Effectiveness, Tolerability and Safety of Rasagiline in Early Parkinson’s Disease Patients Not Treated With Levodopa |
| NCT00203125 | PHASE3 | COMPLETED | A Study to Evaluate the Effects of Tyramine in Patients Who Completed the PRESTO Study. |
| NCT00203138 | PHASE3 | COMPLETED | Safety, Tolerability, and Effectiveness of Rasagiline Mesylate in Patients With Parkinson’s Disease |
| NCT00203164 | PHASE3 | COMPLETED | Study to Evaluate the Safety and Tolerability of Rasagiline in Advanced Parkinson’s Disease Patients |
| NCT00203177 | PHASE3 | COMPLETED | Rasagiline in Advanced Parkinson’s Disease Patients With Motor Fluctuations Treated With Levodopa/Carbidopa Therapy. |
| NCT00256204 | PHASE3 | COMPLETED | A Randomized Placebo Controlled Study to Show That Rasagiline May Slow Disease Progression for Parkinson’s Disease |
| NCT01187888 | PHASE3 | TERMINATED | Efficacy, Tolerability and Safety of Azilect in Subjects With Progressive Supranuclear Palsy |
| NCT01192503 | PHASE2/PHASE3 | TERMINATED | Safety and Efficacy of Rasagiline in Restless Legs Syndrome |
| NCT01215227 | PHASE3 | TERMINATED | An Active-Controlled Extension Study to NCT01155466 [P04938] and NCT01227265 [P07037] (P06153) |
| NCT01556165 | PHASE3 | COMPLETED | Rasagiline in Early Parkinson’s Disease Patients Not Treated With Levodopa in China |
| NCT01736891 | PHASE3 | COMPLETED | Clinical Trial of Rasagiline in Levodopa-Treated Parkinson’s Disease Patients With Motor Fluctuations |
| NCT03329508 | PHASE3 | COMPLETED | A Phase 3 Study With P2B001 in Subjects With Early Parkinson’s |
| NCT05611372 | PHASE2/PHASE3 | WITHDRAWN | Efficacy and Safety of Rasagiline in Prodromal Parkinson’s Disease |
| NCT00104273 | PHASE2 | COMPLETED | Rasagiline 1 mg and 2 mg Added to Aricept 10 mg Daily in Patients With Mild to Moderate Alzheimer’s Disease (AD) |
| NCT00737152 | PHASE2 | UNKNOWN | Evaluate the Side Effects and Benefits of RAS 130 With or Without Diet and Exercise in Type II Diabetes Mellitus |
| NCT00977665 | PHASE2 | COMPLETED | Clinical Trial to Assess Efficacy, Safety, and Tolerability of Rasagiline Mesylate 1 mg in Patients With Multiple System Atrophy of the Parkinsonian Subtype (MSA-P) |
| NCT01232738 | PHASE2 | COMPLETED | Trial of Safety and Efficacy of Rasagiline in Patients With Amyotrophic Lateral Sclerosis (ALS) |
| NCT01786603 | PHASE2 | COMPLETED | Rasagiline in Subjects With Amyotrophic Lateral Sclerosis (ALS) |
| NCT01879241 | PHASE2 | COMPLETED | Study of Rasagiline in Patients With Amyotrophic Lateral Sclerosis |
| NCT02359552 | PHASE2 | COMPLETED | Rasagiline Rescue in Alzheimer’s Disease Clinical Trial |
| NCT02789020 | PHASE2 | COMPLETED | Image Parkinson’s Disease Progression Study |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 2 clinical and 8 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.
48 molecules share ≥1 primary target. Top 48 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| TEDIZOLID | ChEMBL + PubChem | Phase 4 (approved) | MAOB |
| CLOTRIMAZOLE | ChEMBL | Phase 4 (approved) | MAOB |
| DANTHRON | ChEMBL | Phase 4 (approved) | MAOB |
| DONEPEZIL | ChEMBL | Phase 4 (approved) | MAOB |
| FENTANYL | ChEMBL | Phase 4 (approved) | MAOB |
| IPRONIAZID | ChEMBL | Phase 4 (approved) | MAOB |
| ISTRADEFYLLINE | ChEMBL | Phase 4 (approved) | MAOB |
| LINEZOLID | ChEMBL | Phase 4 (approved) | MAOB |
| MENADIONE | ChEMBL | Phase 4 (approved) | MAOB |
| METHYLENE BLUE CATION | ChEMBL | Phase 4 (approved) | MAOB |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | MAOB |
| MOCLOBEMIDE | ChEMBL | Phase 4 (approved) | MAOB |
| PARGYLINE | ChEMBL | Phase 4 (approved) | MAOB |
| PHENELZINE | ChEMBL | Phase 4 (approved) | MAOB |
| PIOGLITAZONE | ChEMBL | Phase 4 (approved) | MAOB |
| PRIMAQUINE | ChEMBL | Phase 4 (approved) | MAOB |
| ROSIGLITAZONE | ChEMBL | Phase 4 (approved) | MAOB |
| SAFINAMIDE | ChEMBL | Phase 4 (approved) | MAOB |
| SELEGILINE | ChEMBL | Phase 4 (approved) | MAOB |
| TOLOXATONE | ChEMBL | Phase 4 (approved) | MAOB |
| TRANYLCYPROMINE | ChEMBL | Phase 4 (approved) | MAOB |
| TROGLITAZONE | ChEMBL | Phase 4 (approved) | MAOB |
| ZONISAMIDE | ChEMBL | Phase 4 (approved) | MAOB |
| CURCUMIN | ChEMBL | Phase 3 | MAOB |
| IDAZOXAN | ChEMBL | Phase 3 | MAOB |
| QUERCETIN | ChEMBL | Phase 3 | MAOB |
| RESVERATROL | ChEMBL | Phase 3 | MAOB |
| ATIBEPRONE | ChEMBL | Phase 2 | MAOB |
| BROFAROMINE | ChEMBL | Phase 2 | MAOB |
| CIGLITAZONE | ChEMBL | Phase 2 | MAOB |
| CLORGILINE | ChEMBL | Phase 2 | MAOB |
| DAIDZEIN | ChEMBL | Phase 2 | MAOB |
| FORMONONETIN | ChEMBL | Phase 2 | MAOB |
| GENISTEIN | ChEMBL | Phase 2 | MAOB |
| HYMECROMONE | ChEMBL | Phase 2 | MAOB |
| LADOSTIGIL | ChEMBL | Phase 2 | MAOB |
| LAZABEMIDE | ChEMBL | Phase 2 | MAOB |
| LOFLUCARBAN | ChEMBL | Phase 2 | MAOB |
| LUTEOLIN | ChEMBL | Phase 2 | MAOB |
| MOFEGILINE | ChEMBL | Phase 2 | MAOB |
| MOLIBRESIB | ChEMBL | Phase 2 | MAOB |
| PHENAMAZOLINE | ChEMBL | Phase 2 | MAOB |
| PIPERINE | ChEMBL | Phase 2 | MAOB |
| SEMBRAGILINE | ChEMBL | Phase 2 | MAOB |
| SUTEZOLID | ChEMBL | Phase 2 | MAOB |
| TIOXOLONE | ChEMBL | Phase 2 | MAOB |
| VAFIDEMSTAT | ChEMBL | Phase 2 | MAOB |
| Medroxyprogesterone | PubChem | Approved | MAOB |
Related Atlas pages
- Genes: MAOB
- Diseases: Parkinson disease, progressive supranuclear palsy
- Drugs: Tedizolid, Clotrimazole, Danthron, Donepezil, Fentanyl, Iproniazid, Istradefylline, Linezolid, Menadione, Methylene Blue Cation, Miconazole, Moclobemide, Pargyline, Phenelzine, Pioglitazone, Primaquine, Rosiglitazone, Safinamide, Selegiline, Toloxatone, Tranylcypromine, Troglitazone, Zonisamide, Curcumin, Idazoxan, Quercetin, Resveratrol, Medroxyprogesterone