Tranylcypromine
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Also known as NSC-80664Tranilciprominarel-Tranylcypromine(+/-)-TranylcypromineSID11111676tparac-TranylcyprominephenylcyclopropylamineTRANYLCYPROMINE SULFATETranylcypronrine(-)-Trans-PCPA
Summary
Tranylcypromine (CHEMBL3989843) is an approved small molecule (ATC N06AF04) targeting PTGIS, MAOA, and MAOB; indicated across 9 conditions including depressive disorder and anxiety.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: N06AF04
- Targets: 4 (PTGIS, MAOA, MAOB…)
- Indications: 9 conditions
- Clinical trials: 23
- Chemistry: 266.4 Da · C18H22N2
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL3989843 |
| Name | Tranylcypromine |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | no |
| PubChem CID | 73417116 |
| ATC | N06AF04 |
| Molecular formula | C18H22N2 |
| Molecular weight | 266.4 |
| InChIKey | IGLYMJRIWWIQQE-QUOODJBBSA-N |
SMILES: C1[C@H]([C@@H]1N)C2=CC=CC=C2.C1[C@@H]([C@H]1N)C2=CC=CC=C2
IUPAC name: trans-(1S,2R)-2-phenylcyclopropan-1-amine;trans-(1R,2S)-2-phenylcyclopropan-1-amine
Also known as: NSC-80664, Tranilcipromina, Tranylcypromine, rel-Tranylcypromine, (+/-)-Tranylcypromine, tranylcypromine, SID11111676, (+/-)-tranylcypromine, tpa, rel-tranylcypromine, TRANYLCYPROMINE, rac-Tranylcypromine
Parent form; salt/anhydrous children: CHEMBL3989698
Patent coverage: 46 distinct patent families (70 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 |
|---|---|---|---|---|---|
| PTGIS | CYP8A1 | Inhibition | 0.2% | Q16647 | |
| MAOA | Monoamine oxidase A | Inhibition | 4.7 | 0.2% | P21397 |
| MAOB | Monoamine oxidase B | Inhibition | 4.72 | 0% | P27338 |
| KDM1A | lysine demethylase 1A | Inhibition | 4.4 | 8.1% | O60341 |
Broader ChEMBL bioactivity targets: 30 (assay-derived). Sample: Alpha-2A adrenergic receptor, Amine oxidase [flavin-containing] A, Amine oxidase [flavin-containing] B, 5-hydroxytryptamine receptor 1A, Sodium-dependent noradrenaline transporter, 5-hydroxytryptamine receptor 2C, Alpha-1A adrenergic receptor, D(3) dopamine receptor, Sodium-dependent dopamine transporter, Voltage-gated inwardly rectifying potassium channel KCNH2.
Bioactivity
ChEMBL activities: 85 potent at pChembl ≥ 5 of 140 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| KDM1A | 8.35 | IC50 | 4.5 | nM | CHEMBL_ACT_25442533 |
| MAOB | 8.03 | IC50 | 9.4 | nM | CHEMBL_ACT_18957038 |
| MAOB | 7.58 | Ki | 26 | nM | CHEMBL_ACT_15163788 |
| CYP2A6 | 7.1 | IC50 | 80 | nM | CHEMBL_ACT_19359917 |
| MAOA | 7.07 | IC50 | 85 | nM | CHEMBL_ACT_18957036 |
| CYP2A6 | 6.89 | Ki | 130 | nM | CHEMBL_ACT_15468123 |
| MAOA | 6.62 | IC50 | 240 | nM | CHEMBL_ACT_13920865 |
| MAOB | 6.6 | IC50 | 250 | nM | CHEMBL_ACT_13920853 |
| MAOB | 6.25 | IC50 | 560 | nM | CHEMBL_ACT_19111397 |
| HTR1A | 6.25 | AC50 | 567.2 | nM | CHEMBL_ACT_25164773 |
| MAOB | 6.22 | IC50 | 600 | nM | CHEMBL_ACT_16290311 |
| MAOB | 6.22 | IC50 | 600 | nM | CHEMBL_ACT_26595359 |
| MAOB | 6.1 | IC50 | 800 | nM | CHEMBL_ACT_18036653 |
| ADRA2A | 6.08 | AC50 | 827.5 | nM | CHEMBL_ACT_25156178 |
| MAOB | 6.05 | IC50 | 890 | nM | CHEMBL_ACT_15228717 |
| CYP2A6 | 6.01 | IC50 | 970 | nM | CHEMBL_ACT_19359604 |
| MAOA | 5.99 | IC50 | 1020 | nM | CHEMBL_ACT_19111379 |
| MAOB | 5.98 | IC50 | 1050 | nM | CHEMBL_ACT_15137343 |
| MAOA | 5.97 | IC50 | 1070 | nM | CHEMBL_ACT_15228734 |
| MAOA | 5.97 | IC50 | 1060 | nM | CHEMBL_ACT_18036647 |
| MAOA | 5.92 | IC50 | 1190 | nM | CHEMBL_ACT_15137307 |
| MAOA | 5.8 | AC50 | 1600 | nM | CHEMBL_ACT_25159228 |
| Q60492 | 5.75 | Ki | 1800 | nM | CHEMBL_ACT_22430920 |
| CYP2C19 | 5.72 | IC50 | 1900 | nM | CHEMBL_ACT_15026116 |
| CYP2A6 | 5.7 | Kd | 2000 | nM | CHEMBL_ACT_15468146 |
| MAOA | 5.7 | IC50 | 2000 | nM | CHEMBL_ACT_16345495 |
| MAOA | 5.7 | IC50 | 2000 | nM | CHEMBL_ACT_26595185 |
| MAOA | 5.68 | IC50 | 2100 | nM | CHEMBL_ACT_13883991 |
| CYP2C19 | 5.68 | IC50 | 2070 | nM | CHEMBL_ACT_22971659 |
| Q01827 | 5.66 | AC50 | 2200 | nM | CHEMBL_ACT_25197338 |
Target pathways
Aggregated over 4 target gene(s): PTGIS, MAOA, MAOB, KDM1A.
Top Reactome pathways
51 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Amine Oxidase reactions | 2 | MAOA, MAOB |
| Biogenic amines are oxidatively deaminated to aldehydes by MAOA and MAOB | 2 | MAOA, MAOB |
| Metabolism | 2 | MAOA, MAOB |
| Disease | 2 | KDM1A, MAOA |
| Biological oxidations | 2 | MAOA, MAOB |
| Phase I - Functionalization of compounds | 2 | MAOA, MAOB |
| Hemostasis | 1 | KDM1A |
| Neurotransmitter release cycle | 1 | MAOA |
| Neurotransmitter clearance | 1 | MAOA |
| Transmission across Chemical Synapses | 1 | MAOA |
| Neuronal System | 1 | MAOA |
| PIP3 activates AKT signaling | 1 | KDM1A |
| Cytokine Signaling in Immune system | 1 | MAOA |
| Signal Transduction | 1 | KDM1A |
| Immune System | 1 | MAOA |
| Norepinephrine Neurotransmitter Release Cycle | 1 | MAOA |
| Signaling by Rho GTPases | 1 | KDM1A |
| RHO GTPase Effectors | 1 | KDM1A |
| Eicosanoids | 1 | PTGIS |
| Synthesis of Prostaglandins (PG) and Thromboxanes (TX) | 1 | PTGIS |
| HDACs deacetylate histones | 1 | KDM1A |
| HDMs demethylate histones | 1 | KDM1A |
| Chromatin modifying enzymes | 1 | KDM1A |
| Enzymatic degradation of dopamine by COMT | 1 | MAOA |
| Enzymatic degradation of Dopamine by monoamine oxidase | 1 | MAOA |
| Dopamine clearance from the synaptic cleft | 1 | MAOA |
| Metabolism of serotonin | 1 | MAOA |
| Serotonin clearance from the synaptic cleft | 1 | MAOA |
| Signaling by Interleukins | 1 | MAOA |
| Chromatin organization | 1 | KDM1A |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| dopamine catabolic process | 2 |
| prostaglandin biosynthetic process | 1 |
| icosanoid metabolic process | 1 |
| embryo implantation | 1 |
| cyclooxygenase pathway | 1 |
| positive regulation of peroxisome proliferator activated receptor signaling pathway | 1 |
| negative regulation of nitric oxide biosynthetic process | 1 |
| positive regulation of angiogenesis | 1 |
| prostanoid biosynthetic process | 1 |
| decidualization | 1 |
| negative regulation of inflammatory response | 1 |
| cellular response to interleukin-1 | 1 |
| cellular response to interleukin-6 | 1 |
| cellular response to hypoxia | 1 |
| apoptotic signaling pathway | 1 |
Indications & clinical
Indications
9 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 |
|---|---|---|---|
| depressive disorder | 4 | MONDO:0002050 | MONDO:0002050 |
| anxiety | 3 | MONDO:0011918 | EFO:0005230 |
| dementia | 3 | MONDO:0001627 | HP:0000726 |
| myelodysplastic syndrome | 1 | MONDO:0018881 | EFO:0000198 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| orthostatic hypotension | 1 | MONDO:0005469 | EFO:0005252 |
| leukemia | 1 | MONDO:0005059 | EFO:0000565 |
2 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 23.
Phase distribution
| Phase | Trials |
|---|---|
| Not specified | 7 |
| PHASE4 | 6 |
| PHASE1/PHASE2 | 3 |
| PHASE1 | 3 |
| PHASE2 | 2 |
| PHASE2/PHASE3 | 1 |
| PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00021528 | PHASE4 | COMPLETED | Sequenced Treatment Alternatives to Relieve Depression (STAR*D) |
| NCT00177567 | PHASE4 | COMPLETED | Treatment of Geriatric Bipolar Mood Disorders: A Pilot Study |
| NCT00296686 | PHASE4 | TERMINATED | Sequential Tranylcypromine (TC), TC + Dextroamphetamine and TC + Triiodothyronine for Refractory Depression |
| NCT01031810 | PHASE4 | TERMINATED | PET Biomarkers in Treatment Resistant Depression |
| NCT01430455 | PHASE4 | COMPLETED | Tranylcypromine Treatment of Bipolar Depression |
| NCT03213834 | PHASE4 | COMPLETED | Fibrinolytic Therapy Versus Medical Thoracoscopy |
| NCT01835067 | PHASE2/PHASE3 | COMPLETED | Intravitreal tPA and C3F8 for the Treatment of Submacular Haemorrhage as a Complication of Neovascular AMD |
| NCT02374567 | PHASE3 | TERMINATED | Pharmacovigilance in Gerontopsychiatric Patients |
| NCT00252239 | PHASE2 | TERMINATED | Study of Tenecteplase (TNK) in Acute Ischemic Stroke (TNK-S2B) |
| NCT00612807 | PHASE1/PHASE2 | COMPLETED | Treatment of Mood and Marriage Study (TOMMS) |
| NCT01643902 | PHASE2 | COMPLETED | Safety of Intravenous Thrombolytics in Stroke on Awakening |
| NCT02261779 | PHASE1/PHASE2 | UNKNOWN | Phase I/II Trial of ATRA and TCP in Patients With Relapsed or Refractory AML and no Intensive Treatment is Possible |
| NCT02717884 | PHASE1/PHASE2 | UNKNOWN | Study of Sensitization of Non-M3 AML Blasts to ATRA by Epigenetic Treatment With Tranylcypromine (TCP) |
| NCT00223691 | PHASE1 | COMPLETED | Treatment of Orthostatic Hypotension in Autonomic Failure |
| NCT00653393 | PHASE1 | COMPLETED | Bioavailability Study of Tranylcypromine 10mg Tablets Under Fasting Conditions |
| NCT02273102 | PHASE1 | COMPLETED | Study of TCP-ATRA for Adult Patients With AML and MDS |
| NCT05433051 | Not specified | ACTIVE_NOT_RECRUITING | A Comparison of Two Protocol for Maxillary Molar Intrusion Buccal Miniscrew and TPA Versus Vertical Holding Appliance |
| NCT00012558 | Not specified | COMPLETED | Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) |
| NCT01717417 | Not specified | COMPLETED | Three Dimensional Movement Analysis of Maxillary Impacted Canine: a Randomized Clincial Trial |
| NCT01896349 | Not specified | UNKNOWN | Interpersonal Psychotherapy for Treatment Resistant Depression |
| NCT02453373 | Not specified | TERMINATED | Helping Stroke Patients With ThermoSuit Cooling |
| NCT04926428 | Not specified | COMPLETED | In Situ Thrombolysis With tPA and Inflow Perfusion Analysis in Patient With Severe Covid-19 Infection |
| NCT05896618 | Not specified | UNKNOWN | Evaluation of Dental and Skeletal Effect of TPA and Nance as a Space Maintainers in Children: A Prospective Clinical Trial |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
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.
200 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| PHENELZINE | ChEMBL | Phase 4 (approved) | KDM1A, MAOA, MAOB |
| CURCUMIN | ChEMBL | Phase 3 | KDM1A, MAOA, MAOB |
| QUERCETIN | ChEMBL | Phase 3 | KDM1A, MAOA, MAOB |
| RESVERATROL | ChEMBL | Phase 3 | KDM1A, MAOA, MAOB |
| TEDIZOLID | ChEMBL + PubChem | Phase 4 (approved) | MAOA, MAOB |
| CLOTRIMAZOLE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| DANTHRON | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| FENTANYL | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| IPRONIAZID | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| LINEZOLID | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| MENADIONE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| METHYLENE BLUE CATION | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| MOCLOBEMIDE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| PARGYLINE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| PIOGLITAZONE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| PRIMAQUINE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| RASAGILINE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| ROSIGLITAZONE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| SAFINAMIDE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| SELEGILINE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| TOLOXATONE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| TROGLITAZONE | ChEMBL | Phase 4 (approved) | MAOA, MAOB |
| IDAZOXAN | ChEMBL | Phase 3 | MAOA, MAOB |
| RUTIN | ChEMBL | Phase 3 | KDM1A, MAOA |
| BROFAROMINE | ChEMBL | Phase 2 | MAOA, MAOB |
| CIGLITAZONE | ChEMBL | Phase 2 | MAOA, MAOB |
| CLORGILINE | ChEMBL | Phase 2 | MAOA, MAOB |
| DAIDZEIN | ChEMBL | Phase 2 | MAOA, MAOB |
| FORMONONETIN | ChEMBL | Phase 2 | MAOA, MAOB |
| GENISTEIN | ChEMBL | Phase 2 | MAOA, MAOB |
| IADADEMSTAT | ChEMBL | Phase 2 | KDM1A, MAOA |
| ISOQUERCETIN | ChEMBL | Phase 2 | KDM1A, MAOA |
| LADOSTIGIL | ChEMBL | Phase 2 | MAOA, MAOB |
| LUTEOLIN | ChEMBL | Phase 2 | MAOA, MAOB |
| MOFEGILINE | ChEMBL | Phase 2 | MAOA, MAOB |
| PHENAMAZOLINE | ChEMBL | Phase 2 | MAOA, MAOB |
| PIPERINE | ChEMBL | Phase 2 | MAOA, MAOB |
| SEMBRAGILINE | ChEMBL | Phase 2 | MAOA, MAOB |
| SUTEZOLID | ChEMBL | Phase 2 | MAOA, MAOB |
| TIOXOLONE | ChEMBL | Phase 2 | MAOA, MAOB |
| VAFIDEMSTAT | ChEMBL | Phase 2 | KDM1A, MAOB |
| CRIZOTINIB | ChEMBL + PubChem | Phase 4 (approved) | MAOA |
| REGORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | MAOA |
| TAFAMIDIS | ChEMBL + PubChem | Phase 4 (approved) | MAOA |
| ABROCITINIB | ChEMBL | Phase 4 (approved) | MAOA |
| AMILORIDE | ChEMBL | Phase 4 (approved) | MAOA |
| AMSACRINE | ChEMBL | Phase 4 (approved) | KDM1A |
| ANISINDIONE | ChEMBL | Phase 4 (approved) | MAOA |
| ARIPIPRAZOLE | ChEMBL | Phase 4 (approved) | MAOA |
| ATALUREN | ChEMBL | Phase 4 (approved) | MAOA |
| BENOXAPROFEN | ChEMBL | Phase 4 (approved) | MAOA |
| BERBERINE | ChEMBL | Phase 4 (approved) | KDM1A |
| BIFONAZOLE | ChEMBL | Phase 4 (approved) | MAOA |
| CABOZANTINIB | ChEMBL | Phase 4 (approved) | MAOA |
| CAPSAICIN | ChEMBL | Phase 4 (approved) | KDM1A |
| CHLOROPROCAINE | ChEMBL | Phase 4 (approved) | MAOA |
| CHLORPROMAZINE | ChEMBL | Phase 4 (approved) | KDM1A |
| COCAINE | ChEMBL | Phase 4 (approved) | MAOA |
| COLISTIN | ChEMBL | Phase 4 (approved) | KDM1A |
Related Atlas pages
- Genes: PTGIS, MAOA, MAOB, KDM1A
- Diseases: depressive disorder, anxiety, dementia
- Drugs: Phenelzine, Curcumin, Quercetin, Resveratrol, Tedizolid, Clotrimazole, Danthron, Fentanyl, Iproniazid, Linezolid, Menadione, Methylene Blue Cation, Miconazole, Moclobemide, Pargyline, Pioglitazone, Primaquine, Rasagiline, Rosiglitazone, Safinamide, Selegiline, Toloxatone, Troglitazone, Idazoxan, Rutin, Crizotinib, Regorafenib, Tafamidis, Abrocitinib, Amiloride, Amsacrine, Anisindione, Aripiprazole, Ataluren, Benoxaprofen, Berberine, Bifonazole, Cabozantinib, Capsaicin, Chloroprocaine, Chlorpromazine, Cocaine, Colistin