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List of investigational Parkinson's disease drugs

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This is a list of investigational Parkinson's disease drugs, or drugs that are currently under development for clinical use in the treatment of Parkinson's disease but are not yet approved. They may also be referred to as investigational antiparkinsonian agents.

Contents

Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses. The format of list items is "Name (Synonyms) – Mechanism of Action [Reference]".

This list was last comprehensively updated in September 2025. It is likely to become outdated with time.

Under development

Preregistration

Phase 3

Phase 2/3

Phase 2

Phase 1/2

Phase 1

Preclinical

Research

Clinical phase unknown

Not under development

Suspended

No development reported

Discontinued

Clinically used drugs

Approved drugs

  • Carbidopa (Lodosyn) – aromatic L-amino acid decarboxylase (AAAD) inhibitor
  • Carbidopa/levodopa (Crexont; IPX-203; IPX203) – combination of carbidopa (aromatic L-amino acid decarboxylase (AAAD) inhibitor) and levodopa (dopamine precursor)
  • Foscarbidopa/foslevodopa (ABBV-951; foslevodopa/foscarbidopa; levodopa/carbidopa prodrug; Produodopa; Vyalev) – combination of foscarbidopa (aromatic L-amino acid decarboxylase (AAAD) inhibitor) and foslevodopa (dopamine precursor)
  • Levodopa (CVT-301; CXG-89; Inbrija) – dopamine precursor and indirect non-selective dopamine receptor agonist
  • Levodopa/benserazide (co-beneldopa) (Madopar, Prolopa) – combination of levodopa (dopamine precursor) and benserazide (aromatic L-amino acid decarboxylase (AAAD) inhibitor)
  • Levodopa/carbidopa extended-release (GSK-587124; IPX-066; Numient; Patrome; Rytary) – combination of levodopa (dopamine precursor) and carbidopa (aromatic L-amino acid decarboxylase (AAAD) inhibitor)
  • Levodopa/carbidopa intraduodenal (ABT-SLV187; carbidopa/levodopa enteral suspension; Duodopa; Duopa; LCIG; levodopa/carbidopa intestinal gel) – combination of levodopa (dopamine precursor) and carbidopa (aromatic L-amino acid decarboxylase (AAAD) inhibitor)
  • Melevodopa/carbidopa (carbidopa/melevodopa; CHF-1512; CNP-1512; GT-1512; levodopa methyl ester/carbidopa; Sirio; V-1512) – combination of melevodopa (dopamine precursor) and carbidopa (aromatic L-amino acid decarboxylase (AAAD) inhibitor)

Dopamine receptor agonists

  • Apomorphine (Apofin; CHF-1526) – non-selective dopamine receptor agonist and other actions
  • Apomorphine subcutaneous (APO-go; Apokinon; Apokyn; Apomine; Britaject; KW-6500; Li Ke Ji; Movapo; Onapgotm; SPN-830) – non-selective dopamine receptor agonist and other actions
  • Bromocriptine (Parlodel) – dopamine D2-like receptor agonist and other actions
  • Cabergoline (Dostinex) – dopamine D2-like receptor agonist and other actions
  • Dihydroergocryptine (DHEC; Almirid; Cripar) – dopamine D2-like receptor agonist and other actions
  • Lisuride (Dopergin) – dopamine D2-like receptor agonist and other actions
  • Pergolide (Permax) – dopamine D2-like receptor agonist and other actions
  • Piribedil (Trivastal, Pronoran) – dopamine D2-like receptor agonist and other actions
  • Pramipexole (BI-Sifrol; Daquiran; Mirapex; Mirapexin; Pexola; Sifrol; SND-919; SND-919Y) – dopamine D2, D3, and D4 receptor agonist
  • Ropinirole (Adartrel; Repreve; Requip) – dopamine D2, D3, and D4 receptor agonist
  • Ropinirole (Requip CR; Requip LP; Requip XL; Requip XR; SKF-101468A) – dopamine D2, D3, and D4 receptor agonist
  • Ropinirole transdermal (Haruropi Tape; HP-3000) – non-selective dopamine receptor agonist and other actions
  • Rotigotine transdermal (Leganto; N-0437; N-0923; Neupro; Neupro Patch; Nubrenza; SPM-962) – non-selective dopamine receptor agonist and other actions
  • Talipexole (BHT-920; Domin) – dopamine D2 receptor agonist and α2-adrenergic receptor agonist

Monoamine oxidase B (MAO-B) inhibitors

  • Rasagiline (Agilect; AGN-1135; Azilect; Elbrus; Lu-00-773; TV-1030; TVP-101; TVP-1012) – monoamine oxidase B (MAO-B) inhibitor
  • Safinamide (EMD-1195686; Equfina; FCE-26743; ME-2125; NW-1015; Onstryv; PNU-151774; Xadago; ZP-034) – reversible monoamine oxidase B (MAO-B) inhibitor and other actions
  • Selegiline (Eldepryl, Jumex) – monoamine oxidase B (MAO-B) inhibitor and other actions
  • Selegiline orally disintegrating tablet (Efupi; FPF-1100-NW; selegiline ODT) – monoamine oxidase B (MAO-B) inhibitor and other actions

Catechol O-methyltransferase (COMT) inhibitors

  • Entacapone (Comtan) – catechol O-methyltransferase (COMT) inhibitor
  • Opicapone (BIA 9-1067; BIA-91067; Ongentys; ONO-2370) – catechol O-methyltransferase (COMT) inhibitor
  • Tolcapone (RO-407592; Tasmar) – catechol O-methyltransferase (COMT) inhibitor

Drugs with unknown mechanisms of action

  • Amantadine (Symmetrel) – unknown mechanism of action and ionotropic glutamate NMDA receptor antagonist (indirect dopaminergic agent) [1] [2]
  • Amantadine extended release (ADS-5101; ADS-5102; Gocovri; Nurelin) – unknown mechanism of action and ionotropic glutamate NMDA receptor antagonist (indirect dopaminergic agent) – drug-induced dyskinesia in Parkinson's disease
  • Budipine (BY-701; Parkinsan) – unknown mechanism of action and ionotropic glutamate NMDA receptor antagonist

Combination drugs

Other drugs

  • Istradefylline (KW-6002; Nourianz; Nouriast) – adenosine A2A receptor antagonist
  • Pimavanserin (ACP-103; BVF-048; Nuplazid) – serotonin 5-HT2A receptor antagonist – Parkinson's disease psychosis

Withdrawn drugs

Off-label drugs

See also

References

  1. Rascol O, Fabbri M, Poewe W (December 2021). "Amantadine in the treatment of Parkinson's disease and other movement disorders". Lancet Neurol. 20 (12): 1048–1056. doi:10.1016/S1474-4422(21)00249-0. PMID   34678171.
  2. Danysz W, Dekundy A, Scheschonka A, Riederer P (February 2021). "Amantadine: reappraisal of the timeless diamond-target updates and novel therapeutic potentials". J Neural Transm (Vienna). 128 (2): 127–169. doi:10.1007/s00702-021-02306-2. PMC   7901515 . PMID   33624170.
  3. 1 2 3 4 5 6 7 Seppi K, Ray Chaudhuri K, Coelho M, Fox SH, Katzenschlager R, Perez Lloret S, Weintraub D, Sampaio C (February 2019). "Update on treatments for nonmotor symptoms of Parkinson's disease-an evidence-based medicine review". Mov Disord. 34 (2): 180–198. doi:10.1002/mds.27602. PMC   6916382 . PMID   30653247.
  4. Barrett MJ, Sargent L, Nawaz H, Weintraub D, Price ET, Willis AW (November 2021). "Antimuscarinic Anticholinergic Medications in Parkinson Disease: To Prescribe or Deprescribe?". Mov Disord Clin Pract. 8 (8): 1181–1188. doi:10.1002/mdc3.13347. PMC   8564829 . PMID   34765683.
  5. Bradley ER, Sakai K, Fernandes-Osterhold G, Szigeti B, Ludwig C, Ostrem JL, Tanner CM, Bock MA, Llerena K, Finley PR, O'Donovan A, Zuzuarregui JR, Busby Z, McKernan A, Penn AD, Wang AC, Rosen RC, Woolley JD (July 2025). "Psilocybin therapy for mood dysfunction in Parkinson's disease: an open-label pilot trial". Neuropsychopharmacology. 50 (8): 1200–1209. doi:10.1038/s41386-025-02097-0. PMC   12170852 . PMID   40205013.
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