Asset profile

Liafensine

Small molecule

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Reliablesignal

Evidence outlook · lead readout

ENLIGHTEN (NCT05113771) · Treatment Resistant Depression

The completed lead evidence has the design features that historically survive confirmatory trials: randomized, controlled, and adequately powered against a prespecified clinically accepted endpoint.

ENLIGHTEN (NCT05113771): The study randomized 197 participants to two liafensine doses or placebo, with participants and investigators blinded to treatment. Its primary clinical endpoint, change in MADRS score at Day 42 in DGM4-positive patients, favored combined liafensine over placebo with statistical significance, supporting a strong evidence grade.

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Competitive landscape

62 competitors in this universe: 2 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 23 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Liafensine: this drugPhase 2Small moleculeSerotonin/norepinephrine/dopamine transporter
Ansofaxine HydrochloridePhase 3Small moleculeSerotonin/norepinephrine/dopamine transporter
JNJ-89495120Phase 2Small moleculeSerotonin/norepinephrine/dopamine transporter
Brexpiprazole (Rexulti)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Cariprazine (Vraylar)ApprovedSmall moleculeDopamine D3/D2 receptor (partial agonist)
Cyclobenzaprine (Tonmya)ApprovedSmall molecule5-HT2A, α1-adrenergic, H1-histaminergic, and M1-muscarinic acetylcholine receptors (functional antagonism)
Dextromethorphan / Bupropion (Auvelity)ApprovedSmall moleculesigma-1/NMDA
Esketamine (Spravato)ApprovedSmall moleculeNMDA receptor
Lumateperone (Caplyta)ApprovedSmall moleculeSerotonin 5-HT2A / dopamine D1-D2 receptor
Olanzapine / Fluoxetine (Symbyax)ApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist); serotonin transporter (reuptake inhibitor)
Solriamfetol (Sunosi)ApprovedSmall moleculeDopamine/norepinephrine transporter
Vortioxetine (Trintellix)ApprovedSmall moleculeSerotonin transporter + multiple 5-HT receptors
AmmoxetinePhase 3Small moleculeSerotonin/norepinephrine transporter
AV-101Phase 3Small moleculeNMDA receptor
AzetukalnerPhase 3Small moleculeKv7 potassium channel
BrenipatidePhase 3PeptideGLP-1/GIP receptor (dual)

…and 47 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

No upcoming readouts on record for this asset.

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 2 (4)
Phase 1 (3)