Asset profile

Onfasprodil

Small molecule

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Discontinuedsponsor decision

Evidence outlook · program status

Discontinued (2023), as a strategic decision by the sponsor

Onfasprodil (MIJ821) was Novartis's NR2B-selective NMDA receptor antagonist for major depressive disorder with suicidal ideation. Novartis's FY2023 Form 20-F lists it in the table of changes to selected development projects with the entry 'Removed / Development discontinued'; the phase 2 study NCT04722666 was terminated with the reason 'Terminated by Novartis'. The compound has not been picked up elsewhere: the only later SEC reference is Firefly Neuroscience's 2026 10-K citing a 2023 EEG-biomarker collaboration as past work. The trials below are preserved as the program's evidence history; no evidence signal is assigned to a program the sponsor has stopped.

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Competitive landscape

67 competitors in this universe: 10 direct rivals (same mechanism and indication), 1 same-class, 56 same-indication; 25 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Onfasprodil: this drugPhase 2Small moleculeNMDA receptor
Esketamine (Spravato)ApprovedSmall moleculeNMDA receptor
AV-101Phase 3Small moleculeNMDA receptor
ACP-211Phase 2Small moleculeNMDA receptor
Arketamine (PRT042)Phase 2Small moleculeNMDA receptor
BI 1569912Phase 2Small moleculeNMDA receptor
BlixeprodilPhase 2Small moleculeNMDA receptor
CLE-100Phase 2Small moleculeNMDA receptor
ZelquistinelPhase 2Small moleculeNMDA receptor
ALA-3000Phase 1Small moleculeNMDA receptor
SP-101Phase 1Small moleculeNMDA receptor
Amantadine ER (Gocovri / ADS-5102)ApprovedSmall moleculeNMDA receptor
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

…and 52 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.