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Discovery of Rapid-Acting, Orally Available Antidepressants by Activating TrkB Signaling.

Xu Cheng, Fan Jiang, Lixin Liu, Yuanqiang Wang, Shuang Chen, Wei Cui

Journal of Medicinal Chemistry July 29, 2025 DOI: 10.1021/acs.jmedchem.5c01750 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Preclinical study Peer reviewed
Intervention B11
Topics Neuroplasticity
Keywords Depression treatment Mental health therapy Mood disorder treatment Psychiatric medication Rapid-acting drugs Fast-acting therapy Quick-onset medication Novel antidepressants Breakthrough treatment Brain pathways Brain adaptation Neurological research Cns Drug discovery New compound Pharmaceutical research Preclinical studies Therapeutic development Novel therapies
Citations 1
Key points B11 is a rapid-acting antidepressant that activates the TrkB-CREB signaling axis with minimal interference with targets associated with psychotic side effects in preclinical models.

Abstract

Major depressive disorder (MDD) remains a significant global health burden, and its current treatments are limited by the delayed onset of efficacy weeks after dosing. While esketamine and psychedelics were clinically successful as rapid-acting antidepressants in recent years, these molecules are heavily associated with psychotic side effects and the risks of substance abuse. In this study, we identified a rapid-acting antidepressant B11 through phenotypic screening and pharmacophore-oriented lead optimization. Unlike the existing fast-onset antidepressants, B11 showed minimal interference with targets associated with psychotic side effects while demonstrating potent antidepressant effects through activation of the TrkB-CREB signaling axis in preclinical models. Besides, B11 readily penetrates the blood-brain barrier and possesses a favorable pharmacokinetic profile that enables oral administration. Our findings highlight the potential of optimized fast-onset therapeutics for addressing unmet clinical needs in depression treatment and underscore the importance of neuroplasticity modulation in drug discovery efforts for MDD.

Comparable studies

Other preclinical and animal studies on neuroplasticity, most cited first.

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