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**EVT100** is an orally active small molecule from the EVT100 series, originally discovered by Roche and licensed to Evotec for development. It functions as a selective antagonist of the NR2B (GluN2B) subtype of NMDA receptors, aimed at providing rapid antidepressant effects similar to ketamine but with oral bioavailability. The compound showed good tolerability in Phase I/Ib studies across young and elderly healthy volunteers, with brain penetration confirmed via CSF measurements and fMRI evidence of NR2B blockade at therapeutic doses. Development focused primarily on treatment-resistant depression but was discontinued after voluntary termination of a Phase II proof-of-concept trial due to recruitment challenges, toxicology concerns, and dosing issues; potential also explored in Alzheimer's disease, neuropathic pain, and Parkinson's disease.
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