Drug intelligence / Profile preview

padsevonil

Development stage
Discontinued
Lead developer
UCB
Modality
Small Molecules
Administration
Oral
01

Overview

Padsevonil (UCB0942) is a first-in-class small molecule antiseizure medication developed by UCB for the treatment of drug-resistant focal-onset seizures. It was designed with a unique dual mechanism of action intended to address high unmet medical needs in epilepsy: it binds with high affinity to all three isoforms of the presynaptic synaptic vesicle protein 2 (SV2A, SV2B, and SV2C) and acts as a partial agonist at the benzodiazepine site of the postsynaptic GABAA receptor. While padsevonil demonstrated a favorable safety profile and numerical improvements in seizure reduction during clinical evaluation, it failed to reach statistical significance for its primary efficacy endpoints in the Phase 2b ARISE trial and the Phase 3 DUET trial. Due to the lack of differentiated efficacy compared to existing treatments, UCB discontinued the clinical development program in 2020.

Other names
padsevonil
02

Targets

BZD site (GABA-A receptor benzodiazepine site)SV2B (Synaptic vesicle glycoprotein 2B)SV2C (Synaptic vesicle glycoprotein 2C)GABAA (Gamma-aminobutyric acid receptor)SV2A (Synaptic vesicle glycoprotein 2A)

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