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Pavinetant is a small-molecule, orally active, selective neurokinin 3 (NK3) receptor antagonist. It was originally developed by AstraZeneca and later by Millendo Therapeutics (now Tempest Therapeutics) for the treatment of hot flashes, polycystic ovary syndrome (PCOS), and schizophrenia. The drug acts as an antagonist at the neurokinin 3 receptor (also known as the neuromedin-K receptor or TACR3), which is involved in modulating hormone release and neuronal signaling. Clinical development for all indications was discontinued due to lack of efficacy in schizophrenia and unfavorable risk-benefit profile—including abnormal liver function—in trials for hot flashes and PCOS[2][3][4][7].
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