Drug intelligence / Profile preview

prochlorperazine (Alexza Pharmaceuticals Inc)

Development stage
Discontinued
Lead developer
Ferrer
Modality
Small Molecules
Administration
Inhalation
01

Overview

Inhaled PCZ 7.5 mg is a specific dose of AZ-001 (Staccato Prochlorperazine), an investigational drug-device combination product developed for the acute treatment of migraine headaches. It consists of prochlorperazine, a phenothiazine-class dopamine D2 receptor antagonist, delivered via the proprietary Staccato single-dose inhaler. The Staccato system rapidly heats a thin film of the drug, vaporizing it into a condensation aerosol for deep lung inhalation. This method allows for rapid systemic absorption with intravenous-like pharmacokinetics, achieving peak plasma concentrations within 2 to 5 minutes. Developed by Alexza Pharmaceuticals (whose assets were acquired by Nova Pneuma, a subsidiary of Lee's Pharmaceutical, in 2025), AZ-001 completed a Phase IIb clinical trial (NCT00422812) where the 7.5 mg dose met the primary endpoint of 2-hour pain relief compared to placebo. However, further development of this candidate for migraine has been discontinued.

Other names
Inhaled PCZ 7.5 mgStaccato PCZStaccato Prochlorperazineinhaled prochlorperazineprochlorperazine inhalation
02

Targets

HTR2A (Serotonin receptor 5-HT2A)HTR2C (5-hydroxytryptamine 2C receptor)ADRA1A (α1A)DRD2 (Dopamine D2 Receptor)DRD3 (Dopamine receptor D3)DRD4 (Dopamine D4 Receptor)HRH1 (Histamine H1 Receptor)M1 (Muscarinic acetylcholine receptor M1)

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