This is a list of investigational social anxiety disorder drugs, or drugs that are currently under development for clinical use in the treatment of social anxiety disorder (SAD; or social phobia) but are not yet approved.
Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses.
This list was last comprehensively updated in August 2024. It is likely to become outdated with time.
Under development Phase 3 Fasedienol (Aloradine; AM-005; PH-94B; 4-androstadienol) – vomeropherine Soclenicant (BNC-210; IW-2143) – α7 nicotinic acetylcholine receptor negative allosteric modulator (abandoned after failed phase 3 trials. See .) VQW-765 (VQW765; AQW051; AQW-051; JQH481R778) – α7 nicotinic acetylcholine receptor partial agonist
Phase 2/3 Riluzole sublingual (BHV-0223; Nurtec) – complex mechanism of action or glutamatergic modulator
Phase 2 Cannabidiol (CBD; ATL5; RLS103) – cannabinoid receptor modulator and other actions Cannabidiol (CBD; Empower CBD) – cannabinoid receptor modulator and other actions ENX-102 (ENX102) — α2, α3, and α5 subunit-containing GABAA receptor positive allosteric modulator and nonbenzodiazepine https://chdr.nl/medialibrary/library/downloads/CHDR_Poster_ENX-102_final2.pdf FKW00GA (FKW-00GA; TGW-00AA; TGW00AA) – serotonin 5-HT1A receptor partial agonist and serotonin 5-HT2A receptor antagonist JNJ-42165279 (JNJ-5279) – fatty acid amide hydrolase (FAAH) inhibitor (R)-Midomafetamine ((R)-MDMA; R-MDMA; EMP-01) – serotonin, norepinephrine, and dopamine releasing agent, weak serotonin 5-HT2A, 5-HT2B, 5-HT2C receptor agonist, entactogen, and weak psychedelic hallucinogen Non-racemic MDMA (ALA-002; 70–80% (R)-MDMA, 20–30% (S)-MDMA) – serotonin, norepinephrine, and dopamine releasing agent, weak serotonin 5-HT2A, 5-HT2B, 5-HT2C receptor agonist, entactogen, and weak psychedelic hallucinogen NTX-1472 (RO-6953958) – vasopressin V1A receptor antagonist Slides ONO-1110 – endocannabinoid synthesis regulator and indirect cannabinoid receptor modulator Oxytocin (intranasal potentiated oxytocin; TI-001; TI-114; TNX-1900; TNX-2900) – oxytocin receptor agonist Vilazodone (Viibryd) – serotonin 5-HT1A receptor partial agonist and serotonin reuptake inhibitor
Phase 1 SNTX-2643 (SENS-01) – atypical serotonin reuptake inhibitor (SRI) (kanna-derived)
Preclinical Dimethyltryptamine (DMT) – non-selective serotonin receptor agonist and psychedelic hallucinogen EX-14280 – fatty acid amide hydrolase (FAAH) inhibitor EX-14663 – fatty acid amide hydrolase (FAAH) inhibitor PSYLO-3001 (Psylo-3001) – non-selective serotonin receptor agonist and psychedelic hallucinogen Research programme: CNS disorders and substance-related disorders therapeutics - Kinoxis Therapeutics — oxytocin receptor modulators
Phase unknown Fluvoxamine extended-release – selective serotonin reuptake inhibitor (SSRI) Venlafaxine controlled-release – serotonin–norepinephrine reuptake inhibitor (SNRI)
Not under development No development reported Bupropion (Wellbutrin) – norepinephrine–dopamine reuptake inhibitor (NDRI) and nicotinic acetylcholine receptor negative allosteric modulator EX-597 (KDS-4103; ORG-231295; URB-597) – fatty acid amide hydrolase (FAAH) inhibitor Guanfacine extended-release (Connexyn; Intuniv; Intuniv XR; S-877503; SHP-503; SPD-503) – α2-adrenergic receptor agonist
Development discontinued AV-608 (CGP-60829; NK-608; NKP-608C; NKP608) – neurokinin NK1 receptor antagonist Cycloserine (D-cycloserine; TIK-101; TIK101) — NMDA receptor partial agonist Tradipitant (LY-686017; VLY-686) – neurokinin NK1 receptor antagonist Verucerfont (GSK-561679; NBI-77860) – corticotropin-releasing hormone receptor 1 (CRF1) antagonist
Formal development never or not yet started Small-molecule oxytocin receptor agonists (e.g., LIT-001, LIT-002) 15-Lipoxygenase (15-LOX; ALOX15) inhibitors (small-molecule indirect oxytocin-like drugs) (e.g., KNX-100 (SOC-1), KNX-101)
Clinically used drugs Approved drugs Selective serotonin reuptake inhibitors (SSRIs) Escitalopram (Lexapro; Cipralex) – selective serotonin reuptake inhibitor Fluvoxamine (Depromel; Luvox) – selective serotonin reuptake inhibitor Paroxetine (Dropax; Serestill; Paxil; Seroxat) – selective serotonin reuptake inhibitor Sertraline (Zoloft; Lustral) – selective serotonin reuptake inhibitor
Serotonin–norepinephrine reuptake inhibitors (SNRIs) Venlafaxine (Dobupal; Effexor; Effexor XR; Elafax) – serotonin–norepinephrine reuptake inhibitor
Monoamine oxidase inhibitors (MAOIs) Moclobemide (Manerix) – reversible inhibitor of monoamine oxidase A (RIMA)
Off-label drugs Alcohol (over-the-counter self-medication) – GABAA receptor positive allosteric modulator Atypical antipsychotics (e.g., olanzapine, quetiapine) – monoamine receptor modulators Benzodiazepines (e.g., alprazolam, chlordiazepoxide, clonazepam, diazepam, lorazepam, oxazepam) – GABAA receptor positive allosteric modulators Beta blockers (e.g., atenolol, propranolol) – β-adrenergic receptor antagonists Bupropion (Wellbutrin) – norepinephrine–dopamine reuptake inhibitor (NDRI) and nicotinic acetylcholine receptor negative allosteric modulator Cannabidiol (CBD) – cannabinoid receptor modulator and other actions, found in cannabis Gabapentinoids (e.g., gabapentin, pregabalin) – α2δ subunit-containing voltage-dependent calcium channel blockers Monoamine oxidase inhibitors (MAOIs) (e.g., phenelzine, selegiline, tranylcypromine) NMDA receptor antagonists (e.g., ketamine) Other anticonvulsants (besides gabapentinoids) (e.g., topiramate, valproic acid, tiagabine) Psychostimulants (e.g., amphetamine, methylphenidate) Selective serotonin reuptake inhibitors (SSRIs) (non-licensed) (e.g., citalopram, fluoxetine) Serotonin–norepinephrine reuptake inhibitors (SNRIs) (non-licensed) (e.g., desvenlafaxine, duloxetine) Serotonin 5-HT1A receptor agonists (e.g., buspirone) Tricyclic antidepressants (TCAs) (e.g., clomipramine, imipramine)
See also List of investigational drugs List of investigational generalized anxiety disorder drugs List of investigational panic disorder drugs List of investigational post-traumatic stress disorder drugs List of investigational anxiety disorder drugs List of investigational autism and pervasive developmental disorder drugs List of investigational aggression drugs
References
Further reading
External links AdisInsight - Springer