Selfotel (CGS-19755) is a drug which acts as a competitive
NMDA antagonist, directly competing with
glutamate
Glutamic acid (symbol Glu or E; known as glutamate in its anionic form) is an α-amino acid that is used by almost all living beings in the biosynthesis of proteins. It is a Essential amino acid, non-essential nutrient for humans, meaning that ...
for binding to the receptor. Initial studies showed it to have
anticonvulsant,
anxiolytic,
analgesic and
neuroprotective effects, and it was originally researched for the treatment of
stroke
Stroke is a medical condition in which poor cerebral circulation, blood flow to a part of the brain causes cell death. There are two main types of stroke: brain ischemia, ischemic, due to lack of blood flow, and intracranial hemorrhage, hemor ...
, but subsequent animal and human studies showed
phencyclidine-like effects, as well as limited efficacy and evidence for possible
neurotoxicity under some conditions, and so clinical development was ultimately discontinued.
CNS review:
References
Carboxylic acids
Dissociative drugs
NMDA receptor antagonists
Phosphonic acids
Piperidines
Abandoned drugs
{{pharma-stub