Drugs / zatolmilast
last change Dec 2025 re-read 9 days ago

zatolmilast

also known as BPN14770

Small molecule targets PDE4D

Developed for
Alzheimer disease · fragile X syndrome
Investigated by
Tetra Discovery Partners · Shionogi · National Institute of Mental Health (NIMH)

Trials 12

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 17 trials
Phase 1 NCT07018492 Aug → Nov 2025 — Shionogi Completed No outcome recorded
Phase 1 NCT07012005 Aug → Dec 2025 impaired renal function disease Shionogi Completed No outcome recorded
Phase 1 NCT07011992 Jul 2025 — Shionogi Completed No outcome recorded
Phase 1 NCT04044781 Jan → Apr 2020 — Tetra Discovery Partners Withdrawn No outcome recorded
Phase 1 NCT03030105 Jan → May 2017 Alzheimer disease Tetra Discovery Partners Completed No outcome recorded
Phase 1 NCT02840279 Jun → Nov 2016 Alzheimer disease Tetra Discovery Partners Completed No outcome recorded
Phase 1 NCT02648672 Dec 2015 → Feb 2016 Alzheimer disease Tetra Discovery Partners Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT03861000 Mar 2019 → Feb 2020 depressive disorder National Institute of Mental Health (NIMH) Completed No outcome recorded
Phase 23 trials · 1 met primary
Phase 2 NCT06717438 May 2025 → Dec 2027 expected — Shionogi Active not recruiting No outcome recorded
Phase 2 NCT03817684 Apr 2019 → Feb 2020 Alzheimer disease Tetra Discovery Partners Completed No outcome recorded
Phase 2 NCT03569631 Jul 2018 → Jul 2020 fragile X syndrome Tetra Discovery Partners Completed Met primary
Phase 31 trial
Phase 3 NCT05367960 Nov 2022 → Sep 2027 expected fragile X syndrome Tetra Discovery Partners Active not recruiting No outcome recorded
Comparator or background therapy2 trials
Phase 2/3 NCT05163808 Comparator Mar 2022 → Sep 2025 fragile X syndrome Tetra Discovery Partners Completed No outcome recorded
Phase 3 NCT05358886 Comparator Nov 2022 → Jul 2025 fragile X syndrome Tetra Discovery Partners Completed No outcome recorded

News releases announcing trial results or a regulatory action · 3

DateIssuerRelease
2024-04-11 Shionogi Regulatory The European Commission Grants Orphan Medicinal Product Designation for Zatolmilast, a Potential First-In-Class Treatment Being Investigated for Fragile X Syndrome shionogi.com ↗
the European Commission has granted Orphan Medicinal Product designation for zatolmilast (BPN14770), an investigational treatment for Fragile X syndrome (FXS)
2023-09-27 Shionogi Regulatory Zatolmilast, an Investigational Treatment for Fragile X Syndrome, Receives Rare Pediatric Disease Designation from the U.S. FDA shionogi.com ↗
2020-11-02 Shionogi Results Shionogi Announces Positive Topline Results from Phase 2 Study of BPN14770, a Drug Candidate for the Treatment of Brain Disorders Associated with Cognitive and Memory Deficits, in Patients with Fragile X Syndrome shionogi.com ↗
Regarding the primary endpoints of safety and tolerability, all subjects (30 patients) completed both treatment periods and BPN14770 demonstrated excellent safety and tolerability.

Evidence & citations 6 cited values

Every value below carries the sentence it was read from. 14 sources stand behind the page.

FieldValueCited text
Known as zatolmilast “BPN14770/ zatolmilast” NCT05358886 ↗
2

NCT05163808 ↗

NCT05367960 ↗

Known as BPN14770 “Zatolmilast/ BPN14770” NCT05367960 ↗
12

NCT05358886 ↗

NCT03817684 ↗

NCT07011992 ↗

NCT07012005 ↗

NCT02648672 ↗

NCT03861000 ↗

NCT04044781 ↗

NCT03030105 ↗

NCT02840279 ↗

NCT07018492 ↗

Show 2 more sources

Action Inhibit “negative allosteric modulator of phosphodiesterase 4D” NCT02648672 ↗
Modality Small molecule “BPN14770 is a small molecule, subtype selective, negative allosteric modulator of phosphodiesterase 4D.” NCT02648672 ↗
Route Oral “single oral dose of BPN14770” NCT02648672 ↗
Target PDE4D “modulator of phosphodiesterase 4D” NCT02648672 ↗