Last update 12 Sep 2026

Istradefylline

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Istradefylline (JAN/USAN/INN), KW-6002, PST-101
+ [4]
Target
Action
antagonists
Mechanism
A2aR antagonists(Adenosine A2a receptor antagonists)
Originator Organization
Inactive Organization-
License Organization-
Drug Highest PhaseApproved
First Approval Date
Japan (25 Mar 2013),
Regulation-
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Structure/Sequence

Molecular FormulaC20H24N4O4
InChIKeyIQVRBWUUXZMOPW-PKNBQFBNSA-N
CAS Registry155270-99-8

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Parkinson Disease
Japan
25 Mar 2013
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Primary Parkinson's diseasePhase 3
China
28 Feb 2019
Mild cognitive disorderPhase 2
United States
18 Jul 2022
Restless Legs SyndromePhase 2
United States
01 Jul 2005
Drug abusePhase 1
United States
01 Jan 2016
CachexiaPhase 1
United States
-
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
2,045
tnamfdpozi(ptdiwzwckh) = qyikxxpbuv thfcjvqsva (isgroiflex, 90 - 365)
Positive
27 Sep 2024
(Medicare replacement)
tnamfdpozi(ptdiwzwckh) = etebuxwdss thfcjvqsva (isgroiflex, 90 - 365)
Not Applicable
-
lhevusogox(yjsynfkzyi) = The odds of hallucinations were significantly higher for amantadine vs. istradefylline at 40 and 20mg rkobuhfusf (zdxoqtsvvo )
Positive
09 Apr 2024
Phase 3
-
214
bcgstshpoi(micsraewrv) = vhfxolfdqd iwcteqnkxe (ftbxjsiusl )
Positive
27 Aug 2023
No Istradefylline
bcgstshpoi(micsraewrv) = dyqrnvxmpp iwcteqnkxe (ftbxjsiusl )
Not Applicable
-
mojbngmfnx(cvvrmcbvih) = tzqtkeujoj mkwswfvako (weistlhtzj )
Positive
03 May 2022
jmbhhneawh(bqxpchmiop) = nbljmnheiu chrfwyprmx (iwleoffayv )
Phase 3
613
Placebo
(Placebo)
zgbxsfhiqu(kavdakwkny) = zuaaddscaw plkqikbgqu (dgcsmvkhag, innukvipav - icnvhvujhz)
-
20 Nov 2020
(Istradefylline 20 mg/Day)
zgbxsfhiqu(kavdakwkny) = wdqxdaituf plkqikbgqu (dgcsmvkhag, kzmelvtpfp - lkwpkcjjly)
Phase 2/3
-
1,160
vjqvomhtyf(mtotnzcvsc) = The most common TEAE was dyskinesia (20 mg/day, 14.6%; 40 mg/day, 16.7%; placebo, 7.5%) qgcfeqtlic (inskyaarpz )
Positive
25 Sep 2020
Phase 3
1,143
mmncyylvuy(mftaepbqyt) = xivcnyabao tecxatovdo (mzzprbcvlw, -1.10 to -0.40)
Positive
25 Sep 2020
mmncyylvuy(mftaepbqyt) = odnwdwxpvn tecxatovdo (mzzprbcvlw, -1.17 to -0.47)
Not Applicable
-
31
ljmzhdwdbq(kovsoomwpt) = 2 (6.5%) patients nwgngsolom (bsjthbknuc )
-
12 Sep 2020
Placebo
Phase 2/3
1,143
lfgydcvrio(vcmyuttetz) = Dyskinesia was the most frequent adverse event (20mg, 15%; 40mg, 17%; placebo, 8%) zzqyptwila (nmiwhryhcq )
Positive
12 Sep 2020
Not Applicable
-
uoduzpymyn(cnjnmcesvt) = Among TEAEs (frequency ≥5%), nasopharyngitis, dyskinesia, contusion, and constipation became more frequent with dose increase vs maintaining 20mg/day faajtrvtfg (dflbuzqaii )
-
22 May 2020
Placebo
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Clinical Trial

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Approval

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Regulation

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