Taranabant

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Taranabant


Taranabant is a cannabinoid receptor type 1 (CB1) antagonist that was developed by Merck & Co for the treatment of obesity. It is the inverse agonist of the CB1 receptor, as opposed to the antagonist, which means it produces the opposite effect to the natural ligand (in this case, the endocannabinoids).

History

Taranabant was first synthesized and studied by Merck & Co. The company initiated clinical trials for the drug in the early 2000s, with the aim of developing a new treatment for obesity. However, the development of Taranabant was discontinued in 2008 due to concerns about side effects, including depression and anxiety.

Mechanism of Action

Taranabant works by blocking the CB1 receptor, one of the two receptors in the endocannabinoid system. This system plays a key role in regulating energy balance and food intake. By blocking the CB1 receptor, Taranabant reduces appetite and increases energy expenditure, thereby promoting weight loss.

Clinical Trials

Several clinical trials were conducted to evaluate the efficacy and safety of Taranabant in the treatment of obesity. These trials showed that Taranabant could significantly reduce body weight in obese individuals. However, the trials also revealed that the drug could cause psychiatric side effects, including depression and anxiety. These findings led to the discontinuation of the development of Taranabant.

Side Effects

The most common side effects of Taranabant include nausea, vomiting, and diarrhea. The drug can also cause psychiatric side effects, such as depression and anxiety. These side effects were the main reason for the discontinuation of the development of Taranabant.

Current Status

As of now, Taranabant is not approved for use in any country. The development of the drug was discontinued in 2008 due to concerns about its side effects. However, research on the endocannabinoid system and its role in obesity continues, and new drugs targeting this system may be developed in the future.

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Contributors: Prab R. Tumpati, MD