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Drugs And Drug Development Journey

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The unlikely route from inflammation to antipsychotics

The drug development journey leading to olanzapine (Zyprexa) reaching the market did not always follow the steps of rational drug design. Inspired by the first antipsychotic drugs, it took a while from the first discovery of antipsychotic drugs until Zyprexa was developed. The first antipsychotics were come across largely by chance. They were not specifically tailored to a relevant biological effector as rational drug design promotes. Even now as most drugs, Zyprexa is not quite perfect, it is accused of side effects such as weight gain and diabetes. But it has proven to be a potent medication for the treatment of schizophrenia, bipolar disorder and today is also widely used for the treatment of depression (Perlmultter. 2014).

The story of this drug begins in the streets of Paris (and Lyon) in the 1930s, where the pharma-company Laboratoires Rhône-Poulenc (today Sanofi) noticed that the drugs they were developing as antihistamines also demonstrated relaxant and sedative effects (Shen ,1999; Healy, 2004). Their observations and research eventually lead to the synthesis of chlorpromazine in 1950, the first drug with specific antipsychotic action (Yuhas, 2013).

Chlorpromazine was the first so called typical/first generation antipsychotic drug, introduced to the market in 1952. The discovery of chlorpromazine is still considered one of the greatest breakthroughs in psychiatric care, and was the first drug in its class

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