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Clozapine

FDA-approved product (tablet, oral), marketed as Clozapine, Clozaril, Fazaclo Odt and 1 more.

Registered studies
50+
Lab records
0
Pathogens at ≥40%
3 of 4

Chemical structure

Chemical structure of Clozapine
A drawing shows what the molecule is, not what it does.

Existing / approved use

Documented · FDA, WHO, ChEMBL

Approved for

  • Psychosis
  • Schizoaffective disorder
  • Schizophrenia

Indications ChEMBL records as approved, from FDA and DailyMed labels. Label ↗

WHO therapeutic group
Diazepines, oxazepines, thiazepines and oxepines
FDA pharmacologic class
Atypical Antipsychotic FDA label ↗
Anti-infective classification
Not classified as an anti-infective.

Repurposing investigation

This medicine is being investigated here for AI-predicted antimicrobial activity against E. coli, MRSA and M. tuberculosis. It was surfaced computationally for further investigation; it is not an established treatment for these infections.

AI-predicted activity

AI prediction · nothing measured
  • MRSA42.8% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • E. coli48.1% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
  • K. pneumoniae19.7% AI-predicted activityBelow the ≥40% mark this site uses to surface candidates.
  • M. tuberculosis63.8% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.

A model’s estimate of laboratory activity against each pathogen species. It is not clinical effectiveness.

Evidence

Clinical and experimental

Documented evidence

Clinical

50+registered studies name this medicine, for any condition. The registry search keeps the first 50, so there may be more. See them below.

Experimental

No evidence found

No laboratory measurement against the four pathogens in the ChEMBL records loaded here.

Docking

Computational · nothing measured

Dihydrofolate reductase ↗ (E. coli)

-7.0 kcal/mol

0better fit →-12

KPC-2 carbapenemase ↗ (K. pneumoniae)

-6.7 kcal/mol

0better fit →-12

Enoyl-ACP reductase (InhA) ↗ (M. tuberculosis)

-7.7 kcal/mol

0better fit →-12

Dihydrofolate reductase ↗ (MRSA)

-7.6 kcal/mol

0better fit →-12

AutoDock Vina, one experimentally solved protein per pathogen. This project’s screening target is -7.0 kcal/mol, its own mark rather than a universal cutoff. A docking score is a structural hypothesis, not proof of binding, and requires experimental validation.

Other medicines to investigate

AI prediction · nothing measured

Other repurposing candidates: approved medicines besides Clozapine with AI-predicted activity ≥40% against the chosen pathogen, leaving out existing antimicrobials. They are computational candidates for further investigation, not alternatives and not recommendations.

Sorted by AI-predicted activity, high to low. The order is not a ranking of which medicine is better.

Registered studies

A registration describes a study; it does not establish a positive result.

  • CARE Study: Improving Treatment for the Most Severely Ill With Schizophrenia

    NCT00272584 · start 2001-06

    Registered record
    Registry ID
    NCT00272584
    Conditions
    Psychosis, Schizophrenia
    Interventions
    Risperidone
    Study type
    INTERVENTIONAL
    Phase
    Phase 4
    Registry status
    Completed
    Start
    2001-06
    Completion
    2004-01
    Enrolment
    100

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionPsychosis, Schizophrenia
    InterventionRisperidone
    PhasePhase 4
    Registry statusCompleted
  • CATIE- Schizophrenia Trial

    NCT00014001 · start 2000-12

    Registered record
    Registry ID
    NCT00014001
    Conditions
    Schizophrenia
    Interventions
    perphenazine; olanzapine; quetiapine; risperidone; ziprasidone; clozapine; fluphenazine decanoate
    Study type
    INTERVENTIONAL
    Phase
    Phase 4
    Registry status
    Completed
    Start
    2000-12
    Completion
    2004-12
    Enrolment
    1,600

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionSchizophrenia
    Interventionperphenazine; olanzapine; quetiapine; risperidone +3 more
    PhasePhase 4
    Registry statusCompleted
  • Electroconvulsive Therapy in Clozapine Refractory Schizophrenia

    NCT00042224 · start 2000-12

    Registered record
    Registry ID
    NCT00042224
    Conditions
    Schizophrenia
    Interventions
    Electroconvulsive Therapy (ECT); Clozapine
    Study type
    INTERVENTIONAL
    Phase
    Phase 1 / Phase 2
    Registry status
    Completed
    Start
    2000-12
    Completion
    2008-07
    Enrolment
    39

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionSchizophrenia
    InterventionElectroconvulsive Therapy (ECT); Clozapine
    PhasePhase 1 / Phase 2
    Registry statusCompleted
  • Study of Clozapine for the Treatment of Psychosis in Patients With Idiopathic Parkinson's Disease

    NCT00004826 · start 1993-10

    Registered record
    Registry ID
    NCT00004826
    Conditions
    Parkinson Disease
    Interventions
    clozapine
    Study type
    INTERVENTIONAL
    Phase
    Not applicable
    Registry status
    Completed
    Start
    1993-10
    Completion
    1997-11
    Enrolment
    60

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionParkinson Disease
    Interventionclozapine
    PhaseNot applicable
    Registry statusCompleted
  • FazaClo Outcomes in the Control of Schizophrenia (FOCUS) Study Survey

    NCT00683891

    Registered record
    Registry ID
    NCT00683891
    Conditions
    Weight Gain; Sialorrhea
    Interventions
    FazaClo (clozapine, USP) ODT
    Study type
    OBSERVATIONAL
    Phase
    Not recorded
    Registry status
    Completed
    Start
    Not recorded
    Completion
    Not recorded
    Enrolment
    Not recorded

    As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.

    ConditionWeight Gain; Sialorrhea
    InterventionFazaClo (clozapine, USP) ODT
    PhaseNot recorded
    Registry statusCompleted