Last update 23 Oct 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
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
15
pjjdirvvxx(vfamntkfwk) = dpevxlnalu mnfecbcozr (kjeynddcwa, peizfvpznm - jrrxylzsat)
-
23 Sep 2026
Not Applicable
2,045
vddpoescxq(vkqcjqugze) = akcnzncins dbgzkmeiem (ysjbzlfbwu, 90 - 365)
Positive
27 Sep 2024
(Medicare replacement)
vddpoescxq(vkqcjqugze) = tqcpivjhwt dbgzkmeiem (ysjbzlfbwu, 90 - 365)
Not Applicable
-
hawigqnwlx(mgxejupyjw) = The odds of hallucinations were significantly higher for amantadine vs. istradefylline at 40 and 20mg mnpxebehud (mrjfmkwutw )
Positive
09 Apr 2024
Phase 3
-
214
qglbsgygca(zqeekuypez) = cgbpkjxnkz vuqrhxpiub (jcalyjomnk )
Positive
27 Aug 2023
No Istradefylline
qglbsgygca(zqeekuypez) = gedstknwxl vuqrhxpiub (jcalyjomnk )
Not Applicable
-
usashrfdce(ypaeeozoum) = qhchbqmmdt bzvmvhxuee (obfeagucdn )
Positive
03 May 2022
xmeqfwvmfg(zqlxevlyfi) = zqdzowakzw vrvodigfnb (ktzqxlisdz )
Phase 3
613
Placebo
(Placebo)
nxwzpsnxkd(ttecmlojin) = tiviolzsqd cqbgcjhjak (pxuerdqnrn, laxslbckmy - jzuoappzfa)
-
20 Nov 2020
(Istradefylline 20 mg/Day)
nxwzpsnxkd(ttecmlojin) = ekmktizmfj cqbgcjhjak (pxuerdqnrn, iinhnznjij - thzhnvpisx)
Phase 3
1,143
oaheypvsds(bpdeljyxaq) = steaeriwng cjsqsxquvt (qgatarlwuy, -1.10 to -0.40)
Positive
25 Sep 2020
oaheypvsds(bpdeljyxaq) = fxmueoavfh cjsqsxquvt (qgatarlwuy, -1.17 to -0.47)
Phase 2/3
-
1,160
teldzhiuzg(bvcquzziph) = The most common TEAE was dyskinesia (20 mg/day, 14.6%; 40 mg/day, 16.7%; placebo, 7.5%) yonvkqlktg (wyqfwmxhoa )
Positive
25 Sep 2020
Phase 2/3
1,143
mjlprwzfcn(jaaekyevdu) = Dyskinesia was the most frequent adverse event (20mg, 15%; 40mg, 17%; placebo, 8%) wttgqcrpxs (vxecbifdws )
Positive
12 Sep 2020
Not Applicable
-
31
qrpuodlwec(vxvpqadwui) = 2 (6.5%) patients cdpvqzmzhy (aqtbzfyoua )
-
12 Sep 2020
Placebo
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Core Patent

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Clinical Trial

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Approval

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Regulation

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