GABAA-Modulating Steroid Compounds for Brain Excitability Control

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Solution Overview

Problem

There is a need for new compounds that can modulate brain excitability and treat CNS-related disorders, as existing therapies like benzodiazepines and barbiturates have limitations and new neuroactive steroids are required to address these conditions.

Innovation Solution

Development of compounds designed as GABA modulators, including specific formulas and their pharmaceutically acceptable salts, which can act as therapeutic agents for treating CNS-related disorders by modulating the GABAA receptor.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If existing therapies like benzodiazepines and barbiturates are used to treat CNS disorders, then brain excitability can be modulated, but therapeutic limitations and side effects occur

Engineering Contradiction:
Improvetherapeutic efficacyVSAvoidside effects
Core Design Contradiction:
ReliabilityVSObject-generated harmful factors

Solution Approach 1:

The patent modifies the chemical structure of neuroactive steroids by changing parameters such as substituting groups at specific positions (e.g., 21-hydroxy substitution, 17-alpha-alkyl groups) to optimize therapeutic efficacy while reducing side effects associated with existing benzodiazepine and barbiturate therapies

Inventive Principle:
Principle #35Parameter changes

2Reliability

If new neuroactive steroids are developed to overcome limitations of existing therapies, then therapeutic benefits improve, but complexity of compound development increases

Engineering Contradiction:
Improvetherapeutic benefitsVSAvoidcompound structure complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent divides the complex task of developing new neuroactive steroids into a systematic series of analogs with specific structural modifications, allowing for methodical optimization of therapeutic properties while managing development complexity through structured chemical series

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent systematically varies chemical parameters (substituent groups, molecular weight, lipophilicity) across a series of steroid analogs to achieve desired therapeutic effects while maintaining manageable structural complexity through defined modification patterns

Inventive Principle:
Principle #35Parameter changes

3Adaptability or versatility

If compounds are designed to specifically modulate GABAA receptor, then selectivity for CNS disorders improves, but difficulty of achieving desired selectivity increases

Engineering Contradiction:
Improvereceptor selectivityVSAvoidselectivity achievement difficulty
Core Design Contradiction:
Adaptability or versatilityVSDifficulty of detecting and measuring

Solution Approach 1:

The patent introduces specific local modifications at key positions of the steroid molecule (e.g., 21-position hydroxy group, 17-alpha position substituents) to enhance binding affinity and selectivity for the GABAA receptor, thereby achieving desired receptor specificity through localized structural optimization

Inventive Principle:
Principle #3Local quality

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

These compounds effectively treat CNS-related disorders such as depression, schizophrenia, and seizure activity by modulating brain excitability, providing therapeutic and prophylactic benefits.

Implementation Method 1

GABA interacts with its recognition site on the GRC to facilitate the flow of chloride ions down an electrochemical gradient of the GRC into the cell

Methodology Applied
Scientific EffectElectrochemical gradient:

Data Source

PatentUS12421275B2Compositions and methods for treating CNS disorders
Publication Date: 2025.09.23 SAGE THERAPEUTICS LLC
  • US12421275B2 patent drawing
  • US12421275B2 patent drawing
  • US12421275B2 patent drawing

AI summary

Provided herein is a compound of Formula (I-I)or a pharmaceutically acceptable salt thereof, wherein the variables are defined herein. Also provided herein are pharmaceutical compositions comprising a compound of Formula (I-I), and methods of using the compounds, e.g., in the treatment of CNS-related disorders.