Last reviewed · How we verify

AVP-786-42.63 — Competitive Intelligence Brief

AVP-786-42.63 (AVP-786-42.63) competitive landscape: 6 comparators, recent regulatory actions, upcoming PDUFA, patent timeline. Class: Sigma-1 receptor agonist. Area: Neurology.

phase 3 Sigma-1 receptor agonist Sigma-1 receptor Neurology Small molecule Live · refreshed every 30 min

Target snapshot

AVP-786-42.63 (AVP-786-42.63) — Otsuka Pharmaceutical Development & Commercialization, Inc.. AVP-786 is a combination of deuterated dextromethorphan and quinidine that enhances sigma-1 receptor signaling to reduce neuroinflammation and neurodegeneration.

Comparator set (6 drugs)

Auto-detected by same drug class / molecular target / therapeutic area, ranked by phase + recency. Override with ?vs=slug1,slug2,….

DrugGenericSponsorPhaseClassTargetApproval / PDUFA
AVP-786-42.63 TARGET AVP-786-42.63 Otsuka Pharmaceutical Development & Commercialization, Inc. phase 3 Sigma-1 receptor agonist Sigma-1 receptor
QUINIDINE QUINIDINE marketed sigma-1 receptor, NMDA receptor, CYP2D6 1950-01-01
Dextromethorphan HBr Dextromethorphan HBr Galera Therapeutics, Inc. marketed NMDA receptor antagonist; sigma-1 receptor agonist NMDA receptor; sigma-1 receptor
placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan placebo; diphenhydramine/phenylephrine/cocoa; dextromethorphan Montefiore Medical Center marketed Combination cold and cough remedy H1 receptor (diphenhydramine); alpha-1 adrenergic receptor (phenylephrine); sigma-1 receptor and NMDA receptor (dextromethorphan)
diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan diphenhydramine/phenylephrine/cocoa; placebo; dextromethorphan Montefiore Medical Center marketed Combination cold/cough/allergy remedy H1 histamine receptor (diphenhydramine); alpha-1 adrenergic receptor (phenylephrine); NMDA receptor and sigma-1 receptor (dextromethorphan)
Dextromethorphan Oral Solution Dextromethorphan Oral Solution Helsinki University Central Hospital marketed Non-opioid antitussive NMDA receptor antagonist; sigma-1 receptor
Dextromethorphan hydrobromide with guaifenesin Dextromethorphan hydrobromide with guaifenesin Washington University School of Medicine marketed Antitussive/expectorant combination Sigma-1 receptor, NMDA receptor (dextromethorphan); non-specific expectorant mechanism (guaifenesin)

Recent regulatory actions (last 90 days)

No regulatory actions in the last 90 days for this set.

Upcoming PDUFA dates (next 180 days)

No PDUFA dates in the next 180 days for this set.

Patent timeline (forward window)

No upcoming patent expiries for this set.

Sponsor landscape (Sigma-1 receptor agonist class)

  1. Otsuka Pharmaceutical Development & Commercialization, Inc. · 3 drugs in this class
  2. Anavex Life Sciences Corp. · 2 drugs in this class

Subscribe to ongoing alerts

Push every new event for this competitive set into your RSS reader, IFTTT/Zapier workflow, or email digest:

Cite this brief

Drug Landscape (2026). AVP-786-42.63 — Competitive Intelligence Brief. https://druglandscape.com/ci/avp-786-42-63. Accessed 2026-05-17.

Build your own brief

Pick any drug + add comparators: