Hauser · Nature reviews. Drug discovery 2017 · Descriptive pipeline and landscape review · n=475 approved drugs, 321 clinical trial agents

Trends in GPCR drug discovery: new agents, targets and indications.

Cited 2752 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Level is by design analogy (descriptive landscape and database review with no clinical trial intervention data)

PubMed 29075003 · doi:10.1038/nrd.2017.178 · record verified 2026-08-29

What was done

The authors performed an analysis of all GPCR drugs and agents in clinical trials, evaluating trends across molecule types, drug targets, and therapeutic indications.

What was found

A total of 475 drugs (~34% of all FDA-approved drugs) act at 108 unique GPCRs. Approximately 321 agents are in clinical trials, of which ~20% target 66 potentially novel GPCR targets without an approved drug. Biological drugs, allosteric modulators, and biased agonists have increased. Major indications show a shift towards diabetes, obesity, and Alzheimer disease, while central nervous system disorders remain highly represented. In addition, 224 (56%) non-olfactory GPCRs have not yet been tested in clinical trials.

Why it matters

This paper quantifies the contribution of GPCRs to the modern pharmacopeia and identifies that more than half of non-olfactory GPCRs remain completely unexplored in clinical development.

Limits

The abstract does not disclose the specific databases, search strategies, or date ranges used for data extraction. As a descriptive overview, it does not evaluate trial design quality, drug efficacy, or safety outcomes.

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