Cell-permeable peptide that disrupts PSD-95 scaffolding protein interactions with NMDA receptor and nNOS enzyme. Prevents the PSD-95-mediated coupling of NMDA excitotoxicity to nitric oxide synthase activation and subsequent neuronal death post-ischemia. Reduces infarct volume without affecting NMDA receptor function directly.
Studies have administered: 2.6mg/kg IV single dose in phase 3 trial (ESCAPE-NA1)
ESCAPE-NA1 (2020, Lancet): primary endpoint missed (overall). Key finding: subgroup receiving mechanical thrombectomy alone (no tPA) showed significant 59% reduction in poor outcomes — alteplase interaction blunted efficacy. Ongoing analysis, potential for tPA-free patient selection.
Well-tolerated in phase 3; no significant safety signals identified; single acute dose administration
These compounds have been examined together in research literature. Combination use is not endorsed or recommended — this information is provided for research context only.
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