TAK-653

TAK-653 (osavampator, Neurocrine code NBI-1065845) is an oral AMPA receptor positive allosteric modulator discovered by Takeda.

Human trialsNon-peptide compound reference

Also known as: Osavampator, TAK-653, NBI-1065845, Osavampator [INN], UNII 9E3TOE5RIZ, CHEMBL4594403

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Dosing & scaling, explained

Amounts reported for TAK-653 are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.

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No independently verified schedule

Clinical context

Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.

Storage, handling and interpretation

Product identity

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Storage & handling

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Prepared solutions

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Reported protocols for TAK-653

What published studies and recent community write-ups report about amounts, timing and course length. 2 clinical, 2 preclinical and 1 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.

ContextDoseFrequencyRouteCourseSource
Clinical2 rows
Phase 2 SAVITRI trial in major depressive disorder183 adults aged 18-65 with major depressive disorder and an inadequate response to antidepressant treatment, randomised 2:1:1 to placebo, 1 mg or 3 mg (NCT05203341)1 mg or 3 mgOnce dailyOral tablets, added to existing antidepressant treatment8 weeksNone describedNeurocrine Biosciences via PR Newswire (company press release)2025
The 1 mg dose beat placebo on the MADRS depression scale by 4.3 points at day 28 and 7.5 points at day 56 and significantly improved response and remission rates at day 56, while 3 mg showed only non-significant trends. No serious adverse events occurred; headache and nasopharyngitis were the most common complaints and were similar to placebo. These figures come from a company press release and congress poster rather than a peer-reviewed paper, and an exposure-response analysis led Neurocrine to carry 1 mg once daily into phase 3.
Pharmacodynamic crossover study in healthy volunteers24 healthy volunteers in a randomised, double-blind, placebo-controlled three-way crossover0.5 mg and 6 mgSingle doses, one per study periodOralSingle doses with NeuroCart testing at 3.5 and 4 hoursWashout between periodsTranslational Psychiatry (PubMed Central)2022
Neither dose changed body sway or subjective drug effects, but 0.5 mg increased saccadic peak velocity and altered Stroop performance and 6 mg improved adaptive tracking and smooth pursuit, a pattern the authors call psychostimulant-like and consistent with the increased cortical excitability seen earlier with transcranial magnetic stimulation. Several authors were Takeda employees.
Preclinical2 rows
Cognition and seizure margin in rodentsRats in the novel object recognition test; mice for hippocampal BDNF expression0.03, 0.1 and 0.3 mg/kg (recognition memory in rats); 3 and 10 mg/kg (BDNF mRNA in mice)Single dosesOralSingle-dose experimentsNot applicableScientific Reports (PubMed Central)2021
TAK-653 improved recognition memory in rats from 0.03 mg/kg and working memory in further tests, while the agonist-like potentiator LY451646 improved only recognition memory and caused seizures at 10-30 mg/kg. TAK-653 raised hippocampal BDNF only when AMPA was co-administered, which the Takeda authors use to argue that it works solely by amplifying glutamate that is already released, and it showed a 419-fold plasma Cmax margin against convulsion in rats.
Antidepressant-like effect in ratsRats in the reduction of submissive behaviour model, with ketamine 30 mg/kg as the comparatorSub-chronic course over 6 days (dose levels are not given in the abstract)Daily for 6 daysNot stated in the abstract6 daysNot applicablePharmacology, Biochemistry and Behavior (PubMed)2021
Six days of TAK-653 produced an antidepressant-like effect comparable to ketamine, whose own effect was blocked by the AMPA antagonist NBQX, and unlike ketamine TAK-653 did not cause hyperlocomotion, the rat proxy for psychotomimetic effects. In cultured cortical neurons it activated mTOR, Akt and ERK signalling and raised BDNF protein. This is a Takeda in-house study.
Community-reported1 row
Vendor tablet format2 mg per tablet, 60 tablets per bottle (120 mg total); no dose statedNot statedOralNot statedNot statedCommunity resource2026
A vendor claim. The 2 mg tablet is twice the 1 mg dose that worked in the phase 2 trial and below the 3 mg dose that did not reach significance; the product page lists Takeda and Neurocrine papers but gives no amount per administration, and the certificate for lot TK01 records identity by mass spectrometry without a measured content. The compound was out of stock when this page was read.
Sources for this section (8)
  1. Neurocrine Biosciences Presents Positive New Data from Phase 2 Study of Osavampator in Adults with Major Depressive DisorderNeurocrine Biosciences via PR Newswire (company press release)2025Clinical
  2. Study to Assess the Efficacy and Safety of NBI-1065845 in Adults With Major Depressive Disorder (SAVITRI, NCT05203341)ClinicalTrials.gov2022Clinical
  3. Neurocrine Biosciences Announces Initiation of Phase 3 Registrational Program for Osavampator as an Adjunctive Therapy for the Treatment of Major Depressive Disorder in AdultsNeurocrine Biosciences via PR Newswire (company press release)2025Clinical
  4. Central nervous system effects of TAK-653, an investigational AMPA receptor positive allosteric modulator in healthy volunteersTranslational Psychiatry (PubMed Central)2022Clinical
  5. Strictly regulated agonist-dependent activation of AMPA-R is the key characteristic of TAK-653 for robust synaptic responses and cognitive improvementScientific Reports (PubMed Central)2021Preclinical
  6. TAK-653, an AMPA receptor potentiator with minimal agonistic activity, produces an antidepressant-like effect with a favorable safety profile in ratsPharmacology, Biochemistry and Behavior (PubMed)2021Preclinical
  7. TAK-653 Reverses Core Depressive Symptoms in Chronic Stress-Induced Monkey ModelBiomedicines (PubMed)2025Preclinical

Plus 1 community resource (a dosing guide, forum thread or vendor write-up), reported above but not linked.

Overview

TAK-653 (osavampator, Neurocrine code NBI-1065845) is an oral AMPA receptor positive allosteric modulator discovered by Takeda and designed to amplify glutamate signalling while having almost no agonist activity of its own, which in rats gave it a several-hundred-fold margin against seizures. Neurocrine Biosciences licensed it in 2020, and in the phase 2 SAVITRI trial of 183 adults with major depressive disorder and an inadequate response to antidepressants, 1 mg once daily for eight weeks lowered depression scores significantly more than placebo while 3 mg did not reach significance. A five-study phase 3 programme began in January 2025 with topline data expected in 2027; the compound is not approved anywhere and is sold online as 2 mg tablets.

What researchers are exploring

These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.

  • 1

    Cognitive & neural

    Neuroplasticity, cognition, stress and sleep models.

  • 2

    Phase 2 SAVITRI trial in major depressive disorder

    The 1 mg dose beat placebo on the MADRS depression scale by 4.3 points at day 28 and 7.5 points at day 56 and significantly improved response and remission rates at day 56, while 3 mg showed only non-significant.

  • 3

    Pharmacodynamic crossover study in healthy volunteers

    Neither dose changed body sway or subjective drug effects, but 0.5 mg increased saccadic peak velocity and altered Stroop performance and 6 mg improved adaptive tracking and smooth pursuit, a pattern the authors call.

  • 4

    Cognition and seizure margin in rodents

    TAK-653 improved recognition memory in rats from 0.03 mg/kg and working memory in further tests, while the agonist-like potentiator LY451646 improved only recognition memory and caused seizures at 10-30 mg/kg. TAK-653.

  • 5

    Antidepressant-like effect in rats

    Six days of TAK-653 produced an antidepressant-like effect comparable to ketamine, whose own effect was blocked by the AMPA antagonist NBQX, and unlike ketamine TAK-653 did not cause hyperlocomotion, the rat proxy for.

  • 6

    Vendor tablet format

    A vendor claim. The 2 mg tablet is twice the 1 mg dose that worked in the phase 2 trial and below the 3 mg dose that did not reach significance; the product page lists Takeda and Neurocrine papers but gives no amount.

What the current evidence can support

Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.

  • Human

    Human studies and registrations

    2 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.

  • Animal

    Preclinical models

    2 protocol rows describe animal, cell or toxicology work. Amounts from these rows do not translate to people.

  • Not graded

    Community-reported use

    1 row record what blogs, vendor write-ups or forums describe for TAK-653. None has been verified against primary literature.

Chemistry identifiers

Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.

Also listed as

Osavampator, TAK-653, NBI-1065845, Osavampator [INN], UNII 9E3TOE5RIZ, CHEMBL4594403

InChIKey

PXJBHEHFVQVDDS-UHFFFAOYSA-N

IUPAC name

9-(4-cyclohexyloxyphenyl)-7-methyl-3,4-dihydropyrazino[2,1-c][1,2,4]thiadiazine 2,2-dioxide

Limitations and unknowns

Important limitations

  • Every amount on this page is a report of what a source describes, not a protocol to follow.
  • Preclinical and community rows do not establish a human amount, schedule or route.
  • Formulation, purity and presentation vary by supplier and are not covered by the dossier.

Sources

8 curated references, each with its journal, year and study model, plus 1 community resource reported but not linked.

  1. Tak-653 (PubChem CID 56655833)PubChem, National Library of Medicine2026Not graded
  2. Neurocrine Biosciences Presents Positive New Data from Phase 2 Study of Osavampator in Adults with Major Depressive DisorderNeurocrine Biosciences via PR Newswire (company press release)2025Human
  3. Study to Assess the Efficacy and Safety of NBI-1065845 in Adults With Major Depressive Disorder (SAVITRI, NCT05203341)ClinicalTrials.gov2022Human
  4. Neurocrine Biosciences Announces Initiation of Phase 3 Registrational Program for Osavampator as an Adjunctive Therapy for the Treatment of Major Depressive Disorder in AdultsNeurocrine Biosciences via PR Newswire (company press release)2025Human
  5. Central nervous system effects of TAK-653, an investigational AMPA receptor positive allosteric modulator in healthy volunteersTranslational Psychiatry (PubMed Central)2022Human
  6. Strictly regulated agonist-dependent activation of AMPA-R is the key characteristic of TAK-653 for robust synaptic responses and cognitive improvementScientific Reports (PubMed Central)2021Animal
  7. TAK-653, an AMPA receptor potentiator with minimal agonistic activity, produces an antidepressant-like effect with a favorable safety profile in ratsPharmacology, Biochemistry and Behavior (PubMed)2021Animal
  8. TAK-653 Reverses Core Depressive Symptoms in Chronic Stress-Induced Monkey ModelBiomedicines (PubMed)2025Animal