PNU-142633 is an experimental drug candidate for the treatment of migraine. It exerts its effect as a selective, high affinity 5-HT<sub>1D</sub> receptor agonist. PNU-142633 is well tolerated after oral administration.
It was an interesting candidate due to its greater affinity for 5-HT<sub>1D</sub> compared to 5-HT<sub>1B</sub> receptors (typical migraine drugs such as triptans are agonists for both receptors), but experimental results were disappointing.
The structure can be compared favorably with Sonepiprazole.