Romergoline shows high affinity for the dopamineD2 receptor (Ki = 6.5nM), α2-adrenergic receptor (Ki = 4.0nM), and serotonin5-HT1A receptor (Ki = 4.0nM). It also possesses moderate (submicromolar) affinity for the dopamine D1 receptor (Ki = 55nM) and ketanserin-labeled serotonin 5-HT2 receptor (Ki = 24nM). Conversely, the drug shows slight or negligible affinity for the α1-adrenergic receptor (Ki = 113nM), muscarinic acetylcholine receptors (Ki = >10,000nM), and sigma receptors (Ki = >10,000nM). Romergoline is said to act as both a dopamine receptoragonist and antagonist, depending on the circumstances. More specifically, the drug is said to act as a D2 receptor silent antagonist under normal dopamine-replete circumstances, but in a dopamine-depleted state, it acts as a powerful dopamine D1 receptor full agonist. This transformation of the drug's activity is thought to be due to development of dopamine D1 receptor supersensitivity with dopamine depletion.
Romergoline was first described in the scientific literature in 1991. It was under development by Pharmacia Corporation, but its development was discontinued by the early 2000s and the drug was never marketed.
12"Romergoline". AdisInsight. 1 August 2002. Retrieved 5 May 2026.
123456"ROMERGOLINE". Inxight Drugs. Retrieved 4 May 2026. Romergoline (FCE 23884) is an ergoline derivative and a dopamine receptor agonist and antagonist. Its action depends on the functional state of the biological substrate, mostly related to the presence or absence of dopamine. In healthy animals, it behaves as a full dopamine antagonist, but in denervated models it behaves as an agonist. Therefore, romergoline was suggested to be potentially useful in both psychotic states and extrapyramidal diseases. In Parkinson patients, the degree of dopamine receptor stimulation was found to be insufficient to improve symptoms. Information about further development of romergoline is not available.
12345Lewitt P, Oertel WH (30 May 1999). Parkinsons's Disease: The Treatment Options. CRC Press. p.166. ISBN978-1-85317-379-0. Retrieved 4 May 2026. Another novel compound which has not gone on to further development is FCE 23884, an ergot derivative. In the presence of a DA-depleted state, FCE 23884 undergoes a unique transformation converting it from an antagonist at D2 receptors to an agonist at D1 sites. This compound was shown to be active at reversing MPTP-induced parkinsonism in non-human primates82 but did not show significant antiparkinsonian effect in a limited clinical trial.83
123456Buonamici M, Mantegani S, Cervini MA, Maj R, Rossi AC, Caccia C, etal. (October 1991). "FCE 23884, substrate-dependent interaction with the dopaminergic system. I. Preclinical behavioral studies". The Journal of Pharmacology and Experimental Therapeutics. 259 (1): 345–355. doi:10.1016/S0022-3565(25)20378-0. PMID1681087.
12345Carfagna N, Caccia C, Mantegani S, Cavanus S, Fornaretto MG, Buonamici M, etal. (October 1991). "FCE 23884, substrate-dependent interaction with the dopaminergic system. II. Preclinical biochemical studies". The Journal of Pharmacology and Experimental Therapeutics. 259 (1): 356–364. doi:10.1016/S0022-3565(25)20383-4. PMID1681088.
1234Buonamici M, Cervini MA, Maj R, Mantegani S, Rossi AC (March 1992). "A new dopamine agonist in dopamine deprived systems: FCE 23884". Neurochemistry International. 20 Suppl: 179S–183S. doi:10.1016/0197-0186(92)90235-j. PMID1365422.
↑Archer T, Palomo T, McArthur R, Fredriksson A (2003). "Effects of acute administration of DA agonists on locomotor activity: MPTP versus neonatal intracerebroventricular 6-OHDA treatment". Neurotoxicity Research. 5 (1–2) 95: 95–110. doi:10.1007/BF03033375. PMID12832225.
↑Metman LV, Blanchet PJ, de Jong D, Mouradian MM, Chase TN (May 1996). "Effect of the putative dopamine D1 agonist and D2 antagonist FCE 23884 on Parkinson's disease". Movement Disorders. 11 (3): 257–260. doi:10.1002/mds.870110307. PMID8723141.
↑Marrari P, Basileo G, Pianezzola E, Strolin Benedetti M (1993). "Determination of FCE 23884, a new ergolene derivative, and its possible metabolite, the 6-nor-derivative in plasma by high-performance liquid chromatography with fluorescence detection". Journal of Pharmaceutical and Biomedical Analysis. 11 (4–5): 393–399. doi:10.1016/0731-7085(93)80035-y. PMID8102884.
↑Mantegani S, Brambilla E, Varasi M (May 1999). "Ergoline derivatives: receptor affinity and selectivity". Farmaco. 54 (5). Societa chimica italiana: 288–296. doi:10.1016/s0014-827x(99)00028-2. PMID10418123.
↑Mantegani S, Arlandini E, Bandiera T, Borghi D, Brambilla E, Caccia C, etal. (1999). "D1 Agonist and/or D2 antagonist dopamine receptor properties of a series of ergoline derivatives: a structure–activity study". European Journal of Medicinal Chemistry. 34 (2): 107–124. doi:10.1016/S0223-5234(99)80045-2.