What Makes a Target Deliverable?

11.50am – 12.20pm GMT, 9 December 2025 ‐ 30 mins

Session 1: Delivering at the Molecular Level

Despite depression being a leading cause of disability, genuinely new medicines have been rare for decades, with most approvals representing incremental shifts on familiar monoaminergic themes. Recent rapid-acting glutamatergic advances offer a needed spark of optimism: esketamine demonstrates that alternative biology approaches can translate to clinical benefit.

On the horizon, next-generation approaches aimed at synaptic plasticity, including AMPA receptor positive allosteric modulators (AMPAR PAMs), are beginning to test whether rapid antidepressant effects can be delivered more broadly. Achieving this requires a long, iterative journey from understanding to trials - target validation, translational models, biomarkers, safety margins, and study design - and a long funding journey involving a relay between academia, big pharma, and biotech, and financed across public, charity, venture, and market contexts.