Peer-Reviewed Publication
Int J Neuropsychopharmacol2026;29(8)August 10, 2026Journal Article

Global perspectives on central nervous system drug innovation: achievements, barriers, and priorities for the next decade.

Hiroyuki Uchida1, Gabriella Gobbi2, Joseph Zohar3, Allan H Young4, Dan Rujescu5, Ming-Chyi Huang6, Suresh Sundram7, Lukoye Atwoli8, Jana Vukovic9, Kazutaka Ikeda10,11
1Department of Neuropsychiatry, Keio University School of Medicine (International College of Neuropsychopharmacology, CINP), Tokyo, Japan.
2Department of Psychiatry, McGill University (CINP), Montreal, Canada.
3Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, and National Post-Trauma Center, Sheba Medical Center (CINP), Ramat Gan, Israel.
4Department of Brain Sciences, Imperial College London (CINP), London, United Kingdom.
5Department of Psychiatry, Medical University of Vienna (CINP), Vienna, Austria.
6Taipei City Psychiatric Center, Taipei City Hospital and Department of Psychiatry, Taipei Medical University (CINP), Taipei, Taiwan.
7Department of Psychiatry, Monash University (Asian College of Neuropsychopharmacology, AsCNP), Melbourne, Australia.
8Medical College East Africa, Aga Khan University (African College of Neuropsychopharmacology, AfCNP), Nairobi, Kenya.
9Queensland Brain Institute, The University of Queensland (International Brain Research Organization, IBRO), Brisbane, Australia.
10National Center of Neurology and Psychiatry (NCNP), CINP, Tokyo, Japan.
11Tokyo Metropolitan Institute of Medical Science (CINP), Tokyo, Japan.

Abstract

BACKGROUND: Over the past decade, neuropsychopharmacology has shifted from stagnation to momentum, with first-in-class mechanisms and biomarker-enabled trials spanning psychiatry and neurology. METHODS: We narratively synthesized advances from 2013 to 2026 across central nervous system (CNS) discovery and development, including pivotal trials, regulatory actions, digital/real-world evidence, gene…

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