Evidence map›Paper›PMID 42266186›Full record

ReviewMedComm2026

Unveiling the Power of Deuterium in Drug Discovery: A Comprehensive Overview.

Mukta Lele, Ajit Manchare, Swapnali Parit, Amol D Gholap, Krishna Jadhav, Navnath Hatvate, Keshav Raj Paudel, Satish Rojekar

Abstract readReview
In one paragraph

Review in MedComm, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mukta LeleInstitute of Chemical Technology, Marathwada Campus Jalna Maharashtra India.
Ajit ManchareInstitute of Chemical Technology, Marathwada Campus Jalna Maharashtra India.
Swapnali ParitInstitute of Chemical Technology, Marathwada Campus Jalna Maharashtra India.
Amol D GholapDepartment of Pharmaceutics St. John Institute of Pharmacy and Research Palghar Maharashtra India.
Krishna JadhavInstitute For Bioengineering of Catalonia (IBEC) Barcelona Spain.ORCID https://orcid.org/0000-0002-5875-2315
Navnath HatvateInstitute of Chemical Technology, Marathwada Campus Jalna Maharashtra India.
Keshav Raj PaudelNICM Health Research Institute & School of Science Western Sydney University Westmead NSW Australia.ORCID https://orcid.org/0000-0002-3591-2080
Satish RojekarInstitute for Translational Medicine and Pharmacology, Department of Pharmacological Sciences Icahn School of Medicine at Mount Sinai New York New York USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deuterium, the heavy isotope of hydrogen, has unfolded as a cornerstone in modern drug discovery due to its potential to influence metabolic stability and pharmacokinetic behavior. The deuterium kinetic isotope effect (KIE), which strengthens carbon-deuterium bonds, make it possible to improve therapeutic efficacy while maintaining pharmacological activity. Although some deuterated drugs, notably donafenib and deutetrabenazine, have demonstrated clinically significant efficacy, their limited use is an effect of ongoing challenges with metabolic switching and species-specific variation, as well as inadequate mechanistic understanding. This review presents a systematic discussion of the recent innovations in site-selective deuteration, the principles that underpin the KIE process, and the effects of deuterium substitution on drug metabolism, toxicity, and blood-brain barrier penetration. It illustrates novel implications in oncology, rare diseases, and central nervous system disorders, as well as the integration of deuterated chemistry with modalities such as proteolysis-targeting chimaeras, peptides, and nucleic acid therapeutics. Furthermore, the review's discussion includes the current challenges, synthesis, analytical limits, and regulatory considerations that influence further development. Overall, the review offers a strategic roadmap for utilizing deuterium-enabled molecular engineering to accelerate the development of next-generation precision medicine, guiding rational design, innovation toward safer, longer-lasting, and more effective treatments.

Indexed as

deucravacitinibdeuterated drugsdeuteriumdrug metabolismpharmacokinetic properties

Identifiers

PMID42266186
PMCPMC13243781

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.