“…Replacement of the bridging nitrogen atom of an atypical antipsychotic clozapine with an oxygen atom in loxapine or with sulfur in quetiapine ( Figure 2) prevents bioactivation of the dibenzoxazepine moiety and results in a drug with improved safety profile (Uetrecht et al, 1997). Furthermore, examples where resolution of RM liability (while maintaining primary pharmacology and disposition attributes) occurred through rational medicinal chemistry design has been considered to be a success story have also been presented (Bavetsias et al, 2010;Cox et al, 2010;Crawford et al, 2012;Finlay et al, 2012;Hartz et al, 2009;Kalgutkar et al, 2010Kalgutkar et al, , 2011Kalgutkar et al, , 2013Sarabu et al, 2012;Subramanian et al, 2010;Zhang et al, 2008). For instance, fluorofelbamate was specifically designed to eliminate the RM liability of felbamate on the basis of its bioactivation mechanism ( Figure 3) (Roecklein et al, 2007).…”