Drug repurposing toward new medical uses and chiral switches
are
elements of secondary pharmaceuticals. The drug repurposing and chiral-switches
strategies have mostly been applied independently in drug discovery.
Drug repurposing has peaked in the search for therapeutic treatments
of the Coronavirus Disease 2019 pandemic, whereas chiral switches
have been overlooked. The current Perspective introduces the drug
repurposing/chiral-switches combination strategy, overviewing representative
cases of chiral drugs that have undergone this combination: ketamine,
flurbiprofen, fenfluramine, and milnacipran. The deuterium-enabled
chiral switches of racemic thalidomide analogs, a variation of the
repurposing/chiral-switch combination strategy, is also included.
Patenting and regulatory-exclusivity considerations of the combination
strategy in the discovery of new medical uses are considered. The
proposed combination creates a new synergy of its two elements, overcoming
arguments against chiral switches, with better prospects for validation
of patents and regulatory exclusivities. The combination strategy
may be applied to chiral switches to paired enantiomers. Repurposing/chiral-switch
drugs may be ‘obvious-to-try’; however, their inventions
may be unexpected and their patents nonobvious. Patenting repurposing/chiral-switch
combination drugs is not ‘evergreening’, ‘product
hopping’, and ‘me-too’. The expected benefits
and opportunities of the combined repurposing/chiral-switch strategy
vis-à-vis its two elements are superior pharmacological properties,
overcoming arguments against patent validities, challenges of chiral-switch
patents, reduced expenses, shortened approval procedures, and higher
expectations of regulatory exclusivities.