Key Words: Atypical Neuroleptic-Clozapine-Dopamineantagonist-EMD 57445-Haloperidol-Panamesine-Schizophrenia-Sigma ligand.According to the classic dopamine (DA) hypothesis of schizophrenia, neuroleptic drugs must bind to the DA D, receptor. In addition several neuroleptic drugs, including the typical neuroleptic haloperidol and the atypical neuroleptic clozapine, exhibit high affinity to other receptors (13.26). Haloperidol particularly exhibits its highest affinity to the sigma site (25), which is distinct from the classical opiate or phencyclidine sites. Functional connections between sigma receptors and dopaminergic neurons in mesolimbic and cortical areas have been identified (5,7,14,19,41,43), and the involvement of sigma sites in the action of antipsychotic drugs has been shown in animal experiments (5,24,28). Further evidence for the significance of sigma sites in schizophrenia comes from investigations that benzomorphans cause symptoms that resemble schizophrenia in humans (20). Finally, several post-mortem studies have shown that the number of sigma binding sites in cortical and cerebellar regions is reduced in schizophrenic patients (37,38,44). Some attempts have been made to develop novel antipsychotic drugs with selective affinity for the sigma receptor (9,16,17,22,33,39) that would not have the extrapyramidal side effects (EPS) common to classic neuroleptics (25). Among these drugs rimcazole (17.18) initially has been shown to have some efficacy in humans (8,ll). Such drugs do, however, have EPS potential, and selective sigma ligands have ultimately not shown convincing antipsychotic efficacy in clinical trials (26). Drugs with greater selectivity (for sigma receptor subtypes) or drugs with higher intrinsic activity still must be developed (12,15,42). EMD 57445 was selected from a series of compounds that bear few structural