Chlorine is one of the most common atoms present in small-molecule
drugs beyond carbon, hydrogen, nitrogen, and oxygen. There are currently
more than 250 FDA-approved chlorine-containing drugs, yet the beneficial
effect of the chloro substituent has not yet been reviewed. The seemingly
simple substitution of a hydrogen atom (R = H) with a chlorine atom
(R = Cl) can result in remarkable improvements in potency of up to
100,000-fold and can lead to profound effects on pharmacokinetic parameters
including clearance, half-life, and drug exposure in vivo. Following
the literature terminology of the “magic methyl effect”
in drugs, the term “magic chloro effect” has been coined
herein. Although reports of 500-fold or 1000-fold potency improvements
are often serendipitous discoveries that can be considered “magical”
rather than planned, hypotheses made to explain the magic chloro effect
can lead to lessons that accelerate the cycle of drug discovery.