Protein / target

Orexin/Hypocretin receptor type 1

HCRTR1O43613Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
4
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

G protein-coupled receptor activity

Primary system

Nervous system

Strongest disease association

intelligence

Genetic evidence · score 0.58

Therapeutic maturity

Clinically validated target

4 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

4 approved · 4 in clinical development

30 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

G protein-coupled receptor that binds the neuropeptide orexin-A with high affinity, and orexin-B with lower affinity, two peptides derived from a common precursor, prepro-orexin (PubMed:32669442, PubMed:9491897). Its activity is mediated via a G(q)-protein-coupled pathway, which activates the phosphatidylinositol-calcium second messenger system in response to orexin-A binding (PubMed:32669442). In addition to G(q)-mediated signaling, orexin-A stimulation also promotes beta-arrestin recruitment, leading to receptor internalization (PubMed:15683363, PubMed:32669442). Plays a significant role in the regulation of food intake (By similarity)

Subcellular location

Cell membrane
Domains and Gene Ontology detail (11)

Gene Ontology

  • Cplasma membrane
  • Csynapse
  • FG protein-coupled receptor activity
  • Forexin receptor activity
  • Fpeptide hormone binding
  • Pcellular response to hormone stimulus
  • Pchemical synaptic transmission
  • Pfeeding behavior
  • Pneuropeptide signaling pathway
  • Pphospholipase C-activating G protein-coupled receptor signaling pathway
  • Pregulation of cytosolic calcium ion concentration

425 aa · 48 kDa

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

G protein-coupled signallingUniProt · GOSynaptic signallingGO
View supporting evidence

G protein-coupled signalling

  • ·G protein-coupled receptor that binds the neuropeptide orexin-A with high affinity, and…
  • ·G protein-coupled receptor activity
  • ·phospholipase C-activating G protein-coupled receptor signaling pathway

Synaptic signalling

  • ·synapse
  • ·chemical synaptic transmission
View underlying pathways (2)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

HCRTHCRTR2OXR1PMCHATXN3LCRHR1PDYNCNR1POMCCRHHCRTR1

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

1

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

suvorexant
ApprovedAntagonist

Orexin receptor antagonist

Appears in clinical studies involving insomnia, Alzheimer disease, cocaine use disorder, restless legs syndrome

Acts on a complex — shared with HCRTR2 · 1 of 2 recorded protein targets — narrow recorded profile

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

intelligence0.58

Genetic · overall 0.35

abnormality of serum enzyme levels0.45

Genetic · overall 0.27

nutritional deficiency disease0.43

Genetic · overall 0.26

duodenal ulcer0.36

Genetic · overall 0.22

Abnormality of the skeletal system0.22

Genetic · overall 0.13

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

insomnia0.98

Clinical · overall 0.60

alcohol dependence0.47

Clinical · overall 0.29

Alzheimer disease0.47

Clinical · overall 0.29

opioid use disorder0.18

Clinical · overall 0.11

alcohol abuse0.17

Clinical · overall 0.11

Show all associations
insomnia0.60
intelligence0.35
Alzheimer disease0.29
alcohol dependence0.29
abnormality of serum enzyme levels0.27
nutritional deficiency disease0.26
duodenal ulcer0.22
Abnormality of the skeletal system0.13
opioid use disorder0.11
alcohol abuse0.11

Open Targets ranks 227 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 8 total

DARIDOREXANTApproval

insomnia · insomnia · post-traumatic stress disorder

LEMBOREXANTApproval

insomnia · insomnia · alcohol dependence

SB-649868Phase 2

insomnia

ALMOREXANTPhase 3

insomnia · insomnia · sleep-wake disorder

DARIDOREXANT HYDROCHLORIDEApproval

insomnia

FILOREXANTPhase 2

diabetic neuropathy · insomnia · major depressive disorder

SUVOREXANTApproval

insomnia · Alzheimer disease · cocaine use disorder

ORN-0829 HYDRATEPhase 3

insomnia

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · UniProt loc high confAB · GO CC high confAB · UniProt SigP or TMHMMPR · Small Molecule BinderOC · Advanced Clinical

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

COMPLETED · via suvorexant · NCT03077620

RECRUITING · via suvorexant · NCT06484075

COMPLETED · via suvorexant · NCT02785406

COMPLETED · via suvorexant · NCT03789214

RECRUITING · via suvorexant · NCT06326684

COMPLETED · via suvorexant · NCT02593682

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

insomniaModerately supported
0.74
agreement 0.590.90
Clinical98%Literature2%

Open Targets aggregate 0.60 · 2 independent evidence families

intelligenceModerately supported
0.57
agreement 0.460.69
Genetic100%

Open Targets aggregate 0.35 · 1 independent evidence family

abnormality of serum enzyme levelsLimited support
0.45
agreement 0.330.57
Genetic100%

Open Targets aggregate 0.27 · 1 independent evidence family

nutritional deficiency diseaseLimited support
0.43
agreement 0.310.55
Genetic100%

Open Targets aggregate 0.26 · 1 independent evidence family

Alzheimer diseaseLimited support
0.38
agreement 0.220.53
Clinical90%Literature10%

Open Targets aggregate 0.29 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

5

Recent activity around this target, drawn from one canonical event stream. Every item is reached through a drug that targets this protein, so each event is news about that drug rather than about the protein directly.

  1. New publication2024-09-14
    Orexin receptor antagonists in the treatment of insomnia associated with psychiatric disorders: a systematic review.

    Translational psychiatry · 2024 · 12 citations · Europe PMC · via suvorexant

  2. New publication2024-08-01
    Suvorexant for Reduction of Delirium in Older Adults After Hospitalization: A Randomized Clinical Trial.

    JAMA network open · 2024 · 9 citations · Europe PMC · via suvorexant

  3. New publication2016-01-01
    Effects of Suvorexant, an Orexin Receptor Antagonist, on Respiration during Sleep In Patients with Obstructive Sleep Apnea.

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016 · 58 citations · Europe PMC · via suvorexant

  4. New publication2015-01-05
    Effects of suvorexant, an orexin receptor antagonist, on breathing during sleep in patients with chronic obstructive pulmonary disease.

    Respiratory medicine · 2015 · 34 citations · Europe PMC · via suvorexant

  5. New publication2012-11-28
    Orexin receptor antagonism for treatment of insomnia: a randomized clinical trial of suvorexant.

    Neurology · 2012 · 239 citations · Europe PMC · via suvorexant

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.