According to a recent hypothesis suggesting the potential role of free
radical formation in the clozapine-induced agranulocytosis, we have e
valuated the susceptibility to the peroxidase-mediated oxidation of di
fferent dibenzazepine analogues. On the one hand, compounds with an ar
ylamine group such as clozapine or isoclozapine present a high reactiv
ity in the horseradish peroxidase or myeloperoxidase systems and, on t
he other hand, fluperlapine, though known to induce agranulocytosis, a
nd other dibenzothiazepine and dibenzoxazepine derivatives appear inse
nsitive to oxidation. Consequently, among tricyclic derivatives, the w
ay of diaryloxa- and diarylthiazepine compounds could be an alternativ
e for the development of safer drugs such as antipsychotics.