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BL-1020, also developed as CYP-1020, is an investigational oral small-molecule antipsychotic for schizophrenia. It is a single covalent mutual-prodrug ester linking perphenazine to gamma-aminobutyric acid, designed to combine dopamine D2 and serotonin 2A receptor antagonism with GABAA receptor agonist activity. BioLineRx advanced the program through Phase II studies, including a 6-week randomized study that showed antipsychotic efficacy at 20-30 mg/day and a signal for cognitive improvement; however, the subsequent Phase II/III CLARITY study in schizophrenia was terminated. ([pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/18757185/))
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