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CQA 206-291 is a **novel ergoline derivative** and small molecule drug developed as a dopamine agonist for the treatment of Parkinson's disease. It was investigated for both de novo and levodopa-treated Parkinson's patients, where it showed significant antiparkinsonian activity with an effective dose range of 5–30 mg/day. The compound has a mixed D1-D2 dopaminergic receptor agonist profile—described as having both **dopamine agonist and antagonist-agonist (dualistic) properties**. Adverse events were similar to those of other dopamine agonists and typically mild and transient. Despite promising efficacy, development was discontinued due to laboratory-based toxicity concerns, and the drug is no longer in development for clinical use[1][3][5][7][9].
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