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GRX-917 is a deuterated analog of etifoxine, an anxiolytic drug originally approved in France. It is under development for the treatment of anxiety disorders and mood disorders. The drug acts as a positive allosteric modulator of the GABA-A receptor and as a ligand for the translocator protein (TSPO), which stimulates endogenous neurosteroid synthesis, particularly allopregnanolone. These neurosteroids further potentiate GABA-A receptor activity, contributing to anxiolytic effects. Deuteration improves pharmacokinetic properties such as half-life and dosing frequency compared to non-deuterated etifoxine, potentially enhancing patient compliance. GRX-917 has shown favorable tolerability in phase 1 trials with minimal sedative side effects[1][2][3][5][6].
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