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DSP-3456 is an investigational oral small molecule developed by Sumitomo Pharma for the treatment of treatment-resistant depression (TRD). It acts as a negative allosteric modulator (NAM) of the metabotropic glutamate receptors 2 and 3 (mGluR2/3). By modulating these receptors, which normally inhibit glutamate release, DSP-3456 is designed to enhance glutamatergic neurotransmission and selectively activate the prefrontal cortex. This mechanism is hypothesized to yield rapid-acting antidepressant effects similar to ketamine but without the associated dissociative, psychotic, or cognitive side effects. The compound is currently in Phase 1 clinical development.
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