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Enecadin is a small molecule neuroprotective agent that acts as a voltage-dependent sodium and calcium channel blocker. It was primarily investigated for the treatment of acute ischemic stroke and other cerebrovascular accidents. Enecadin demonstrated efficacy in animal models of ischemic injury to the brain, spinal cord, and retina. Its mechanism involves blocking voltage-gated sodium channels (SCNA) and voltage-dependent calcium channels (VDCCs), as well as inhibiting calpain 1 (CAPN1) and calpain 2 (CAPN2). The drug reached phase II clinical development for stroke but was discontinued before approval. Enecadin was originally developed by Nippon Shinyaku, with later involvement from Paion Deutschland.
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