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Evodenoson is a small molecule drug that acts as a selective adenosine A2a receptor agonist. It was developed primarily for ophthalmic use, specifically targeting the reduction of intraocular pressure in conditions such as primary open-angle glaucoma and ocular hypertension. The mechanism of action involves activation of the adenosine A2a receptor (A2aR), which can lead to vasodilation and modulation of immune responses. Evodenoson reached Phase 2 clinical trials but development was discontinued for its main indications. The original developer is Allergan UC, with Santen Pharmaceutical Co., Ltd. also involved in later-stage development[8].
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