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Facinicline is a small molecule drug that acts as a selective partial agonist at the nicotinic acetylcholine receptor alpha-7 subunit (α7 nAChR) and as an antagonist at the serotonin 3 (5-HT3) receptor. It was developed for oral administration and investigated primarily for cognitive enhancement in neurological disorders. Facinicline has demonstrated improvement in cognition and sensorimotor gating in preclinical rodent models. Its mechanism involves enhancing dopamine efflux via α7 nAChR stimulation and modulating acetylcholine release through 5-HT3 antagonism. The drug reached phase 2 clinical trials for Alzheimer's disease and schizophrenia but did not progress further[1][2][3][4][5][7].
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