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FE 202217 is an investigational, potent, selective, and short-acting peptidic vasopressin V2 receptor (V2R) agonist developed by Ferring Pharmaceuticals for the treatment of nocturia and nocturnal polyuria. Designed as a synthetic, C-terminally truncated analogue of desmopressin ([Val⁴]dDAVP), FE 202217 features a shorter half-life and a clearance mechanism less dependent on passive glomerular filtration. This design aims to provide a safer therapeutic profile with a reduced risk of prolonged antidiuresis and subsequent hyponatremia, particularly in elderly patients. The compound has been evaluated in a first-in-human Phase 1 single ascending dose (SAD) and crossover study assessing safety, tolerability, pharmacokinetics, and pharmacodynamics via both oral and intravenous routes.
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