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Fedovapagon is a selective, orally active, nonpeptidic small molecule agonist of the vasopressin V2 receptor (V2R). It was developed for the treatment of nocturia and related bladder disorders. By activating the V2 receptor in the kidney, fedovapagon increases water reabsorption and reduces urine output. Clinical studies have shown dose-dependent antidiuretic effects with reliable pharmacodynamic responses. The drug was originally discovered by Vantia Therapeutics and reached up to phase II/III clinical trials for nocturia before development was discontinued[1][3][4][6][7].
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