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Iclepertin is an investigational small molecule drug developed by Boehringer Ingelheim for the treatment of cognitive impairment associated with schizophrenia (CIAS). It acts as a selective inhibitor of glycine transporter 1 (GlyT1), thereby increasing synaptic glycine levels in the brain. This mechanism is intended to enhance NMDA receptor function and glutamatergic signaling, which are believed to be impaired in CIAS. Iclepertin has shown pro-cognitive effects in phase II trials, but phase III studies did not meet primary or key secondary endpoints for efficacy. The drug is administered orally and has been generally well tolerated in clinical studies[1][2][5][8].
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