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Icopezil is a **small molecule acetylcholinesterase inhibitor** developed by **Pfizer** for the treatment of cognitive impairment associated with **Alzheimer's disease** and related dementias. It is a **benzoxazol derivative** designed to selectively inhibit **acetylcholinesterase** with high selectivity over butyrylcholinesterase, thereby increasing synaptic acetylcholine levels and aiming to improve cognitive symptoms. The program advanced into **Phase II clinical development** in Japan and the United States, but development was later **discontinued**.
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