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Imelciment (REGN9035) is a monoclonal antibody developed by Regeneron Pharmaceuticals as an antagonist of natriuretic peptide receptor 1 (NPRA, also known as NPR1). It is designed to act as a reversal agent for REGN5381, an NPR1 agonist antibody. Imelciment binds to and inhibits NPRA, thereby reversing the acute hemodynamic effects induced by REGN5381. The drug has been investigated primarily for cardiovascular indications such as heart failure and hypertension. Its mechanism involves blocking the action of natriuretic peptides at their receptor, potentially modulating blood pressure and cardiac function[2][7][1].
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