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Irsenontrine is a selective, oral small molecule inhibitor of phosphodiesterase 9A (PDE9A), an enzyme that degrades cyclic guanosine monophosphate (cGMP). By inhibiting PDE9A, irsenontrine increases cGMP levels in the brain, which is believed to enhance synaptic function and memory. It has been developed primarily for the treatment of dementia with Lewy bodies and has also been studied in Parkinson’s disease dementia. Clinical trials have shown robust pharmacodynamic effects on CSF cGMP but did not meet primary cognitive endpoints in phase II/III studies. The drug was developed by Eisai and remains investigational[1][4][6][7].
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