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Lexanopadol (GRT6006) is an investigational small molecule analgesic being developed by Grünenthal for the treatment of moderate to severe chronic pain, including neuropathic pain. It acts as a dual agonist at the nociceptin/orphanin FQ (NOP) receptor (also known as the opioid receptor-like 1 or ORL-1 receptor) and the mu-opioid receptor (MOR). This dual mechanism of action is intended to provide potent analgesia with a potentially improved safety profile, specifically reduced risk of respiratory depression and physical dependence compared to traditional mu-opioid agonists. Lexanopadol has undergone Phase 1 clinical evaluation, including studies to characterize its metabolic profile and excretion balance in healthy volunteers.
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