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MAK2359 is a peripherally restricted, neutral antagonist of the cannabinoid receptor 1 (CB1), currently in preclinical development by MAK Scientific Management. By selectively targeting peripheral CB1 receptors, MAK2359 aims to avoid the neuropsychiatric side effects associated with central CB1 inhibition, which limited the clinical utility of earlier compounds in this class. The drug is being investigated for the treatment of chronic kidney disease (CKD), where it is intended to mitigate renal fibrosis and inflammation driven by overactive endocannabinoid signaling in peripheral tissues.
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