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**Matsupexole** is a **small molecule** non-ergot **dopamine D2 receptor agonist** developed primarily for **Parkinson's disease**. It belongs to the class of octahydrothienoquinoline derivatives (molecular formula C22H34N6O2S) and acts by stimulating dopamine D2 receptors to alleviate motor symptoms. Originating from **Kissei Pharmaceutical**, it has been licensed to **AffaMed Therapeutics** for development in regions like China, with phase II trials completed in Japan (NCT04867551) and ongoing late phase II trials as of 2024-2025.
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