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MK‑7622 is a small molecule investigational drug developed by Merck for the treatment of Alzheimer's disease. It is a highly selective positive allosteric modulator (PAM) of the M1 muscarinic acetylcholine receptor (M1R), designed to enhance cholinergic signaling in the brain without direct agonist activity. The compound belongs to the quinazolinone class and was intended as an adjunctive cognitive enhancer for patients with mild-to-moderate Alzheimer's disease already receiving acetylcholinesterase inhibitors. Clinical development was discontinued after Phase II trials showed no significant improvement in cognition or function compared to placebo, and higher rates of cholinergic adverse events were observed[1][4][8][9].
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