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Nelutroctiv (CK-136) is a novel, selective, oral, small molecule cardiac troponin activator being developed by Cytokinetics for the treatment of heart failure. Discovered in collaboration with Amgen, it functions through an allosteric mechanism that sensitizes the cardiac sarcomere to calcium, thereby facilitating increased actin-myosin cross-bridge formation and enhancing myocardial contractility. The drug is currently in Phase 1 clinical development, with potential applications in heart failure with reduced ejection fraction (HFrEF) and right ventricular failure.
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