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OPC-13015 is an *active metabolite* of cilostazol, known chemically as 3,4-dehydro cilostazol. It exhibits a **stronger inhibitory effect** on **type 3 phosphodiesterase (PDE3)** than its parent drug cilostazol, with reports indicating an inhibitory effect approximately five times greater. OPC-13015 is produced in vivo following cilostazol administration. Recent studies have examined the relationship between blood levels of OPC-13015 and cognitive outcomes in patients treated with cilostazol for mild cognitive impairment or Alzheimer's disease, suggesting that higher OPC-13015 exposure correlates with preservation of cognitive function and may serve as a predictive biomarker for cilostazol efficacy in Alzheimer's disease.
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