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S 33138 is an investigational small molecule antipsychotic developed by Servier for the treatment of schizophrenia. It functions as a preferential dopamine D3 receptor antagonist, while also exhibiting antagonist activity at dopamine D2, serotonin 5-HT2A, and 5-HT2C receptors. This multi-receptor profile was intended to provide efficacy against both positive and negative symptoms of schizophrenia with a reduced risk of extrapyramidal side effects compared to standard D2-focused antipsychotics. The compound reached Phase IIb clinical trials, including studies comparing it to olanzapine and risperidone, but development has since been discontinued.
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