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Simpinicline is a small molecule drug that acts as a highly selective nicotinic acetylcholine receptor (nAChR) agonist, with strong activity at the α4β2, α3β4, α3α5β4, and α4α6β2 receptors and weaker activity at the α7 receptor. It has been investigated primarily as an aqueous nasal spray for the treatment of dry eye disease, where it stimulates nAChRs in the nasal cavity to increase natural tear production via activation of the nasolacrimal reflex. Simpinicline has also been studied for irritable bowel syndrome and gastroparesis in clinical trials. The drug was developed by Oyster Point Pharmaceuticals[1][3][5][6].
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