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SNH-119014 is an **oral small-molecule agonist** of **pyruvate kinase red blood cell isozyme (PKR)** developed for the treatment of **hemolytic anemias**, including but not limited to thalassemia and sickle cell disease. It acts by significantly increasing pyruvate kinase activity, raising ATP levels, and decreasing 2,3-diphosphoglycerate (2,3-DPG) in erythrocytes. The drug is being studied as a tablet formulation in Phase 1 clinical trials to assess safety, tolerability, pharmacokinetics, and pharmacodynamics in healthy volunteers[1][3][5][7].
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