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Tegilildine fumarate (HSK21542) is a potent and highly selective peripherally acting **kappa opioid receptor (KOR) agonist** developed by Haisco Pharmaceutical Group. It is designed to provide analgesic and antipruritic effects while minimizing central nervous system (CNS) side effects, such as sedation, respiratory depression, and dysphoria, which are commonly associated with mu-opioid receptor agonists or centrally acting KOR agonists. The drug is primarily being investigated for the management of postoperative pain and chronic kidney disease-associated pruritus (CKD-aP). In clinical trials, it has demonstrated significant efficacy in reducing pain intensity following elective surgeries and improving pruritus scores in patients undergoing hemodialysis.
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