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XW10508 is an orally bioavailable, once-daily small molecule drug in development as a novel analog of esketamine. It acts as a glutamatergic N-methyl D-aspartate (NMDA) receptor antagonist and AMPA receptor agonist/activator. The drug is designed to provide fast-acting relief for treatment-resistant major depressive disorder (MDD) and chronic pain, with improved tolerability and potential abuse-deterrent properties compared to existing ketamine-based therapies. Preclinical studies have shown increased oral bioavailability over esketamine and a stable pharmacokinetic profile in sustained-release formulations. XW10508 is being developed by XWPharma (also known as XW Laboratories), with clinical trials ongoing for MDD[1][2][3][4][5][6].
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