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Zicronapine (Lu 31-130) is an atypical antipsychotic small molecule that was under development by Lundbeck for the treatment of schizophrenia. It is characterized by a unique pharmacological profile, acting as a potent antagonist at dopamine D1, D2, and serotonin 5-HT2A receptors. Unlike most atypical antipsychotics which prioritize D2 and 5-HT2A antagonism, zicronapine possesses high affinity for the D1 receptor, a feature intended to improve cognitive and negative symptoms of schizophrenia while minimizing extrapyramidal side effects. Despite reaching Phase III clinical trials, Lundbeck announced the discontinuation of zicronapine's development in 2012, citing that the clinical data did not support a competitive profile compared to existing therapies.
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