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Emraclidine is a positive allosteric modulator (PAM) of M4 muscarinic acetylcholine receptors (mAChRs).1 It is selective for M4 mAChRs over a panel of 59 receptors, ion channels, transporters, and enzymes at 10 µM. Emraclidine selectively potentiates ACh-induced activation of the M4 mAChR over M1-M3 and M5 mAChRs in cells expressing the human receptors (EC50s = 12.3, 4,798, >10,000, >10,000, and >10,000 nM, respectively). In vivo, emraclidine (3.2 mg/kg) inhibits amphetamine-induced locomotor activity in mice and prepulse inhibition deficits in rats.
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1. Design and synthesis of clinical candidate PF-