Asset profile

Pirepemat (IRL752)

Small molecule

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Negativelead readout

Evidence outlook · lead readout

NCT05258071 · Parkinson Disease

The lead readout missed its primary endpoint. The grade and rationale below record what the trial was designed to show and what it found.

NCT05258071: The trial randomized participants to two pirepemat doses or placebo and used quadruple blinding, with 104 participants enrolled. Its clinical primary endpoint—change in fall frequency—was not statistically significantly better with 600 mg pirepemat than placebo, so the findings provide well-controlled but inconclusive evidence of benefit.

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Competitive landscape

60 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 39 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Pirepemat (IRL752): this drugPhase 2Small molecule5-HT/norepinephrine
Amantadine ER (Gocovri / ADS-5102)ApprovedSmall moleculeNMDA receptor
Apomorphine (Apokyn)ApprovedSmall moleculedopamine
Apomorphine Sublingual Film (Kynmobi)ApprovedSmall moleculedopamine
Crexont (IPX203)ApprovedSmall moleculedopamine precursor
Entacapone (Comtess)ApprovedSmall moleculeCOMT
Foslevodopa / Foscarbidopa (Vyalev)ApprovedSmall moleculedopamine precursor
Inbrija (CVT-301)ApprovedSmall moleculedopamine precursor
Istradefylline (Nourianz)ApprovedSmall moleculeadenosine A2A
Levodopa-Carbidopa Intestinal Gel (Duopa)ApprovedSmall moleculedopamine precursor
Opicapone (Ongentys)ApprovedSmall moleculeCOMT, PDE4
ParcopaApprovedSmall moleculedopamine precursor
Pimavanserin (Nuplazid)ApprovedSmall molecule5-HT2A/2C receptor, Serotonin 5-HT2A receptor (antagonist / inverse agonist)
Pramipexole (Sifrol/Mirapex)ApprovedSmall moleculeDopamine D2/D3 receptors
Pramipexole ER (Mirapex ER)ApprovedSmall moleculeDopamine D2 / D3 receptors
Rasagiline (Azilect)ApprovedSmall moleculeMAO-B

…and 45 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

No upcoming readouts on record for this asset.

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.