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3aR,7aR)-4’-(1,2-Benzisothiazol-3-yl)octahydro-spiro[2H-isoindole-2,1’-piperazinium] Methanesulfonate (B197865) is a useful synthetic intermediate for Lurasidone Hydrochloride (L474920), an antipsychotic used for treatment of schizophrenia.