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Felcisetrag is a potent and highly selective serotonin 5-HT4 receptor agonist developed as a prokinetic agent for the treatment of gastrointestinal motility disorders. By binding to and activating the 5-HT4 receptor (encoded by HTR4), felcisetrag enhances gastrointestinal motility, accelerates gastric emptying, and reduces colonic transit time. It has been investigated primarily for conditions such as gastroparesis (including diabetic and idiopathic forms), enteral feeding intolerance, postoperative gastrointestinal dysfunction, and other slow-transit disorders of the gut. Felcisetrag is administered intravenously and has demonstrated dose-proportional pharmacokinetics with good tolerability in clinical studies[1][2][3][5][6].
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