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Recanaclotide is a synthetic peptide drug that acts as an agonist of the guanylate cyclase-C (GC-C) receptor. It was initially developed by Ironwood Pharmaceuticals for the treatment of gastrointestinal disorders such as functional dyspepsia and diabetic gastroparesis. The drug mimics the action of endogenous guanylin peptides by activating GC-C on intestinal epithelial cells, leading to increased cyclic GMP levels and promoting intestinal fluid secretion and motility. Recanaclotide reached Phase 2 clinical trials but its development has been discontinued[1][3][4].
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