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For example, increased gastric emptying time due to the mechanism of action of dulaglutide was described in the developed PBPK model by modulating the default gastric MRT.156 Administering 1.5 mg of dulaglutide reportedly decreased gastric emptying by roughly threefold, with the initial MRT (0.27 h) increasing to 0.84 h.196 The refined model successfully described the pharmacokinetic profiles of the affected drug, atorvastatin acid and lactone, after dulaglutide administration in Simcyp TM (Certara UK Limited, Sheffield, United Kingdom).156 It appears that clinically significant DDIs caused by delayed gastric emptying affecting the pharmacokinetics of the victim drugs are unlikely to occur.58,156,162 Future Perspectives GLP-1 RAs Currently Under Development Based on previous findings, dosages that enable longer durations and less frequent administrations have been investigated

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