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Relamorelin is a potent synthetic ghrelin agonist. It has been shown to improve gastric emptying halftime and GCSI scores in diabetic patients with Gp. in a 4 wk phase II study in type 1 diabeticpatients, relamorelin accelerated gastric emptying and reduced upper gastrointestinal symptoms in patients with vomiting. A recent meta-analysis confirmed that, compared with placebo, ghrelin agonists are effective and well-tolerated for the treatment of diabetic Gp