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GLP-1 receptor agonists (semaglutide, liraglutide, dulaglutide) and the GIP/GLP-1 dual agonist tirzepatide carry the trial record here: STEP (semaglutide, NEJM 2021), SURMOUNT (tirzepatide, NEJM 2022), and SURMOUNT-OSA (tirzepatide for obstructive sleep apnea, NEJM 2024)

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Under MHRA 'borderline products' guidance, transdermal patches delivering active substances systemically would typically be classified as medicines requiring marketing authorisation

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