Drugs / Prucalopride
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Prucalopride

Small molecule targets HTR4 via activation

Developed for
constipation disorder · depressive disorder · dyskinesia of esophagus · dyspepsia · gastroesophageal reflux disease · ileus · paralytic ileus · aspiration pneumonia
+7 more · chronic intestinal pseudoobstruction · functional gastric disease · gastroparesis · schizophrenia · food protein-induced enterocolitis syndrome · irritable bowel syndrome · opioid-induced constipation
Investigated by
Movetis · University of Oxford · Shire · Janssen, LP · Universitaire Ziekenhuizen KU Leuven · University of Calgary
+28 more · Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh · Binzhou People's Hospital · Boston Children's Hospital · Fogarty International Center of the National Institute of Health · Future University in Egypt · Gangnam Severance Hospital · Hospital de Clínicas Dr. Manuel Quintela · Hotel Dieu Hospital · Jinling Hospital, China · Johnson & Johnson Pharmaceutical Research & Development, L.L.C. · K S Hegde Medical Academy · Linyi People's Hospital · Lund University · Odense University Hospital · PRA Health Sciences · Prince of Songkla University · Queen's University · Region Skane · Shandong University · Tai'an People's Hospital · Takeda · Takeda Development Center Americas, Inc. · The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School · Universidade de Passo Fundo · University of Auckland, New Zealand · University of British Columbia · University of Pittsburgh · Xian-Janssen Pharmaceutical Ltd.

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed chronic duodenal ileus 1 milestone
Filed US (FDA) — chronic duodenal ileus 2018-03-05

“the U.S. Food and Drug Administration (FDA) has accepted the submission of a New Drug Application (NDA) for prucalopride” takeda.com ↗

Approved Indication not stated 3 milestones
Label expansion US (FDA) MOTEGRITY — 2025-07-10 fda.gov ↗
Approved US (FDA) MOTEGRITY — 2018-12-14 fda.gov ↗
Approved EU (EMA) Resolor — 2009-10-14 europa.eu ↗

Trials 36

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT07127237 Sep 2025 → Feb 2026 overdue — Hospital de Clínicas Dr. Manuel Quintela Not yet recruiting No outcome recorded
Phase 15 trials · 1 met primary
Phase 1 NCT01807000 Mar → Apr 2013 — Shire Completed No outcome recorded
Phase 1 NCT00903747 Jan → Apr 2009 constipation disorder Movetis Completed Met primary
Phase 1 NCT01674166 Nov 1998 → May 1999 constipation disorder Movetis Completed No outcome recorded
Phase 1 NCT01674192 Jul 1997 → Aug 1999 constipation disorder Movetis Completed No outcome recorded
Phase 1 NCT00793429 — — Movetis Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT05377619 Jan → Mar 2022 dyspepsia Universidade de Passo Fundo Completed No outcome recorded
Phase 24 trials · 1 met primary
Phase 2 NCT05001763 Sep 2021 → Sep 2023 paralytic ileus, urinary bladder cancer The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School Unknown No outcome recorded
Phase 2 NCT03244553 Oct 2017 → Dec 2019 dyskinesia of esophagus University of Calgary Completed No outcome recorded
Phase 2 NCT02004652 Nov 2013 → Dec 2014 ileus Jinling Hospital, China Completed Met primary
Phase 2 NCT00793247 — chronic intestinal pseudoobstruction Movetis Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT02031081 Mar 2014 → Jun 2018 diabetes mellitus, gastroparesis University of Calgary Completed No outcome recorded
Phase 310 trials · 2 missed
Phase 3 NCT06816407 Mar → May 2025 overdue — Future University in Egypt Recruiting No outcome recorded
Phase 3 NCT05726097 Feb → Oct 2023 colorectal cancer, inflammatory bowel disease, polyp of colon Region Skane Completed No outcome recorded
Phase 3 NCT04759833 Jul 2021 → Nov 2023 constipation disorder Takeda Terminated No outcome recorded
Phase 3 NCT02947269 Oct 2017 → Aug 2020 ileus University of Auckland, New Zealand Completed Missed primary
Phase 3 NCT04190173 Jul 2017 → Jan 2020 critical illness polyneuropathy, paralytic ileus Prince of Songkla University Unknown No outcome recorded
Phase 3 NCT01864915 Jun 2013 → Oct 2014 — Queen's University Completed No outcome recorded
Phase 3 NCT01330381 Apr 2011 → Mar 2013 constipation disorder Shire Completed Missed primary
Phase 3 NCT01116206 May 2010 → Mar 2011 constipation disorder Johnson & Johnson Pharmaceutical Research & Development, L.L.C. Completed No outcome recorded
Phase 3 NCT00987844 Jul 1998 → Nov 2000 constipation disorder Movetis Completed No outcome recorded
Phase 3 NCT01070615 Jun 1998 → Nov 2000 constipation disorder Movetis Completed No outcome recorded
Phase 47 trials · 1 met primary
Phase 4 NCT05455359 Feb 2025 → May 2027 expected aspiration pneumonia, dyskinesia of esophagus, functional gastric disease, gastroesophageal reflux disease Boston Children's Hospital Recruiting No outcome recorded
Phase 4 NCT04985669 Aug 2021 → Feb 2022 — Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh Unknown No outcome recorded
Phase 4 NCT03676374 Feb 2019 → Apr 2021 gastroesophageal reflux disease Universitaire Ziekenhuizen KU Leuven Unknown No outcome recorded
Phase 4 NCT02806206 Jul 2016 → May 2017 Crohn disease, celiac disease University of British Columbia Unknown No outcome recorded
Phase 4 NCT02781493 Jun 2016 → Mar 2017 — Shandong University Unknown No outcome recorded
Phase 4 NCT02228616 Oct 2014 → Sep 2016 constipation disorder Xian-Janssen Pharmaceutical Ltd. Completed No outcome recorded
Phase 4 NCT01707667 Feb → Nov 2013 constipation disorder Shire Completed Met primary
Phase not applicable7 trials
— NCT06474286 May 2027 → May 2028 expected schizophrenia University of Pittsburgh Not yet recruiting No outcome recorded
— NCT07848477 Oct 2026 → Jul 2028 expected major depressive disorder University of Oxford Not yet recruiting No outcome recorded
— NCT05966246 Jan 2022 → Jun 2023 gastric cancer Gangnam Severance Hospital Completed No outcome recorded
— NCT05220228 Jan 2022 → Nov 2023 depressive disorder University of Oxford Completed No outcome recorded
— NCT03572790 Jun 2018 → May 2019 depressive disorder University of Oxford Completed No outcome recorded
— NCT03863366 Feb → Aug 2017 depressive disorder University of Oxford Completed No outcome recorded
— NCT04429802 Sep 2013 → Jun 2015 dyspepsia, intestinal motility disease Universitaire Ziekenhuizen KU Leuven Completed No outcome recorded
Comparator or background therapy29 trials
Phase 1 NCT01870674 Comparator Aug 2013 → Apr 2015 — Yuhan Corporation Completed No outcome recorded
Phase 1 NCT01134185 Comparator May 2010 → Feb 2011 — Movetis Completed No outcome recorded
Phase 1 NCT01036893 Comparator Dec 2009 → Feb 2010 — Movetis Completed No outcome recorded
Phase 1 NCT00488215 Comparator Jan → Mar 2000 constipation disorder Movetis Completed No outcome recorded
Phase 1 NCT01670669 Comparator Nov 1998 → Jul 1999 constipation disorder Movetis Completed No outcome recorded

News releases announcing trial results or a regulatory action · 5

DateIssuerRelease
2018-12-17 Takeda Regulatory FDA approves Shire’s Motegrity™ (prucalopride), the only serotonin-4 receptor agonist for adults with Chronic Idiopathic Constipation (CIC) takeda.com ↗
Shire plc (LSE: SHP, NASDAQ: SHPG) has announced that the U.S. Food and Drug Administration (FDA) has approved Motegrity™ (prucalopride), a once-daily, oral treatment option for adults with Chronic Idiopathic Constipation (CIC).
2018-10-18 Takeda Regulatory FDA Advisory Committee Recommends Approval of Shire’s Prucalopride (SHP555) for Chronic Idiopathic Constipation takeda.com ↗
Shire plc (LSE: SHP, NASDAQ: SHPG) announced today that the U.S. Food and Drug Administration (FDA) Gastrointestinal Drugs Advisory Committee voted unanimously (10 to 0) that the risk-benefit profile of prucalopride supports the approval of this New Drug Application (NDA).
2018-06-03 Takeda Results New Data on the Cardiovascular Safety of Prucalopride Presented at 2018 Digestive Disease Week Annual Meeting takeda.com ↗
Findings were consistent with no evidence of an overall increase in the risk of major adverse cardiovascular events (MACE) in patients using prucalopride compared with polyethylene glycol (PEG) 1
2018-03-05 Takeda Regulatory U.S. FDA Accepts New Drug Application for Prucalopride (SHP555) for Chronic Idiopathic Constipation takeda.com ↗
Shire plc (LSE: SHP, NASDAQ: SHPG) announces that the U.S. Food and Drug Administration (FDA) has accepted the submission of a New Drug Application (NDA) for prucalopride (also known as SHP555).
2015-06-03 Takeda Regulatory Shire Receives European Approval to Use Resolor® (prucalopride) in Men for the Symptomatic Treatment of Chronic Constipation takeda.com ↗
Shire plc (LSE: SHP, NASDAQ: SHPG) announced today that Resolor (prucalopride) has been approved by the European Commission for use in adults for the symptomatic treatment of chronic constipation in whom laxatives fail to provide adequate relief.

Evidence & citations 13 cited values

Every value below carries the sentence it was read from. 68 sources stand behind the page.

FieldValueCited text
Known as Prucalopride “This phase II, double-blind, placebo-controlled, two-treatment four periods cross-over trial investigated the clinical safety, tolerability and the efficacy of R093877...” NCT00793247 ↗
64

NCT02047045 ↗

NCT07848477 ↗

NCT00903747 ↗

NCT00596596 ↗

NCT01870674 ↗

NCT01807000 ↗

NCT04429802 ↗

NCT07127237 ↗

NCT06474286 ↗

NCT02781493 ↗

Show 54 more sources

Known as dihydrobenzofurancarboxamide “Prucalopride succinate (dihydrobenzofurancarboxamide) is a type of 5-hydroxytryptamine 4 receptor agonist that has a higher affinity for the 5-HT4 receptor compared to mosapride” NCT05966246 ↗
Known as Motegrity ChEMBL registry synonym — accepted as the source's own label CHEMBL117287 ↗
Known as Prucaloprida ChEMBL registry synonym — accepted as the source's own label CHEMBL117287 ↗
Known as Prucalopride (as succinate) ChEMBL registry synonym — accepted as the source's own label CHEMBL117287 ↗
Known as Prucalopride succinate “Prucalopride succinate (dihydrobenzofurancarboxamide) is a type of 5-hydroxytryptamine 4 receptor agonist that has a higher affinity for the 5-HT4 receptor compared to mosapride” NCT05966246 ↗
Known as R093877 “This phase II, double-blind, placebo-controlled, two-treatment four periods cross-over trial investigated the clinical safety, tolerability and the efficacy of R093877...” NCT00793247 ↗
2

“A Double-Blind, Placebo-Controlled, Dose-Finding Trial to Evaluate the Efficacy and Safety of Prucalopride (R093877) in Subjects With Chronic Idiopathic Constipation” NCT00596596 ↗

“Single Dose Pharmacokinetic Trial of Oral Prucalopride (R093877) in Subjects With Mild, Moderate and Severe Renal Impairment” NCT01674192 ↗

Known as R108512 “A Double-blind, Placebo-controlled Trial to Evaluate the Efficacy and Safety of Prucalopride (R108512) Tablets in Subjects With Chronic Constipation.” NCT00483886 ↗
1

“0.01 mg/kg/day to 0.03 mg/kg/day prucalopride (R108512) oral solution” NCT01670669 ↗

Known as Resolor “60 patients with refractory GERD symptoms will receive either placebo or prucalopride (Resolor®) 2 mg for a period of 4 weeks.” NCT03676374 ↗
Action Activate “Prucalopride is a high-affinity 5-HT4 receptor agonist for the treatment of chronic constipation.” PMID 25581251 ↗ Jan 2015
1

“Serotonin 4 (5-HT4) receptor agonist” CHEMBL117287 ↗

Modality Small molecule “Prucalopride, a substituted benzamide with selective 5-HT4 agonist activity” NCT02004652 ↗
Route Oral “Efficacy and safety of oral prucalopride in women with chronic constipation in whom laxatives have failed: an integrated analysis.” PMID 24917940 ↗ Feb 2013
Target HTR4 “Serotonin 4 (5-HT4) receptor agonist” CHEMBL117287 ↗