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. 2014 Jul 21;20(27):8898–8909. doi: 10.3748/wjg.v20.i27.8898

Table 3.

Chemical and clinical characteristics of novel prokinetic agents

Prucalopride Naronapride Velusetrag ROSE-010
Chemical structure Dihydrobenzofuran carboxamide Benzamide Dihydroxyquinoline-carboxamide Glucagon-related peptide
Target receptor/affinity High selectivity and affinity for 5-HT4 (> 150-fold) 5-HT4 full agonist in the GI tract; partial agonist in the heart Potent selective agonist of 5-HT4 with high affinity (500-fold) GLP-1 analogue
Pharmacodynamic effects Accelerated colonic transit in health and CC Accelerated colonic transit in health Dose-dependent acceleration of colonic transit in health Acceleration of colonic transit; antinociceptive effect in IBS-C
Most common adverse events Diarrhea Diarrhea Diarrhea Nausea
Nausea Headache Nausea Headache
Headache Headache
Abdominal pain Vomiting
Approval status/stage of development Approved for CC in EU in 2009 and in Canada in 2011 Phase 2 RCTs in CC completed Phase 2 RCTs in CC completed Phase 2 RCTs in IBS-C completed

CC: Chronic constipation; EU: European Union; GI: Gastrointestinal; GLP-1: Glucagon like peptide-1; IBS-C: Constipation-predominant irritable bowel syndrome; RCT: Randomized controlled trial; 5HT: 5-hydroxytryptamine.