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.