prucalopride 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
sulpiride derivatives and analogues 3502 179474-81-8

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • motegrity
  • prucalopride succinate
  • resolor
  • prucalopride
  • R093877
a 5-HT4 agonist enterokinetic compound
  • Molecular weight: 367.87
  • Formula: C18H26ClN3O3
  • CLOGP: 1.53
  • LIPINSKI: 0
  • HAC: 6
  • HDO: 2
  • TPSA: 76.82
  • ALOGS: -3.46
  • ROTB: 6

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
2 mg O

ADMET properties:

PropertyValueReference
Vd (Volume of distribution) 8.73 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 4.55 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.70 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 22.50 hours Lombardo F, Berellini G, Obach RS
S (Water solubility) 97 mg/mL Bocci G, Oprea TI, Benet LZ
BDDCS (Biopharmaceutical Drug Disposition Classification System) 3 Bocci G, Oprea TI, Benet LZ
BA (Bioavailability) 70 %

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
azlogd74 LogD at pH 7.4 0.855 High 1
caco2-efflux Caco-2 efflux ratio (BA/AB) 4.667 High 1
caco2-intrinsic-papp Caco-2 intrinsic apparent permeability 7.551 10^-6 cm/s High 1
dh-clint Dog hepatocyte intrinsic clearance 1.932 uL/min/10^6 cells High 1
dppb Dog plasma protein binding (% unbound) 74.780 % High 1
fcs-ppb Fetal calf serum protein binding (% unbound) 82.050 % High 1
herg hERG pIC50 5.003 pIC50 High 1
hh-clint Human hepatocyte intrinsic clearance 0.979 uL/min/10^6 cells High 1
hlm-clint Human liver microsomal intrinsic clearance 3.090 uL/min/mg protein High 1
hppb Human plasma protein binding (% unbound) 72.870 % High 1
kinase-safety-class ACVR2B,AKT3,AXL,BRAF,BTK,CAMK2B,CAMK2D,CDK4,CDK5,CDK9,DDR1,EIF2AK3,EPHB4,ERBB2,GRK2,ITK,MAP3K7,MAPK10,MAPK7,MET,NTRK2,PDK2,PDK4,PIK3CB,PIM2,PRKDC,SIK2,SIK3,STK33,TEK,TGFBR1 31
kinase-selectivity-class AXL,BRAF,EIF2AK3,EPHB4,SIK2,STK33 6
mdck-mdr1-efflux MDCK-MDR1 efflux ratio 6.471 High 1
mh-clint Mouse hepatocyte intrinsic clearance 5.358 High 1
mppb Mouse plasma protein binding (% unbound) 75.120 High 1
nih-mdck-mdr1-efflux NIH MDCK-MDR1 efflux ratio 24.774 High 1
pfas-class PFAS structural alert (1 = True, 0 = False) 0
pppb Pig plasma protein binding (% unbound) 81.190 % High 1
rh-clint Rat hepatocyte intrinsic clearance 2.679 uL/min/10^6 cells High 1
rh-fuinc Rat hepatocyte fraction unbound in incubation 87.650 % High 1
rppb Rat plasma protein binding (% unbound) 71.530 % High 1
solubility-dd Solubility at pH 7.4 in DMSO 924.698 uM High 1

Approvals:

DateAgencyCompanyOrphan
Dec. 14, 2018 FDA SHIRE DEV LLC
Oct. 15, 2009 EMA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Pituitary tumour benign 132.69 24.41 28 3829 2104 90622486
Hyperprolactinaemia 92.39 24.41 25 3832 5408 90619182
Secondary adrenocortical insufficiency 81.10 24.41 19 3838 2299 90622291
Head banging 72.34 24.41 13 3844 419 90624171
Insurance issue 63.31 24.41 22 3835 10936 90613654
Inability to afford medication 63.14 24.41 17 3840 3605 90620985
No adverse event 57.80 24.41 36 3821 67946 90556644
Screaming 53.34 24.41 15 3842 3735 90620855
Headache 49.24 24.41 111 3746 862635 89761955
Psychiatric symptom 47.80 24.41 16 3841 7102 90617488
Anger 44.33 24.41 18 3839 13702 90610888
Serum amyloid A protein increased 42.22 24.41 9 3848 708 90623882
Arthropod bite 40.81 24.41 15 3842 8752 90615838
Crying 39.30 24.41 20 3837 25625 90598965
Heliotrope rash 38.58 24.41 7 3850 238 90624352
Poikiloderma 36.76 24.41 7 3850 311 90624279
Therapeutic drug monitoring analysis not performed 36.69 24.41 9 3848 1320 90623270
Wrist fracture 35.59 24.41 16 3841 15608 90608982
Transferrin decreased 35.19 24.41 7 3850 391 90624199
Mental disorder 34.96 24.41 20 3837 32298 90592292
Iron binding capacity total decreased 34.09 24.41 7 3850 459 90624131
Inappropriate schedule of product administration 32.78 24.41 36 3821 149897 90474693
Feeling jittery 32.67 24.41 15 3842 15356 90609234
Suicidal ideation 32.15 24.41 26 3831 73829 90550761
Depressed mood 31.48 24.41 22 3835 50200 90574390
Abdominal pain 29.55 24.41 57 3800 395664 90228926
Hypoacusis 29.49 24.41 17 3840 27833 90596757
Pollakiuria 29.35 24.41 18 3839 32987 90591603
Nervousness 28.83 24.41 18 3839 34038 90590552
Impaired gastric emptying 28.80 24.41 13 3844 12796 90611794
Product availability issue 28.41 24.41 11 3846 7393 90617197
Laryngectomy 28.34 24.41 4 3853 25 90624565
Emotional distress 27.62 24.41 18 3839 36644 90587946
Vasculitis 27.13 24.41 15 3842 22678 90601912
Lip pruritus 26.63 24.41 7 3850 1353 90623237
Adrenal insufficiency 25.80 24.41 16 3841 29905 90594685
Product monitoring error 25.77 24.41 9 3848 4535 90620055
Nausea 25.72 24.41 104 3753 1110212 89514378
Mitochondrial myopathy 25.51 24.41 5 3852 259 90624331
Rib fracture 25.00 24.41 15 3842 26420 90598170

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Duplicate therapy error 51.38 35.79 8 685 288 42620354
Delirium tremens 45.32 35.79 8 685 624 42620018
Serum amyloid A protein increased 44.61 35.79 7 686 265 42620377

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Pituitary tumour benign 130.63 25.62 28 3767 2819 110582685
Hyperprolactinaemia 93 25.62 25 3770 6550 110578954
Serum amyloid A protein increased 83.34 25.62 16 3779 926 110584578
Secondary adrenocortical insufficiency 72.92 25.62 19 3776 4415 110581089
Head banging 65.11 25.62 12 3783 556 110584948
Headache 54.08 25.62 103 3692 882274 109703230
Screaming 52.62 25.62 15 3780 4866 110580638
Psychiatric symptom 43.24 25.62 15 3780 9198 110576306
Duplicate therapy error 42.22 25.62 8 3787 431 110585073
Arthropod bite 38.75 25.62 14 3781 9657 110575847
Delirium tremens 37.94 25.62 8 3787 743 110584761
Wrist fracture 36.70 25.62 15 3780 14402 110571102
Feeling jittery 36.40 25.62 15 3780 14707 110570797
Therapeutic drug monitoring analysis not performed 35.28 25.62 9 3786 1922 110583582
Impaired gastric emptying 34.43 25.62 14 3781 13261 110572243
Crying 34.26 25.62 17 3778 25611 110559893
Heliotrope rash 33.46 25.62 6 3789 238 110585266
Suicidal ideation 31.57 25.62 26 3769 93911 110491593
Mental disorder 30.25 25.62 18 3777 38773 110546731
Vision blurred 30.01 25.62 29 3766 128993 110456511
Anger 29.61 25.62 14 3781 18993 110566511
Poikiloderma 29.26 25.62 6 3789 486 110585018
Transferrin decreased 28.62 25.62 6 3789 542 110584962
Laryngectomy 28.45 25.62 4 3791 31 110585473
Iron binding capacity total decreased 28.41 25.62 6 3789 561 110584943
Mast cell activation syndrome 27.32 25.62 7 3788 1521 110583983
Abdominal pain 26.61 25.62 56 3739 512933 110072571
Hypoacusis 26.58 25.62 16 3779 35175 110550329
Nervousness 25.90 25.62 16 3779 36835 110548669
Pollakiuria 25.63 25.62 17 3778 44178 110541326

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC A06AX05 ALIMENTARY TRACT AND METABOLISM
DRUGS FOR CONSTIPATION
DRUGS FOR CONSTIPATION
Other drugs for constipation
MeSH PA D005765 Gastrointestinal Agents
MeSH PA D017366 Serotonin Receptor Agonists
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D018490 Serotonin Agents
MeSH PA D054368 Laxatives
MeSH PA D058828 Serotonin 5-HT4 Receptor Agonists
FDA MoA N0000193870 Serotonin 4 Receptor Agonists
FDA EPC N0000193871 Serotonin-4 Receptor Agonist
CHEBI has role CHEBI:35469 antidepressant
CHEBI has role CHEBI:50503 laxative
CHEBI has role CHEBI:53784 antispasmodic drug
CHEBI has role CHEBI:55324 gastrointestinal drug

Related Drugs by ATC class:

A06AX Other drugs for constipation 7 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Constipation indication 14760008 DOID:2089
Perforation of intestine contraindication 56905009 DOID:2074
Ulcerative colitis contraindication 64766004 DOID:8577




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 10.83 acidic
pKa2 8.57 Basic
pKa3 1.07 Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
EQ 1MG BASE MOTEGRITY TAKEDA PHARMS USA N210166 Dec. 14, 2018 RX TABLET ORAL July 10, 2028 ADDITIONAL CLINICAL TRIAL INFORMATION ADDED TO PEDIATRIC USE SUBSECTION
EQ 2MG BASE MOTEGRITY TAKEDA PHARMS USA N210166 Dec. 14, 2018 RX TABLET ORAL July 10, 2028 ADDITIONAL CLINICAL TRIAL INFORMATION ADDED TO PEDIATRIC USE SUBSECTION

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
5-hydroxytryptamine receptor 4 GPCR AGONIST Ki 8.60 CHEMBL DRUG LABEL
D(4) dopamine receptor GPCR Ki 5.63 PDSP
5-hydroxytryptamine receptor 3A Ion channel Ki 5.40 CHEMBL
5-hydroxytryptamine receptor 4 GPCR EC50 7.58 CHEMBL

External reference:

IDSource
D09205 KEGG_DRUG
179474-85-2 SECONDARY_CAS_RN
4038160 VANDF
CHEBI:135552 CHEBI
CHEMBL117287 ChEMBL_ID
CHEMBL2105748 ChEMBL_ID
C406662 MESH_SUPPLEMENTAL_RECORD_UI
243 IUPHAR_LIGAND_ID
DB06480 DRUGBANK_ID
0A09IUW5TP UNII
2107309 RXNORM
26947 MMSL
304089 MMSL
346516 MMSL
d07541 MMSL
013402 NDDF
013403 NDDF
1149428003 SNOMEDCT_US
699273008 SNOMEDCT_US
774192009 SNOMEDCT_US
C0913506 UMLSCUI
7702 INN_ID
3052762 PUBCHEM_CID
0A09IUW5TP INXIGHT DRUGS

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 0054-0749 TABLET, FILM COATED 1 mg ORAL ANDA 26 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 0054-0750 TABLET, FILM COATED 2 mg ORAL ANDA 26 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 0406-6301 TABLET, FILM COATED 1 mg ORAL ANDA 28 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 0406-6302 TABLET, FILM COATED 2 mg ORAL ANDA 28 sections
PRUCALOPRIDE Human Prescription Drug Label 1 0781-8158 TABLET, FILM COATED 1 mg ORAL ANDA 26 sections
PRUCALOPRIDE Human Prescription Drug Label 1 0781-8159 TABLET, FILM COATED 2 mg ORAL ANDA 26 sections
Prucalopride Human Prescription Drug Label 1 27241-294 TABLET 1 mg ORAL ANDA 26 sections
Prucalopride Human Prescription Drug Label 1 27241-295 TABLET 2 mg ORAL ANDA 26 sections
PRUCALOPRIDE HUMAN PRESCRIPTION DRUG LABEL 1 31722-391 TABLET, FILM COATED 1 mg ORAL ANDA 26 sections
PRUCALOPRIDE HUMAN PRESCRIPTION DRUG LABEL 1 31722-392 TABLET, FILM COATED 2 mg ORAL ANDA 26 sections
MOTEGRITY HUMAN PRESCRIPTION DRUG LABEL 1 54092-546 TABLET, FILM COATED 1 mg ORAL NDA 28 sections
MOTEGRITY HUMAN PRESCRIPTION DRUG LABEL 1 54092-547 TABLET, FILM COATED 2 mg ORAL NDA 28 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 60505-4806 TABLET, FILM COATED 1 mg ORAL ANDA 26 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 60505-4807 TABLET, FILM COATED 2 mg ORAL ANDA 26 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 69097-218 TABLET, FILM COATED 1 mg ORAL ANDA 17 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 69097-219 TABLET, FILM COATED 2 mg ORAL ANDA 17 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 69238-2698 TABLET, FILM COATED 1 mg ORAL ANDA 27 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 69238-2699 TABLET, FILM COATED 2 mg ORAL ANDA 27 sections
Prucalopride succinate HUMAN PRESCRIPTION DRUG LABEL 1 70069-821 TABLET 1 mg ORAL ANDA 25 sections
Prucalopride succinate HUMAN PRESCRIPTION DRUG LABEL 1 70069-822 TABLET 2 mg ORAL ANDA 25 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 70748-389 TABLET, FILM COATED 1 mg ORAL ANDA 24 sections
Prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 70748-390 TABLET, FILM COATED 2 mg ORAL ANDA 24 sections
prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 70771-1899 TABLET, FILM COATED 1 mg ORAL ANDA 1 sections
prucalopride HUMAN PRESCRIPTION DRUG LABEL 1 70771-1900 TABLET, FILM COATED 2 mg ORAL ANDA 1 sections
Prucalopride Human Prescription Drug Label 1 70954-596 TABLET 1 mg ORAL ANDA 26 sections
Prucalopride Human Prescription Drug Label 1 70954-597 TABLET 2 mg ORAL ANDA 26 sections
PRUCALOPRIDE Human Prescription Drug Label 1 72205-218 TABLET, FILM COATED 1 mg ORAL ANDA 24 sections
PRUCALOPRIDE Human Prescription Drug Label 1 72205-218 TABLET, FILM COATED 1 mg ORAL ANDA 24 sections
PRUCALOPRIDE Human Prescription Drug Label 1 72205-219 TABLET, FILM COATED 2 mg ORAL ANDA 24 sections
PRUCALOPRIDE Human Prescription Drug Label 1 72205-219 TABLET, FILM COATED 2 mg ORAL ANDA 24 sections