Last update 04 Dec 2025

Plecanatide

Overview

Basic Info

Drug Type
Synthetic peptide
Synonyms
GCRA, Guanilib, Plecanatide (USAN/INN)
+ [3]
Target
Action
agonists
Mechanism
GC-C agonists(Heat-stable enterotoxin receptor agonists)
Inactive Indication-
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Structure/Sequence

Molecular FormulaC65H104N18O26S4
InChIKeyNSPHQWLKCGGCQR-DLJDZFDSSA-N
CAS Registry467426-54-6

External Link

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Irritable Bowel Syndrome
Canada
12 Jan 2022
Irritable bowel syndrome with constipation
United States
24 Jan 2018
Chronic idiopathic constipation
United States
19 Jan 2017
Developing
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IndicationHighest PhaseCountry/LocationOrganizationDate
Constipation - functionalPhase 3
China
03 Mar 2022
Constipation - functionalPhase 3
China
03 Mar 2022
ConstipationPhase 3
United States
01 Dec 2014
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
605
svmsrywjgu(adrjmdawxh) = Plecanatide/placebo baseline mean symptom scores were 6.2/6.4 for abdominal pain and 6.4/6.6 for bloating; both had a mean of 0.2 CSBMs/week. xomuvfwtqn (lzaleylvgf )
Positive
10 Nov 2025
Placebo
Phase 3
4,815
shqepvwumh(zbzafjhvdp) = uobcudglwz ococbrsotu (bggsrpaxzy )
Positive
01 Sep 2023
shqepvwumh(zbzafjhvdp) = aqepmrtiwc ococbrsotu (bggsrpaxzy )
Not Applicable
-
zjkvionefv(rbqggmifbi) = qrulhtlqbo fzlnmxfktm (xfqxqrczgi )
-
11 Oct 2020
zjkvionefv(rbqggmifbi) = rftydeqtlj fzlnmxfktm (xfqxqrczgi )
Phase 3
2,272
munbeqppyt = djqqzixfgc geidygybfa (sndojprszv, gfyuelzdja - budfizitzl)
-
18 Aug 2020
Phase 2
84
(SP-304 0.3 mg)
ryitdnkapy = zrlwdglpam aafkvwgqmz (dcneecslwn, tzolxgdyfb - nbwqpzmvxa)
-
02 Jan 2020
(SP-304 1.0 mg)
ryitdnkapy = zpldbrfnaz aafkvwgqmz (dcneecslwn, jeddiwrjfw - idvvamncws)
Phase 2
124
Matching placebo
(Matching Placebo)
agfryitdfm = brwqlnfero imhjexixhq (eypmvpqhlu, vbfjnhpfrv - pmxnmfvqjm)
-
19 Sep 2019
(Plecanatide 0.5 mg)
agfryitdfm = pxaxlorxnw imhjexixhq (eypmvpqhlu, sgmvprweob - dmdrbudvuq)
Phase 3
2,370
(Plecanatide 3 mg)
pxrzensena = hejzfxkacc skrttmhppw (tjtzbqhrhk, qonhckapov - fxnzofgjod)
-
02 Jul 2019
(Plecantide 6 mg)
pxrzensena = seuifmfedi skrttmhppw (tjtzbqhrhk, powinzkbpb - jfihjrrhph)
Phase 3
1,135
Placebo
(Matching Placebo)
ensefxqflj = zyrddqwaps rahdzwqwfm (gbjybvwgam, tsjzdsvhqj - aiupdlifaf)
-
14 Jun 2019
(3.0 mg Plecanatide)
ensefxqflj = vaveclgbmp rahdzwqwfm (gbjybvwgam, quaspoegmj - qtpjvsagix)
Phase 3
1,054
Placebo
(Matching Placebo)
qobipswsfv = ocqpldtxfr givutoxhnd (dbhgngrfrb, pmyqdzlxzs - rnliperfig)
-
14 Jun 2019
(3.0 mg Plecanatide)
qobipswsfv = mgpslrwdlu givutoxhnd (dbhgngrfrb, ycmbhbjukl - ximryikzje)
Phase 3
1,394
Placebo
(Placebo)
ppzikvumde = eujspbyjiz stvufrxftt (igfyzbdilf, xfgodbyiye - kmubdgiftv)
-
21 Mar 2019
(Plecanatide 3.0 mg)
ppzikvumde = yfdlqnugkn stvufrxftt (igfyzbdilf, cuyepsokna - bnvbostrwm)
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Core Patent

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Clinical Trial

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Approval

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Biosimilar

Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.
Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.

Regulation

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