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Plecanatide · Trulance Immediate Release

Peptide · Agonist of guanylate cyclase-C (GUCY2C) · developed by Salix

Approved FDA, Jan 2017
BHC Developer
1 Registered trials

What is Plecanatide?

Plecanatide is a structural analog of human uroguanylin that acts as a guanylate cyclase-C agonist. It binds GC-C on the intestinal epithelium, increasing intracellular and extracellular cGMP to stimulate chloride and bicarbonate secretion via CFTR, accelerate intestinal transit, and reduce visceral pain signaling.

Summary written with AI from the sources listed at the end of this page.

At a glance

Also known as
Trulance Immediate Release
Drug type
Peptide
Targets
guanylate cyclase-C (GUCY2C), cystic fibrosis transmembrane conductance regulator (CFTR) (secondary target)
Mechanism
Agonist of guanylate cyclase-C (GUCY2C)
Pathways
cGMP signaling, chloride and bicarbonate secretion, intestinal fluid secretion
Therapy area
Gastroenterology
Developer
Salix (BHC)
FDA status
Approved as Trulance Immediate Release (January 19, 2017), NDA208745 · FDA label
UNII
7IK8Z952OK

✅ FDA-approved uses

From the indications section of the FDA label (version of Apr 4, 2024). Read the full label for the exact wording, limitations and safety information.

🧪 Clinical trials

TrialPhaseConditionStatusSponsor
NCT07723924 Phase 2 Functional Constipation (FC) Recruiting BHC

Trials of the companies BioRadar tracks, from ClinicalTrials.gov, most advanced phase first.

Conditions studied

Functional Constipation (FC)

Other drugs acting on GUCY2C

More from Salix

Sources

Updated Oct 3, 2026. Something wrong or missing? Report it on the BHC page.

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Data: FDA (Drugs@FDA, Purple Book, DailyMed), NIH (NCI Thesaurus, GSRS, RxNorm), ClinicalTrials.gov • Informational purposes only, not medical or investment advice. • All drugs A–Z

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