| MDL | - |
|---|---|
| Molecular Weight | 361.39 |
| Molecular Formula | C22H19NO4 |
| SMILES | CC(OC1=CC=C(C(C2=CC=C(OC(C)=O)C=C2)C3=NC=CC=C3)C=C1)=O |
Bisacodyl is a stimulant laxative agent that works directly on the colon to produce a bowel movement. Bisacodyl increases the secretion of PGE 2 by direct activation of colon macrophages. PGE 2 acts as a paracrine factor and decreases the expression of AQP3 in the colon, which inhibits water transfer from the luminal to the vascular side and leads to a laxative effect [1] .
Bisacodyl (20 mg/kg) results in a decrease in AQP3 protein expression and increased mRNA expression level of TNF-α in the colon of rats [1]. Bisacodyl inhibits water absorption in rat jejunum, ileum, and colon, the degree of inhibition is linearly related to the logarithm of the bisacodyl concentration over the range of 0.05 mg to 2.0 mg per 100 mL [2]. Bisacodyl (10 mg/kg, intragastrically) induces a significant decrease in jejunal NOS activity in rats. Bisacodyl (10 mg/kg, intragastrically) increases the distance traveled by the marker in all time periods [3]. Bisacodyl (5.9 mg/kg) decreases significantly jejunal and colonic (Na + K) ATPase activity as compared to saline-treated rats. Bisacodyl (5.9 mg/kg) increases significantly jejunal and colonic PGE2 content and stimulates jejunal and colonic adenyl cyclase activity as compared to those in control rats without affecting cAMP content [4]. Bisacodyl (4.3 mg/kg) coupled with AOM increases the number of crypt per focus, but not the number of tumors in rats. Bisacodyl (43 mg/kg) significantly increases the number of crypt per focus and tumors in rats [5].
MCE has not independently confirmed the accuracy of these methods. They are for reference only.
| NCT Number | Sponsor | Condition | Start Date | Phase |
|---|---|---|---|---|
| NCT04930237 | Methodist Health System |
OIC
|
July 1, 2021 | |
| NCT01745835 | Seoul National University Hospital |
Healthy Person|Bowel Preparation Before Colonoscopy
|
January 30, 2013 | Phase 3 |
| NCT02386449 | Ferring Pharmaceuticals |
Bowel Preparation
|
February 2015 | Phase 4 |
| NCT01865916 | University of British Columbia |
Colonoscopy
|
April 2013 | Phase 4 |
| NCT02383758 | Emory University|Organization for Autism Research |
Encopresis|Autistic Disorder
|
February 1, 2015 | Not Applicable |
| NCT01073943 | Ferring Pharmaceuticals |
Bowel Preparation
|
May 2010 | Phase 3 |
| NCT05032794 | Hospital Parc Taulí, Sabadell |
Bowel Cleansing|Colonoscopy|Bowel Cancer
|
October 13, 2021 | Not Applicable |
| NCT01853709 | Corporacion Parc Tauli |
Bowel Preparation for Colonoscopy
|
May 2013 | Phase 4 |
| NCT01685853 | European Institute of Oncology |
Colonoscopy
|
April 2011 | Phase 3 |
| NCT01655095 | Queen´s University|Hotel Dieu Hospital (Gastrointestinal Diseases Research Unit) |
Quality of Bowel Preparation for the Colon Capsule|Colon Capsule Completion Rates|Colon Capsule Polyp Detection
|
July 2012 | Phase 3 |
| NCT02481219 | Medtronic - MITG |
Colorectal Cancer Screening
|
May 2015 | Not Applicable |
| NCT04033250 | Rambam Health Care Campus |
Inadequate Preparation for Colonoscopy; Personalized Colonoscopy Preparation
|
September 2019 | Not Applicable |
| NCT04132661 | University of Nottingham|Sanofi |
Constipation
|
September 25, 2020 | Phase 4 |
| NCT01063049 | Gastroenterology Services, Ltd. |
Preparation for Colonoscopy
|
February 2010 | Phase 4 |
| NCT02415569 | Shandong University|Qianfoshan Hospital|Binzhou People´s Hospital |
Bowel Cleansing Quality
|
January 2015 | Phase 4 |
| NCT02609607 | David Levinthal|Consortium of Multiple Sclerosis Centers|University of Pittsburgh |
Constipation|Fecal Incontinence|Multiple Sclerosis
|
June 2016 | Phase 2 |
| NCT01011426 | The Cooper Health System |
Postoperative Nausea and Vomiting|Abdominal Pain
|
April 2009 | Phase 2 |
| NCT02211911 | Boehringer Ingelheim |
Healthy
|
February 2008 | Phase 1 |
| NCT03279341 | University Hospital, Gasthuisberg |
Chronic Constipation
|
December 3, 2012 | Phase 4 |
| NCT00857272 | Braintree Laboratories |
Colonoscopy
|
February 2009 | Phase 4 |
| NCT02040285 | Azienda Policlinico Umberto I |
Gastrointestinal Complication
|
February 2012 | Phase 4 |
| NCT02211976 | Boehringer Ingelheim |
Constipation
|
October 2003 | Phase 3 |
| NCT02119000 | McGill University Health Centre+Research Institute of the McGill University Health Centre |
Hospitalized Patients
|
August 2015 | Phase 4 |
| NCT00953017 | Brooke Army Medical Center |
Colonoscopy
|
July 2009 | Phase 4 |
| NCT00509327 | University Hospital, Basel, Switzerland |
Postoperative Ileus
|
November 2004 | Phase 4 |
| NCT03226145 | University of Nottingham|University College, London|Queen Mary University of London |
Constipation - Functional|Irritable Bowel Syndrome Characterized by Constipation
|
July 20, 2017 | Not Applicable |
| NCT03146052 | ASST Rhodense |
Polyps|Colon Preparation
|
March 27, 2017 | Not Applicable |
| NCT05144295 | Alexandria University |
Clinical Efficacy|Treatment Efficacy|Drug Side Effect
|
January 1, 2022 | Phase 3 |
| NCT03248726 | Taipei Medical University WanFang Hospital |
Bowel Preparation
|
July 14, 2017 | Not Applicable |
| NCT02980562 | Korea University Anam Hospital |
Bowel Disease|Colon Adenoma
|
May 2015 | Phase 3 |
| NCT01887158 | Ospedale Santa Maria delle Croci |
Intestinal Cancer
|
July 2013 | Phase 4 |
| NCT04903470 | University of California, San Diego |
Constipation by Outlet Obstruction
|
June 15, 2021 | Not Applicable |
| NCT01982240 | Bausch Health Americas, Inc. |
Chronic Idiopathic Constipation
|
November 2013 | Phase 3 |
| NCT01415687 | University of Calgary |
Bowel Preparation for Colonoscopy
|
May 2011 | Phase 3 |
| NCT01627171 | St. Joseph´s Healthcare Hamilton|McMaster University |
Endoscopy|Bowel Preparation Solutions
|
September 2012 | Phase 4 |
| NCT02976805 | Lawson Health Research Institute|Academic Medical Organization of Southwestern Ontario|Pendopharm|University of Alberta|Université de Montréal|McGill University|University of Western Ontario, Canada |
Colonoscopy|Bowel Preparation
|
February 13, 2017 | Phase 3 |
| NCT04129788 | University of Nottingham|Sanofi |
Constipation
|
November 4, 2020 | Phase 4 |
| NCT00410215 | Queen´s University |
Colonoscopy
|
February 2006 | Phase 4 |
| NCT01885104 | Bayer |
Constipation
|
April 2013 | Phase 2 |
| NCT01509131 | Promefarm S.r.l. |
Colonoscopy
|
March 2010 | Phase 4 |
| NCT00526097 | Boehringer Ingelheim |
Constipation
|
September 2007 | Phase 3 |
| NCT00425594 | Braintree Laboratories |
Colonoscopy
|
January 2007 | Phase 4 |
| NCT00779649 | Research Associates of New York, LLP |
Colonoscopy
|
September 2008 | Phase 4 |
| NCT01533090 | Catholic University of the Sacred Heart |
Colonic Polyps|Cancer Colon|Inflammatory Bowel Disease
|
April 2010 | Not Applicable |
| NCT00278967 | Braintree Laboratories |
Colonoscopy
|
February 2006 | Phase 4 |
| NCT01073930 | Ferring Pharmaceuticals |
Bowel Preparation
|
May 2010 | Phase 3 |
| NCT01533688 | University of Oklahoma |
Diabetes Mellitus
|
October 2011 | Not Applicable |
| NCT02977286 | Tufts Medical Center |
Constipation
|
January 1, 2017 | Phase 4 |
| NCT01917773 | Indiana University |
Colonic Motility Index|Constipation
|
August 2013 | Phase 4 |
| NCT01879605 | Oslo University Hospital |
Constipation|Ileus|Surgery
|
December 2007 | Phase 4 |
| NCT03849196 | Samsung Medical Center |
Bowel Preparation
|
July 31, 2017 | Not Applicable |
| NCT01044394 | Boston Medical Center |
Bowel Preparation
|
January 2010 | Phase 2 |
| NCT05409157 | Bristol-Myers Squibb |
Healthy Participants
|
June 17, 2022 | Phase 1 |
| NCT01510977 | Asan Medical Center |
Colonoscopy Failure|Poor Bowel Preparation
|
November 2011 | Phase 4 |
Solid
Room temperature in continental US; may vary elsewhere.
| Powder | -20°C | 3 years |
|---|---|---|
| 4°C | 2 years | |
| In solvent | -80°C | 6 months |
| -20°C | 1 month |
DMSO : 50 mg/mL ( 138.35 mM ; Need ultrasonic)
H 2 O : 0.1 mg/mL ( 0.28 mM ; Need ultrasonic)
| Concentration Solvent Mass | 1 mg | 5 mg | 10 mg |
|---|
| 1 mM | 2.7671 mL | 13.8355 mL | 27.6709 mL |
| 5 mM | 0.5534 mL | 2.7671 mL | 5.5342 mL |
| 10 mM | 0.2767 mL | 1.3835 mL | 2.7671 mL |