Eluxadoline in the treatment of diarrhea-predominant irritable bowel syndrome

Drug Des Devel Ther. 2017 Sep 26:11:2827-2840. doi: 10.2147/DDDT.S127405. eCollection 2017.

Abstract

Eluxadoline is a novel drug approved for the management of diarrhea predominant irritable bowel syndrome (IBS-D). It has unique pharmacology and works on three different opioid receptors. Several Phase II and III clinical trials have demonstrated eluxadoline's efficacy in reducing symptoms related to IBS-D. Clinical trial results and postmarketing reports show a risk of pancreatitis in patients without a gallbladder or those abusing alcohol. This review article will include information on clinical trial results related to IBS-D management as well as eluxadoline's limitations.

Keywords: IBS-D; Viberzi; diarrhea; eluxadoline; gastrointestinal.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Diarrhea / drug therapy*
  • Gastrointestinal Agents / therapeutic use*
  • Humans
  • Imidazoles / adverse effects
  • Imidazoles / pharmacokinetics
  • Imidazoles / pharmacology
  • Imidazoles / therapeutic use*
  • Irritable Bowel Syndrome / drug therapy*
  • Phenylalanine / adverse effects
  • Phenylalanine / analogs & derivatives*
  • Phenylalanine / pharmacokinetics
  • Phenylalanine / pharmacology
  • Phenylalanine / therapeutic use

Substances

  • Gastrointestinal Agents
  • Imidazoles
  • eluxadoline
  • Phenylalanine