Treatment of chronic idiopathic constipation (CIC)
Plecanatide
Structural features
SMILES
[H][C@@]12CSSC[C@H](NC(=O)CNC(=O)[C@@]([H])(NC(=O)[C@]([H])(CSSC[C@H](NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CC(O)=O)NC(=O)[C@@H](N)CC(N)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N1)NC(=O)[C@H](C)NC(=O)[C@@H](NC(=O)[C@H](CC(N)=O)NC(=O)[C@@H](NC2=O)C(C)C)C(C)C)[C@@H](C)O)C(=O)N[C@@H](CC(C)C)C(O)=O
Sequence
NDEC(1)ELC(2)VNVAC(1)TGC(2)L
Route of administration
ORAL
Terminal half-life
Half-life (t½) cannot be calculated due to negligible systemic absorbance
Protein binding
Plecanatide exhibits little to no binding to human serum albumin or human α-1-acid glycoprotein.
Absorption and Bioavailability
Plecanatide is minimally absorbed with negligible systemic availability following oral administration. Concentrations of plecanatide and its active metabolite in plasma are below the limit of quantitation after an oral dose of 3 mg. Therefore, standard pharmacokinetic parameters such as AUC, maximum concentration (Cmax), and half-life (t½) cannot be calculated.