PMID- 34697276 OWN - NLM STAT- MEDLINE DCOM- 20211125 LR - 20211125 IS - 2233-6869 (Electronic) IS - 1598-9992 (Linking) VI - 78 IP - 4 DP - 2021 Oct 25 TI - Safety/Efficacy of Prucalopride in Korean Patients with Chronic Constipation: Post-marketing Surveillance. PG - 219-226 LID - 10.4166/kjg.2021.099 [doi] AB - BACKGROUND/AIMS: Constipation is a common gastrointestinal disorder. Prucalopride is a dihydrobenzofurancarboxamide derivative with gastrointestinal prokinetic activities and is recommended as an appropriate choice in patients unresponsive to laxatives. This study assessed the safety and efficacy of prucalopride in Korean patients with chronic constipation, in whom laxatives were ineffective. METHODS: This prospective, non-interventional post-marketing surveillance of prucalopride was conducted from 2012 to 2018 at 28 hospitals in Korea. Adults who received prucalopride for the symptomatic treatment of chronic constipation were included. The patients received 2 mg of prucalopride once daily or 1 mg once daily in patients older than 65 years. The baseline characteristics, adverse events (AEs), and seven-point scale of Clinical Global Impression-Improvement were collected. RESULTS: Of 601 patients, 67.7% were female, and the mean age was 62.3 years. Three hundred patients (49.9%) were older than 65 years. At the baseline, 70.0% of patients reported less than two instances of spontaneous complete bowel movements per week. AEs were reported in 107 patients (17.7%), including headache (3.2%) and diarrhea (2.8%). Seven serious AEs (SAEs) were reported in five patients (0.8%). The SAEs were resolved without complications; there were no cases of death. All SAEs were assessed as 'unlikely' causality with prucalopride. In 72.7% of patients, chronic constipation was improved by the prucalopride treatment during the study period. CONCLUSIONS: This study demonstrated the promising safety and efficacy profile of prucalopride in clinical practice. Thus, prucalopride should be considered in patients with chronic constipation when bowel symptoms are refractory to simple laxatives. FAU - Yeon, Sang Eun AU - Yeon SE AD - Janssen Korea Ltd., Seoul, Korea. FAU - Kim, Su Youn AU - Kim SY AD - Janssen Korea Ltd., Seoul, Korea. AD - Department of Biostatistics and Computing, Yonsei University College of Medicine, Seoul, Korea. FAU - Chung, Woo Chul AU - Chung WC AD - Division of Gastroenterology, Department of Internal Medicine, St. Vincent Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea. FAU - Jeon, Seong Woo AU - Jeon SW AD - Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. FAU - Park, Soo Jung AU - Park SJ AD - Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. FAU - Choi, Chang Hwan AU - Choi CH AD - Departmentof Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. FAU - Choi, Myung Gyu AU - Choi MG AUID- ORCID: 0000-0003-4083-5187 AD - Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. AD - Catholic Photomedicine Research Institute, Seoul, Korea. LA - eng PT - Journal Article PL - Korea (South) TA - Korean J Gastroenterol JT - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi JID - 101189416 RN - 0 (Benzofurans) RN - 0 (Laxatives) RN - 0A09IUW5TP (prucalopride) SB - IM MH - Adult MH - Benzofurans MH - Chronic Disease MH - *Constipation/drug therapy MH - Double-Blind Method MH - Female MH - Humans MH - *Laxatives/therapeutic use MH - Middle Aged MH - Product Surveillance, Postmarketing MH - Prospective Studies MH - Republic of Korea MH - Treatment Outcome OTO - NOTNLM OT - Adverse events OT - Constipation OT - Korea OT - Prucalopride OT - Real clinical practice EDAT- 2021/10/27 06:00 MHDA- 2021/11/26 06:00 CRDT- 2021/10/26 05:47 PHST- 2021/06/30 00:00 [received] PHST- 2021/09/01 00:00 [revised] PHST- 2021/09/03 00:00 [accepted] PHST- 2021/10/26 05:47 [entrez] PHST- 2021/10/27 06:00 [pubmed] PHST- 2021/11/26 06:00 [medline] AID - kjg.2021.099 [pii] AID - 10.4166/kjg.2021.099 [doi] PST - ppublish SO - Korean J Gastroenterol. 2021 Oct 25;78(4):219-226. doi: 10.4166/kjg.2021.099.