Doseloop Beta

Prokinetic agents

medication Under review

Prokinetic agents are a class of drugs and related compounds that increase gastrointestinal motility, meaning they help food and liquid move through the stomach and intestines more efficiently. They do this through several mechanisms depending on the agent, including stimulation of serotonin 5-HT4 receptors, dopamine D2 receptor blockade, motilin receptor activation, or other pathways that increase coordinated smooth muscle activity. In healthy human studies, prokinetic agents have been shown to accelerate gastric emptying and/or intestinal transit, and in some cases increase stool frequency and improve stool consistency. Their broader clinical use is to treat symptoms related to delayed motility such as functional dyspepsia, slow transit constipation, gastroparesis, and other motility disorders, although the strongest evidence for benefit is generally in patients with digestive conditions rather than healthy adults.

Research summary

AI-Generated Content: This summary was created by AI and may contain errors. Always verify with peer-reviewed sources.

The healthiest-human evidence base is limited and often comes from small crossover or pharmacokinetic studies, but it consistently shows that prokinetic agents can speed gastric emptying, small-bowel transit, or colonic transit in healthy volunteers. A classic randomized crossover trial with the investigational agent R093877 found marked, consistent effects on stool frequency and transit in healthy subjects, and a small healthy-volunteer study with prucalopride showed faster gastric emptying and small-bowel transit. Most larger evidence syntheses focus on patients with functional dyspepsia or other motility disorders rather than healthy people, and those reviews generally conclude that prokinetics can improve symptoms and objective motility measures in those conditions. For healthy adults, the main documented effect is improved transit/motility rather than general health enhancement, and adverse effects depend on the specific drug class used.

Reported Benefits

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Related health conditions

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Research (5 studies)

Preliminary

Pharmacomagnetography assessment of the prokinetic effect on gastric emptying and small bowel transit of prucalopride in healthy volunteers

Journal of Pharmacological and Pharmacotherapeutic Research • 2023 • n=6

Not clearly listed in the provided record

Systematic Review

New Developments in Prokinetic Therapy for Gastric Motility Disorders.

PMC Review • 2021

Review authors not clearly listed in the provided record

RCT

Effects of ghrelin receptor agonist, relamorelin, on gastric motor functions and satiation in healthy volunteers.

Neurogastroenterology & Motility • 2016

Nelson AD, Camilleri M, Acosta A, Busciglio I, Linker Nord S, Boldingh I, et al.

Systematic Review

Effectiveness of prokinetic agents against diseases of the digestive system

Wiley • 2009

Not clearly listed in the provided record

RCT

Effect of a novel prokinetic drug, R093877, on gastrointestinal transit in healthy volunteers.

Gut • 1998

Not clearly listed in the provided record

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At a glance

Users tracking 0
Linked studies 5
Researched benefits 3
Side effects noted 0