Glycopyrronium
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Also known as Glycopyrrolate cationGlycopyrrolate ionGlycopyrronium cationGlycopyrronium ionerythro-GlycopyrrolateGLYCOPYRRONIUM BROMIDE
Summary
Glycopyrronium (CHEMBL1201335) is an approved small molecule (ATC D11AA01) targeting CHRM1, CHRM2, and CHRM3; indicated across 4 conditions including chronic obstructive pulmonary disease and asthma.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: D11AA01
- Targets: 5 (CHRM1, CHRM2, CHRM3…)
- Indications: 4 conditions
- Clinical trials: 130
- Chemistry: 318.4 Da · C19H28NO3+
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1201335 |
| Name | Glycopyrronium |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 3494 |
| ATC | D11AA01 |
| Molecular formula | C19H28NO3+ |
| Molecular weight | 318.4 |
| InChIKey | ANGKOCUUWGHLCE-UHFFFAOYSA-N |
SMILES: C[N+]1(CCC(C1)OC(=O)C(C2CCCC2)(C3=CC=CC=C3)O)C
IUPAC name: (1,1-dimethylpyrrolidin-1-ium-3-yl) 2-cyclopentyl-2-hydroxy-2-phenylacetate
Also known as: Glycopyrrolate cation, Glycopyrrolate ion, Glycopyrronium, Glycopyrronium cation, Glycopyrronium ion, erythro-, Glycopyrrolate, GLYCOPYRRONIUM, GLYCOPYRROLATE, GLYCOPYRRONIUM BROMIDE
Parent form; salt/anhydrous children: CHEMBL1201027, CHEMBL3707243
Patent coverage: 1,086 distinct patent families (4,188 SureChEMBL compound mentions), from 1 matched compound structure(s). Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| CHRM1 | M1 receptor | Antagonist | 10.1 | 0.2% | P11229 |
| CHRM2 | M2 receptor | Antagonist | 9.5 | 0% | P08172 |
| CHRM3 | M3 receptor | Antagonist | 9.8 | 0% | P20309 |
| CHRM4 | M4 receptor | Antagonist | 10 | 1.6% | P08173 |
| CHRM5 | M5 receptor | Antagonist | 9.9 | 0% | P08912 |
Broader ChEMBL bioactivity targets: 2 (assay-derived). Sample: Muscarinic acetylcholine receptor M2, Muscarinic acetylcholine receptor M3.
Bioactivity
ChEMBL activities: 3 potent at pChembl ≥ 5 of 3 total. Top 100 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| CHRM3 | 9.9 | IC50 | 0.13 | nM | CHEMBL_ACT_13833292 |
| CHRM2 | 9.8 | IC50 | 0.16 | nM | CHEMBL_ACT_7947447 |
| CHRM3 | 9.6 | IC50 | 0.25 | nM | CHEMBL_ACT_7947452 |
Target pathways
Aggregated over 5 target gene(s): CHRM1, CHRM2, CHRM3, CHRM4, CHRM5.
Top Reactome pathways
17 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Signal Transduction | 5 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| Signaling by GPCR | 5 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| Class A/1 (Rhodopsin-like receptors) | 5 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| Amine ligand-binding receptors | 5 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| GPCR downstream signalling | 5 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| Muscarinic acetylcholine receptors | 5 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| GPCR ligand binding | 5 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| G alpha (q) signalling events | 3 | CHRM1, CHRM3, CHRM5 |
| G alpha (i) signalling events | 2 | CHRM2, CHRM4 |
| Metabolism | 1 | CHRM3 |
| Integration of energy metabolism | 1 | CHRM3 |
| Membrane Trafficking | 1 | CHRM2 |
| Acetylcholine regulates insulin secretion | 1 | CHRM3 |
| Regulation of insulin secretion | 1 | CHRM3 |
| Vesicle-mediated transport | 1 | CHRM2 |
| Cargo recognition for clathrin-mediated endocytosis | 1 | CHRM2 |
| Clathrin-mediated endocytosis | 1 | CHRM2 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| signal transduction | 5 |
| G protein-coupled receptor signaling pathway | 5 |
| G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger | 5 |
| adenylate cyclase-inhibiting G protein-coupled acetylcholine receptor signaling pathway | 5 |
| G protein-coupled acetylcholine receptor signaling pathway | 5 |
| chemical synaptic transmission | 5 |
| phospholipase C-activating G protein-coupled acetylcholine receptor signaling pathway | 3 |
| nervous system development | 3 |
| acetylcholine receptor signaling pathway | 3 |
| regulation of locomotion | 2 |
| saliva secretion | 2 |
| regulation of smooth muscle contraction | 2 |
| phospholipase C-activating G protein-coupled receptor signaling pathway | 1 |
| neuromuscular synaptic transmission | 1 |
| positive regulation of monoatomic ion transport | 1 |
Indications & clinical
Indications
3 diseases in clinical trials (phase 1–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.
| Disease (in trials) | Phase | MONDO | EFO |
|---|---|---|---|
| chronic obstructive pulmonary disease | 3 | MONDO:0005002 | EFO:0000341 |
| asthma | 3 | MONDO:0004979 | MONDO:0004979 |
| severe acute respiratory syndrome | 2 | MONDO:0005091 | MONDO:0100096 |
1 further indication record had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 130.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE4 | 45 |
| Not specified | 27 |
| PHASE3 | 20 |
| PHASE2 | 15 |
| PHASE1 | 14 |
| PHASE1/PHASE2 | 4 |
| EARLY_PHASE1 | 3 |
| PHASE2/PHASE3 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT07073950 | PHASE4 | RECRUITING | A Study to Investigate the Effect of Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhaler (BGF MDI) Compared With Placebo MDI on Heart and Lung Function in Participants With Chronic Obstructive Pulmonary Disease (COPD) and Hyperinflation |
| NCT01142648 | PHASE4 | COMPLETED | Sugammadex and Brain Waves |
| NCT01199237 | PHASE4 | COMPLETED | Impact of Anesthetic Choice (Sevoflurane Versus Desflurane) on Airway Reflex Recovery in the Context of Antagonized Neuromuscular Block |
| NCT01453530 | PHASE4 | UNKNOWN | Street Fitness in Surgical Patients Undergoing General Anesthesia After Reversal of Neuromuscular Blockade |
| NCT01959516 | PHASE4 | COMPLETED | Effect of Glycopyrronium on Morning Symptoms and Pulmonary Function in Patients With Moderate to Severe COPD |
| NCT01985334 | PHASE4 | COMPLETED | Study to Evaluate the Efficacy and Safety of Glycopyrronium or Indacaterol Maleate and Glycopyrronium Bromide Fixed-dose Combination Regarding Symptoms and Health Status in Patients With Moderate COPD Switching From Treatment With Any Standard COPD Regimen |
| NCT02181023 | PHASE4 | COMPLETED | Acute Effect of Aclidinium on Hyperinflation and Ventilation Inhomogeneity in Severe COPD Patients |
| NCT02202616 | PHASE4 | COMPLETED | Prospective Cohort Study for the Real - Life Effectiveness Evaluation of GlycOpyrronium With IndacatERol Combination in the Management of COPD in Canada (POWER Study) |
| NCT02236611 | PHASE4 | COMPLETED | A 12-week Study to Evaluate the Efficacy and Safety of Umeclidinium 62.5 Microgram (mcg) Compared With Glycopyrronium 44 mcg in Subjects With Chronic Obstructive Pulmonary Disease (COPD) |
| NCT02327923 | PHASE4 | COMPLETED | Intraoperative Lidocaine Infusion vs. Esmolol Infusion for Postoperative Analgesia in Laparoscopic Cholecystectomy |
| NCT02375217 | PHASE4 | COMPLETED | Low Dose Sugammadex Combined With Neostigmine and Glycopyrrolate Versus Full Dose Sugammadex for Reversal of Rocuronium-induced Neuromuscular Blockade: a Cost Saving Strategy |
| NCT02566031 | PHASE4 | COMPLETED | A Randomized, Multicenter, Open-label, Parallel-group, 12-week Study to Assess the Efficacy and Safety of Switching From Tiotropium to QVA149 (Indacaterol Maleate/Glycopyrronium Bromide) in Symptomatic Mild to Moderate COPD Patients |
| NCT02576626 | PHASE4 | COMPLETED | Single Dose Ultibro Breezhaler by Sd-DPI Versus Ipratropium/Salbutamol by Nebulizer in COPD |
| NCT02622243 | PHASE4 | COMPLETED | Duration of Long Acting Muscarinic Antagonist (LAMA) Bronchoprotection Against Methacholine Challenge |
| NCT02825576 | PHASE4 | TERMINATED | Prevention of Postoperative Events Following Reversal With Sugammadex or Neostigmine |
| NCT02860507 | PHASE4 | COMPLETED | Study to Determine if Administration of Sugammadex Impacts Hospital Efficiency |
| NCT02872090 | PHASE4 | COMPLETED | Effects of Long Acting Bronchodilators on CARDiac Autonomic Control in Chronic Obstructive Pulmonary Disease (COPD) |
| NCT02872935 | PHASE4 | TERMINATED | Minimizing Nausea and Vomiting During Spinals for CS |
| NCT02953041 | PHASE4 | COMPLETED | Effect of a LAMA and a uLABA on the Methacholine Dose-response Curve |
| NCT03081156 | PHASE4 | COMPLETED | The Effect of BEVESPI AEROSPHERE ® Therapy on Exercise Tolerance in COPD |
| NCT03111121 | PHASE4 | COMPLETED | Use of Sugammadex for Reversal of Paralysis in Microlaryngoscopy |
| NCT03138967 | PHASE4 | COMPLETED | Investigation of Sugammadex in Outpatient Urological Procedures |
| NCT03168308 | PHASE4 | COMPLETED | Sugammadex vs. Neostigmine for Neuromuscular Blockade Reversal in Thoracic Surgical Patients |
| NCT03229486 | PHASE4 | COMPLETED | Effect of Sugammadex vs. Neostigmine/Glycopyrrolate on Pediatric Emergence Delirium in Sevoflurane-rocuronium Anesthesia |
| NCT03322657 | PHASE4 | COMPLETED | Sugammadex Versus Neostigmine for Reversal of Rocuronium Neuromuscular |
| NCT03346057 | PHASE4 | COMPLETED | Safety of Sugammadex for the Reversal of Neuromuscular Blockade in American Society of Anesthesiologists (ASA) Class 3 or 4 Participants (MK-8616-145) |
| NCT03346070 | PHASE4 | COMPLETED | Efficacy and Safety of Sugammadex Dosed According to Actual Body Weight (ABW) or Ideal Body Weight (IBW) in Reversal of Neuromuscular Blockade (NMB) in Morbidly Obese Participants (MK-8616-146) |
| NCT03351608 | PHASE4 | COMPLETED | Efficacy, Safety, and Pharmacokinetics of Sugammadex for Reversal of Neuromuscular Blockade (NMB) in Pediatric Participants (MK-8616-089) |
| NCT03364829 | PHASE4 | UNKNOWN | Utilizing Wearable Device to Observe the Clinical Response of COPD Patients Treated With Combined Bronchodilator and Home-based Pulmonary Rehabilitation Program |
| NCT03513757 | PHASE4 | COMPLETED | Dexmedetomidine and Propofol for Pediatric MRI Sedation |
| NCT03580889 | PHASE4 | UNKNOWN | Atropine Versus Glycopyrrolate in Preventing Spinal Anesthesia Induced Hypotension in Lower Limb Surgeries |
| NCT03909165 | PHASE4 | COMPLETED | Efficacy, Safety, and Pharmacokinetics of Sugammadex (MK-8616) for Reversal of Neuromuscular Blockade in Pediatric Participants Aged Birth to <2 Years (MK-8616-169) |
| NCT03939923 | PHASE4 | COMPLETED | Role of Sugammadex as Reversal Agent in Patients Extubated Immediately After Isolated Coronary Artery Bypass Grafting Surgery |
| NCT04401345 | PHASE4 | COMPLETED | Effect of Glycopyrrolate on Vasopressors Requirement for Non-elective Caesarean Section Under Spinal Anaesthesia |
| NCT04606901 | PHASE4 | COMPLETED | Comparison of Time to Extubation Using Sugammadex or Neostigmine |
| NCT04671355 | PHASE4 | WITHDRAWN | TRIMBOW® and RELVAR® on Lung Stiffness Reduction Assessed Through Forced Oscillation Technique in Patients With COPD |
| NCT04737655 | PHASE4 | UNKNOWN | Non-inferiority Evaluation of Trimbow in Critically Ill Patients Admitted in ICU Compared to Standard of Care |
| NCT05256901 | PHASE4 | TERMINATED | Sugammadex vs Neostigmine Reversal in Pediatric Appendectomy |
| NCT05265507 | PHASE4 | UNKNOWN | Comparison of Postoperative Anti-nausea and Vomiting Effect Between Glycopyrronium and Ondansetron |
| NCT05718934 | PHASE4 | COMPLETED | Low Dose of Sugammadex vs Neostigmine and Glycopyrrolate for the Reversal of Rocuronium |
| NCT05887375 | PHASE4 | COMPLETED | Sugammadex vs Neostigmine/Glycopyrrolate on Urinary Retention After Spine Surgery |
| NCT05970263 | PHASE4 | WITHDRAWN | IKANOS: Breztri Maintenance Versus Any Non-Triple Inhaled Therapy After Hospitalization for a COPD Exacerbation in the US |
| NCT05985343 | PHASE4 | COMPLETED | The Impact of Sugammadex on Ileus After Abdominal Wall Reconstruction |
| NCT06228092 | PHASE4 | COMPLETED | Neostigmine/Glyco-pyrrolate 50 Mikrogram/kg or Sugammadex 2 mg/kg for Reversal of Neuromuscular Blockade in Elderly Patients |
| NCT06905483 | PHASE4 | COMPLETED | Comparative Effects of Triple Inhaled Therapy With Budesonide/Glycopyrronium/Formoterol Versus Fluticasone Furoate/Umeclidinium/Vilanterol on Small Airway Disease in COPD Patients: A Randomized Crossover Study |
| NCT06351995 | PHASE3 | ACTIVE_NOT_RECRUITING | Neostigmine and Glycopyrrolate by Iontophoresis |
| NCT00473694 | PHASE3 | COMPLETED | Comparison of Sugammadex (MK-8616/Org 25969) With Neostigmine Administered at 1-2 Post-tetanic Counts (PTCs) After Administration of Rocuronium or Vecuronium (19.4.302/P05945/MK-8616-025) |
| NCT00491894 | PHASE3 | COMPLETED | Safety and Efficacy Study of Oral Glycopyrrolate Liquid for the Treatment of Pathologic (Chronic Moderate to Severe) Drooling in Pediatric Patients 3 to 18 Years of Age With Cerebral Palsy or Other Neurologic Conditions |
| NCT00929110 | PHASE3 | COMPLETED | 1-year Study to Assess the Efficacy, Safety, and Tolerability of Glycopyrronium Bromide (NVA237) in Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01005901 | PHASE3 | COMPLETED | A Study to Assess the Safety, Tolerability and Efficacy of NVA237 Versus Placebo |
| NCT01202188 | PHASE3 | COMPLETED | A Study to Assess the Efficacy, Safety and Tolerability of Once-daily (q.d.) QVA149 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01294787 | PHASE3 | COMPLETED | Effect of QVA149 on Exercise Tolerance in Patients With Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01315249 | PHASE3 | COMPLETED | QVA149 Versus Fluticasone/Salmeterol in Patients With Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01479764 | PHASE3 | COMPLETED | Study of Sugammadex Versus Usual Care on Incidence of Residual Blockade at Post Anesthesia Care Unit Admission (P07981) |
| NCT01917331 | PHASE3 | COMPLETED | Efficacy of Fixed Combination of Beclometasone + Formoterol + Glycopyrrolate Versus Foster® in COPD |
| NCT02268396 | PHASE3 | COMPLETED | Glycopyrronium and Formoterol Fumarate (GFF) Metered Dose Inhaler (MDI) Dose Indicator Study in Adults With Moderate to Very Severe COPD |
| NCT02530281 | PHASE3 | COMPLETED | Study of Glycopyrronium in Axillary Hyperhydrosis |
| NCT02530294 | PHASE3 | COMPLETED | Study of Glycopyrronium in Subjects With Axillary Hyperhidrosis |
| NCT02553798 | PHASE3 | COMPLETED | Long-term Safety Study of Glycopyrronium in Subjects With Primary Axillary Hyperhidrosis |
| NCT02693769 | PHASE2/PHASE3 | TERMINATED | A Study to Compare Fluticasone /Formoterol Breath Actuated Inhaler (BAI) and Ultibro in Subjects With Fixed Airflow Obstruction and Elevated Eosinophils |
| NCT02867761 | PHASE3 | COMPLETED | RETHINC: REdefining THerapy In Early COPD for the Pulmonary Trials Cooperative |
| NCT03116997 | PHASE3 | COMPLETED | Study of Recovery of Strength After Surgery Comparing Two Different Medications for Reversal of Muscle Relaxant |
| NCT03162055 | PHASE3 | COMPLETED | Efficacy and Safety of Glycopyrronium/Formoterol Fumarate Fixed-dose Combination Relative to Umeclidinium/Vilanterol Fixed-dose Combination Over 24 Weeks in Patients With Moderate to Very Severe Chronic Obstructive Pulmonary Disease |
| NCT03268226 | PHASE3 | COMPLETED | Functional Respiratory Imaging Study (FRI) |
| NCT03513406 | PHASE3 | COMPLETED | Comparison of Reversal of Neuromuscular Blockade With Sugammadex Versus Neostigmine Plus Glycopyrolate in Patients Undergoing Burn Surgery |
| NCT04320342 | PHASE3 | COMPLETED | A Study Comparing Efficacy, Safety and Tolerability of the Fixed Dose Triple Combination CHF 5993 With the Fixed Dose Dual Combination CHF 1535 in Subjects With COPD |
| NCT06376942 | PHASE2/PHASE3 | UNKNOWN | A RCT to Compare the Effectiveness of Nebulized Anticholinergics for Cough Suppression During Flexible Bronchoscopy |
| NCT05116930 | PHASE2 | RECRUITING | Neostigmine and Glycopyrrolate for the Treatment of Headache After Dural Puncture |
| NCT05222529 | PHASE2 | RECRUITING | Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Glycopyrronium (Bromide) in Children (6 to Less Than 12 Years) With Asthma |
| NCT07016412 | PHASE2 | RECRUITING | A Phase IIb Ensifentrine-glycopyrrolate Fixed-dose Combination Dose Ranging Study in Subjects With COPD |
| NCT00315536 | PHASE2 | COMPLETED | Echocardiographic Study of the Haemodynamic Effects of Remifentanil With and Without Glycopyrrolate in Healthy Children |
| NCT00558285 | PHASE2 | COMPLETED | Safety and Tolerability of QVA149 (Indacaterol/Glycopyrrolate) Compared to Placebo and to Indacaterol in Patients With Moderate to Severe Stable Chronic Obstructive Pulmonary Disease (COPD) |
| NCT00570778 | PHASE2 | COMPLETED | Efficacy and Safety of QVA149 in Patients With Chronic Obstructive Pulmonary Disease (COPD) |
| NCT01176903 | PHASE1/PHASE2 | COMPLETED | Safety and Efficacy Study of Glyco pMDI After Single and Repeated Administration |
| NCT01476813 | PHASE2 | COMPLETED | Randomized Cross Over Study to Assess Efficacy and Safety of BDP/FF and Glycopyrrolate |
| NCT01703624 | PHASE2 | COMPLETED | Dose Ranging Study of Glycopyrronium Bromide in Patients With Moderate or Severe Chronic Obstructive Pulmonary Disease |
| NCT02016885 | PHASE2 | COMPLETED | A Dose-Ranging Study of the Effect of Glycopyrrolate in Subjects With Axillary Hyperhidrosis |
| NCT02382198 | PHASE2 | UNKNOWN | Study of Glycopyrrolate for Moderate-to-severe Sialorrhea in Parkinson’s Disease |
| NCT02613494 | PHASE1/PHASE2 | COMPLETED | Clozapine-induced Hypersalivation - Feasibility Trial |
| NCT04906655 | PHASE2 | COMPLETED | An Open Label Study for Palmar Hyperhydrosis |
| NCT04924036 | PHASE2 | COMPLETED | Qbrexza Cloths for Hyperhidrosis of Amputation Sites |
| NCT04937543 | PHASE2 | COMPLETED | Efficacy of Inhaled Therapies in the Treatment of Acute Symptoms Associated With COVID-19 |
| NCT06041984 | PHASE1/PHASE2 | UNKNOWN | Antiperistaltic Effect and Safety of Glycopyrronium for Colonoscopic Polypectomy |
| NCT06045364 | PHASE1/PHASE2 | COMPLETED | Effect of Glycopyrrolate on Nausea and Vomiting After ERCP Operation |
| NCT06545500 | PHASE2 | COMPLETED | A Phase IIb Study of Glycopyrrolate Inhalation Solution Over 1 Week in Subjects With COPD |
| NCT07132983 | PHASE2 | COMPLETED | A Phase II Study to Assess the Pharmacokinetics, Pharmacodynamics, and Safety of Single Inhaled Doses of Ensifentrine-glycopyrrolate Fixed Dose Combination, Ensifentrine, and Glycopyrrolate in Subjects With Chronic Obstructive Pulmonary Disease |
| NCT01176851 | PHASE1 | COMPLETED | Biopharmaceutical Study of Glyco pMDI With or Without Charcoal Block vs IV Bolus in Healthy Volunteers |
| NCT01398111 | PHASE1 | COMPLETED | Pharmacokinetic Interaction Study of Glycopyrrolate and Formoterol in Healthy Volunteers |
| NCT01588717 | PHASE1 | TERMINATED | Excessive Sweating Caused by Antidepressants: Measurement and Treatment With Glycopyrrolate (AIDES-G) |
| NCT02040597 | PHASE1 | COMPLETED | A Study to Investigate the Pharmacokinetics, Safety and Tolerability of CHF 5993 pMDI in Subjects With Renal Impairment. |
| NCT02119234 | PHASE1 | COMPLETED | Pharmacokinetics of CHF 5993 pMDI With and Without Spacer in COPD Patients |
| NCT02196714 | PHASE1 | COMPLETED | PK Study of PT003 and PT001 in Japanese Healthy Subjects |
| NCT02370433 | PHASE1 | UNKNOWN | Use of Prokinetics During Inpatient Bowel Care for SCI Patients |
| NCT02512302 | PHASE1 | COMPLETED | Study to Determine the Amount of Glycopyrrolate Absorbed in the Lungs After Taking the Medicine With a eFlow Nebulizer and Seebri® Breezhaler® With and Without Activated Charcoal in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD). |
| NCT02574611 | PHASE1 | WITHDRAWN | Use of High Resolution Colonic Manometry in Studying Motility |
| NCT02975843 | PHASE1 | COMPLETED | Lung Deposition of Beclometasone Dipropionate/Formoterol Fumarate/Glycopyrronium Bromide Administered Via pMDI in Healthy, Asthmatic and COPD Patients |
| NCT04554589 | PHASE1 | UNKNOWN | The Off Label Use of Glycopyrrolate in the Adults Intensive Care Unit. |
| NCT04671030 | PHASE1 | COMPLETED | Use of a Prokinetic Agent as an Adjunct to Thrice Weekly Bowel Care After SCI |
| NCT04856098 | PHASE1 | COMPLETED | Absorption of Indacaterol and Glycopyrronium From Ultibro Breezhaler |
| NCT05288075 | PHASE1 | COMPLETED | Study to Compare Relative Bioavailability of 3 Indacaterol/Glycopyrronium Test Products and Reference Product |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
575 molecules share ≥1 primary target. Top 100 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| ACLIDINIUM BROMIDE | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CLOZAPINE | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| GENTIAN VIOLET | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| Mavorixafor | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| OLANZAPINE | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| ACETYLCHOLINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| AMIODARONE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| AMITRIPTYLINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| AMOXAPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| ASTEMIZOLE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| ATROPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| BENZTROPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| BETHANECHOL | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CARBACHOL | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CARBAMOYLCHOLINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CHLOROQUINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CHLORPROMAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CINNARIZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CLEMASTINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CLIDINIUM | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CLOMIPRAMINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CYCLIZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| CYPROHEPTADINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DARIFENACIN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DESLORATADINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DEXCHLORPHENIRAMINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DICYCLOMINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DIMENHYDRINATE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DIPHENHYDRAMINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DIPHENIDOL | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DOXEPIN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| EBASTINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| HALOPERIDOL | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| HOMATROPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| HYDROXYCHLOROQUINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| IMIPRAMINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| IPRATROPIUM | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| KETOTIFEN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| LOXAPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| MAPROTILINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| MEPAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| METHSCOPOLAMINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| METHSCOPOLAMINE BROMIDE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| MIANSERIN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| NORTRIPTYLINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| ORPHENADRINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| OXYBUTYNIN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PAROXETINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PERHEXILINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PILOCARPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PIRENZEPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PROCHLORPERAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PROMAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PROMETHAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| QUETIAPINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| QUINACRINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| RISPERIDONE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| SCOPOLAMINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| SERTRALINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| SOLIFENACIN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| SULOCTIDIL | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TAMOXIFEN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TERCONAZOLE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| THIORIDAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TIOTROPIUM BROMIDE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TOLTERODINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TRIHEXYPHENIDYL | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TROPICAMIDE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TROSPIUM CHLORIDE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| XANOMELINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| DIMETHINDENE | ChEMBL | Phase 3 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| ENCLOMIPHENE | ChEMBL | Phase 3 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| ABAPERIDONE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| APROFENE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| BENZETHONIUM CHLORIDE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| FLUNARIZINE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| PF-03635659 | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| SABCOMELINE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| TALSACLIDINE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4, CHRM5 |
| BETAMETHASONE PHOSPHORIC ACID | ChEMBL | Phase 4 (approved) | CHRM1, CHRM3, CHRM4, CHRM5 |
| BIPERIDEN | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4 |
| CARIPRAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM4, CHRM5 |
| CEVIMELINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4 |
| CLOTRIMAZOLE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4 |
| ECONAZOLE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4 |
| FLUOXETINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM5 |
| FLUPHENAZINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4 |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3, CHRM4 |
| OXYMETAZOLINE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM4, CHRM5 |
| SULCONAZOLE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM3, CHRM4, CHRM5 |
| BLARCAMESINE | ChEMBL | Phase 3 | CHRM1, CHRM2, CHRM3, CHRM4 |
| METHYLBENACTYZIUM BROMIDE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4 |
| OTENZEPAD | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4 |
| ZOTEPINE | ChEMBL | Phase 2 | CHRM1, CHRM2, CHRM3, CHRM4 |
| Afatinib | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3 |
| chenodiol | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3 |
| LINAGLIPTIN | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3 |
| Propoxyphene | ChEMBL + PubChem | Phase 4 (approved) | CHRM1, CHRM2, CHRM3 |
| ACETYLCHOLINE CHLORIDE | ChEMBL | Phase 4 (approved) | CHRM1, CHRM3, CHRM5 |
| AMBENONIUM | ChEMBL | Phase 4 (approved) | CHRM1, CHRM2, CHRM3 |
Related Atlas pages
- Genes: CHRM1, CHRM2, CHRM3, CHRM4, CHRM5
- In clinical trials for: chronic obstructive pulmonary disease, asthma, severe acute respiratory syndrome
- Drugs: Aclidinium Bromide, Clozapine, Mavorixafor, Olanzapine, Acetylcholine, Amiodarone, Amitriptyline, Amoxapine, Astemizole, Atropine, Benztropine, Bethanechol, Carbachol, Chloroquine, Chlorpromazine, Cinnarizine, Clemastine, Clidinium, Clomipramine, Cyclizine, Cyproheptadine, Darifenacin, Desloratadine, Dexchlorpheniramine, Dicyclomine, Dimenhydrinate, Diphenhydramine, Diphenidol, Doxepin, Ebastine, Haloperidol, Homatropine, Hydroxychloroquine, Imipramine, Ipratropium, Ketotifen, Loxapine, Maprotiline, Mepazine, Methscopolamine, Mianserin, Nortriptyline, Orphenadrine, Oxybutynin, Paroxetine, Perhexiline, Pilocarpine, Pirenzepine, Prochlorperazine, Promazine, Promethazine, Quetiapine, Quinacrine, Risperidone, Scopolamine, Sertraline, Solifenacin, Suloctidil, Tamoxifen, Terconazole, Thioridazine, Tiotropium Bromide, Tolterodine, Trihexyphenidyl, Tropicamide, Xanomeline, Dimethindene, Enclomiphene, Betamethasone Phosphoric Acid, Biperiden, Cariprazine, Cevimeline, Clotrimazole, Econazole, Fluoxetine, Fluphenazine, Miconazole, Oxymetazoline, Sulconazole, Blarcamesine, Afatinib, chenodiol, Linagliptin, Propoxyphene, Ambenonium