Clinical Trials

Multiple completed Phase IV clinical trials have evaluated the efficacy of otilonium bromide in treating gastrointestinal conditions. These hospital- and university-sponsored studies assessed its utility as a spasmolytic agent during upper gastrointestinal endoscopy and compared pharmacotherapy to dietary interventions for managing irritable bowel syndrome.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04270487 COMPLETED
Irritable Bowel Syndrome
Universitaire Ziekenhuizen KU Leuven
2018-07-26 PHASE4
NCT02576340 COMPLETED
Gastroscopy
Konya Meram State Hospital
2013-01 PHASE4

(data from https://clinicaltrials.gov, updated on 2020-11-17)

Check the Otilonium Bromide product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Otilonium bromide acts as an antimuscarinic agent that binds to muscarinic acetylcholine receptors, thereby blocking intracellular cholinergic signaling cascades and preventing calcium influx in smooth muscle cells. This cellular inhibition suppresses involuntary gastrointestinal smooth muscle contractions, delivering crucial spasmolytic activity required for managing irritable bowel syndrome and facilitating upper gastrointestinal gastroscopy procedures.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.