Clinical Trials

Numerous clinical trials spanning Phase 2 through Phase 4 have evaluated Tegaserod Maleate for various gastrointestinal conditions, including chronic constipation, dyspepsia, heartburn, gastroesophageal reflux disease, and diabetic gastroparesis. Sponsored by organizations such as Novartis, Braintree Laboratories, and the Hospital Authority, Hong Kong, these studies are predominantly completed, though several were withdrawn, terminated, or remain of unknown recruitment status. Overall, this clinical landscape reflects extensive research into gut motility, gastric emptying, and gastrointestinal symptom relief.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT00414024 TERMINATED
Opioid-induced Constipation
Novartis
2007-02 PHASE3
NCT00365820 TERMINATED
Constipation
Novartis
2006-07 PHASE2; PHASE3
NCT00399659 TERMINATED
Opioid-induced Constipation
Novartis
2006-11 PHASE3
NCT00348634 TERMINATED
Chronic Constipation
Novartis
2006-07 PHASE4
NCT00390975 TERMINATED
Gastroparesis; Diabetes
Novartis
2007-01 PHASE4
NCT00232089 COMPLETED
Dyspepsia
Novartis
2004-05 PHASE3
NCT00171431 TERMINATED
Constipation Predominant; Irritable Bowel Syndrome (IBS-C)
Novartis Pharmaceuticals
2004-11 PHASE3
NCT00149851 COMPLETED
Symptomatic Gastroespohageal Reflux Disease
Novartis
2004-01 PHASE2
NCT00142974 TERMINATED
Diabetic Gastropathy
Novartis
2004-05 PHASE2
NCT00153140 COMPLETED
Constipation
Braintree Laboratories
2004-07 PHASE4
NCT00171522 COMPLETED
Constipation
Novartis
2005-05 PHASE4
NCT00171457 COMPLETED
Heartburn; Dyspepsia
Novartis
2005-04 PHASE3
NCT00277550 WITHDRAWN
Constipation and Dyspepsia
Novartis
PHASE4
NCT00171470 COMPLETED
Dyspepsia
Novartis
2005-04 PHASE3
NCT00171483 COMPLETED
Gastroesophageal Reflux Disease (GERD)
Novartis
2004-01 PHASE3
NCT00139568 COMPLETED
Constipation
Novartis
2005-02 PHASE3
NCT00142987 COMPLETED
IBS-C and IBS With Mixed Bowel Habits
Novartis
2004-04 PHASE4
NCT00141089 COMPLETED
Chronic Constipation
Novartis
2004-03 PHASE3
NCT00232037 COMPLETED
Dyspepsia
Novartis
2004-09 PHASE3
NCT00232102 COMPLETED
Dyspepsia
Novartis
2004-09 PHASE3
NCT00563615 UNKNOWN
Constipation
Hospital Authority, Hong Kong
2004-11
NCT00149877 COMPLETED
Chronic Constipation
Novartis
2004-04 PHASE4
NCT00563758 TERMINATED
Constipation; Chronic Disease
Hospital Authority, Hong Kong
2004-12
NCT00171418 COMPLETED
Gastroesophageal Reflux Disease (GERD)
Novartis
2003-06 PHASE3
NCT00232024 COMPLETED
Dyspepsia
Novartis
2004-01 PHASE3

(data from https://clinicaltrials.gov, updated on 2012-04-20)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tegaserod Maleate acts as a high-affinity partial agonist at 5-HT4 receptors, triggering intracellular cAMP production and promoting presynaptic release of neurotransmitters such as acetylcholine within the enteric nervous system. This signaling cascade enhances peristaltic reflexes and accelerates gastrointestinal transit, thereby alleviating symptoms in motility disorders such as chronic constipation, dyspepsia, and gastroparesis.

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.