Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · §4

Inflammatory bowel disease and mucosal barrier disorders — compounds assessed

The 4 compounds the Institute assesses in inflammatory bowel disease and mucosal barrier disorders.

Document identifier
CEI-IN-24/4
Series
Indication assessment
Version
1.3
Published
08 Jul 2024
Last reviewed
08 Jul 2024
Next review
08 Jul 2026
Identifier
10.71829/cei.ind.24
Certainty
Not rated
Cycle
2024 Q3
ICD-11
DD70
Category
Gastrointestinal

§4Compounds assessed

Compounds the Institute assesses in this indication, with the class of each and its overall certainty. A compound appears here whether or not the evidence supports its use, because recording that a compound has been studied and found wanting is as much part of the assessment as recording that one has not.

  • Octapeptide tight-junction regulator (zonulin antagonist)2 contributing trialsfull monograph

    A phase 2b trial met its primary endpoint on symptom scores at the 0.5 mg dose; the subsequent phase 3 trial was discontinued for futility at interim analysis — The Institute rates this moderate certainty for the conclusion that larazotide does not provide…

    Moderate
  • GLP-2 receptor agonist3 contributing trialsfull monograph

    Response defined as ≥20 % reduction in parenteral support volume in 63 % versus 30 % with placebo at 24 weeks — The indication is short-bowel syndrome with intestinal failure, not inflammatory bowel disease; the Institute maps it to the mucosal-barrier…

    Moderate
  • Synthetic pentadecapeptide derived from a gastric juice protein sequence1 contributing trialfull monograph

    A phase 2 programme in ulcerative colitis was conducted and results were not published in a peer-reviewed journal in a form the Institute could verify — A registered clinical programme existed. The Institute could not locate a peer-reviewed primary…

    Very low
  • C-terminal tripeptide fragment of alpha-melanocyte-stimulating hormone0 contributing trialsfull monograph

    No randomised controlled human trial identified — Preclinical colitis models only, though the mechanistic rationale for a local intestinal effect is among the more coherent in this group.

    Very low

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. D’Hondt M, Bracke N, Taevernier L, Gevaert B, Verbeke F, Wynendaele E, De Spiegeleer B. Related impurities in peptide medicines. Journal of Pharmaceutical and Biomedical Analysis 2014;101:2–30. doi:10.1016/j.jpba.2014.06.012 · PMID 25044089

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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