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Ibodutant is a selective, potent, orally active small molecule antagonist of the neurokinin 2 (NK₂; tachykinin receptor NK₂; gene symbol TACR2) receptor. It was developed primarily for the treatment of irritable bowel syndrome with diarrhea (IBS-D). Tachykinins and their receptors are implicated in gastrointestinal motility and visceral sensitivity. By blocking the NK₂ receptor on smooth muscle and enteric neurons in the gut, ibodutant was intended to reduce symptoms such as abdominal pain and abnormal stool consistency associated with IBS-D. The drug showed dose-dependent efficacy in clinical trials—particularly at a 10 mg daily dose in female patients—but development was discontinued after phase III studies due to insufficient overall response[3][5][8].
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