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
Compound monograph · Incretin receptor agonists

Teduglutide — compound monograph

GLP-2 receptor agonist. Approved. The Institute assesses 1 outcome for this compound and grades the strongest at moderate certainty.

Document identifier
CEI-MN-020
Series
Compound monograph
Version
4.1
Published
30 May 2023
Last reviewed
30 Jan 2024
Next review
30 Jan 2026
Identifier
10.71829/cei.mono.20
Certainty
Moderate
Cycle
2023 Q2

§1Identification and status

§1.1Nomenclature

Preferred name
Teduglutide
Compound class
GLP-2 receptor agonist
Assessment series
Incretin receptor agonists
Synonyms and codes
ALX-0600 · teduglutide (INN) · Gattex (trade) · Revestive (trade)
Route as evaluated
Subcutaneous once daily

§1.2Chemistry

Chemical identifiers are reproduced where they are public. Where a structure has not been published the monograph records not disclosed rather than constructing one.[1]

CAS registry number
197922-42-2
Molecular formula
C164H252N44O55S
Average mass
3752.13
Monoisotopic mass
3750.85
ATC classification
A16AX08

§1.3Sequence and structural notes

H-HGDGSFSDEMNTILDNLAARDFINWLIQTKITD-OH

A 33-residue analogue of human glucagon-like peptide-2 in which alanine at position 2 is replaced by glycine. That single substitution confers resistance to dipeptidyl peptidase-4 and extends the half-life from minutes to hours. It is included in this series because it is the only approved GLP-2 receptor agonist and because it is frequently confused with GLP-1 agents in supply-side channels.

§1.4Assessment status

The Institute assesses Teduglutide across 1 indication and grades the strongest of them at moderate certainty. Holds a marketing authorisation for at least one indication in at least one jurisdiction.

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.1assessed outcomes
HighModerateLowVery low
Figure 1. Distribution of certainty ratings across the 1 outcome the Institute assesses for Teduglutide. A rating attaches to a specific population, comparator and outcome and does not transfer between them.

Table 1. Assessed outcomes for Teduglutide, ordered by certainty. Each row links to the per-indication evidence extract.

IndicationEffect as recordedCertaintyTrials
Inflammatory bowel disease and mucosal barrier disordersResponse defined as ≥20 % reduction in parenteral support volume in 63 % versus 30 % with placebo at 24 weeksModerate3
Effects are reproduced as the contributing trials reported them. Where a confidence interval is held it appears on the per-indication extract rather than in this summary table.

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. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. ICH Q6B Specifications: Test Procedures and Acceptance Criteria for Biotechnological/Biological Products. ICH Harmonised Tripartite Guideline 1999;Step 4 version. identifier not held by the Institute

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.

Nothing published by the Institute is medical advice, a diagnosis, a prescription, a treatment recommendation or a purchasing recommendation. Compounds supplied for research use are not approved for human or veterinary use in any jurisdiction, and a favourable analytical assessment of a supplier is not a statement that any product is safe or effective. The Institute publishes certainty ratings and never recommendations. No telephone number, messaging handle or ordering channel appears anywhere on this site.