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Bilcolic (HYMECROMONE)

Phase 2 active Small molecule

Bilcolic (generic name: HYMECROMONE) is a hymecromone drug. It is currently in Phase 2 development.

Bilcolic works by inhibiting the enzyme carbonic anhydrase 9, which helps regulate fluid and electrolyte balance in the body.

Bilcolic (Hymecromone) is a small molecule drug that targets carbonic anhydrase 9, a key enzyme involved in the regulation of fluid and electrolyte balance. It is classified as a hymecromone, a type of carbonic anhydrase inhibitor. However, there is limited information available on its commercial status, approved indications, and pharmacokinetic properties. Further research is needed to fully understand its clinical applications and safety profile. As a result, its current status in the pharmaceutical market is unclear.

Likelihood of approval
13.3% vs 15.3% industry baseline
If approved by FDA: likely 2031–2034
Steps remaining: Phase 3 → NDA/BLA submission
Confidence: Medium
Why this estimate
  • Baseline phase 2 → approval rate +15.3pp
    Industry-wide phase 2 drugs reach approval ~15.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
  • Oncology Phase 2 attrition -2.0pp
    Oncology drugs have higher Phase 2-to-Phase 3 attrition than average — many fail to show OS benefit in larger studies.
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2031–2034
EMA EU 2032–2035 +0.7 yr
MHRA GB 2032–2035 +0.7 yr
Health Canada CA 2032–2036 +0.9 yr
TGA AU 2032–2036 +1.2 yr
PMDA JP 2032–2036 +1.5 yr
NMPA CN 2033–2037 +2.3 yr
MFDS KR 2032–2036 +1.4 yr
CDSCO IN 2032–2037 +1.8 yr
ANVISA BR 2033–2037 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameHYMECROMONE
Drug classhymecromone
TargetInduced myeloid leukemia cell differentiation protein Mcl-1, Testosterone 17-beta-dehydrogenase 3, Aldose reductase
ModalitySmall molecule
Therapeutic areaOncology
PhasePhase 2

Mechanism of action

Think of carbonic anhydrase 9 like a pump that helps move fluid and electrolytes in and out of cells. By blocking this pump, Bilcolic helps reduce swelling and excess fluid in the body. This can be beneficial for people with conditions like edema or glaucoma.

Approved indications

No approved indications tracked.

Common side effects

No common side effects on file.

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about Bilcolic

What is Bilcolic?

Bilcolic (HYMECROMONE) is a hymecromone drug.

How does Bilcolic work?

Bilcolic works by inhibiting the enzyme carbonic anhydrase 9, which helps regulate fluid and electrolyte balance in the body.

What is the generic name of Bilcolic?

HYMECROMONE is the generic (nonproprietary) name of Bilcolic.

What drug class is Bilcolic in?

Bilcolic belongs to the hymecromone class. See all hymecromone drugs at /class/hymecromone.

What development phase is Bilcolic in?

Bilcolic is in Phase 2.

What does Bilcolic target?

Bilcolic targets Induced myeloid leukemia cell differentiation protein Mcl-1, Testosterone 17-beta-dehydrogenase 3, Aldose reductase and is a hymecromone.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing