Current partner codePEPTIDESDE
NCT02493452·Phase 3·INTERVENTIONAL

Second Plecanatide Study In Irritable Bowel Syndrome With Constipation (IBS-C)

Status

Completed

Phase

Phase 3

Enrollment

1,135

Locations

191

Results

Posted

Publications

3

Study summary

What the protocol is testing.

This study in patients with IBS-C is a randomized, double-blind, placebo-controlled, parallel-group clinical trial with 12 weeks of study drug therapy.

Full detailed description

This study in patients with IBS-C is a randomized, double-blind, placebo-controlled, parallel-group clinical trial with 12 weeks of study drug therapy. Screening/Baseline: Patients will undergo an up to 28-day Screening/Baseline period to allow for any necessary diagnostic procedures, allow for required washout of medications and to determine study eligibility. If otherwise eligible based on screening criteria, patients will undergo a 2-week baseline assessment using an electronic diary where they will record daily assessments of bowel movements (BMs), stool consistency (Bristol Stool Form Scale-BSFS), abdominal pain and other IBS-related symptoms. Data from the two-week electronic diary assessment just prior to the randomization visit will be used to confirm IBS-C and study eligibility as well as define the patient's baseline from which change will be determined. Treatment: Patients who meet all entry criteria will be randomized (1:1:1) to one of three blinded treatment groups on Day 1 of the Treatment period. Patients will take an oral dose of study drug OD for 12 weeks and continue the daily electronic diaries (BMs, rescue medication use, abdominal pain, and other symptoms). During treatment weeks 4, 8, and 12, patients will return to the clinic to undergo safety and efficacy assessments. Post-Treatment: For 2 weeks after completing dosing, patients will continue to complete daily electronic diaries. Patients will then return to the clinical site for a final follow-up visit during Week 14 following randomization. The planned duration of participation in this study will be at least 116 days from signing of informed consent through post-treatment or up to approximately 135 days with visit windows considered.

Interventions

Treatment arms and agents.

DRUG

Plecanatide

DRUG

Placebo

Timeline

From registration to results.

  1. First posted

    Jul 9, 2015

  2. Study start

    Jun 2015

  3. Primary completion

    Nov 2016

  4. Study completion

    Feb 2017

  5. Results posted

    Jun 14, 2019

  6. Registry updated

    Jun 14, 2019

Outcomes

What the study measures.

Primary outcomes

Number of Overall Responders - ITT Population

Time frame · 12 weeks

An Overall Responder was a patient who was a weekly responder (i.e., decrease of 30% from baseline for abdominal pain intensity and an increase of at least 1 complete spontaneous bowel movement in the same week) for at least 6 of the 12 treatment weeks.

Number of Abdominal Pain Responders for at Least 6 of 12 Treatment Weeks

Time frame · 12 Weeks

An Abdominal Pain Intensity Responder was a patient who had a decrease of 30 % from baseline for abdominal pain intensity. Baseline is the mean of non-missing abdominal pain scores recorded during the 2-week baseline diary assessment period prior to the first dose of study drug.

Number of Stool Frequency Responder for at Least 6 of the 12 Treatment Weeks

Time frame · 12 Weeks

A Stool Frequency Responder was a patient who experienced an increase of at least one CSBM (complete spontaneous bowel movement) per week from baseline. Baseline was the mean number of CSBMs recorded during the 2-week baseline diary assessment period prior to the first dose of study drug.

Secondary outcomes

Number of Sustained Efficacy Responders

Time frame · 12 Weeks

A Sustained Efficacy Responder was a patient who was an Overall Responder who also was a Weekly Responder, i.e., decreased of 30% from baseline for abdominal pain intensity and increased of at least one CSBM (complete spontaneous bowel movement) in the same week for at least 2 of the 4 weeks in month 3 of the Treatment Period.

Change From Baseline in Stool Consistency

Time frame · Baseline and 12-Week

Change from baseline in stool consistency based upon the Bristol Stool Form Scale (BSFS). Baseline was the mean BSFS score recorded during the 2-week baseline diary assessment period prior to the first dose of study drug. BSFS Rating 1 to 7: 1. Separate hard lumps, like nuts (hard to pass) 2. Sausage-shaped but lumpy 3. Like a sausage but with cracks on its surface 4. Like a sausage or snake, smooth and soft 5. Soft blobs with clear-cut edges (passed easily) 6. Fluffy pieces with ragged edges, a mushy stool 7. Watery, no solid pieces, entirely liquid

Change From Baseline in Straining

Time frame · Baseline and 12-Week

Change from baseline in Straining Score over the 12-week treatment period. Baseline was the mean of non-missing straining scores recorded during the 2-week baseline diary assessment period prior to the first dose of study drug. The severity of straining during a bowel movement was measured using an 11-point scale (0-10 rating; 0 = no straining; 10 = worst straining).

Change From Baseline in CSBMs (CSBMs/Week)Complete Spontaneous Bowel Movement

Time frame · Baseline and 12-Week

Change from baseline over the 12-week Treatment Period in CSBM (Complete Spontaneous Bowel Movement) Frequency Rate (CSBMs/Week). Baseline was the mean number of CSBMs recorded during the 2-week baseline diary assessment period prior to the first dose of study drug.

Number of Patients With a SBM Within 24 Hours After First Dose of Study Medication

Time frame · Up to 24 hours after the first dose of study drug

A responder was any patient with a SBM within 24 hours after the first dose of study drug.

Change From Baseline in Abdominal Pain

Time frame · Baseline and 12-Week

Change from baseline in abdominal pain as measured with an 11-point (0-10) Numerical Rating Scale from 0 (None) to 10 (Worst Possible). Baseline was the mean of the non-missing abdominal pain scores recorded during the 2-week baseline diary assessment period prior to the first dose of study drug. The average daily abdominal pain score was the average of the non-missing worst daily abdominal pain scores (on a 0 to 10 scale) in the given week.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
85 Years
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: • Adult patients between the ages of 18 and 85 years (inclusive) with a diagnosis of IBS based on ROME III diagnostic criteria and meeting criteria for diagnosis of the constipation predominant subtype - IBS-C Exclusion Criteria: * Refusal or inability to sign informed consent for the trial * Refusal or inability to complete daily Episodic (real-time) BM / RM calls, End of Day daily Calls, and/or complete electronic questionnaires * BMI ≥ 40 or \< 18 * Women of child bearing potential who refuse to use an acceptable method of birth control for the duration of the trial * Women who are pregnant or lactating * Diagnosis of IBS-D or IBS-M * Organic or obstructive disease of the small or large intestine * Use of laxatives other than the study-supplied rescue medication (Dulcolax®, bisacodyl) * Use of a prohibited concomitant medication within the time frame prior to screening outlined in the study protocol for that medication * Unstable medical illness * Bilirubin \> 3X ULN in the absence of a conjugation defect * Any laboratory value \> 3X ULN unless discussed and approved by the study Medical Monitor

Study locations

191 registered sites.

United States. Showing up to 24 locations stored in the fast local snapshot.

Synergy Research Site

Birmingham, Alabama, United States

Synergy Research Site

Birmingham, Alabama, United States

Synergy Research Site

Guntersville, Alabama, United States

Synergy Research Site

Huntsville, Alabama, United States

Synergy Research Site

Saraland, Alabama, United States

Synergy Research Site

Glendale, Arizona, United States

Synergy Research Site

Phoenix, Arizona, United States

Synergy Research Site

Surprise, Arizona, United States

Synergy Research Site

Tucson, Arizona, United States

Synergy Research Site

Conway, Arkansas, United States

Synergy Research Site

Little Rock, Arkansas, United States

Synergy Research Site

Canoga Park, California, United States

Synergy Research Site

Carmichael, California, United States

Synergy Research Site

Chino, California, United States

Synergy Research Site

Chula Vista, California, United States

Synergy Research Site

El Cajon, California, United States

Synergy Research Site

Encino, California, United States

Synergy Research Site

Foothill Ranch, California, United States

Synergy Research Site

Garden Grove, California, United States

Synergy Research Site

Huntington Beach, California, United States

Synergy Research Site

Irvine, California, United States

Synergy Research Site

Lomita, California, United States

Synergy Research Site

Long Beach, California, United States

Synergy Research Site

Los Angeles, California, United States

Related trials

More studies on Plecanatide.

Related PeptideStat pages

Put the record in context.

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