Current partner codePEPTIDESDE
NCT02559206·Phase 2·INTERVENTIONAL

Trial of Linaclotide in Patients With Irritable Bowel Syndrome With Constipation (IBS-C)

Status

Completed

Phase

Phase 2

Enrollment

759

Locations

71

Results

Posted

Publications

1

Study summary

What the protocol is testing.

The objectives of this study are to evaluate the safety, efficacy, and dose response of two delayed release formulations of linaclotide (DR; DR formulation 1 is DR1; DR formulation 2 is DR2) administered orally to patients with irritable bowel syndrome with constipation (IBS-C). Additional objectives include understanding how the two DR formulations compare with each other and with the FDA-approved 290 μg LINZESS® (the immediate release \[IR\] formulation of linaclotide).

Interventions

Treatment arms and agents.

DRUG

Linaclotide

Oral, once daily

DRUG

Matching Placebo

Oral, once daily

Timeline

From registration to results.

  1. First posted

    Sep 24, 2015

  2. Study start

    Oct 22, 2015

  3. Primary completion

    Sep 30, 2016

  4. Study completion

    Sep 30, 2016

  5. Results posted

    Apr 24, 2020

  6. Registry updated

    Apr 24, 2020

Outcomes

What the study measures.

Primary outcomes

Change From Baseline in Weekly Abdominal Pain Score Over the 12-Week Treatment Period: DR1 or IR vs. Placebo

Time frame · Baseline, up to Week 12

Abdominal pain assessment was based on an 11-point numerical rating scale (0=No symptom; 10=Worst possible) assessing the symptom "at its worst in past 24 hours." A participant's weekly abdominal pain score is the average of the nonmissing abdominal pain scores reported by the participant during each week.

Change From Baseline in Weekly Abdominal Pain Score Over the 12-Week Treatment Period: DR2 or IR vs. Placebo

Time frame · Baseline, up to Week 12

Abdominal pain assessment was based on an 11-point numerical rating scale (0=No symptom; 10=Worst possible) assessing the symptom "at its worst in past 24 hours." A participant's weekly abdominal pain score is the average of the nonmissing abdominal pain scores reported by the participant during each week.

Change From Baseline in Weekly CSBM Frequency Rate Over the 12-Week Treatment Period: DR1 or IR vs. Placebo

Time frame · Baseline, up to Week 12

A participant's weekly CSBM frequency rate is the CSBM rate (CSBMs/week) calculated over that week.

Change From Baseline in Weekly CSBM Frequency Rate Over the 12-Week Treatment Period: DR2 or IR vs. Placebo

Time frame · Baseline, up to Week 12

A participant's weekly CSBM frequency rate is the CSBM rate (CSBMs/week) calculated over that week.

Number of 6/12 Week Abdominal Pain and Constipation (APC) +1 Responders Over the 12-Week Treatment Period: DR1 or IR vs. Placebo

Time frame · up to Week 12

A 6/12 Week APC +1 Responder is a participant who meets the Weekly APC +1 Responder criteria for at least 6 out of the 12 weeks of the Treatment Period. * Weekly APC +1 Responder: A participant who meets the criteria to be a Weekly Abdominal Pain Responder and a Weekly CSBM +1 Responder. * Weekly Abdominal Pain Responder: A participant who has a decrease from baseline of ≥30% in the mean daily worst abdominal pain scores for that week. * Weekly CSBM +1 Responder: A participant who has an increase from baseline of ≥1 in the CSBM weekly rate for that week. A participant with \<4 days of completed eDiary data for that week is not considered a responder for that week.

Number of 6/12 Week Abdominal Pain and Constipation (APC) +1 Responders Over the 12-Week Treatment Period: DR2 or IR vs. Placebo

Time frame · up to Week 12

A 6/12 Week APC +1 Responder is a participant who meets the Weekly APC +1 Responder criteria for at least 6 out of the 12 weeks of the Treatment Period. * Weekly APC +1 Responder: A participant who meets the criteria to be a Weekly Abdominal Pain Responder and a Weekly CSBM +1 Responder. * Weekly Abdominal Pain Responder: A participant who has a decrease from baseline of ≥30% in the mean daily worst abdominal pain scores for that week. * Weekly CSBM +1 Responder: A participant who has an increase from baseline of ≥1 in the CSBM weekly rate for that week. A participant with \<4 days of completed eDiary data for that week is not considered a responder for that week.

Secondary outcomes

Not reported in the indexed record.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: * Patient has completed a colonoscopy according to the American Gastroenterological Association (AGA) criteria, with no clinically significant findings * Patient has no clinically significant findings on a physical examination and clinical laboratory tests * Patient meets protocol criteria for diagnosis of IBS-C * Patient demonstrates continued IBS-C through Pretreatment Period * Patient maintains a minimum level of compliance with daily diary Exclusion Criteria: * Patient has history of loose or watery stools * Patient has symptoms of or been diagnosed with a medical condition that may contribute to abdominal pain * Patient has a structural abnormality of the gastrointestinal (GI) tract or a disease or condition that can affect GI motility * Patient has any protocol-excluded or clinically significant medical or surgical history that could confound the study assessments

Study locations

71 registered sites.

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

Ironwood Investigational Site

Huntsville, Alabama, United States

Ironwood Investigational Site

Phoenix, Arizona, United States

Ironwood Investigational Site

Tucson, Arizona, United States

Ironwood Investigational Site

North Little Rock, Arkansas, United States

Ironwood Investigational Site

Anaheim, California, United States

Ironwood Investigational Site

Chula Vista, California, United States

Ironwood Investigational Site

Garden Grove, California, United States

Ironwood Investigational Site

La Mesa, California, United States

Ironwood Investigational Site

Newport Beach, California, United States

Ironwood Investigational Site

Orange, California, United States

Ironwood Investigational Site

San Diego, California, United States

Ironwood Investigational Site

Thousand Oaks, California, United States

Ironwood Investigational Site

Colorado Springs, Colorado, United States

Ironwood Investigational Site

Bristol, Connecticut, United States

Ironwood Investigational Site

Waterbury, Connecticut, United States

Ironwood Investigational Site

Hialeah, Florida, United States

Ironwood Investigational Site

Kissimmee, Florida, United States

Ironwood Investigational Site

Miami, Florida, United States

Ironwood Investigational Site

Miami, Florida, United States

Ironwood Investigational Site

Miami, Florida, United States

Ironwood Investigational Site

Miami, Florida, United States

Ironwood Investigational Site

Orlando, Florida, United States

Ironwood Investigational Site

South Miami, Florida, United States

Ironwood Investigational Site

Tampa, Florida, United States

Related trials

More studies on Linaclotide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.