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Phase 3 N=581 Randomized Double-blind Treatment

Efficacy and Safety of Lubiprostone in Patients With Irritable Bowel Syndrome With Constipation

Irritable Bowel Syndrome · Constipation

Enrolled (actual)
581
Serious AEs
Results posted
Oct 2008
Primary outcome: Primary: Overall Responder Status — 12.1; 5.7 percentage of participants — p=0.023

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Lubiprostone (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Sucampo Pharma Americas, LLC
Primary completion
Jul 2006

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Responder Status
12.1; 5.7 0.023 sig
SECONDARY
Month 1 Spontaneous Bowel Movement Rates Change From Baseline
1.55; 1.29 0.391
SECONDARY
Month 1 Stool Consistency Change From Baseline
-0.47; -0.37 0.151
SECONDARY
Month 1 Bowel Straining Change From Baseline
-0.54; -0.42 0.163
SECONDARY
Month 1 Constipation Severity Change From Baseline
-0.41; -0.33 0.185
SECONDARY
Month 1 Symptom Relief
0.69; 0.60 0.300
SECONDARY
Month 1 Responder Rate
9.8; 6.8 0.303
SECONDARY
Month 2 Responder Rate
16.1; 9.9 0.047 sig
SECONDARY
Month 3 Responder Rate
13.5; 5.7 0.008 sig
SECONDARY
Month 1 Abdominal Pain Change From Baseline
-0.32; -0.29 0.663
SECONDARY
Month 2 Abdominal Pain Change From Baseline
-0.44; -0.33 0.224
SECONDARY
Month 3 Abdominal Pain Change From Baseline
-0.47; -0.35 0.271
SECONDARY
Month 1 Abdominal Bloating Change From Baseline
-0.31; -0.28 0.945
SECONDARY
Month 2 Abdominal Bloating Change From Baseline
-0.43; -0.33 0.352
SECONDARY
Month 3 Abdominal Bloating Change From Baseline
-0.45; -0.35 0.180
SECONDARY
Month 2 Spontaneous Bowel Movement Rates Change From Baseline
1.61; 1.39 0.275
SECONDARY
Month 3 Spontaneous Bowel Movement Rates Change From Baseline
1.43; 1.42 0.722
SECONDARY
Month 2 Stool Consistency Change From Baseline
-0.50; -0.41 0.177
SECONDARY
Month 3 Stool Consistency Change From Baseline
-0.49; -0.39 0.082
SECONDARY
Month 2 Bowel Straining Change From Baseline
-0.62; -0.50 0.110
SECONDARY
Month 3 Bowel Straining Change From Baseline
-0.63; -0.50 0.146
SECONDARY
Month 2 Constipation Severity Change From Baseline
-0.51; -0.42 0.373
SECONDARY
Month 3 Constipation Severity Change From Baseline
-0.53; -0.42 0.339
SECONDARY
Month 2 Symptom Relief
0.79; 0.55 0.023 sig
SECONDARY
Month 3 Symptom Relief
0.75; 0.56 0.073
SECONDARY
Month 3 Quality of Life Change From Baseline
17.3; 13.4 0.062
SECONDARY
Month 1 Bowel Movement Rates Change From Baseline
1.30; 0.87 0.060
SECONDARY
Month 2 Bowel Movement Rates Change From Baseline
1.29; 0.95 0.290
SECONDARY
Month 3 Bowel Movement Rates Change From Baseline
1.17; 0.97 0.495

Summary

The primary purpose of this study is to evaluate the efficacy and safety of administration of lubiprostone in patients with irritable bowel syndrome with constipation.

Eligibility Criteria

Inclusion Criteria

  • 18 years of age and older
  • Stable fiber therapy
  • Normal colonoscopy/sigmoidoscopy
  • Able to refrain from use of medications known to treat or associated with constipation symptoms
  • Experiences abdominal discomfort/pain associated with bowel movements
  • Reports decreased bowel movement frequency and/or other symptoms associated with constipation

Exclusion Criteria

  • Diarrhea-predominant or alternating (diarrhea & constipation cycling) IBS, or constipation other than that associated with IBS
  • Open gastrointestinal or abdominal surgery prior to IBS onset
  • Organic bowel disorder, mechanical bowel obstruction, pseudo-obstruction, unexplained weight loss or rectal bleeding
  • Uncontrolled cardiovascular, liver or lung disease, neurologic or psychiatric disorder, other systemic disease, or abnormal laboratory tests per investigator discretion
  • If female, is currently pregnant or nursing, or plans to become pregnant or nurse during the clinical study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00399542). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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