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Phase 3 N=643 Randomized Quadruple-blind Treatment

Trial of Linaclotide in Patients With Chronic Constipation

Chronic Constipation

Enrolled (actual)
643
Serious AEs
1.2%
Results posted
Jan 2013
Primary outcome: Primary: Complete Spontaneous Bowel Movement (CSBM) Overall Responder — 46; 42; 7 participants — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Matching Placebo (Drug); Linaclotide (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Ironwood Pharmaceuticals, Inc.
Primary completion
Aug 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Complete Spontaneous Bowel Movement (CSBM) Overall Responder
46; 42; 7 <0.0001 sig
SECONDARY
12-Week Complete Spontaneous Bowel Movement (CSBM) Frequency
1.94; 2.04; 0.45
SECONDARY
12-Week Spontaneous Bowl Movement (SBM) Frequency
3.03; 2.98; 1.08
SECONDARY
12-week Change in Stool Consistency
1.85; 1.84; 0.58
SECONDARY
12-week Change in Severity of Straining
-1.12; -1.15; -0.51
SECONDARY
12-week Change in Abdominal Discomfort
-0.49; -0.44; -0.30
SECONDARY
12-week Change in Bloating
-0.46; -0.37; -0.22
SECONDARY
12-week Change in Constipation Severity
-0.90; -0.81; -0.27

Summary

The objective of this trial is to determine the efficacy and safety of linaclotide administered to patients with chronic constipation (CC). The primary efficacy parameter is the percentage of patients in each dosing group that meet the protocol definition for Complete Spontaneous Bowel Movement (CSBM) Overall Responder.

Eligibility Criteria

Inclusion Criteria

  • Patient has completed a colonoscopy according to the AGA criteria, with no clinically significant findings
  • Patient has successfully completed protocol procedures (with no clinically significant findings): physical exam, 12-lead ECG, or clinical laboratory tests
  • Patient meets protocol criteria for CC: reports 25% of BMs
  • Patient demonstrates continued chronic constipation through Pretreatment Period
  • Patient is compliant with IVRS

Exclusion Criteria

  • Patient has history of loose or watery stools
  • Patient has symptoms of or been diagnosed with Irritable Bowel Syndrome (IBS)
  • 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
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00730015). 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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